Little Free Thinkers Childcare Inc - Philadelphia PA Child Care Center

Noncompliance Area: During renewal inspection on 11/13/19 a do was observed at the facility, and did not have documentation of immunization at the facility

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: During renewal inspection on 11/13/19, Cert Rep observed the following -the window sill going down to the basement childcare space was dirty -the outdoor play space was dirty (corrected)

Correction Required: 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.

Noncompliance Area: During renewal inspection on 11/13/19 Cert rep observed a preschooler sleeping in a bouncy chair

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: During renewal inspection on 11/13/19, Cert Rep observed that there were no daily activities posted in the 1st floor childcare space, basement childcare space, and the 2nd floor childcare space

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: During renewal inspection on 11/13/19 Cert Rep observed the following - Staff # 5 changing a diaper on the 1st floor was not able to see,hear, assess, and direct infant children that were on the other side of the wall -A preschool child leaving the first floor and going to the basement childcare space alone

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: During renewal inspection on 11/13/19 Cert Rep observed that there were no emergency contacts present in the basement, 1st floor and 2nd floor childcare space

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: During renewal inspection on 11/13/19 while reviewing children's files Cert Rep observed the following - Child # 4 whose enrollment date 8/11/19 did not have an initial health assessment in file

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 11/13/19 while reviewing children's files, Cert Rep observed the following -Child # 2 whose enrollment date 8/12/19 did not have an initial health assessment in file

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 11/13/19, Cert Rep observed Staff # 5 changing diapers and did not wash their hands, and the children's hands

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: During renewal inspection on 11/13/19 , Cert Rep observed Staff # 5 not sanitizing the changing table after changing each child

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: During renewal inspection on 11/13/19 while reviewing staff files, Cert Rep observed the following - Staff # 4 whose hire date 8/1/19 had a health assessment dated 5/2018 and did not have a current TB on file -Staff # 5 whose hire date 9/26/19 did not have a health assessment in file - Staff # 6 whose hire date did not have a health assessment and TB in file

Correction Required: 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.

Noncompliance Area: During renewal inspection on 11/13/19, while reviewing staff files, Staff # 6 whose hire date 10/15/19 did not have documentation of emergency plan training in file - Staff # 7 whose hire date 11/18/19 did not have documentation of emergency plan training in file

Correction Required: 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.

Noncompliance Area: During renewal inspection on 11/13/19 while reviewing staff files Cert Rep observed the following - Staff # 2 whose hire date 9/20/19 a provisional hire was left alone with 4 infants on the ground floor on 11/13/19, and alone with the 5 Young school age children on 11/20/19 -Staff # 4 whose hire date 8/1/19 had an incomplete state police clearance and was under review dated 11/7/17

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # --4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #---4 may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 11/13/19 and 11/20/19 the facility did not have a director

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).

Noncompliance Area: During renewal inspection on 11/13/19 while reviewing staff files, Cert Rep observed the following -Staff # 2 whose hire date 9/20/19 did not have documentation of a high school diploma and 2500 hours of childcare hours to qualify as an AGS -Staff # 4 whose hire date 8/1/19 did not have documentation of verification of 2500 childcare hours to qualify as an AGS - Staff # 5 whose hire date 9/26/19 did not have documentation of 2500 childcare hours to qualify as an AGS

Correction Required: 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.