Small Impressions Childcare INC · Sarver

The original financial agreement was on file for child #1.

The emergency contact forms of child #1 and #3 did not include the work address and work telephone number of the enrolling parent.

The emergency contact forms of child #1 and #2 did not include information on the child's special needs which is required in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #1 did not include the name or policy number of the health insurance of the coverage for the child.

The file of child #1 contained documentation of review and/or update to the emergency contact form and financial agreement which exceeded 6 months (dated 10/19/2023 and 8/1/2024).

The emergency plan for the facility lacked continuity of operations as required by Federal Regulation.

The current immunization record on file for Child #4 lacked verification that the child had received an annual influenza vaccination. A written exemption was not on file at the time of the inspection.

An expired Tylenol was observed in the medication box in the Infant/Toddler classroom.

The emergency plan for the facility lacked accommodations for infants and toddlers.

The fire safety trainings on file for Staff Person's #1 and #2 exceeded 12 months between update. The trainings for Staff Person #1 were completed on 9.30.22 and 10.9.23 and the trainings on file for Staff Person #2 were completed on 9.28.22 and 10.11.23.

The agreement for Child #2 lacked an admission date for the child.

The emergency contact form for Children #1 and #3 lacked the complete addresses for the release persons listed.

The file for Child #2 contained an immunization record that was lacking the annual influenza vaccine.

The file for Child #1 contained an agreement form that was lacking the Child's admission date.

The file for Child #1 contains an emergency contact form that is lacking the name address and phone number of the child's physician.

The file for Child #3 contains an emergency contact form that is lacking signed parental consent for emergency medical care.

The file for Child #3 contains an emergency contact sheet that was lacking signed parental consent for administration of minor first aid procedures.

Documentation of the previous and current PA state police, child abuse and FBI clearances of facility person #1 exceed 60 months as required by the Child Protective Service Law.

At approximately 12:10 pm, facility person #4 left their 6 children unsupervised in the infant and toddler classroom when they brought the lunch cart to the preschool classroom and briefly entered the classroom.

In the back classroom, a facility person changed the diaper of an able child and did not wash their hands or the child's hands with soap and running water. The changing table in the infant area of the back classroom did not have a posted handwashing sign.

The lid to a bin containing manipulatives in the from preschool classroom was cracked.

In the back infant toddler classroom, a facility person was using glue sticks with a removeable cap less than an inch in diameter with children still placing objects in their mouths.

The immunization record of child #2 did not contain and exemption or documentation of ongoing vaccines in accordance with the schedule recommended by the ACIP.

The time between the previous and current health assessments of facility person #1 exceeded 24 months.

A bottle in the infant and toddler classroom was not labeled with the child's name for which it was intended.

Documentation of testing of the fire detection system exceeded 30 days: 4/2/2021 to 5/3/2021, 8/2/2021 to 9/2/2021, 7/2/2021 to 8/2/2021 and 10/1/2021 to 11/1/2021.

Documentation of fire safety training of facility person #3 was dated 10/3/2020 and updated on 11/3/2021 exceeding 1 year.

Pediatric first aid and CPR was not completed for facility person #2 (start date 3/29/2021) by 6/27/2021.

Documentation of previous and current mandated reporter training of facility person #1 exceeded 60 months.

The emergency contact form of child #2 contained a emergency contact person that did not have a telephone number listed.

The emergency contact forms of child #1 did not contain the telephone number and child #2 did not contain the address and telephone number of all the release person designated by the parent to whom the child may be released.