Small World Early Learning & Dev CTR I

Based on a review of video footage, it was verified that Staff Person #1 physically disciplined and restrained Child #1 on 9/11/25 in the gym. At approximately 4:02 PM, Staff Person #1 is observed yanking Child #1 up by the right arm and thrusting them forcefully into the wall. When the child #1 attempted to get up, Staff Person #1 picked up child #1 and pushed the child #1 back down. For the next 30 seconds, Staff Person #1 used their body to restrain the child against the wall. Staff Person #1 then led the child over to another area of the wall, where Staff Person #1 sat with Child #1 between their legs. For the next two minutes Staff Person #1 restricted the child's movement by wrapping their arms around child #1 and by placing their legs over child#1 legs.

Based on a review of video footage, it was verified that Staff Person #1 physically disciplined and restrained Child #1 on 9/11/25 in the gym. At approximately 4:02 PM, Staff Person #1 is observed yanking Child #1 up by the right arm and thrusting them forcefully into the wall. When child #1 attempted to get up, Staff Person #1 picked up child#1 and pushed the child #1 back down. For the next 30 seconds, Staff Person #1 used their body to restrain child #1 against the wall. Staff Person #1 then led the child #1 over to another area of the wall, where Staff Person #1 sat with Child #1 between their legs. For the next two minutes Staff Person #1 restricted the child's movement by wrapping their arms around child #1 and by placing their legs over child #1legs.

A glue trap, used to trap mice and insects, was observed to be accessible on the floor of the Infant room next to the door, and could be harmful to children.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #1 and Staff #2 are dated 12/4/22 & 1/8/25, more than 24 months apart.

Staff #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 5/21/25.

On 5/15/25 at 11:30 a.m., Staff Person #1 was supervising three young toddlers in the dining area of the Infant Room. The children were seated in highchairs. Staff Person #2 delivered lunches and remained in the doorway of the main childcare area. Staff Person #1 walked to the doorway to receive the lunches and, due to a partial wall in the kitchen, was unable to see, direct, or assess the three children. During this time, Child #1 pulled a clump of hair from Child #2's head.

Based on interviews with staff, it was verified that between May 13, 2025, and June 13, 2025, Staff Person #3 was over ratio after naptime on multiple occasions, being solely responsible for 6 children (1 young toddler and 5 older toddlers).

On 6/13/25, certification representatives conducted a facility walk-through and observed mouse droppings and dead cockroaches in both the Infant and Young Toddler Rooms. In the Infant Room, droppings and pests were found in the cabinets above and below the sink where food items were stored. In the Young Toddler Room, they were observed beneath the diaper changing table and under a toy bin across from the changing table.

On 6/13/25, certification representatives conducted a facility walk-through and observed mouse droppings and dead cockroaches in both the Infant and Young Toddler Rooms. In the Infant Room, droppings and pests were found in the cabinets above and below the sink where food items were stored. In the Young Toddler Room, they were observed beneath the diaper changing table and under a toy bin across from the changing table.

Based on staff interviews and review of video footage, it was verified that Staff Person #1 physically disciplined Child #1 on 5/8/25 at 10:45 AM in the Preschool Room. In the video, Child #1 is observed running across the room to another staff who was also in the room. Child #1 points to their right wrist and points back to Staff Person #1. The other staff then walks across the room to confront Staff Person #1 regarding Child #1's allegation. It was confirmed that Staff Person #1 grabbed Child #1's right wrist with enough force to leave a visible red mark.

Observed a pair of adult scissors, which were accessible to children, in an unlocked drawer in the OT Room.

Observed cleaning products, which were accessible to children, in an unlocked cabinet in the OT Room.

The first aid kit in the gym lacked tape.

Observed a ceiling tile, discolored from leaking water damage, above the monitor in the gym.

The file for Child #2, an infant, did not include an updated health report conducted within the past six months.

The most recent health assessments in the file for Staff Person #1 exceeded 24 months between assessments.

Observed a bottle in the infant room, which was not labeled for Child #1, to whom the bottle belonged.

The fire detection system at the facility cannot be tested monthly because the facility shares the fire detection system with other businesses and tenants. The most recent annual fire inspection on file was conducted more than one year ago: 10/17/23.

The first documented annual fire safety training in the file for Staff Person #3 was conducted more than 12 months after the staff person's first day working in child care (See LIS Code Sheet).

Emergency contact forms were not present in the gym for the seven older toddlers who were there for playtime.

The emergency transportation plan was not posted in the gym or the Infant Room.

The file for Staff Person #2 contained only 4 hours annual child care training for the last full year of service. The file for Staff Person #3 contained only 3 hours annual child care training for the last full year of service.

