Nurturing Nest Early Learning Academy - Philadelphia PA Child Care Center

Noncompliance Area: STAFF 1 AND 3 DID NOT HAVE PROOF OF A PHYSICAL ON FILE AT THE TIME OF THE INSPECTION.

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: STAFF 3 DID NOT HAVE PROOF OF THE RESULTS OF THE TB TEST.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: STAFF 2 DID NOT HAVE PROOF OF THE NSOR LETTER ON FILE AT THE TIME OF THE INSPECTION.

Correction Required: 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 # 2--- may not work in a child care position at the facility.

Noncompliance Area: AT THE TIME OF THE INSPECTION, CHILD 3'S EMERGENCY CONTACT FORM DID NOT INCLUDE THE PHYSICIAN'S ADDRESS NOR TELEPHONE NUMBER.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: CHILD 2'S EMERGENCY CONTACT FORM DID NOT CONTAIN THE PARENT'S WORK ADDRESS OR PHONE NUMBER.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: CHILD 3 DID NOT HAVE SIGNED PARENTAL PERMISSION FOR EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: CHILD 1 AND 2'S EMERGENCY CONTACT FORM DID NOT HAVE THE CHILD'S POLICY NUMBER.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: CHILD 3 DID NOT HAVE PROOF OF A PHYISCAL OR SHOT RECORD ON FILE (CHILD'S START DATE 3/22/19)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: CHILD 1 AND 2 DID NOT HAVE PROOF OF A CURRENT FLU IMMUNIZATION (CHILD 1 LAST DATED 1/10/17, CHILD 2 - 1/26/17), NOR DID THEY HAVE A LETTER OF EXEMPTION ON FILE.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: THE EMERGENCY CONTACT FORMS THAT WERE IN THE CHILD CARE SPACES, WHERE THE CHILDREN WERE, ARE NOT THE CURRENT ONES (THEY ARE IN THE CHILD'S FILE).

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: CHILD 3 DID NOT HAVE WRITTEN PARENTAL CONSENT FOR THE ADMINISTRATION OF MINOR FIRST-AID BY FACILITY STAFF.

Correction Required: 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.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF EDUCATION OR EXPERIENCE ON FILE.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF TWO WRITTEN, NONFAMILY REFERENCES ON FILE.

Correction Required: 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

Noncompliance Area: STAFF 2 DID NOT HAVE PROOF OF EMERGENCY PLAN TRAINING ON FILE AT THE TIME OF THE INSPECTION.

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: STAFF 2 DID NOT HAVE PROOF OF FIRE SAFETY ON FILE AT THE TIME OF THE INSPECTION.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.