Small Impressions Childcare Inc - Saxonburg PA Child Care Center

Noncompliance Area: **On 9/3/2020 at approximately 1:00pm, a child who was not enrolled in school, was placed on the school bus to go to kindergarten without a facility person present.

Correction Required: The Legal Entity will develop and implement a written plan to ensure only school-age children enrolled in school are placed on the school bus. All staff will be trained on this plan. Documentation of the plan and proof of training will be submitted to the regional office upon completion.

Noncompliance Area: The financial agreement of child #1 was not retained for at least one year at the facility after the child was not longer enrolled.

Correction Required: A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.

Noncompliance Area: The facility did not have written parental consent for administration of "Pain and Fever" for child #1 in the infant/toddler space.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The files of facility person #1 and 2 contained documentation of mandated reporter trainings which exceeded 60 months. Facility person #1 and 2 now have current mandated reporter training.

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

Noncompliance Area: The first aid kit in the infant/toddler space did not contain soap and the first aid kit in the main room did not contain gloves. Soap and gloves were added to the first aid kits.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The changing table in the infant/toddler space did not have a handwashing sign posted.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: One of the glass entrance doors in the front of the building was blocked with a wooden shelf. The shelf was moved so it was no longer blocking the door at the time of the inspection.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The arrival and departure times were not included on the agreement for child #1.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Children's records # 1, 2, & 4 lacked admission dates on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: Release persons name, address, and phone # were not included on the emergency contact for child #3. Release persons were listed on the agreement form.

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: The record for child #3 had a health assessment completed more than 60 days from enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The record for staff person #3 did not have a valid health assessment conducted within 12 months of hire on file. The record for staff person # 1 had a health assessment conducted after starting in childcare.

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.

Noncompliance Area: The record for staff person #1 contained only one valid reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The record for staff person #1 and 3 did not have documentation of emergency plan training and has been employed for more than one week.

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.

Noncompliance Area: The record for staff person #2 lacks a dated disclosure form that is required to be on file prior to working with children. The record for staff person #3 lacks a FBI clearance. Staff person #3 was rehired on 9-4-18 with expired clearances on file. A new child abuse and state police clearance were requested beyond the provisional hiring period. Valid Child Abuse and State Police clearances are on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 -- may not work in a child care position at the facility. 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.