Small Wonders Day Care School - Wilkes Barre PA Child Care Center

Noncompliance Area: A renewal inspection occurred at the facility and a review of children's files was conducted. Child file # 2 had a health assessment dated for 3/19/19 and at the time of the inspection had not yet been updated. Child # 2 is 4-years old and requires a health assessment every 12 months.

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 shall contain initial and subsequent health reports.

Noncompliance Area: A review inspection occurred at the facility and a review of children's files was conducted. Child file # 1 had a health assessment dated for 3/2/20 and this health assessment did not include a review of the child's immunizations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 had a health assessment dated for 10/12/17 and not updated until 2/7/20. Staff # 7 had a health assessment dated for 6/27/17 and not updated until 2/14/20. Staff # 9 had a health assessment dated for 6/22/17 and not updated until 1/15/20. Staff # 12 had a health assessment dated for 6/20/17 and not updated until 6/17/20. Staff # 19 had a health assessment dated for 11/3/17 and not updated until 1/29/20. Staff # 21 had a health assessment dated for 5/19/17 and not updated until 8/13/19. Staff # 22 had a health assessment dated for 8/7/17 and not updated until 1/3/20. Staff # 24 had a health assessment dated for 1/24/18 and not updated until 11/13/20. Staff # 26 had a health assessment dated for 5/16/18 and this staff's health assessment has yet to be updated. Staff # 27 had a date of hire of 11/4/14 and this staff did not participate in a health assessment and tuberculosis screening until 2/27/20.

