Little People Big Minds - Philadelphia PA Group Child Care Home

Noncompliance Area: During the time of inspection on 11/19/19, there was no written proof of a recent physical on file at the facility for staff #1 or staff #2. Both individuals were the only persons at the facility caring for eight children.

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: At the time of inspection on 11/19/19, there was no file on site at the facility for staff #2. Staff #2 was one of two persons caring for eight children.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection on 11/19/19, the most recent copy of the annual certification for fire alarm systems on file at the facility was dated for 5/2018. There was no proof the fire extinguisher being checked since May 2018.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: On 11/19/19, during the facility inspection there was no written proof of staff #1 and #2 complying the CPSL requirements. Staff #1-start date 10/28/19 or staff #2-start date 11/18/19. There were no clearances or receipts indicating a request was made. Both staff #1 and staff #2 were the only staff on site caring for the eight children in care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 or #2 may work in a non-supervised 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 NOSR, FBI, 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 #1 or #2 may not work in a child care position at the facility.

Noncompliance Area: On 11/19/19, at the time of facility inspection neither staff #1 or staff #2 had written proof of first-aid training on file at the facility. Both staff #1 and staff #2 were the only staff caring for the eight children in care.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: At the time of inspection facility children were observed eating lunch from Styrofoam bowls.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The emergency contact information in the files for facility children #1 and #3 did not have the medical coverage, policy number or both at the time of inspection.

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: During the inspection on 6/12/19, the emergency contact information in the file for facility child #2 did not have signed permission for emergency medical or minor first-aid.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Upon request at the time of inspection.; the effective and expiration date for the liability insurance was the same. A request was made for corrected proof. When sent via email, there were errors on the second document.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: There was no complete written emergency plan at the time of inspection on 11/27/18. There was no written proof of staff training in the files for staff #1 and #2.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.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.

Noncompliance Area: During the inspection on 11/27/18, the facility emergency plan was not posted in an visible location. There was also no letter for parents explaining what the facility emergency procedures were.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Noncompliance Area: The file for staff #1 (Primary) did not have written proof of education at the time of inspection.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children

Noncompliance Area: When tested during the inspection on 11/27/18, the water temperature was 124 degrees at the sink (used by the children) in the restroom.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.