Small World Day Care Center

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

On 7/11/2025 the provider was not able to locate the medication log, which includes written parental consent for the administration of an Albuterol Inhaler that is on-site for Child #1.

Corrected by Jul 14, 2025

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3270.113(c)/3270.113(e) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During interviews conducted on 2/28/2025 staff person # 1 (DOH see LIS code sheet) and staff person #2 (DOH see LIS code sheet) admitted to carrying child #1 (DOB see LIS code sheet) from the Pre-K room, through the school-age room and into the hallway. Staff person #1 stated on 2/17/2025 Child #1 became upset in the Pre-K room and threw a chair, a desk and various toys, all landing near other children. Staff person #1 called the office for assistance and staff person #2 responded. Staff person #2 stated they tried to get child #1 to come with them to the office but child #1 kicked and screamed and refused to walk along with staff person #2. Staff person #2 stated that they attempted to pick up child #1 to carry the child out of the room away from the other children but child #1 continued to kick and scream. Staff person #1 stated that they wanted to help staff person #2 so they picked up child #1's feet while staff person #2 had child #1's arms and they carried the child out of the room, through the school age classroom and into the hallway where they put child #1 down on the floor. Staff person #1 was heard saying " It's sad the school age children have to see you like this" as staff person #1 and staff person #2 were carrying child #1 through the school age room. Staff person #3 assumed responsibility for child #1 once the child was in the hallway and spoke with child #1 to calm them down.

Corrected by Feb 19, 2025

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3270.113(b)/3270.113(c) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

During staff interviews conducted on 2/8 and 2/9/2024 several staff members stated they have witnessed Staff Person #1 pick up rest cots with their hands and/or a foot approximately twelve inches / one foot off the ground and drop it to the floor in order to wake up multiple children at the end of naptime. Staff members interviewed stated this is typically done to Child #1 (DOB see LIS code sheet) as this particular child usually falls asleep 10 minutes prior to nap time being over and this frustrates Staff Person #1.

Corrected by Apr 15, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for Staff Person #1 to participate in technical assistance provided on site by ELRC staff regarding positive interactions with children and developmentally appropriate practice.

During staff interviews conducted on 2/8 and 2/9/2024 a couple of staff members stated they witnessed Staff Person #1 grab Child #1 (DOB see LIS code sheet) by the shirt and whip the child around causing the child to fall on the floor. Staff members who were interviewed stated Staff Person #1 did this because he/she was frustrated the child had a bowel movement in their pull-up.

Corrected by Apr 15, 2024

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3270.113(c)/3270.113(d) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for all facility staff responsible for the supervision of children to participate in a minimum of 2 hours of in person training provided by ELRC staff regarding developmentally appropriate practice and positive interactions with children.

During staff interviews conducted on 2/8 and 2/9/2024 several staff members stated they have heard Staff Person #1 say that if he/she could discipline like in the past that he/she would, while making a spanking motion with their hands. This statement was made to other staff members in a loud voice while in the presence of children. Staff Person #1 admitted to saying this to other staff members. During staff interviews conducted on 2/8 and2/9/2024 several staff members stated they have heard Staff Person #1 call children "dumb" and "stupid" to other staff members in a loud voice while in the presence of children. Two staff members stated they have heard Staff Person #1 call Child #2 "fat" and "fat ass" to other staff members in a loud voice while in the presence of children.

Corrected by Apr 15, 2024

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3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

During staff interviews conducted on 2/8 and 2/9/2024 several staff members stated out of seven boys in the preschool classroom Staff Person #1 will make Child #1 (DOB see LIS code sheet) wait until last to get changed during "potty time" even knowing that the child's pull-up is soiled. Staff members stated Staff Person #1 has been heard yelling at the child "Why can't you just go in the potty? This is frustrating!"

Corrected by Apr 15, 2024

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

During staff interviews conducted on 2/8 and 2/9/2024 a couple of staff members stated that Child #1, who is not yet toilet trained (DOB see LIS code sheet) will go from 10:50 am until around 2:30pm without being changed. Child #1 is reported to sit in a soiled diaper/pull-up due to Staff Person #1 not changing the child's diaper/pull-up.

Corrected by Mar 22, 2024

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3270.14/3270.21 · 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.

Facility Person #1 (DOH see LIS code sheet) has not completed the required one- hour Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Corrected by Jul 28, 2023

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3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

It was observed in the Level 4 classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (CORRECTED ON SITE)

Corrected by Jul 26, 2023

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

It was observed on 7/20/2022 in the Pre-K bathroom, an air freshener was hanging from the water turn off knob of the toilet and was accessible to children. (CORRECTED ON SITE)

Corrected by Jul 20, 2022

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

It was observed on 7/20/2022 emergency contact information for Child #1 was not present in the school-age classroom where the child was receiving care. (CORRECTED ON SITE)

Corrected by Jul 20, 2022

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

It was observed on 7/26/2021 in the Pre-K Bingo Markers labeled "Keep out of reach of children" we being stored in a cabinet that was accessible to children. (CORRECTED ON SITE) It was observed on 7/26/2021 a tub of disinfectant solution was being stored on a table in the corner of the room that was accessible to children.

Corrected by Aug 3, 2021

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3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

It was observed on 7/26/2021 in the School-Age room a tub of disinfectant solution was being stored on a table with several boxes of food right beside the toxic material. (CORRECTED ON SITE)

Corrected by Jul 26, 2021

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement for Child #1 does not specify the date of the child's admission.

Corrected by Jul 27, 2021

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