Small Wonders Child Care

Regulation: 3280.131(b)(1)/3280.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection on 5/28/26 the health assessment on file for child #1 had not been updated in the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: During the renewal inspection on 5/28/26 a current health assessment was not on file for staff person #1.

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: 3280.69(a)

Description: 110º F or less

Noncompliance Area: During the inspection on 5/28/26 the water at the child's bathroom sink measured 119 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection the agreements for child #1 and #2 do not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3280.124(f)/3280.181(d)

Description: Updated every 6 months/Dated signature affixed

Noncompliance Area: During the renewal inspection the emergency contact form for child #3 had not been updated for over a 6-month period.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection the file for child #1 did not contain a current health assessment.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.31(f)/3280.31(f)(10)

Description: Age and training/Age and training

Noncompliance Area: During the renewal inspection the file for staff person #1 did not contain Pediatric first aid and Pediatric CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the file for staff person #1 did not contain a completed PA Criminal Clearance and did not contain a DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1may not work in a childcare 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. Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3280.66(c)

Description: Toxic plants not permitted

Noncompliance Area: During the renewal inspection on 7/15/24 weeds including poke weed was observed on the outdoor play area.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: During the facility's physical site renewal inspection on 7/15/24 ceiling tiles were observed that were not properly placed in the metal frame and the banister on the stairs was not properly mounted.

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.

Regulation: 3280.131(e)/3280.131(e)(2)(ii)

Description: ACIP recommended immunization record /Exemption documentation from health professional

Noncompliance Area: During a renewal inspection on 04/12/2023, the file for child #1 did not contain record of an influenza vaccination in the previous year.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 04/12/2023, the files for staff persons #1 and #2 did not contain record of the Pennsylvania Health and Safety update 2022 training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: During a renewal inspection on 04/12/2023, the file for staff person #2 contained a Health Assessment dated more than 24 months old.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 04/12/2023, the file for child #2 did not contain a financial agreement updated in the past 6-months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection on 05/17/2022, the file for child #1 did not contain a signed fee agreement.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During a renewal inspection on 05/17/2022, the file for child #2 contained a health report more than 6 months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 05/17/2022, the file for child #1 contained an Emergency Contact Form that was not updated in the past 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 05/17/2022, the emergency plan did not contain the evacuation route to the offsite location.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 05/17/2022, the emergency plan did not contain accommodations for infants, toddlers or children with special needs.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Noncompliance Area: ON 10/20/20 DURING THE RENEWAL INSPECTION, THERE WAS NO WRITTEN PLAN OF DAILY ACTIVITIES POSTED.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: ON 10//20/20 DURING THE RENEWAL INSPECTION, STAFF STATED THAT THEY ARE NOT ASSIGNED THE RESPONSIBILITY FOR SUPERVISION OF SPECIFIC CHILDREN.

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.

Noncompliance Area: ON 9/30/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION FOR CHILD #3 DID NOT INCLUDE THE PHYSICIAN'S NAME, ADDRESS, OR PHONE NUMBER. THE EMERGENCY CONTACT INFORMATION FOR CHLD #5 DID NOT INCLUDE THE PHYSICIAN'S PHONE NUMBER.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: ON 9/30/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION DID NOT INCLUDE WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD #1 AND #3.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: ON 9/30/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION DID NOT INCLUDE A HEALTH INSURANCE POLICY NUMBER FOR CHILD #3 AND THE HEALTH INSURANCE COMPLANY NAME WAS MISSING FOR CHILD #5.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: ON 10/20/20 DURING THE RENEWAL INSPECTION, THE WRITTEN PLAN OF TRANSPORTING A CHILD TO EMERGENCY CARE WAS NOT POSTED AT THE FACILITY.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: ON 9/30/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THE DATE OF ADMISSION WAS NOT RECORDED IN THE CHILD'S FILE FOR CHILD #1, #2, #3, #4, OR #5.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: ON 9/30/20 DURING THE FILE REVIEW FOR THE RENEWAL INSPECTION, THERE WAS NO SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID FOR CHILD #1 OR CHILD #3.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: ON 10/20/20 DURING THE RENEWAL INSPECTION, THERE WAS HAND SANITIZER ON A TOY SHELF NEXT TO THE PUZZLES ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: THE FILE OF STAFF PERSON #1, HIRED 6/11/2018, DID NOT CONTAIN A FBI CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE OF STAFF PERSON #2, HIRED 3/31/2014, DID NOT CONTAIN A CURRENT FBI CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: THE FILE OF STAFF PERSON #1, HIRED 6/11/2018, DID NOT CONTAIN A FBI CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE OF STAFF PERSON #2, HIRED 3/31/2014, DID NOT CONTAIN A CURRENT CHILD ABUSE OR FBI CLEARANCE HISTORY INFORMATION AS REQUIRED UNDER THE CPSL.

