Small Wonders Daycare CTR

Staff #5 file contained a volunteer child abuse clearance dated 9/29/24 which is not acceptable. A new acceptable child abuse clearance was obtained on 10/28/24.

The emergency plan was not posted in the facility at a conspicuous location.

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

In the gross motor room on the right side a protective outlet cover was missing.

In room 208 the first aid kit was missing tweezers and tape.

The closet doors in the back of the gross motor room were splintering along the bottom.

In room 201 on the shelf by the window on the right side of the room was a blue bin that was cracked causing pinch points.

In the downstairs girls and boys bathrooms under the sinks were loose garbage bags accessible to children still placing objects in their mouths.

In room 208 was a child's medication log that did not have written consent from the parent for administration and had been administered.

In room 207 the medication name on the medication log did not match the medication that was being administered. The medication was Tylenol and the medication on the log was Ibuprofen 50mg.

Staff #1 current health assessment dated 11/14/22 is not acceptable as it was not signed by the medical provider. Staff #3 two most recent health assessments are dated 5/24/21 and 8/22/23 which are more than 24 months apart.

The fire alarm testing log contained the following dates 3/1/24-4/26/24 which are more than 30 days apart.

Staff #2's two most recent mandated reporter trainings are dated 11/1/18 and 3/26/24 which are more than 60 months apart.

Staff #6's, who is working as an assistant group supervisor, file did not contain proof of their education.

The financial agreement for Child #1 did not contain the fee amount.

Child #1's two most recent child service reports are dated 9/2023 and 9/2024 which are more than 6 months apart.

Child #2 file did not contain emergency contact's name or information.

Child #5 file did not contain the address of the child's physician or source of medical care. Child #7 file did not contain the name, address and telephone number of the child's physician or source of medical care.

Child #3's file did not contain the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Child #5 and 6's files did not contain the policy number for a child under a family policy or Medical Assistance benefits.

Child #2's file was missing the 2 phone numbers of the individuals designated by the parent to whom the child may be released. Child #3's file was missing one address of the individual designated by the parent to whom the child may be released. Child #4's file was missing the house number and street name of one individual designated by the parent to whom the child may be released.

Staff #4's file only contained one written nonfamily reference.

The file for Staff person #1 includes 10.5 of 12 required annual training hours completed between 6/15/23-6/15/24. On 7/23/24 staff #1 completed an additional 2 hour training.

There was a child size couch in room 203 and room 206 that was observed to be peeling.

The first aid kit in Room 206 was lacking tweezers

In Room 107 there were foam blocks observed with bite marks in them.

The small table in room 208 was very loose and could cause pinch points for the children.

The file for Child #1 contained a health assessment that was dated more than 12 months ago.

The file for facility person #1 completed mandated reporter training on 7/6/15 and 8/28/20, which is more than 60 months apart. The file for facility person #2, with a start date of 9/23/21, contained a National Sex Offender Registry Certificate dated for 10/7/21, with no documentation of applying before starting at the facility. The file for facility person #4, with a start date of 6/1/21, applied for the National Sex Offender Registry Certificate on 5/30/21. Certificate was dated for 8/13/21, which is more than 45 days after starting at the facility. The file for facility person #5, with a start date of 10/17/16, applied for the National Sex Offender Registry Certificate on 11/1/19, no certificate currently on file.

The file for facility person #5, with a start date of 10/17/16, lacked emergency plan training in 2020.

The immunization record for child #2 lacked Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, and Polio in accordance with the ACIP.

The file for facility person #5 contained a health assessment dated for 9/28/18 and 9/8/21, which is more than 24 months apart.

Evacuation routes were not posted in the basement/gym.

The emergency plan lacked the evacuation route to the relocation site.

The file for facility person #1, #3, and #5 lacked documentation of fire safety training in 2020.

Staff person #4, with a start date of 6/1/21, completed the health and safety training topics 1-9 as required by 3270.31(f) on 9/24/21, which is more than 90 days since they started.

The file for facility person #5 had an evaluation completed on 10/31/19 and 10/1/21, which is more than 12 months apart.

The daily activities plan was not posted in the gym or room 206.

The agreement for child #7 lacked the arrival and departure times.

The files for child #1, #4, #5, and #7 contained the original agreement form.

The emergency contact form for child #1 lacked the physician's phone number. The emergency contact form for child #2 and #7 lacked the name, address and telephone number of the child's physician.

The emergency contact form for child #1, #2, #3, #4, and #7 lacked the enrolling parent's work address and work phone number.

The file and emergency contain form for child #4 lacked written consent signed by a parent for emergency medical care, prior to admission.

The emergency contact form for child #2 and #5 lacked the child's health insurance policy number. The emergency contact form for child #4 lacked the child's health insurance coverage and policy number.

The emergency contact form for child #1, #4, #5, #6, and #7 lacked the release person's address. The emergency contact form for child #2 lacked the name, address and telephone number of the individuals designated by the parent to whom the child may be released, but listed them on the agreement form.

The emergency transportation plan was not posted in the gym.

The file for child #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff, prior to admission.

The file for facility person #5, with a start date of 10/17/21, completed pediatric first-aid and CPR training on 9/15/21, which is more than 180 days.

The file for facility person #1 lacked documentation of completion of the health and safety training topics 1-9 as required by 3270.31(f). Facility person #1 has been employed at the facility for more than 180 days.