Small Steps for Little Wonders INC

Staff #1's file contained an FBI clearance that was unclear making it impossible to verify the date on the clearance. A clear copy of the clearance was found and submitted on 5/20/25.

The letter provided to the parent of each enrolled parent explaining the emergency procedures did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

In the outdoor space within the grass area just past the tires was poison ivy which is toxic to children.

In the PS 1 room the right window was open without a screen.

The press bar on the hallway door going upstairs was missing the end cap exposing screws and making it a pinching hazard. The bracket at the top of the first handrail on the left-hand side was broken causing it to be loose and unstable when grasped.

In the PS/SA room upstairs there was peeling paint under the middle window. In the outside area along the building wall was peeling paint.

In the PS 1 room there were small Linkin logs and small pieces of crayons that had a diameter of less than 1 inch accessible to children who are still placing objects in their mouths.

In both upstairs toddler rooms are tall cabinets that are not secured and unstable when touched. In the upstairs PS/SA room there were 2 tall red and white shelves that were not secured and unstable when touched. The cubbies in the upstairs and downstairs hall were not secured and unstable when touched. In the infant 1 room there was a tall shelf between two cribs that was not secured and unstable when touched.

In the infant 3 room an infant was asleep in a pack and play with less than 2 feet of space on 3 sides.

Child #1's file was missing one address of an individual designated by the parent to whom the child may be released.

The disclosure statements on file for Facility Persons #1, #2, #3 and #4 were incomplete as only one page was present in the staff file.

There was no plan for continuity of operations in the facility's emergency plan.

There was no letter to the parents to explain the emergency plan.

There was a piece of detached trim on a wall near the door in the infant room.

In the Infant 2 room, a crockpot used for heating bottles was located on the surface next to the sink used for handwashing after diapering. In the the Infant 3 room, the folding changing table was mounted on the wall directly above the table used for meals. Food brought into the room for lunch was set on the surface at the sink used for handwashing after diapering. In the transition room, the sink used for food prep and dishwashing was also used for handwashing after diapering.

There were torn soft blocks in the infant room with exposed foam.

There was a bookshelf in the Preschool room with a broken shelf, creating a hazard to children.

In both the Infant 3 and Transition rooms, the names on the drawers where the rest mats were stored were different, for several children, from the names on the charts corresponding to the number on the mat in the drawer. It was unclear as to which mats were assigned to which children.

There was less than 2 feet of space on three sides of a crib in use in the Infant 2 room.

The most recent health assessment on file for child #5, a preschooler, was completed more than 12 months after the previous health assessment on file.

The current complete health assessment on file for Facility Person #4 was completed in April 2024. There were also health assessments completed in October 2021 and October 2023 on file for Facility Person #4, but the health assessment completed in October of 2023 did not include an exam for communicable disease and the results of that examination or the physician's assessment of the staff person's suitability to work in child care.

The fire drills recorded on the fire drill log indicated fire drills were conducted on 9/14/23 then again on 11/14/23 and also on 1/12/24 and 3/12/24, more than 60 days apart.

The fire alarm testing recorded indicated that alarm testing was conducted on 12/1/23 then again on 1/2/24 and also on 3/1/24 and 4/1/24 more than 30 days apart.

Facility Person # 5 was classified as an assistant group supervisor. There was no documentation of any education and or child care experience on file for Facility Person #5.

The agreements on file for children #1-#5 were the originals.

The children's files were not kept in a locked filing cabinet.

The staff files were not kept in a locked filing cabinet.

The file for Staff #1 contained an FBI Clearance that was not obtained within 60 months of the previous clearance.

The middle upper window in the Multi-purpose Room had a large crack that ran most of the length of the window and created a cutting hazard to the children in care. In the front Toddler Classroom along the right wall, there was an electrical outlet that had detached from the wall allowing the children to have access to the wires. The tall cabinet in the Older Toddler Classroom was extremely wobbly and created a toppling hazard to the children in care.

Observed two electrical outlets that lacked protective receptacle covers in the Upstairs Preschool Classroom near the Veterinarian Center. These outlets were accessible to children 5 years of age and younger.

In Infant Room 2 and Transition Room, a bleach spray bottle was observed on the changing table and was accessible to children. In Infant Room 2, there were ant traps laying on the two window sills and accessible to the children in care.

Observed an open window in the Multi-purpose Room that was not screened.

The first aid kit located in Infant Room 1 lacked tape. The first aid kit located in Young Toddler Room 1 lacked nonporous gloves.

