SMALL WORLD EARLY LEARNING & DEV CTR I

Promote development/Infant/Toddler Stimulation (3270.111(c)/3270.112)

According to staff interview and facility video, on 2/10/2026 at 4:10pm two young toddlers were crying and pounding on the classroom door for ~10 minutes while staff person #1, who was responsible for supervising the toddlers, remained seated in a chair across the room holding her own child and did not attempt to offer any comfort or support to the toddlers in distress. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. Correction: Staff person #1 was let go and no longer works for the company. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inpatient hospitalization or ER treatment of child (3270.20(a)(1))

Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not notified immediately. Later that evening, parents informed Staff Person #5 that Child #1 had taken the child to the emergency room. The operator failed to notify the regional office by telephone within 24 hours of the incident. Requirement: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. Correction: Staff was trained on immediately notifying the parent of on injured child. Management has been trained on notifying the regional office within 24 hours of the injury. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mail or deliver written report to regional office within 72 hours (3270.20(b))

Based on review of documentation and interviews with staff, it was verified that Child #1 sustained an injury that required emergency room treatment. The operator failed to mail or deliver a written report to the appropriate regional office of the Department within 72 hours after the incident. Requirement: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. Correction: The operator was trained on mailing or delivering a written report to the appropriate regional office within 72 hours after a child has been hospitalized, or has to seek medical treatment after an injury that occurred at the childcare center. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Based on a review of documentation, observations of video footage, and interviews with staff, the following occurred: On 12/18/25 at 5:34 PM, Staff Person #1 and Staff Person #2 were supervising a mixed group of seven children (1 infant, 3 older toddlers and 3 preschool) in the indoor play space. Child #1, an older toddler, was playing inside a playhouse and climbed onto and sat on the window ledge of the playhouse, which is three feet six inches from the floor. Neither Staff Person #1 nor Staff Person #2 intervened and Child #1 subsequently fell face first to the floor. Following the fall, the child sustained injuries, including bleeding from the mouth due to a tooth being pushed into the gum and an injury to the left leg. Neither Staff Person #1 nor Staff Person #2 attended to the child after the fall while the child was lying on the floor. The child's condition was not assessed until Staff Person #3 entered the room to assist. When Staff Person #1 left the child in the care of Staff Person #4 at 5:47 PM, Child #1 attempted to take two steps, but fell again due to the leg pain. Staff Person #4 did not intervene to assist the child. Child #1 laid on the floor until the parents arrived to pick the child up. Requirement: Tier 1: Children on the premises and on facility excursions off the premises shall always be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. Tier 2: The facility director shall develop and implement written supervision procedures that emphasize active supervision of children and appropriate staff response when a child is injured or appears to be injured. The procedures shall require staff to maintain continuous supervision to promptly recognize injuries or signs of distress and to respond immediately when a child is injured or appears to be injured. The supervision procedures shall require staff to immediately take appropriate action to protect the injured child from further harm, remain responsible for the supervision of the injured child, and ensure continued supervision of the remaining children without delay or interruption. Staff shall promptly notify the facility director in accordance with the supervision procedures. The facility director shall ensure all staff are trained on the supervision procedures, including recognizing injuries and responding promptly and appropriately within the scope of supervision. Training documentation, including sign-in sheets, shall be maintained. The written supervision procedures, training documentation, and the implementation date shall be submitted to the Western Regional Office within five (5) business days. The operator shall provide a date for when the portion of the plan will be completed. Correction: Tier 1: All staff were trained on mixed age group ratio and supervising all children at all times. Completion date: 1/12/2026 Tier 2: Management has developed and implemented a supervision policy and procedure that emphasizes active supervision and appropriate response to an injured child. The policy outlines the signs of an injured child and outlines what a staff should do to keep the injured child out of harm's way while still supervising the group of children The policy stresses the importance of the staff notifying management immediately when a child in injured. Completion date 2/16/26. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact parent/keep record (3270.132(a))

Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not notified immediately. Requirement: Tier 1: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. This portion of the plan shall have an immediate correction date. Tier 2: The legal entity will ensure that all facility persons complete the PA Required Health and Safety for Centers -- Group Child Care Part 1 and Part 2 trainings found on the Penn State Better Kid Care website within 21 calendar days of acceptance of this plan of correction. Facility persons who have already completed these trainings will be required to take the trainings again and provide documentation of completion after the acceptance date. Once all facility persons have completed these trainings, the legal entity will submit the training certificates to the Western Regional Office within five (5) business days of the last completion date. The operator shall provide a date for when the portion of the plan will be completed. Tier 3: Once Tier 2 is met, all facility persons will complete the one (1)-hour 911: Responding to Medical Emergencies training found on the Penn State Better Kid Care website within 21 calendar days. Once all facility persons have completed this training, the legal entity will submit the training certificates to the Western Regional Office within five (5) business days of the last completion date. The operator shall provide a date for when the portion of the plan will be completed. Tier 4: Once Tier 3 is met, the facility director and legal entity leadership shall participate in technical assistance through targeted training with PA Key and the ELRC to develop, implement, and operationalize two separate written documents: an Emergency Medical Response Plan and Procedures and a Written Incident Reporting Policy. The Emergency Medical Response Plan and Procedures shall address situations involving observed injuries, suspected injuries, medical concerns, or medical emergencies and shall focus exclusively on how staff respond to a child's medical needs once an injury or medical concern has been identified. The plan shall include clear, step-by-step procedures requiring staff to take immediate action to address the child's medical needs, establish criteria for when emergency medical services (EMS/911) must be contacted, identify staff roles related to seeking medical care, require ongoing monitoring and documentation of the child's condition, and require escalation of care when a child's condition changes or worsens. The Incident Reporting Policy shall establish the facility's requirements for notification and documentation when an injury or medical concern occurs. The policy shall require immediate assessment of the child and if needed, notification of the parent and facility leadership when an injury or medical concern is observed or suspected and shall require that injury reports are completed the same day the injury occurs and provided to the parent. The policy shall also include requirements for ongoing documentation to comply with reporting requirements under 3270.20 related to the incident as needed. The operator shall provide a date indicating when this portion of the plan will be completed. Both the Emergency Medical Response Plan and Procedure

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

Based on a review of documentation, observations of video footage, and interviews with staff, the following was verified: On 12/18/25 at 5:34 PM, Child #1 sustained injuries to the mouth and left leg because of a three-and-a-half-foot fall from a playhouse in the facility's indoor play space. Prior to the fall, Child #1 climbed onto and sat on the window ledge of the playhouse. The child then fell face first to the floor. Then the child's mouth was bleeding from a tooth pushed up into the gum, and the child could not bear weight on the left leg. The parents were not given an incident report on the day of the injury. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: Staff were trained on completing incident reports. The original shall go to the parent, a second copy will be placed in the child's file, and a 3rd copy will be placed in the incident binder. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

Based on observations of video footage, Staff Person #1 was over ratio in the indoor play space on 12/18/25 during the following times: 5:39-5:43 1:5 (1 infant, 1 older toddler, 3 preschool) and 5:47-5:48 1:5 (1 infant, 2 older toddlers, 2 preschool). Requirement: Tier 1: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date. Tier 2 The facility director will require staff to immediately notify the director before a classroom is non-compliant with ratio. Upon notification, the director will take immediate action, including assigning qualified staff as needed to maintain required staff-to-child ratios. The operator shall provide a date for when the portion of the plan will be completed. Tier 3 The director will implement written procedures to maintain ratio at all times, which includes notification to the director before the classroom is non-complaint with ratio. The legal entity will ensure staff are trained on these procedures, and maintain training sign-in sheets. The procedures, training documentation, and implementation date shall be submitted to the Western Regional Office within five (5) business days. The operator shall provide a date for when the portion of the plan will be completed. Correction: Tier 1: All staff were trained on ratio. All ratios are posted in all the classrooms. Correction date 12/18/25 Tier 2: All Staff were trained on immediately notifying the director before a classroom is non-compliant with ratio. When notified the director will take immediate action by assigning a teacher to the classroom so the classroom will be in ratio. Completion date 2/16/26 Tier 3: The director implemented a Supervision Policy and Procedure that includes ratio. All staff were trained on the policy and procedure that includes a sign in sheet. Completion date 2/16/26 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The files for Staff Person #1, #3, #5 and #10 do not include documentation of emergency plan training conducted within the past 12 months. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: A full review of all staff files was completed to identify missing emergency plan training documentation. Staff Person #1 is no longer employed with the organization. Staff Person #3, #5, and #10 were immediately retrained on the facility's Emergency Preparedness Plan. Documentation of the completed emergency plan training, including participant signatures and training date, has been placed in each staff person's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

The file for Staff Person #1 does not contain documentation of fire safety training conducted within the past 12 months. The most recent fire safety trainings in the files for Staff Person #2 and #5 exceeded 12 months between trainings. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Staff Person #1 is no longer employed at the facility. Staff Persons #2 and #5 completed updated fire safety training are up to date. Completion records were immediately added to each staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The most recent Mandated Reporter Trainings in the file for Staff Person #3 exceeded 60 months between trainings. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff Person #3 completed updated Mandated Reporter Training through an approved PA DHS/Act 31 provider. A copy of the certificate was immediately placed in the staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent State Police and Child Abuse Clearances and NSOR Certificate in the file for Staff Person #1 exceeded 60 months between clearances. The NSOR Certificate in the file for Staff Person #3 (hired prior to 2/1/25) was processed more than 45 days after the staff person's first day working in childcare. The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances. The NSOR Certificate in the file for Staff Person #8 (hired after 2/1/25) was processed after the staff person's first day working in childcare. The file for Staff Person #9, who has lived out of state in the past five years (Florida) did not contain the out-of-state clearances required for that state (Sex Offender Registry and Child Abuse). (See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9 may not work in a child care position at the facility. Correction: Staff Person #1: Is no longer employed at the facility. Staff Person #3: Completed updated NSOR clearance. Documentation has been added to the staff file. Staff Person #4: Completed updated State Police and Child Abuse clearances. Documentation has been added to the staff file. Staff Person #8: NSOR clearance was submitted and received and placed in the file. Staff Person #9: Florida Sex Offender Registry & Florida Child Abuse Clearances were submitted and received. Staff person #9 is cleared to work with children. All clearances were placed in their file. The Center Director completed a full review of all staff clearances to ensure no additional overdue or missing documents. All immediate corrective actions (except pending out-of-state clearances were completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The files for Staff Person #1, #2, #3, #5 and #10 do not have a written evaluation conducted within the past 12 months. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff Person #1 is no longer employed at the facility. Written evaluations for Staff Persons #2, #3, #5, and #10 were completed by the Director. Copies of all completed evaluations were added to each staff file on Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

