Its A Small World Day Care Inc

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During renewal inspection on 5/1/25, Cert Rep observed the following: 1. Child # 9 leaving the Pre-K room alone and walked to the infant room twice 2. Staff # 5 was observed using a personal laptop while the children were on their cots

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. Children must be supervised at all times.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 5/1/25, Cert Rep observed the following Staff # 7 did not have documentation of education in file to qualify for the position of Aide

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During renewal inspection on 5/1/25, Cert Rep observed the following: Cert Rep observed Staff # 7 going into the bathroom with the door closed, and left Staff # 3 out of ratio with 3-young toddlers and 4 older toddlers

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff: child ratios must be maintained at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection on 6/3/24, while doing a walkthrough of the facility, cert rep observed in the infant room, and the PreK room had ripped chairs in both rooms (brown in Pre-K, blue chair in infant room)

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 6/3/24, while doing a walkthrough of the facility, Cert Rep observed the following : - a crib in the infant room was not labelled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on 6/3/24, while doing a walkthrough of the facility, Cert Rep observed the following : - all the emergency contacts were not in preschool room for the children receiving care in the space

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 6/3/24, while reviewing staff files, Staff # 3 did not have documentation of verification of experience in file

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During renewal inspection on 6/3/24, while doing a walkthrough of the facility, Cert rep observed the following: - the preschool classroom to the right of the entrance near the bookshelf had mold in the ceiling - the young/older toddler classroom and the computer room had cobwebs in several areas of the classroom.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 6/28/23, it was observed that the records of child #1 and child #3 did not include the work addresses and telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: During the renewal inspection on 6/28/23, it was observed thatthe records of child #1, child #2, and child #3 did not include information on the child's special needs,

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(e)(4)

Description: Annual immunization reporting to DOH

Noncompliance Area: During the renewal inspection on 6/28/23, it was observed that the records of child #1 and child #4 did not include the influenza vaccine or exemption letter to comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 6/28/23, it was observed that the records of staff person #1did not include fire safety training conducted by a fire protection professional at least annually. Document submitted dated 5/13/2022.

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: 3270.37(b)

Description: Aide qualifications

Noncompliance Area: During the renewal inspection on 6/28/23, it was observed that the records of staff person #2 did not include one of the qualification levels specified in §3270.37(b)(1)-(3).

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE OUTDOOR PLAY EQUIPTMENT WAS DIRTY AND NEEDED TO BE CLEANED.

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: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: ON MAY 18, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #1 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT.

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: ON MAY 18, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1, #2, #3, #4, #5 AND #6 WERE ALL COMBINED INTO ONE FOLDER.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT INCLUDE A LOCK DOWN PLAN.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FACILITY DID NOT HAVE AN EMERGENCY DRILL LOG AVAILIBLE.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT LOCATED IN THE PREK CLASSROOM DID NOT CONTAIN SOAP.

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.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: ON MAY 18, 2022, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT USED FOR EXCURSIONS DID NOT CONTAIN A BOTTLE OF WATER.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Noncompliance Area: ON SEPTEMBER 28, 2020, DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPED PAINT ON THE ORANGE WALL OVER THE SINK IN THE TODDLER CLASSROOM BATHROOM, ON THE ORANGE WALL NEAR THE COTS AND DRAMATIC PLAY AREA AND ON THE YELLOW WALLS IN THE FRONT TODDLER CLASSROOM. THERE WAS CHIPPED PAINT ON THE ORANGE WINDOW LEDGE IN THE BACK COMPUTER AREA NEAR THE INFANT CLASSROOM. CONTINUED NON-COMPLIANCE FROM THE UNANNOUNCED INSPECTION CONDUCTED 07/14/2020

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

Noncompliance Area: ON JULY 14, 2020, DURING THE COMPLAINT INVESTIGATION, IT WAS CONFIRMED THAT ON JULY 07, 2020 , CHILD # 1 WAS NOT SUPERVISED BY A STAFF PERSON AT THE FACILITY, WHEN THE CHILD RAN OUT OF A SIDE EXIT AND INTO THE STREET. ON JULY 14, 2020, DURING THE INSPECTION, AT APPROXIMATELY 09:25 AM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 3 LEAVE THE MIDDLE SCHOOL AGE CLASSROOM, LEAVING SIX SCHOOL AGE CHILDREN ALONE IN THE ROOM WITHOUT SUPERVISION BY A STAFF PERSON.

Correction Required: The legal entity maintain at the facility 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 maintaining a record of the documentation at the facility for a period of three months after the form has been approved. The forms will be made available to the Regional Office of Child Development and Early Learning staff for review during unannounced visits. Verification of compliance with supervision will be completed by more than one on site visit at the facility over a three month period of time.

Noncompliance Area: ON JULY 14, 2020, DURING THE COMPLAINT INVESTIGATION, IT WAS CONFIRMED THAT ON JULY 07, 2020 , CHILD # 1 WAS NOT SUPERVISED BY A STAFF PERSON AT THE FACILITY, WHEN THE CHILD RAN OUT OF A SIDE EXIT AND INTO THE STREET. ON JULY 14, 2020, DURING THE INSPECTION, AT APPROXIMATELY 09:25 AM, THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 3 LEAVE THE MIDDLE SCHOOL AGE CLASSROOM, LEAVING SIX SCHOOL AGE CHILDREN ALONE IN THE ROOM WITHOUT SUPERVISION BY A STAFF PERSON.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children with an emphasis on staff: child ratio through the PA Key. SE Regional office of OCDEL will make the referral to the regional key.