Many rodent droppings were observed in the Older and Younger Toddler, Pre-School and Infant Rooms. These droppings were observed in the following areas: In the base cabinets, on the bottom shelves of the two tone, tall plastic cabinets, in the gym behind the multi-colored fencing, on the windowsills, under the refrigerator and behind the clear, plastic bins behind the highchairs (infant room) and under multiple changing tables. These areas must be cleaned and sanitized. Additionally, a professional exterminator is required to exterminate the facility and a receipt needs to be issued to the Certification Representative within seven days. (October 11, 2024)

Many rodent droppings were observed in the Older and Younger Toddler, Pre-School and Infant Rooms. These droppings were observed in the following areas: In the base cabinets, on the bottom shelves of the two tone, tall plastic cabinets, in the gym behind the multi-colored fencing, on the windowsills, under the refrigerator and behind the clear, plastic bins behind the highchairs (infant room) and under multiple changing tables. These areas must be cleaned and sanitized. Additionally, a professional exterminator is required to exterminate the facility and a receipt needs to be issued to the Certification Representative within seven days. (October 11, 2024)

The disclosure statement in the file for Staff Person #5 was not witnessed or dated.

The files for Staff Person #1 and #4, who have each been working for more than the 45-day provisional hiring period, lacked an NSOR (See LIS Code Sheet).

Observed four outlets that lacked protective receptacle covers in the gym. Observed on outlet that lacked a protective electrical cover in the OT Room by the light-up desk.

Observed damaged/discolored ceiling tiles in the left corner of the OT Room and by the light in the activity area of the PS Room.

Observed peeling, flaking paint in the Infant Room on the wall that faces the YT Room and near the entrance to the Gym.

The file for Staff Person #1 did not include documentation of education and childcare experience. The files for Staff Person #2, #3 and #5 did not include documentation of childcare experience. The file for Staff Person #2 contained a foreign degree that has not been evaluated.

The file for Staff Person #5 lacked two written letters of reference.

Staff persons #1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training, Pediatric First Aid/CPR and Mandated Reporter Training.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training and Pediatric First Aid/CPR (see LIS code sheet):

The request date/State Police Clearance in the file for Staff Person #3 was on 10/3/23, which was after the staff person's start date (See LIS Code Sheet).

On 10/12/23 at approximately 10:00 AM, Staff Person #4 was preparing a bottle for Child #2. During this time, she could not see Child #1 and Child #2 who were sitting in high chairs under a partition in Infant Room, which blocked Staff Person's field of vision.

The electrical outlet above the light-up desk on the left side of the Older Toddler Room lacked a protective receptacle cover.

Observed splintering wood at the bottom of the exit door in the Older Toddler Room. Observed dirty ceiling vent in the Preschool 2/SA Room. Observed cracked ceiling tiles in the kitchen and play areas of the Infant Room. Observed discoloration from previous water damage on ceiling tiles in the following areas: Preschool 1 Room near entrance to Preschool 2/SA Room. Infant Room in play area.

Observed dirt and debris under the diaper changing mats in the Infant and Toddler 1 Rooms. The cabinet between the Math Center and Block Center in the Preschool 1 Room was wobbly, which creates a potential toppling hazard.

The most recent immunization record in the file for Child #3 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent of physician.

The health report in the file for Child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed a purse for Staff Person #5 in an unlocked cabinet under the sink in the Preschool 1 Room. The purse contained meds, which were accessible to children, due to the unlocked cabinet.

The file for Staff Person #2 did not include an updated health assessment conducted within the past 24 months.

The fire detection system at the facility cannot be tested monthly because the facility shares the fire detection system with other businesses and tenants. The most recent annual fire inspection on file was conducted more than one year ago: August, 2022.

The file for Child #2, who has been enrolled for more than 60 days, lacked an initial health report.

The one-hour health and safety updates in the files for Staff Person #1 and #2 were conducted after the prescribed timeframe of 12/30/22.

Documentation of previous Mandated Reporter Trainings had been purged from the files of Staff Person #1 and #2.

The fee agreement in the file for Child #1 did not specify the date on which the fee is to be paid.

The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child.

The emergency contact form in the file for Child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

On 2/23/23 at approximately 11:30 AM in the Infant Room, Child #1. 2 and 3 were observed sleeping in rocker swings. Staff Person #1 stated that the children had been asleep for five to ten minutes.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR from a PQAS-approved Curriculum and Instructor. Mandated Reporter Training.

The NSOR Certificate in the file for Staff Person #2 was dated after the staff person's first day working in child care. The file for Staff Person #2 did not contain a copy of the application for the NSOR certificate to verify certificate was applied for before first day working with children.

