Small Wonders Academy Inc - Lancaster PA Child Care Center

Noncompliance Area: It was observed in the older toddler outdoor play space that the plastic log cabin contained cracks in the corners of the windows causing a pinch hazard. It was observed in the younger toddler outdoor play space that the white plastic house contained cracks on and around the windows of the play structure causing pinch hazards, and two areas of the gazebo contained rough edges accessible to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed in the outdoor play space used by preschool/school age children, pockets of mulch were disintegrated and condensed creating dirt, mud, and grass areas around the embedded play equipment. Dirt and grass does not meet the loose-fill material requirement according to the United States Consumer Product Safety Commission, therefore adequate amounts of protective surfacing materials were not observed.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: It was observed in the older toddler room that the green shelving unit contained plastic bags and marker lids less than 1 inch in diameter which were accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and Styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: File for staff person #1 contained a health assessment which did not contain an assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: It was observed in the school age room that two cans of shaving cream stating, "keep out of reach of children," were accessible to children in the classroom closet.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed in the school age room that the kick plate on the door leading to the outdoor play space had a metal corner bent outward approximately 1/2 inch creating a sharp visible hazard. It was observed in the young toddler play space that a hole was dug in front of the play ramp causing a visible tripping hazard for children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: It was observed in the Monkey room that the seat of the blue chair was ripped and not in good repair, and in the Owl room the rest mats were ripped and not in good repair.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: It was observed in the Monkey room that chalk was stored in the wooden cabinet and in the Penguin room a zip lock bag of noodles was stored in the manipulative table all accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Emergency contact form for child #2 did not contain address and telephone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: Emergency contact form for child #1 was signed and reviewed on 1/2018 and again on 01/2019; therefore form was not updated once with in a 6-month period as required.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: Child #2 is of preschool age and file contained a physical dated 07/26/17; therefore an updated physical completed within the last 12 months was not found on file at facility.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Medication log for child #3 did not contain name of medication on form.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: It was observed in the infant room that children's hands were not being washed before meals.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: It was observed that local traffic authorities have not been notified annually in writing of the safe route around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: It was observed that the facility has two qualified group supervisors, but enrollment currently is 99 children which would require a minimum of three group supervisors at facility.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.