Small Impressions Childcare Inc

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #1, who is a preschool aged child, contained a child health report that was more than 12 months old.

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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 contained an immunization record that was lacking 2-3 doses of Rotavirus, 2 doses of DTAP, 2 doses of HIB, 4 doses of Pneumococcal, 1 dose of Polio, 1 dose of MMR, 1 dose of Varicella and 2 doses of Hepatitis A. The file for Child #2 contained an immunization record that was lacking 2 doses of Hepatitis B, 1 dose of DTAP, 1 dose of HIB, 1 dose of Pneumococcal, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained 2 state police clearances, 2 child abuse clearances, 2 FBI clearances and 2 mandated reporter trainings that were all more than 60 months apart. The file for Staff #2 contained 2 FBI clearances that were more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: As documented on the 30 day testing form 3.2.26-4.6.26, 4.6.26-5.11.26, and 5.11.26-6.11.26 are all more than 30 days in between testing of the smoke detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The most recent health report on file for Child #1, a preschooler, was dated 3/31/25 which was obtained more than 12 months from the previous health report dated 11/20/23.

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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff Person #1 contained a health assessment dated 6/16/25 which was obtained more than 24 months from the previous health assessment dated 1/27/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The emergency plan training on file for Staff Person #1 was dated 10/1/23 which was more than 12 months ago.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 lacked 12 of 12 annual training hours for the most recent review period December 2023-December 2024. The file for Staff Person #4 lacked 9 of 12 annual training hours for the most recent review period December 2023 - December 2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #1 lacked documentation of fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure form for Staff #2 lacked the date when it was signed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluation for Staff Person #1 was dated 2/14/24, more than 12 months ago.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. During the onset of supervision and ratio check, when staff was asked to identify and name the children whom they were responsible for, Staff person #2 identified and named 11 preschool age children thus leaving one child unaccounted for. When Staff person #2 was asked again to identify and name the children whom they were responsible for, Staff person #2 named 9 preschool age children thus leaving 3 children unaccounted for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:40am, in the Main Classroom, Staff person #1 and 13 young school age children were observed. Therefore, the staff: child ratio was exceeded by one child. At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. Therefore, the staff: child ratio was exceeded by two children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:10pm, CR observed two children entering the restroom independently with no staff accompanying them. Staff Person #3 stood in the entry of the designated preschool space and permitted the children to walk to the restroom on their own. Staff Person #3 could not supervise (see, hear, assess, or direct) the children using the restroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked a PA Child Abuse Clearance. The Disclosure Form on file for Staff Person #1 is not the correct form and lacked the date it was signed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility.