Small Impressions Childcare INC · Saxonburg

The file for Staff Person #3 lacked 12 of 12 annual training hours for the most recent review period December 2023-December 2024. The file for Staff Person #4 lacked 9 of 12 annual training hours for the most recent review period December 2023 - December 2024.

At approximately 10:40am, in the Main Classroom, Staff person #1 and 13 young school age children were observed. Therefore, the staff: child ratio was exceeded by one child. At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. Therefore, the staff: child ratio was exceeded by two children.

At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. During the onset of supervision and ratio check, when staff was asked to identify and name the children whom they were responsible for, Staff person #2 identified and named 11 preschool age children thus leaving one child unaccounted for. When Staff person #2 was asked again to identify and name the children whom they were responsible for, Staff person #2 named 9 preschool age children thus leaving 3 children unaccounted for.

The file for Staff Person #1 lacked a PA Child Abuse Clearance. The Disclosure Form on file for Staff Person #1 is not the correct form and lacked the date it was signed.

At approximately 12:10pm, CR observed two children entering the restroom independently with no staff accompanying them. Staff Person #3 stood in the entry of the designated preschool space and permitted the children to walk to the restroom on their own. Staff Person #3 could not supervise (see, hear, assess, or direct) the children using the restroom.

Based on the documentation of the fire drill log, testing the fire detection system exceeded 30 days on the following occasion: 1/13/2025 to 2/13/2025.

The file of staff #2 contained documentation of mandated reporter training dated 2/6/2020 and updated mandated reporter training dated 3/27/2025 was provided after the on-site inspection. The mandated reporter trainings were dated more then 60 months apart.

The file of staff #1 contained documentation of pediatric first aid and pediatric CPR dated 7/22/2024 which was more than 90 days form their start date at the facility (see LIS code sheet).

The facility does not have a letter that is given to parents explaining the facility emergency procedures.

Observed several of the plastic covered magnet shapes in the school age area to be cracked with sharp edges and potential for magnets to come loose.

The file for staff person #1 contains a current health assessment that is lacking a physician's statements regarding communicable disease and suitability to provide childcare.

Upon entry to the childcare facility the staff did not know who was the designated person in charge in the absence of the director.

The file of facility person #1 contained PA state police clearances (5/31/3017 and 10/4/2022) and child abuse clearances (6/5/2017 and 10/8/2022) and facility person #2 contained PA state police clearances (6/4/2018 and 6/6/2023) which were updated more than 60 months apart. The file of facility person #2 also contained an expired child abuse clearance (6/11/2018) which had not been updated. The file of facility person #6 contained PA state police clearance (6/22/2022), a child abuse clearance (6/6/2023) and an FBI clearance (6/2/2022) all dated after their start date (see coded LIS sheet) and did not contain documentation of submission.

The file of facility persons #1 and #6 did not contain documentation of emergency plan training at this location since their start dates (see coded LIS sheet).

A handwashing sign was not posted at the training chair in the main classroom by the changing table.

The file of child #1 contained documentation of a health assessment dated 9/14/2022and an updated health assessment dated 6/1/2023 exceeding the 6-month requirement for a young toddler (see coded LIS sheet).

Based on the recommendations of the ACIP, child #2 lacked 1 DTaP, 1 Hep A and a current influenza immunization.

Fire drills exceeded 60 days on the following occasions: 7/1/2022 to 9/1/2022 to 11/1/2022 to 1/5/2023 and from 3/1/2023 to 5/1/2023.

The file of facility person #3 contained documentation of the required health and safety topics listed under subsection 31(f)(1-9) being completed on 6/2/2021 and facility person #4 completed the training topics on 1/10/2017. Both facility persons #3 and #4 lacked documentation of completion of the 1-hour " Pennsylvania Health and Safety Update 2022" which was to be completed prior to 12/30/2022 since their initial trainings were taken prior to 10/4/2022.

Documentation of the policy which must include, but not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment was not presented at the time of the inspection.

The file of facility person #6, employed for over a year (see coded LIS sheet), did not include documentation of fire safety training.

Documentation of the required health and safety topics defined in subsections .31(f)1-9 for facility person #6 were completed on 6/27/2023 which exceeds 90 days from their date of hire (see coded LIS sheet).

The mandated reporter training of facility person #6 was dated 6/9/2023 which was more than 90 days from their start date at the facility (see coded LIS sheet).

The file of facility person #6, employed for more than 12 months (see coded LIS sheet) did not contain documentation of a written evaluation completed by the director.

The emergency contact information of child #3 did not include the work address and telephone number of the enrolling parent.

The emergency contact information of child #3 and #4 did not contain 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 or documentation this is not applicable to the child.

The file of facility persons #5 and #6, both identified as assistant group supervisors, did not contain documentation of the required experience to qualify as assistant group supervisors.

One of the two written references of facility person #6 was written by a relative with the same last name.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): acceptable pediatric first aid and pediatric CPR.

The certificate of compliance posted in a conspicuous location used by parents expired on 9/10/2022.

The file of facility person #4 contained documentation of 6 training hours between 12/19/2021 and 12/19/2022, lacking 6 hours. The file of facility person #6 did not contain any training hours during their annual training year (see coded LIS sheet) but contained 3 hours dated 6/9/2023 and 10 hours dated 6/27/2023 after their training year but is now in compliance.

On October 20, 2022, at approximately 4:30pm, a parent of child #1 was denied access into the childcare facility to pick up the child from care.

Staff person #2, 3 and 6 were observed to be caring for children unsupervised. Staff person # 2, 3 and 6 have not completed the following pre-service training required prior to caring for children unsupervised: Staff 2, 3 and 6 Pediatric CPR/FA with approved curriculum and PQUA instructor and staff #6 - Health and Safety training. 3270.31(f) (1-10).

The file for facility person #5, who was a volunteer at initial hire, lacked an FBI and NSOR on or before start date. SEE IS CODE SHEET. Clearances are now on file and dated - FBI - 5/18/22 and NSOR - 6/2/22. The files for staff #6 and 7 contained disclosure statements but were not dated.

On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present. Ratio: 0:3.

On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present. On 6/22/22, throughout the course of the inspection, observed school age children, one at a time, leave the school age area of the main room and walk through the hallway and into the bathroom. Staff #1 stood near the desk area of the main room and was not able to supervise all of the children in her supervisory group as the school age area has tall cubbies which obstructed the view of the rest of the school age children under the supervision of staff #1 while she observed the children who went to the bathroom.

On 6/22/22, observed 12 school age children present in the school age area of the main room. Staff #7 named 8 children in her supervisory group. Staff #1 named 3 children in her supervisory group. This left one child who was not named in any supervisory group. On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present in the toddler area of the main room.

Observed a TV on a stand which was not secured to the stand and could be pulled over by the children in care. On the back wall and near the back exit door of the Main child room where school age children are present, observed a screened door which was set up against the wall and not secured to anything and could fall over on the children in care.

There was more than one year between emergency plan trainings on file for staff person #3. Dates are as follows: 10/30/20 and 11/3/21.

In the main child care space, observed two toxic bottles of a Clorox mixture which were set on the top of shelving and were accessible to school age children.

In the outdoor play space, observed a part of the chain link fence which had broken off and the part of the broken link was facing the inside of the play space and was sharp. This is located when you walk into the play area and make a left and is part of the left fence. Part of the outside play space is covered with artificial grass. The artificial grass is not all one piece and the pieces that were previously secured together were coming loose. Thus, causing a tripping hazard to the children in care.

Observed that the exit in the back of the school age area of the main child care room had 2 large hopper balls which were obstructing the exit. Observed that one of the two entrance doors to the facility is an area where staff keep their shoes directly in front of the door along with a door mat. Observed multiple pairs of shoes in front of the door. Additionally, this same entrance door had an approximate six inch portion of cabinet which was in front of the door.

In the main child care space and in the middle area of the room and up against the wall where a poster with shapes is hanging on the wall, observed a clear cracked bin. In the outdoor play space, observed a circular tricycle riding apparatus with five connected tricycles. One of the tricycles was missing a pedal.

In the Main room and in the middle area of the room which toddlers have access, observed Styrofoam blocks with teeth marks and Orange Styrofoam peg boards with teeth marks. In the outdoor play space and along the back wall of the facility, observed blue exposed Styrofoam which was exposed and attached to the wall. Infant and toddlers play in this area who are still placing objects in their mouth.

In the Main child care space and in the back school age area, observed a large red couch which had two rips which were approximately 6 inches in length each and were located on the top of the couch.

The file for child #1, who is an older toddler, lacks a health assessment which has been conducted within the past 12 months.

The most current health report on file for child #2 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed Children's Ibuprofen and Child's Advil for child #3 which lacked written parental consent for administration.

The facility file lacked documentation that an emergency drill was conducted within the past year.

There was more than 60 days between fire drills which were conducted on 3/1/22 and 5/3/22.

The facility file lacked documentation that the fire detection system was manually tested every 30 days. There was one day of testing on file and dated 5/3/22.

There was more than one year between fire safety trainings for staff #3. Dates are as follows: 10/30/20 and 11/3/21.

Staff persons # 2 and 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): CPR/FA with approved curriculum and approved PQUA instructor.

The file for staff #7, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.