Cherry Ann Padgett Fcch

Noncompliance Area: During renewal inspection on 9/15/20, emergency contact form of child #2 did not include the work address/telephone number of enrolling parent and health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 renewal inspection on 9/15/20, emergency contact form of child #2 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: During renewal inspection on 9/15/20, file of child #1 and #2 did not include an initial health report. Child #1 was enrolled on 11/2019, child #2 was enrolled on 9/2019.

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 child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 9/15/20, health assessment of staff person #1 was dated 2/5/18 and is not valid since it was conducted more than 24 months ago.

Correction Required: 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: On the day of inspection, it was observed that the tag on the fire extinguisher located in the kitchen is expired. This condition at the facility poses a threat to the health and safety of children. A complaint will be filed with the City of Philadelphia's Department of Licenses and Inspections.

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

Noncompliance Area: During renewal inspection on 9/15/20, file of staff person #1 and #2 did not include National Sex Offender Registry Verification Certificate.

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.

Noncompliance Area: During renewal inspection on 9/15/20 observed that fire evacuation drills are not conducted at least four times a year. Last fire drill was conducted on 5/19/19.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: During renewal inspection on 5/30/19, the initial health report of child #2 and #3 was dated more than 1 year prior to the first day of attendance at the facility.

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.

Noncompliance Area: During renewal inspection on 5/30/19, an initial health report of child #1 didn't include a review of child's immunization..

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: During the complaint investigation on 4/25/19, provider acknowledged using harsh language toward her 8 year old son's father once in the presence of the child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: During unannounced monitoring inspection on 1/28/19, file of child #1, #2, #3 didn't include an initial health report, only immunization record. Non-compliance continues from renewal inspection conducted on 11/15/18.

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 child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 11/15/18 observed that rest equipment was not labeled.

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 11/15/18, child #5 didn't have emergency contact form. File of child #1, #2, #4, #5 didn't have a copy of the initial agreement.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: During renewal inspection on 11/15/18, emergency contact form of child #1, #2 , and #4 didn't include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: During renewal inspection on 11/15/18, file of child 1, #2, #4, #5 didn't include an initial health report.

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 child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection, health report of child #3 was more than 12 months old, wasn't written and signed by a physician, physician's assistant or a CRNP.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: During renewal inspection on 11/15/18, file of staff #1 didn't include first aid training information.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: During renewal inspection on 11/15/18, file of staff #1 contained only 10 clock hours of biennial child care training, file of staff #2 contained only 9 hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: During renewal inspection on 11/15/18, file of staff #2 included copy of the criminal record history for volunteer, not employment.

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: During renewal inspection on 11/15/18 observed hole in the ceiling in the front room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During renewal inspection on 11/15/18, fire evacuation drill was conducted just once during 2018.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: At the time of the renewal inspection, the written plan of daily activities were not posted in traffic areas used by parents.

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 and routines shall be posted in a traffic area used by parents.

Noncompliance Area: At the time of the renewal inspection, the file of child #1 did not contact an emergency contact information form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: At the time of the renewal inspection, the address for the release people for children #2 and #3 were missing and the emergency contact forms and fee agreement forms were not updated every six months.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: At the time of the renewal inspection, the provider's vehicle was unavailable for inspection so it could not be determined if there was appropriate insurance and registration of the vehicle or if the vehicle had a complete first aid kit.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).A first-aid kit, including the contents as specified in 3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: At the time of the renewal inspection, the provider identified staff #1 as the 2nd staff person available since she was operating a 24 hour day care. There was no complete file for staff #1 so she did not have health assessment with TB test, proof of age or education or a record of mandated child abuse reporting training or health and safety training.

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

Noncompliance Area: At the time of the renewal inspection, a copy of the regulations and how to contact the regional day care office were not posted.

Correction Required: The facility's current certificate of registration 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

Noncompliance Area: At the time of the renewal inspection, the emergency plan was unavailable and not posted in a conspicuous location for parents.

Correction Required: The facility shall have an emergency plan.The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: At the time of the renewal inspection, facility person #1 did not have current CPSL clearances on file at the facility and did not have a copy of the disclosure statement in her file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 1 may not work in a child care position at the facility. 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.

Noncompliance Area: At the time of the renewal inspection, it was observed that there were boards and debris in the play space outside the front of the house making it unsafe to play in that area.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: At the time of the renewal inspection, it was observed that there was trash overflowing in the trash containers in the kitchen.

Correction Required: Trash shall be removed from the facility at least once per day.

Noncompliance Area: At the time of the renewal inspection, it was observed that emergency numbers were not posted by each telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: At the time of the renewal inspection, the fire evacuation plans and the emergency medical transportation procedures were not posted conspicuously in the home.

Correction Required: Fire evacuation plans shall be developed and posted.A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: At the time of the renewal inspection, fire evacuation drills were not conducted and recorded at least four times a year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: The Agreement Form for children #1 through #7 did not have child's date of admission recorded.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: The Emergency Contact Form for children #1 through #3 did not include health insurance 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: Children #3 and #4 did not have health assessments on file at facility (only immunization records were on file).

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.

Noncompliance Area: Staff person #1 did not have health assessment of TB testing results on file at facility.

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 on file at the facility.An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Noncompliance Area: Provider could not produce current insurance for vehicle utilized in transportation of children.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: The Emergency Contact Forms and Agreement forms for Children #3, #4 and #5 did not reflect 6 month review. Child #3 forms dated 1.28.16 and 2.1.16. Child #4 forms dated 1.28.16 and 2.1.16. Child #3 forms dated 1.28.16 and 2.1.16.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The Emergency Contact Forms for Children #3,#4 and #5 did not provide consent for emergency medical care and first aid treatment.

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: Staff person #1 did not have proof of being trained on facility Emergency Plan.

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.

Noncompliance Area: Staff person #1 did not completed mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Facility was not conducting fire drills at least four times per year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.