Small World Day Care LLC · Vandergrift

The file for staff person #1 lacked a written staff evaluation by the director that was completed 12 months from the previous written staff evaluation. The written staff evaluations in the file were dated 5/18/23 and 6/21/24.

At 10:40 staff # 2 was out of ration in the toddler room. Staff # 2 was alone with 9 children 3 young toddlers and 6 older toddlers while staff # 1 was taking a child to the restroom.

There was a toy in the crib while an infant was sleeping in the crib.

There was a cracked clear science cylinder in the school age room. There were few foam blocks with teeth marks in the preschool room.

During naptime there were two mats with less than 2 feet of space on three sides of the mat while the equipment was in use, one in the preschool and one in the toddler room.

The file for child # 4 a school age lacked documentation of an initial health report. The child was in care longer that 60 days without initial health report.

The files for child # 2 is missing a dose of the influenza and Hepatitis A vaccine.

The operator was not maintaining a medication log for a Prescription and nonprescription medication, 2 Albutero Sulfate Inhaler, I Flovent HFA inhaler, Motrin and Blistex medicate mint balm for child #1. The operator was not maintaining a medication log for a prescription medication, EPI pen for child #5.

There were two bottles with milk on top of the counter in the infant room that was not discarded after been served. One of the bottles was observed on the counter for about 2 hours.

The file for child # 3 a school age contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report.

The file for staff # 1 contained a current mandated reporter training certificate dated 7/8/20 that was not obtained within 60 months of the previous certificate dated 6/25/15.

The file for child # 1 lacked insurance policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

The Certificate of Compliance posted in a conspicuous location used by parents was dated 12/27/21 to 12/27/22.

The file for staff #1 contained a current Child Abuse clearance that was not renewed within 60 months of the previous clearance. The child Abuse clearance dates are 3/20/15 and 4/14/20. The files for Staff # 3 contained a current Child Abuse clearance, State Police clearance and a current FBI clearance that were not renewed within 60 months of the previous clearance. The child Abuse clearance dates are 9/3/15 and 9/25/20. The State Police clearance dates are 9/23/15 and 8/13/21. The FBI clearance dates are 9/23/15 and 9/24/20,

There were 2 damage ceiling tiles between the bathrooms. There was a damage vent on the back wall in the infant room.

The fixture under the sink in the left side bathroom and the bathroom on the right side appeared to be corroded. The toilet in the first bathroom on the left was soiled with urine.

There were 16 foam blocks with teeth marks in the toddler room. There was a yellow cracked scooter in the playground. There was a brown couch with a spot that was peeling off in the infant room. There was a wooden manipulative toy with a chipped corner in the infant room.

The file for child # 4 a preschooler lacked an updated health report within 12 months. The previous report was dated 7/8/21.

The files for Child # 1,2,3 and 4 lacks documentation of a current influenza immunization as recommended by the ACIP.

Staff # 4 did not wash the child's hands after diapering.

In the infant room, Staff # 4 kept a soiled diaper in her hand, then placed it on the changing table until the diaper change was complete before discarding it into a trash can. The hand -free trash can in the infant room and the hand-free trash can in the toddler diaper changing area were broken. Neither trash can was able to be operated hands-free.

The emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

The file for staff #3 has a current pediatric first-aid and pediatric CPR certification dated 9/4/21-9/4/23. .The certification was not renewed prior to the expiration of the previous certification dated 8/10/19-8/10/21.

The files for staff # 1 and 2 contained a current Fire Safety training certificate dated 6/6/22. The files lacked Fire Safety training for the prior year.

The school age room lacked daily activities posted.

Child files #1 -#10, lacked the operator's signature on the agreement form.

The file for staff #1 contained a current mandated reporter training certificate dated 7/7/20 that was not obtained within 60 months of the previous certificate dated 6/14/15.

The Certificate of Compliance posted in a conspicuous location used by parents was dated 12/27/19 to 12/27/20. The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

Based on staff statements, staff #1 has grabbed children by the arm, the wrist and the head/hair to redirect them on multiple occasions.

Based on staff statements, staff #1 has often been overheard yelling and screaming at the children in her care.

There was an 3 month old infant sleeping in a crib with a blanket over the infant's face.

On 6/7/22, at 9:11 am, 14 older toddlers and 3 staff were observed in the Older Toddler room. When each staff was asked to identify their assigned group, staff #1 identified 5 out of 6 of the children in her assigned group. 1 older toddler was not identified by any of the three staff.