Small But Mighty LLC

Written consent (3280.133(6))

Observed child Tylenol for Child #2, that did not have a parent permission form for administration. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: Provider will have parents fill out a med log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3280.124(e))

An emergency transportation plan was not posted at the facility. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: Provider will post an emergency transportation plan at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

The emergency contact form in the file for Child #1 did not include the addresses of the release persons. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Provide will contact the parent of child 1 to obtain addresses of the release persons. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The emergency contact form in the file for Child #2 did not include the enrolling parent's work address and phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Provider will contact parent for work information to be added to child files at pickup. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

The file for Child #1, who has been enrolled for more than six months, did not include a child service report. Requirement: An agreement shall specify 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 at § 3280.124(f). Correction: Provider will have all enrolled children's families sign a completed child service report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

110º F or less (3280.69(a))

The hot water temperature in the bathroom measured 130° F. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: Provider will turn off the hot water. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3280.94(a)(5))

Evacuation routes were not posted in the basement or on the second floor. Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: Evacuation routes will be posted on the second floor and basement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick up and drop off points (3280.171(a))

The operator did not have a letter on file notifying traffic authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Requirement: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Correction: I will write a letter to notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility and send copy to cert rep. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

The fire extinguisher meter indicated that the extinguisher needed recharged. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: I will have Master Fire recharge my fire extinguisher. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3280.182(3)/3280.182(5))

The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: I will get parent of Child #1 to sign emergency contact form for emergency medical care for the child and administration of minor first-aid procedures by facility staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

In the outdoor play space, observed a broken fence post. The fence on the right side of the play space was leaning inward. 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: Broken fence post was placed in garbage can. Soil will be added to existing fence post to keep from falling. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

The facility did not have a policy for shaken baby syndrome/abusive head trauma/child maltreatment. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: We will write a policy for shaken baby syndrome/abusive head trauma/child maltreatment. All staff and parents will review this policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3280.66(a))

Observed gasoline, charcoal and garden products, which could be accessible if children were in care, in two sheds, which were not locked, in the outdoor play area. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: I am going to put locks on both sheds. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3280.192(5))

The file for Staff Person #1 did not include two written letters of reference. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: I will get two letters of reference for Staff Person #2. Reference letters will be placed in file. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Door opens in at landing (3280.91(c))

The basement doorway, which exits directly into the stairwell with no landing, lacked a secure barrier to prevent access to the stairwell. Requirement: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected. Correction: We will put a baby gate across doorway. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

Observed protruding nails, which can create a potential poking hazard, along the wooden fence in the outdoor play space. Observed old garden fencing along the ground near the far side of the outdoor play space. Observed protruding bolts from the base of the toilet in the restroom. 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: I will use a hammer to nail the nails flat against the fence. I will remove old garden fencing. I will put caps on bolts on the base of the toilet. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

110º F or less (3280.69(a))

The hot water temperature for the bathroom sink measured 135° F. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: Hot water was turned off during the inspection. Children will wash hands with cold water and soap. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).