Carmen Reaves Family Child Care Home - Philadelphia PA Family Child Care Home

Noncompliance Area: DURING THE RENEWAL INSPECTION THE CHILD CUBBIES LOCATED IN THE BASEMENT PLAY ROOM AREA WAS UNSTABLE. THERE WAS A TOY BOOK SHELF LYING ON ITS SIDE.

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 THE RENEWAL INSPECTION THE REST EQUIPMENT WAS NOT LABELED FOR USE OF A SPECIFIC CHILD.

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 THE RENEWAL INSPECTION THE THERMOMENTER IN THE REFRIGERATOR WAS NOT OPERATING.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 2/2017), CHILD 2 (ENROLLED 9/2015), CHILD 3 (ENROLLED 11/2018), CHILD 4 (ENROLLED 3/2017) AND CHILD 5 (ENROLLED 8/2015) DID NOT INCLUDE A CHILD SERVICE REPORT IN THE LIST OF SERVICES TO BE PROVIDED. THE FILE OF CHILD 3 AND CHILD 4 DID NOT INCLUDE A CHILD SERVICE REPORT.

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: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 3 DID NOT INCLUDE THE PHYSICIAN'S PHONE NUMBER.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 1 DID NOT INCLUDED THE PARENTS, HOME PHONE NUMBER, WORK PHONE NUMBER, OR WORK ADDRESS. THE EMERGENCY CONTACT INFORMATION FOR CHILD 4 DID NOT INCLUDE THE PARENT'S WORK PHONE NUMBER.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATIO FOR CHILD 1, CHILD 2 AND CHILD 3 DID NOT INCLUDE THE RELEASE PERSON'S ADDRESS.

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 THE RENEWAL INSPECTION THE FILE OF CHILD 2 (ENROLLED 9/2015) DID NOT INCLUDE A CURRENT, UP-TO-DATE HEALTH REPORT. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE RENEWAL INSPECTION THE HEALTH REPORT FOR CHILD 2, CHILD 4 AND CHILD 5 DID NOT INCLUDE A SIGNATURE AND PROFESSIONAL TITLE.

Correction Required: 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 THE RENEWAL INSPECTION THE HEALTH REPORT FOR CHILD 2, CHILD 3, CHILD 4 AND CHILD 5 DID NOT INCLUDE A STATEMENT THAT THE CHIDL IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE HEALTH REPORT FOR CHILD 5 (DOB 7/22/15) DID NOT PROVIDE WRITTEN VERIFICATION THAT THE CHILD RECEIVED THE 4 RECOMMENDED DOSES OF PNEUMOCOCCAL. THE CHILD WAS MISSING ONE DOSE.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.A child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE TWO FIRE EXTINGUISHERS LOCATED IN THE KITCHEN AND BASEMENT WERE EXPIRED AND DATED FOR FEB 2018 AND MARCH 2018. THE REAR EMERGENCY EXIT THROUGH THE BASEMENT WAS OBSCURED BY A METAL GATE THAT WAS NOT IN GOOD REPAIR AND DID NOT HAVE AN OPENING.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE OPERATOR DID NOT HAVE PARENT PARTICIPATION FILE DOCUMENTING ANNOUNCEMENTS TO PROMOTE PARENT PARTICIPATION.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE POSTED CERTIFICATE OF COMPLIANCE EXPIRED ON 4/11/18.

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: DURING THE RENEWAL INSPECTION THE INSPECTION SUMMARY ISSUED BY THE DEPARTMENT WAS NOT POSTED.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of registration in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.