Small World Day Care Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room #2 downstairs a wooden toy sheep was observed to be chewed by a child causing it not to be 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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #1 lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file are dated 4/12/24 and 5/9/25.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired on (See LIS Code Sheet) lacked a complete state police clearance. The clearance did not have a disseminated date. The file for staff person #2 who was hired on (See LIS Code Sheet) lacked a complete state police clearance. The clearance did not have a disseminated date.

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: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: The Operator reported the incident to the Department on 3.4.24, regarding an emergency room visit on 3.1.24, which did not meet the reporting requirement of 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: There were not sufficient number of toys and variety to preclude long waits for use in the preschool playground. There were 2 tricycles, 3 scooters and one ball. Approximately 9 children will play at one time .

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a deflated ball in the toy bin at the playground.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child # 2 a young toddler contained a current health report dated 9/15/23 that was not updated within 6 months. The previous report was dated 2/22/23.

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: 3270.131(b)(2)

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

Noncompliance Area: The file for child # 1 a preschooler contained a current health report dated 3/30/23. The file lacked documentation of the health report from 2022.

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: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a prescription medication, Epi Pen for child #3.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff # 3,4 and 6 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for staff #1 contained a current health assessment dated 8/17/22. It was not obtained within 24 months of the previous assessment dated 6/23/20. The file for staff # 3 contained a current health assessment dated 6/21/23 . It was not obtained within 24 months of the previous assessment dated 3/9/21.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 3 lacked 1 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

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 # 1 contained a current fire safety training certificate dated 5/17/23 the training pass one year. The Prior certificate was dated 4/29/22.

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: 3270.31(e)(4)(iv)

Description: Water safety

Noncompliance Area: The file for staff # 5 contained a current water safety training dated 5/20/23. The training was not obtained prior to the expiration of the previous certificate dated 4/24/21.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff # 6 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 6 is date 12/6/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff # 2 contained a current Health and Safety Updated training dated 8/3/23 , that was not completed by 12/30/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1 contained a current FBI clearance dated 5/18/23, that was not renewed within 60 months of the prior FBI clearance dated 5/7/18. The file for staff # 3 contained a current FBI clearance dated 3/16/21, that was not renewed within 60 months of the prior FBI clearance dated 11/23/15. The file for staff #3 contained a current Child Abuse clearance dated 3/12/21 that was not renewed within 60 months of the prior Child Abuse clearance dated 11/16/15. The file for staff # 3 contained a current State Police clearance dated 3/12/21, that was not renewed within 60 months of the prior State Police clearance dated 11/16/15 .

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: 3270.72(c)

Description: Good repair

Noncompliance Area: There was a window with a damage screen on the right-side wall in the downstairs room#1.

Correction Required: Screens shall be in good repair.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was chipped plaster on the column by the kitchen.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 2/15/23 to 3/24/23, 3/24/23 to 4/25/23, 5/18/23 to 6/23/23 and 7/20/23 to 8/25/23.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a clear cracked bin in the preschool room. There was a broken pink castle with rough edges around the castle door.

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.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The files for Child #1 , lack documentation of immunizations, as recommended by the ACIP. The children have attended the child care for more than 60 days.

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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for child # 2 lacks updated documentation of current immunization as recommended by the ACIP. The last immunization record was dated November 13 2020.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff # 3 contained an emergency plan training that was not updated within a year. The previous training was dated 7/21/21 and the current training is dated 8/2/22.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff #2 contained a current fire safety training that was not updated within a year of the previous training. The current certificate was dated 10/13/21 and the previous certificate was dated 10/6/20.

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 files for staff # 1 lacked the PA FBI clearance certificate.

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 may not work in a child care position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a bottle of sanitizing cleaner on the kitchen counter food prepping area. There was bread by the bottle and a pot cooking hot dogs.

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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system tests were greater than 30 days apart from 6/13/22 to 7/20/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, whom was hired provisionally as an assistant group supervisor on 5/26/21, lacked an NSOR verification certificate. Her 45-day provisional hire end date was on 7/10/21 and she continued to work without her NSOR verification certificate.

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 may not work in a child care position at the facility.

Noncompliance Area: The file for staff person #1, whom was hired as a group supervisor on 5/19/14, lacked State Police, Child Abuse, and FBI Clearances that were updated within 60 months from the previous clearances. The State Police clearances in the file were dated 10/16/13 and 3/29/19. The Child Abuse Clearances in the file were dated 11/8/13 and 4/7/19. The FBI Clearances in the file were dated 4/18/13 and 8/7/19. The file for staff person #2, whom was hired as an assistant group supervisor on 3/22/19, lacked an FBI Clearance that was completed prior to her first day working with children. The FBI Clearance in the file was dated 9/11/19.

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.

Noncompliance Area: The file for child #1 lacked emergency contact information that included the health insurance policy number.

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: The file for staff person #6, whom was hired on 9/9/19, lacked a health assessment that included an examination for communicable diseases and the results of that examination and lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The files for staff persons #1, #2, and #3 lacked emergency plan training that was completed a year from the previous emergency plan training. The emergency plan training for staff person #1 was completed on 6/4/18 and 7/17/19. The emergency plan training for staff person #2 was completed on 6/1/18 and 7/17/19. The emergency plan training for staff person #3 was completed on 7/12/18 and 8/9/19.

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 file for staff person #4, whom was hired provisionally on 1/3/19, lacked a valid Child Abuse Clearance and FBI Clearance. The Child Abuse Clearance was requested for volunteer purposes instead of employment purposes. The FBI Clearance was processed through the Department of Justice instead of the Department of Human Services. The file for staff person #5, whom was hired provisionally on 9/14/18, lacked valid State Police and Child Abuse Clearances. The State Police and Child Abuse Clearances were requested for the purpose of volunteer instead of employment purposes. The State Police Clearance was dated 3/9/17 and was updated on 4/19/19. The Child Abuse Clearance was dated 3/17/17 and was updated on 4/19/19.

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 #4 may not work in a child care position at the facility.

Noncompliance Area: According to staff statement if a bite does not break the skin they do write up a boo-boo report to give to the parent instead of a incident report. However, a copy of the report is not kept in the file nor placed in the incident file each time a child gets bitten.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: The file for child #1 lacked an emergency contact form that included the insurance coverage policy number.

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.