On 10/24/22 at approximately 8:45 AM, Staff Person #1 was supervising a group of four children. Staff Person #1 identified three of the four children by name. Staff Person #1 could not name Child #6 who was in this group.

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

The first aid kit in the Infant Room lacked tweezers. The first aid kit in the Preschool #1 Room lacked scissors, tweezers and tape.

Observed ceiling tiles stained from water damage, some of which had signs of mold/mildew in the following areas: Infant Room: entrance and in Infant kitchen. Older Toddler Room: Entrance and above "colors" board. Preschool #1 Room: Above lesson plan board. Young Toddler Room: Entrance and rear near windows. Gym: Above play mat area. Observed a cracked electrical outlet cover in the kitchen of the Infant Room.

Observed peeling, flaking paint on the wall of the parent info station at the entrance to the Infant Room.

Observed dirt and debris under the changing mat of the diaper changing table in the Young Toddler Room.

The bottoms of the door, trays, and shelves of the refrigerator in the kitchen were not clean.

The immunization records in the files for Child #2, #4 and #5 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

Observed in the Young Toddler Room, two bottles of cough syrup and a box of sinus medication that were not labeled with the name of the child for whom the medication was intended.

Staff were using a swivel-top trash container, rather than the hands-free can, to dispose of soiled diapers in the Young Toddler Room.

The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments.

The bottle being used by Child #1 was not labeled with the child's name.

The files for Child #1 and Child #4, who have been enrolled for more than 60 days, lacked an initial health report.

The most recent facility-wide fire safety trainings exceeded one year between trainings. 2/15/21-5/5/22.

The file for Staff Person #2, who was hired as an Assistant Group Supervisor, lacked documentation of a High School Diploma or GED.

The fee agreements in the files for Child #1, #2 and #4 were not signed by the operator.

The fee agreements in the files for Child #1 and #2 did not specify the amount of the fee or the date on which the fee is to be paid. The fee agreement in the file for Child #4 did not specify the date on which the fee is to be paid.

The fee agreements in the files for Child #1 and #2 did not specify the arrival and departure times.

The fee agreement in the file for Child #2 did not specify the release persons.

The fee agreements in the files for Child #1, #2 and #4 did not specify the date of the child's admission.

The emergency contact forms in the files for Child #1 and Child #4 did not include the work addresses and phone numbers of the enrolling parent.

The emergency contact form in the file for Child #2 did not include the insurance policy number.

The fee agreement in the file for Child #2, who has been enrolled for more than six months (3/22/22), had not been updated by the parent. The first parental updates for the emergency contact form and fee agreement in the file for Child #3 (enrolled 7/26/21) were more than six months after the enrollment date: emergency contact: 10/17/22 fee agreement: 5/22/22. The most recent parental update for the fee agreement in the file for Child #5 was 1/8/20.

The wording on the facility's emergency contact form for parental consent for emergency medical care and administration of minor first aid is not in alinement with the regulations. Transportation for emergency care is worded with a blank for parent to enter a specific hospital and no specific place for parent to sign. The form also lists several prescription and non-prescription medications, for which parents would need to sign specific permission/medication logs and does not address permission for minor first aid.

The files for Staff Person #1 and #3 contained only 6 annual training hours for the period 12/19/20-12/19/21.

Based on conversations with staff, it was verified that Staff Person #1 was supervising a group of 12 Preschool Children for approximately ten minutes on the morning of 5/17/22 between 8:30-8:45.

The file for staff #2, with a start date of 6/2/21, contained a disclosure statement that was not dated therefor compliance was unable to be determined.

Several portions of the emergency plan assign responsibilities to staff who are no longer employed at the facility.

Lysol Cholorx wipes were accessible to children in an unlocked cabinet in PS1. A JT Eaton Bait Box insect trap was accessible to children on the floor behind the door of PS 1. Both were labeled keep out of reach of children.

Two cracked outlet plates with sharp edges were observed in the young toddler room on the right hand wall.

The glass doors of PS1 and the gym lacked visual strips.

The file for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine on a schedule recommended by the ACIP. A written exemption was not on file.

At the time of the inspection, the operator was unable to provide proof of purchase or record of installation for the facility's hardwired interconnected fire alarm system.

The file for staff #1, designated as an assistant group supervisor, lacked a high school diploma.

The file for child #1 contained an agreement which did not specify the date of the child's admission.

The file for child #1 contained emergency contact information which did not include the health insurance policy number for the child.

The emergency contact information for child #2 was not present in the older toddler room where the child was receiving care on the day of the inspection.

At the time of the inspection, the operator did not have means to provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.