Appletree Child Care And Learning Center - Philadelphia PA Child Care Center

Noncompliance Area: Staff person #1(hired 6/24/04) and staff person # 2 (hired 8/17/20) did not have a current health assessments documented in their record at time of inspection. Staff person #2 also did not have initial TB screening results completed and documented in her file.

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: During time of inspection, the chairs being used in the preschool and young toddler room were very soiled and in need of cleaning. In addition, the swing chair located in the outdoor toddler play area was cracked and in need of repair or replacement.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Staff person # 2 (hired 7/3/19) and staff person # 3 (hired 9/10/18) did not have required date of when negative TB screening was completed documented on their health assessments.

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.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 time of inspection, staff person # 3,5,6,7 and 8 did not have 6 hours of annual child care training documented in their record.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At time of inspection, staff person # 1 (hired 6/27/19) as an aide/lifeguard did not have proof of education level completed documented in their record.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3).A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A staff person #1 is yelling at the children in her care.

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

Noncompliance Area: During inspection of the older toddler room there were 5 toy doll babies that were extremely soiled and in need of cleaning and/or replacement.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: During time of inspection, the rest equipment being used in the preschool room was not labeled for specific individual use as required.

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: At time of review of facility emergency plan, the facility did not have an update plan for emergency shelter for when the neigboring school that was listed in emergency plan is not open for the summer months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: During time of inspection, the cubbies used in both preschool areas of facility were not mounted to prevent the hazard of them from falling over. In addition, there was chipped paint on the toy shelf in the afterschool room.

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

Noncompliance Area: During time of inspection, the director (staff person #1) was not present and I was told that he was out due to an appointment. I was also told by him via telephone that his time is divided between this facility and another site. There was no schedule posted in facility of the times that director can be reached at this facility. Therefore, I could not confirm that director is present at least 30 hours per week at this facility.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: During renewal inspection n 7/2/18, while reviewing children's files -Child # 1 whose enrollment date 12/2/13 emergency contact and agreement was last signed 6/27/7 and 5/25/18 -Child # 2 whose enrollment date 7/13/15 emergency contact and agreement was last signed 5/12/17 and 6/13/18 -Child # 4 whose enrollment date 2/3/16 emergency contact was last signed 5/4/17 and 5/10/18

Correction Required: 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 informationA 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: During renewal inspection on 7/5/18, while reviewing children's files, Child # 5 whose enrollment date 9/27/17 id not have a health assessment in file

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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 7/5/18, while reviewing staff files, the following did not have a physical and/or physical with TB in file Physical- Staff # 11 whose hire date 1/5/03 last health assessment was dated 6/16/16 Staff # 12 whose hire date 12/6/06 last health assessment was dated 3/6/16 Physical +TB- Staff # 17 whose hire date 5/22/18 did not have a physical with Tb in file Staff # 18 whose hire date 5/23/18 did not have a physical with TB in file Staff # 19 whose hire date 6/14/18 did not have a physical with TB in file Staff # 20 whose hire date 6/19/18 did not have a physical with TB in file Staff # 22 whose hire date 7/2/18 did not have a physical with TB in file

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: During renewal inspection on 7/5/18 while reviewing staff files , Staff # 21 listed as facility's lifeguard did not have documentation of age and address in file

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.A facility person's record shall include verification of age.