Observed two outlets, under the shapes board in the OT Room, which lacked protective receptacle covers. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective receptacle covers were installed in both uncovered outlets in the OT Room. The Director inspected the OT Room after installation to confirm both outlets were properly covered and inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

The trash can in the dining area of the Infant Room lacked a liner. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: A plastic liner was immediately placed into the trash can in the Infant Room dining area. The Center Director inspected the room afterwards to confirm the receptacle was properly lined and in compliance with DHS regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Observed rust marks dripping from the ceiling down the wall in the right corner of the OT Room. Observed holes in the bottom of two wall panels, which were separating from each other on the yellow wall across from the entrance to the gym. Observed two rolled up carpets and a cart, which create potential tripping hazards, in the Preschool #2 Room. 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: The two rolled-up carpets and the cart in Preschool #2 were removed from the classroom and relocated to a designated storage area. The Preschool #2 classroom was inspected to ensure pathways and activity areas were fully clear of tripping hazards. Repairs were completed and Cleaning and repainting of the affected wall in the OT Room was completed. The wall panels in the gym were repaired and no holes are present. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Observed flaking plaster in the gym where two wall panels were separating from each other. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The affected area in the gym was evaluated and the loose/flaking plaster was removed to prevent debris from falling into the child-accessible environment. Maintenance was contacted to repair the damaged plaster and secure or replace the separating wall panels. Repairs were completed, including: Replastering the damaged section Repainting the area with non-toxic, child-safe paint Securing the wall panels to prevent separation Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Observed dirt and debris under the mats of the diaper changing tables in the Infant and OT Rooms. 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 changing table mats in the Infant Room and OT Room were lifted, removed, and thoroughly cleaned. The surfaces underneath the mats were disinfected, dried, and inspected to ensure no additional debris or residue remained. Fresh sanitary liners and fully cleaned mats were placed back onto the tables. All diaper-changing tables in the building were inspected. Any tables requiring additional cleaning were also sanitized immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

A daily activity schedule was not posted in the Infant Room. Requirement: The written plan of daily activities shall be posted in the group space. Correction: A current and compliant Infant Daily Activity Schedule was printed and posted in the Infant Room. The Center Director inspected the room to verify that the schedule was visible, accessible, and posted at adult eye level. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form in the file for Child #1 did not include the address or phone number of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The family of Child #1 was contacted and provided the missing physician address and telephone number. The emergency contact form was updated and completed and the corrected form was placed in the child's file. The Director reviewed the file to ensure all required components of the emergency contact form were complete and compliant. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The emergency contact forms in the files for Child #1 and #5 did not include the work address and phone number of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The families of Child #1 and Child #5 were contacted to obtain the missing work address and work phone number for the enrolling parent. Emergency contact forms for both children were updated with the complete and accurate information. The Center Director verified that the forms are now compliant and placed the corrected versions in each child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The emergency contact form in the file for Child #1 did not include the health insurance coverage or policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: The family of Child #1 was contacted and provided the child's health insurance coverage and policy number. The emergency contact form was updated with this information. The Center Director verified that the updated form now meets all regulatory requirements and placed the corrected document into the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The emergency contact form in the file for Child #1 did not include the address 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: The family of Child #1 was contacted to obtain the complete addresses of all individuals authorized to pick up the child. The form was updated and placed in the child's file. The Center Director reviewed the updated form to ensure all release persons now include: Full name Full address Telephone number The corrected form was returned to the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

The binder in the OT Room did not contain an emergency contact form for Child #3, who was receiving care in that room. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: The emergency contact form for Child #3 was immediately retrieved from the main file and placed in the OT Room emergency binder. The Director verified that the binder now includes all children who may receive care or services in the OT Room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The file for Child #5, a preschool child, did not contain an updated health report conducted within the past 12 months. 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 child's record shall contain initial and subsequent health reports. Correction: The parent submitted an updated health report completed by the child's physician, and this document was immediately added to the child's file. The Director reviewed the file to confirm that the updated physical form is current, complete, and compliant. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3270.131(d)(7))

The health report in the file for Child #1 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. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: The family of Child #1 was contacted and informed that the submitted health report was missing required language. They were given a deadline of 12/31 to submit the documentation. The child's earliest next doctors appointment is in December. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).