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: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain NSOR clearances dated prior to 7/1/20; Staff # 1, # 2, # 3 , # 4, # 5, # 6, # 7, # 8, # 10, # 11, # 12, and # 13. Staff # 2, # 4, # 6, # 7, # 8, # 9, # 10, # 12, # 13, # 14, # 16, # 18, # 19, # 22, # 23, # 24, # 25, # 26, # 27, # 28, # 29, # 30, and # 31. Staff # 32 was hired 12/20/19, Staff # 33 was hired 10/3/19, and Staff # 34 was hired 9/30/19; and the CPSL required these staff to have an NSOR at the time of hire. Staff # 32 did not have an NSOR clearance until 7/8/20, Staff # 33 until 7/9/20 and at the time of the inspection, Staff # 34 did not have an NSOR on file at the facility. The following staff were working with children during this inspection: Staff # 2, # 6, # 8, # 10, # 12, # 19, # 22, # 25, # 30, # 31, # 32, # 33 and # 34. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain NSOR clearance; Staff # 11, # 15, # 17, # 20, # 21, # 34. Staff # 32 was hired provisionally on 12/20/19 and the file is missing documentation that this staff's NSOR clearance was applied for before working with children. Staff # 27 was hired provisionally on 11/4/19 and the file was missing documentation that his staff's NSOR clearance was applied for before working with children and was not received until 7/9/20, the child abuse clearance was not obtained until 11/8/19 and an FBI clearance was not obtained until 1/10/20. Staff # 33 was hired provisionally on 10/3/19 and the file was missing documentation that his staff's NSOR clearance was applied for before working with children. Staff # 34 was hired provisionally on 9/30/19 and the file was missing documentation that this staff's NSOR clearance was applied for before working with children. Staff # 34 does not have a completed NSOR clearance on file. Staff # 32, # 33 and # 34 was working with the children at the time of this inspection. The amendments to the CPSL also eliminated the ability to hire staff on a provisional hire basis beginning 12/31/19. In order to continue hiring staff provisionally the legal entity was required to apply to the Department for a waiver. The legal entity did not receive the provisional hire waiver approval until 1/7/20. The CPSL requires that mandated reporter training and clearances are updated every 60 months. Staff # 1 had a child abuse clearance dated for 7/2/15 and updated 7/8/20, and an FBI clearance dated for 7/7/15 that at the time of this inspection had not yet been updated. Staff # 2 had a child abuse clearance dated for 7/7/15 and updated 7/10/20, and an FBI clearance dated for 7/7/15 and updated 7/15/20. Staff # 3 had a child abuse clearance dated for 7/7/15 and updated 7/8/20, and an FBI clearance dated for 7/8/15 and updated 7/16/20. Staff # 4 had a child abuse clearance dated for 7/6/15 and updated 7/8/20. Staff # 5 had an FBI clearance dated for 5/29/15 and updated 7/17/20. Staff # 6 had a child abuse clearance dated for 7/6/20 and updated 7/8/20. Staff # 7 had an FBI clearance dated for 7/2/15 and updated 7/15/20. Staff # 8 had a child abuse clearance dated for 7/7/15 and updated 7/8/20 and an FBI clearance dated for 6/5/15 and updated 7/16/20. Staff # 9 had a state police clearance dated for 7/6/15 and updated 7/10/20, a child abuse clearance dated for 7/2/15 and updated 7/14/20, and an FBI clearance dated for 6/4/15 and updated 7/22/20. Staff # 10 had a child abuse clearance dated for 7/6/15 and updated 7/8/20. Staff # 11 has a state police clearance dated for 7/2/15, an FBI clearance dated for 6/2/15 and these clearances have yet to be updated. Staff # 12 had a child abuse clearance dated for 7/6/15 and updated 7/8/20. Staff # 13 had a state police clearance dated for 7/2/15 and updated 7/9/20, and an FBI clearance dated for 6/9/15 and updated 7/23/20. Staff # 14 had a child abuse clearance dated for 7/7/15 and updated 7/8/20. Staff # 15 had a state police clearance dated for 7/2/15 and updated 7/12/20, a child abuse clearance dated for 7/2/15, an FBI clearance dated for 7/7/15 and the child abuse and FBI clearances have yet to be updated. Staff # 16 had a child abuse dated for 7/7/15 and updated 7/8/20, and an FBI clearance dated for 6/5/15 and updated 7/12/20. Staff # 17 had a state police clearance dated for 7/2/15 and updated 7/31/20, a child abuse clearance dated for 7/2/15, an FBI clearance dated for 6/4/15 and the child abuse and FBI clearances have yet to be updated. Staff # 18 had a state police clearance dated for 7/2/15 and updated 7/9/20, a child abuse clearance dated for 7/2/15 and updated 7/14/20, and an FBI clearance dated for 6/5/15 and updated 7/22/20. Staff # 20 had mandated reporter training dated for 3/23/15 and the training has yet to be updated. Staff # 21 had a state police clearance dated for 8/20/14, child abuse clearance dated for 8/29/14 and these clearances have yet to be updated. Staff # 22 had an FBI clearance dated for 6/5/15 and updated 7/17/20. Staff # 25 had a state police clearance dated for 1/20/15 and updated 7/2/20, a child abuse clearance dated for 2/10/15 and updated 7/8/20, an FBI clearance dated for 3/5/15 and updated 7/22/20. Staff # 29 had a state police clearance dated for 7/2/15 and updated 7/9/20, a state police clearance dated for 7/7/15 and updated 7/14/20, and an FBI clearance dated for 6/3/15 and updated 7/22/20. These staff did not update their clearances or mandated reporter training every 60 months as required by CPSL.

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. Facility Person # 1, # 2, # 3, # 4, # 5, # 6, # 7, # 8, # 9, # 10, # 11, # 12, # 13, # 14, # 15, # 16, # 17, # 18, # 19, # 20, # 21, # 22, # 23, # 24, # 25, # 26, # 27, # 29, # 30, # 31, # 32, # 33, # 34 may not work in a child care position at the facility.

Noncompliance Area: On the date of this renewal inspection, a physical site review was conducted. In the large outdoor play area, toys were found that were not in good repair. A ride on car, 2 hand held push cars, a scooter, and a chair were found that had areas that were cracked or with rough edges.

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: On the date of this renewal inspection, a physical site review was conducted. In the infant room, an infant was found sleeping in a crib with a toy attached to the side of the crib.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: On the date of this renewal inspection, a physical site inspection was completed. In the small outdoor play area, a gazebo was found to have several areas of peeling paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: MEDICAL POLICY NUMBER IS MISSING FOR CHILD # 1.

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: STAFF MEMBERS 1,2 & 3 ALL HAD HEALTH ASSESSSMENTS CONDUCTED IN OVER 24 MONTHS FROM TIME OF HIRE.

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.