Correction Required: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON #3 WORKING ALONE AT THE FACILITY UNTIL OTHER STAFF MEMBERS CAME.

Correction Required: At least two facility persons shall accompany any number of children on an excursion away from a facility

Noncompliance Area: During renewal inspection on 5/7/18, while reviewing children's files, - Child # 2's emergency contact was missing policy number - Child # 3's emergency contact was missing physician's name, address, and phone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During renewal inspection on 5/7/18. While reviewing children's files, Child # 2 's last health assessment was dated 6/17/16

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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 5/7/18. While reviewing children's file, Child # 1 and 2's emergency contact were missing consent for emergency medical care and/or consent for minor first aid

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: DURING RENWAL INSPECTION ON 5/10/17, FACILITY OWNER USED STYROFOAM PLATES TO SERVE LUNCH LUNCH,

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17, FACILITY OWNER DID NOT HAVE DOCUMENTATION OF IMMUNIZATION RECORD FOR THE DOG AT THE FACILITY

Correction Required: A veterinarian`s certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: DURIING RENEWAL INSPECTION ON 5/10/17, CHILD # 5 'S AGREEMENT IS NOT BEING UPDATED EVERY 6 MONTHS. (1/13/16 AND 1/17/17)

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 informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10//17, WHILE REVIEWING CHILDREN'S FILES, CHILD # 3,4 AND 5 DID NOT HAVE A CURRENT HEALTH ASSESSMNET IN FILE

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: DURING RENEWAL INSPECTION ON 5/10/17, FACILITY OWNER DID NOT HAVE A DOCUMENTATION OF LIABILITY INSURANCE

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17, WHILE REVIEWING STAFF FILES, STAFF # 3 DID NOT HAVE DOCUMENTATION OF 2 NON FAMILY REFERENCES IN FILE

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: DURING RENEWAL NSPECTION ON 5/10/17, FACILITY OWNER DID NOT HAVE A COPY OF THE REGULATIONS POSTED IN A CONSPICUOUS LOCATION USED BY PARENTS

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: DURING RENEWAL INSPECTION 5/10/17, FACILITY OWNER'S EMERGENCY PLAN DID NOT PROVIDE A SHELTER IN PLACE OF CHILDREN DURING AN EMERGENCY

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17 , FACILITY OWNER'S EMERGENCY PLAN DID NOT PROVIDE A METHOD OF CONTACTING PARENTS WHEN AN EMERGENCY ARISE AND WHEN THE EMERGENCY HAS ENDED

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17, WHILE REVIEWING STAFF FILES, STAFF # 3'S EMERGENCY PLAN DID NOT HAVE DOCUMENTATION OF EMERGENCY PLAN TRAINING IN FILE

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.

Noncompliance Area: DURING RENEWAL INSPECTION 5/10/17, WHILE REVIEWING STAFF FILES, STAFF # 3 DID NOT HAVE A SIGNED DISCLOSURE STATEMENT IN FILE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Noncompliance Area: DURING RENWAL INSPECTION ON 5/10/17, FCILITY OWNER DID NOT HAVE THE TELEPHONE NUMBER OF THE NEAREST HOSPITAL POSTED IN THE FACILITY

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17, CERT REP OBSERVED THE LIGHT IN THE BACK NAP ROOM WAS NOT WORKING

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: DURING RENEWAL INSPECTION ON 5/10/17, FACILITY OWNER DID NOT HAVE DOCUMENTATION OF FIRE DRILL LOG

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.