Anna Mae Guille Fcch - Philadelphia PA Family Child Care Home

Noncompliance Area: There was no written proof of a recent health assessment if the file for staff #1 at the time of 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 on file at the facility.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 the facility inspection, the facility kitchen and outdoor play space had multiple items (cluttered) that were a hinderance both spaces and could pose a hazard to the children in care.

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: The health insurance information and policy number were missing from the emergency contact information for facility children #1 and #2 at the time of inspection on 7/1/19.

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: The file for staff #, 1did not have written proof of a health assessment at the time of inspection on 7/1/19.

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.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: The program menu was not posted at the time of inspection on 7/1/19.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Noncompliance Area: At the time of inspection on 7/1/19, the emergency contact information in the files for facility children #1 and #2 did not have signed permission for minor first-aid or emergency medical care.

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. 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: During the inspection on 7/1/19, there was no written proof of emergency plan training in the files for staff #1- #3

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff # 1 who was observed escorting two facility children to and from the neighborhood playground on the morning of 7/1/19. The staff person did not have written proof of education in their file.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: Upon request at the time of inspection, the first-aid kit was missing soap, bandages, and water.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, water, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The rear yard was overgrown with grass at the time of inspection. Along with the grass, there were items large items that may cause a hazard to the children in care

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 the inspection on 7/1/19, peeling paint was observed on the main (living) room walls.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: EMERGENCY CONTACT FOR CHILD #2 & #4 DID NOT HAVE THE HEALTH INSURANCE POLICY NUMBER LISTED.

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: EMERGENCY CONTACT FOR CHILD #1, #3, & #4 DID NOT HAVE THE RELEASE PERSONS ADDRESS LISTED.

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: CHILD #4 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT

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.

Noncompliance Area: ON 2/2/18 A P/S CHILD UNLOCKED AND ALLOWED A CHILD CARE REPRESENTATIVE WORKER ENTRY INTO THE DAYCARE FACILITY/ HOME. THERE WERE (3) ADDITIONAL CHILDREN IN CARE DOWNSTAIRS, AND THE OPERATOR WAS UPSTAIRS FOR SEVERAL MINUTES BEFORE SHE CAME DOWN TO MEET THE AGENCY WORKER.

Correction Required: All Children must be supervised at all times 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).