Apple Pie Long Lane - Upper Darby PA Child Care Center

Noncompliance Area: The facility lacked a sufficient amount of materials for dramatic role playing. (young toddler classroom)

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include materials for dramatic role playing. Obtain additional materials for dramatic role playing in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The facility lacked a sufficient amount of books in the young toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys and materials for cognitive development. Obtain additional books in a sufficient amount and variety to preclude long waits for use. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The facility lacked a sufficient amount of toys to handle and manipulate and art materials for tactile development. (young toddler and school age classrooms)

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development. Obtain additional of toys to handle and manipulate and art materials in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: The written plan of daily activities was not posted in each child care space. (school age classrooms)

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space. Post the written plan of daily activities in each child care space.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#2)

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One child's six-month review of the emergency contact information and the financial agreement did not contain the parent's dated signature only the parent's dated initials. (#3)

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information that contains the parent's dated signature for the identified child. Ensure that all children's reviews contain the required dated parental signatures as specified.

Noncompliance Area: One child's records did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. The form only had the parent's initials.(child #1)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location. Post a copy of the facility's current certificate of compliance in a conspicuous location as specified.

Noncompliance Area: The operator did not post a copy of most recent inspection summary issued by the Department in a conspicuous location used by parents as specified in this regulation.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected. Post the inspection summary and ensure that all future inspection summaries are posted and remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: One staff person's record did not contain written verification of initial emergency plan training. (#1)

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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff receive emergency plan training at the time of initial employment and annually.

Noncompliance Area: The first aid kit in two classrooms lacked the required contents. (K/Preschool-soap) (school age-bandages)

Correction Required: A first-aid kit shall be in a child care space. Replenish the first aid kit and ensure that all first kits has the required contents as specified in this regulation.

Noncompliance Area: Surfaces in the facility were in need of repair or replacement; the carpet in the preschool (3-4 year old room) and the hand washing sink (2 year old room) were in disrepair and in need of repair or replacement

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. Make necessary repairs or replacements as specified. Ensure that all surfaces in the facility are in good repair. Submit adequate written documentation for verification.

Noncompliance Area: The basement rear exit was obstructed by a metal door prop and other items.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the door prop and other items and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification.

Noncompliance Area: Two staff persons were observed caring for a group of 12 preschool children (4-5 years olds) in the lower level and were not able to name specific children they were responsible for supervising. (staff #3 and #6). Documentation submitted on 8/6/18 did not contain written verification training for all staff persons and written procedures for assigning staff the responsibility for supervision of specific children. CONTINUING DEFICIENCY

Correction Required: 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. Train all facility staff persons in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. The procedures must include provisions for when a staff person is filling in for another staff person. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. Child admitted on 11/29/17 and emergency contact information completed 1/5/18. (#2). Documentation submitted on 8/6/18 did not contain revised written policies and procedures to ensure that all children's records contain the required written parental consents prior to admission. CONTINUING DEFICENCY

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Revise and submit written policies and procedures to ensure that all children's records contain the required written parental consents prior to admission.