SMALL WONDERS DAYCARE CTR

Age and Training (3270.31(e))

Staff file #3 lacked 3.5 of the 12 hours of annual child care training required from 7/2024 to 7/2025. Staff file #3 contained 4 child care training hours dated 8/8/25(1hr) and 10/20/25(3hr) used for correction. Staff file #5 lacked 6.5 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #5 contained child care training hours dated 8/4/25(3hr), 8/6/25(1hr), 9/16/25(2hr), and 9/26/25(2hr) used for correction. Staff file #6 lacked 11 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #6 contained 11 child care training hours dated 8/8/25(1hr), 8/27/25(3hr), 9/10/25(3hr), 9/10/25(1hr), and 9/11/25(3hr) used for correction. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff members hours were corrected at time. From this point forward all staff hours will be done in a timely manner, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

Staff #1 two most recent state police clearances are dated 8/21/20 and 9/11/25, two most recent child abuse clearances are dated 8/26/20 and 9/19/25. Staff #4 NSOR certificate was dated 9/26/25 which is after first date of caring for children(See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: From this point forward each staff person will have all clearances in file before starting with children. A monthly calendar was made with staff members due dates for new clearances to be more aware of expiration dates. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In room 203/205 there was a book bag next to the sand table that contained Equate Hand Sanitizer and Up & Up Diaper Rash Paste both stated keep out of reach of children were accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: All cleaning materials were placed in a locked area out of the accessibility of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In the indoor gross motor area the end cover of the heating register was missing exposing sharp edges. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Duct tape was used to cover the edges of the play area to endure the safety of the children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

There was not a handwashing sign by the sink and diapering area in room 206. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: The handwashing sign was placed above the sink. Staff moved the sink while re-arranging and never moved the sign. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

In room 201 in a black cabinet without a lock were 3 rolls of garbage bags accessible to children still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: The garbage bags were removed from the black cabinet and placed away from children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

At approximately 1:10pm in room 201 all 6 children's cots that were in use did not have at least 2ft of space on three sides of the cots. In room 207 2 cribs and 3 pack in plays that were in use did not have at least 2 ft of space on three sides of the beds. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: All cots and cribs were moved to be 2 ft 3 sides. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

At approximately 9am in room 203/205 staff #1 and 2 were observed with 14 PS. Staff #1 named 8 children in their supervisory group, and Staff #2 named 5 children in their group totaling 13 children. The staff were asked to name their supervisory groups again. Staff #1 again named 8 children and staff #2 named 5 children again, totaling 13 children. Staff # 1, when asked to find out which child was not identified realized that they actually had 9 children in their group. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction: Staff members was corrected on how many children they had at the time. They named all the children they had even had them written down however they were saying wrong number. They were corrected at time what they were doing wrong Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

Child #2's file did not contain the telephone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: From this time forward each child's file will contain a phone number for the physician. The physicians number was put on child's file at time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos (3270.131(b)(2)/3270.181(c))

Child #2's, an older toddler age child (See LIS Code Sheet), most recent health assessment is dated 8/29/24 which is more than 12 months ago. Child #4's, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 6/12/24 which is more than 12 months ago. Child #5's, a young school age child(See LIS Code Sheet), most recent health assessment is dated 11/19/21 which more than one year before the start of school. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: All parents were asked to have all recent health assessments in by 11/4/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

The immunization record on file for Child #4, a preschool age child(See LIS Code Sheet), 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Correction: Parent was told about the late immunization and that she would have until 11/4/25 to get it in or he can no longer attend daycare until all immunizations/physicals were updated. Parent got the child into doctor on 11/4/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

At approximately 950am in room 207 a child's hands were not washed after diapering. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: At the time of diapering staff member was wiping child's hands with a wipe instead of having the child go to the sink and wash the child's hands in the sink. Staff member was explained that the children in that room are old enough to start using the sink to wash hands. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

Staff #3's most recent health assessment is dated 8/22/23 which is more than 24 months ago. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff member was asked to contact doctor to get a copy of her health assessment. Director had misplaced it at time. Health assessment was then placed into staff members file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

Child #1's most recent child service report is dated 9/2024 which is more than 6 months ago. Child #3's most recent child service report is dated 12/2024 which is more than 6 months ago. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: All staff members were told to please make sure a service report was done for these children right away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

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. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Employees new Clearance was done and put in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

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. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff had already corrected and had new one in file. It was past the 60 months so we will make sure that these are done in a timely manner. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

Staff #6's, who is working as an assistant group supervisor, file did not contain proof of their education. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff member ran home and got a copy of her diploma and now is in her file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

In the gross motor room on the right side a protective outlet cover was missing. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective covers were placed in the outlet that was missing when staff went downstairs to the gross motor room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

In room 208 the first aid kit was missing tweezers and tape. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Tweezers and tape were put into the first aid kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The closet doors in the back of the gross motor room were splintering along the bottom. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Duct tape was put on the part of the door that were splintering to avoid children getting hurt. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

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. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The blue bin was taken out of the room and thrown away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

In the downstairs girls and boys bathrooms under the sinks were loose garbage bags accessible to children still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: The garbage bags were taken out of the bathroom and put into maintenance closet. They were taken out of the space used by children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

The financial agreement for Child #1 did not contain the fee amount. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The agreement fee was put on the document and a new copy was given to the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

Child #1's two most recent child service reports are dated 9/2023 and 9/2024 which are more than 6 months apart. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: It was corrected to due having one done in 9/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child emergency contact person (3270.124(a))

Child #2 file did not contain emergency contact's name or information. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: Information was obtained and put on the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).