In Infant Room 2 there was fraying carpet that ran the length of the classroom and created a tripping hazard to the children in the classroom. In Preschool Room 1A there were broken kitchen cabinet doors that created a pinching hazard to the children in care. In Preschool Room 1B there was a ceiling tile that had become loose from the ceiling and was hanging, creating a crushing hazard. In Infant Room 4, there were 6 screws that were coming loose on the tack strip at the entrance to the classroom and created a scratching hazard to the children. In the Toddler Room upstairs there was a piece of tile missing at the entrance to the room and created a tripping hazard. In the outdoor play space, there were two metal poles that were sticking out the ground and creating a protrusion hazard. The fence in the outdoor play space was bent and had metal spikes sticking in toward the play area and created a cutting hazard.

In the upstairs Older Toddler Classroom there was peeling paint to the right of the doorway when you entered the classroom. In Preschool Room 1A, there was peeling paint underneath the window. In Preschool Room 1B, there was peeling paint next to the doorway on the wall.

The second door that serves as an exit in the upstairs Preschool Classroom does not open.

In the Transition Classroom there was a red chair located in the table of highchairs that was broken and created a pinch point for the children in care. In Infant Room 2 there was a bouncy seat that was bent and created a crushing hazard for the children in care.

The highchair in the Mutli-purpose Room did not have straps.

The rest equipment in upstairs Toddler Classroom and upstairs hallway had pieces of vinyl and a powdery substance that was coming off of them when touched.

The refrigerator located in the Transition Classroom and Infant Room 2 lacked an operating thermometer.

In the Preschool 1 A classroom, there were two smoke detectors. It was observed that the one smoke detector did not have a battery in place. Operator placed battery in smoke detector, and it was operable at the time of the inspection.

Based on conversations with the owner, it was observed that the facility did not send their emergency plan to the local municipality.

The file for Child #1 contained a Health Report and Immunization Record at the time of inspection, it was observed they did not have a Health Report and Immunization Record within 60 days of enrollment.

Although Staff #2 and #3 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #2 and #3 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

The file for Staff #3 lacked a written evaluation.

The file for Staff #3, lacked documentation of the annual 12 clock hours of childcare training.

Child file #1 was found to be noncompliant with the immunizations according to recommendations of the ACIP.

Child file #1 was found to be noncompliant with the immunizations according to recommendations of the ACIP.

The files for Staff Person's #1, #3 and #4 lacked verification that they had completed the required 1-hour health and safety training update. Staff Person's #1, #3 and #4 were observed to be caring for children alone.

The files for Staff Person's #1, #2, #3 and #4 lacked the 1-hour health and safety training update prior to 12.30.22.

Child #1, age 4 months, was observed being fed a bottle while seated in a bouncy seat, rather than being held by the staff person who was feeding the child.

The last fire drill recorded on the facility's fire drill log was conducted on 7/6/22.

There was no documentation that the operator had tested the facility's interconnected fire alarm system. Testing is required to be conducted at least every 30 days under Act 62.

In the preschool 1 room, it was observed that the ceiling tiles were damaged and sagging.

The trash can in the toddler bathroom upstairs lacked a lid.

It was observed in the infant 2 classroom, that an infant was sleeping in a crib with less than 2 feet of space on three sides. The crib had an exersaucer in front of it and cribs on each side.

The immunization record for child #3 and child #5 lacked an influenza vaccination in accordance with the ACIP.

The file for staff person #4 had a health assessment completed on 10/4/19 and 4/13/22, which is not every 24 months.

The facility lacked an emergency plan that provides for accommodations for infants and toddlers.

The facility completed an emergency drill on 4/27/22, with no documentation of completing one prior.

Facility lacked proof of purchase of the inter-connected smoke alarm system.

Staff person #4--- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 7/28/21.

Staff person #5 and #6--- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for facility person #1 completed mandated reporter training on 8/3/21 (SEE LIS for Hire Date).

The file for staff person #3 had an evaluation completed on 7/1/19 and 7/1/21, staff person #4 had an evaluation completed on 8/1/19 and 8/2/21, which is not annually.

The older toddler room and the cafeteria lacked a written plan of daily activities.

The agreement for child #2 lacked the date of admission.

The emergency contact form for child #3 lacked the birth date.

The emergency contact form for child #4 and child #5 lacked the physician's address.

The emergency contact form for child #1 lacked the health insurance policy number.

The emergency contact form for child #2 lacked the release person's address.

It was observed that the cafeteria lacked emergency contact forms.

The file for staff person #5 and staff person #6 lacked pediatric first aid and pediatric cardiopulmonary resuscitation by a PQAS approved instructor.

Facility lacked the current certificate of compliance posted in a conspicuous location used by parents.

The file for staff person #2 and staff person #4 lacked 12 training hours from 12/19/20-12/19/21.