Noncompliance Area: ON JULY 14, 2020, DURING THE COMPLAINT INVESTIGATION, IT WAS CONFIRMED THAT BETWEEN THE HOURS OF 9AM-10AM ON JULY 07, 2020, STAFF # 1 AND # 2 WERE IN THE PRE-K CLASSROOM WITH A TOTAL OF EIGHT CHILDREN ( YOUNGEST CHILD, CHILD # 1, BEING TWO YEARS OLD). STAFF INTERVIEWS REVEALED THAT STAFF # 2 LEFT STAFF # 1 ALONE WITH THE EIGHT CHILDREN " AT TIMES IN AND OUT THE ROOM", PER STAFF # 2. ON JULY 14, 2020, DURING THE UNANNOUNCED INSPECTION, AT APPROXIMATELY 09:25 AM, THE CERTIFICATION OBSERVED STAFF PERSON # 4 ALONE IN THE TODDLER CLASSROOM WITH SEVEN CHILDREN. ( CHILD # 2 BEING THE YOUNGEST CHILD, ONE YEARS OLD). ON JULY 14, 2020, DURING THE INSPECTION, AT APPROXIMATELY 09:25 AM, THE CERTIFICATION OBSERVED STAFF PERSON # 1 ALONE IN THE TODDLER CLASSROOM WITH SEVEN CHILDREN. ( CHILD # 1 BEING THE YOUNGEST CHILD, ONE YEARS OLD).

Correction Required: The required staff: child ratios must be maintained at all times.

Noncompliance Area: ON JULY 14, 2020, DURING THE UNANNOUNCED INSPECTION, CEILING TILE IN THE PRE-K CLASSROOM WERE VISIBLY SOILED.

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.

Noncompliance Area: ON JULY 14, 2020, DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT ALONG THE ORANGE WALL IN THE BATHROOM ADAJENT TO THE MIDDLE SCHOOL AGE CLASSROOM.

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

Noncompliance Area: ON JULY 01, 2019 DURING UNANNOUNCED INSPECTION, THERE WAS STAINED/SOILED CEILING TILE IN THE TODDLER CLASSROOM. ( CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED 05/16/2019)

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.

Noncompliance Area: ON MAY 16, 2019 DURING THE RENEWAL INSPECTION, TOYS WERE PRESENT INSIDE THE PLAYPEN WHILE CHILD # 3 WAS SLEEPING.

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 JUNE 06, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION AND FEE AGREEMENT REVIEWED FOR CHILD # 1 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD. ( THE EMERGENCY CONTACT AND FEE AGREEMENT WAS DATED 10/05/2018)

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.

Noncompliance Area: ON MAY 16, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED IN THE INFANT CLASSROOM WAS NOT UPDATED WITHIN A 6-MONTH PERIOD AND INCOMPLETE FOR CHILD # 1 AND # 2.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON MAY 16, 2019 DURING THE RENEWAL INSPECTION, THERE WAS A CONTAINER OF ANTI-BACTERIAL WIPES UNDER THE SINK IN AN UNLOCKED CABINET ACCESSIBLE TO CHILDREN IN THE BATHROOM NEAR THE TODDLER CLASSROOM AND IN THE BATHROOM NEAR THE PRESCHOOL CLASSROOM.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: ON MAY 16, 2019 DURING THE RENEWAL INSPECTION, THERE WAS STAINED/SOILED CEILING TILE IN THE TODDLER CLASSROOM. THE HANDLE ON THE CABINET SINK IN THE TODDLER BATHROOM WAS BROKEN.

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.

Noncompliance Area: ON MAY 16, 2019 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ALONG THE DIAPER CHANGING TABLE IN THE TODDLER CLASSROOM.

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

Noncompliance Area: ON OCTOBER 22, 2018 DURING THE UNANNOUNCED INSPECTION, THE SMALL CHAIR IN THE YOUNG TODDLER CLASSROOM WAS IN VISIBLE NEED OF REPAIR. THE FABRIC ON THE CHAIR WAS TORN AND THE WOOD QAS EXPOSED.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: ON OCTOBER 22, 2018 DURING THE UNANNOUNCED INSPECTION, THERE WAS CHIPPING PAINT ON THE ORANGE WALL IN THE PRESCHOOL SECTION OF THE FACILITY AND ON THE GREEN WALL IN THE TODDLER SECTION OF THE FACILITY.

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

Noncompliance Area: There was a presence of chipped paint along the walls throughout the facility. The paint was peeling in the preschool room and the computer area.

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

Noncompliance Area: Toddler room was out of ratio with 1 staff person and 7 toddlers.

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.

Noncompliance Area: There were several children in the Older toddler class that did not have 2 feet of space on three sides as suggested during the Renewal Inspection.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The refrigerator measured at 50 degrees at the time of the Renewal Inspection.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: Child #1 had a physical that was dated 4/28/16 as being the last health assessment on file at facility. Youth helpers classified as Child #2, #3, #4 and #5 did not have any health assessment(s) on file at the time of the Renewal Inspection

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: There was peeling paint on multiple doorframes throughout facility that includes the young toddler room; infant room.

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

Noncompliance Area: There were many mats that were in poor condition that were tattered in the school room that were not being used at the time of the unnannounced monitoring and mats in use by children in the front room adjacent to the kitchen.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: There was peeling paint at facility on wall adjacent to outlet in pre-school bathroom. There was also multple ceiling tiles (2) that were stained in the infant room and 3 in the preschool room at entry,

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