Blessing From Above Family Child Care Home - Philadelphia PA Family Child Care Home

Noncompliance Area: During renewal inspection on 17 SEPTEMBER 2019, the certification rep. observed that the emergency contact information for children #1-4 had not been updated within the last 6 months.

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 information

Noncompliance Area: During renewal inspection on 17 SEPTEMBER 2019, the certification rep. observed that the health reports for children #1-4 had not been updated within the last 12 months.

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: During renewal inspection on 17 SEPTEMBER 2019, the certification rep. observed that the health assessment for staff #1 had not been updated in over 24 months. The last updated health assessment was 9/13/17.

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.

Noncompliance Area: There were empty plastic bags in reach of children hanging in a plastic bag dispenser in the kitchen.

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 daily schedule was not posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: The file for Child #3 lacked an agreement.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The files for Children #3, #4 and #5 lacked child service reports.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: The files for Children #2, #3, #4 and #5 lacked completed health assessments for the children and they have exceeded 60 days in care at the facility. The files for Children #3, #4 and #5 only contained immunizations.

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: There were medications accessible in the living room as follows: a child's Qvar inhaler on a hanging shelving unit in reach of children, a child's inhaler on a low shelf near the entry, allergy medication and ibuprofen on a shelf about the sofa, in reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: There is no hands-free plastic lined covered trash can for diaper disposal. The operator states the diapers are placed in individual bags and taken outside.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The operator states she changes diapers on her lap, rather than a surface that is changed or cleaned after each diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: There were sharp knives in a block on the counter in the kitchen in reach of children, and one sharp knife in an unlocked kitchen drawer.

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

Noncompliance Area: The files for Children #1, #2, #3, #4 and #5 lacked the initial and subsequent emergency contact forms and financial agreements. Operator reports that she has discarded them once new ones are completed. At this time the Agreements for Children #1 and #4 have exceeded 6 months since their last review and update.

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 file for Staff Person #1 lacked all of the subsequent health reports between the initial and the current health assessment.

Correction Required: 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 regulations under which the facility is certified and the phone number to contact the regional certification office were not posted at the facility.

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