CRAWL BEE 4 YOU WALK LEARNING ACADEMY LLC - Philadelphia PA Group Child Care Home

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/19, CHILD # 1 AND # 2 DID NOT HAVE AN INITIAL HEALTH ASSESSMENT WITH THE ACCOMPANYING HEALTH REPORT AND 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.A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/19, STAFF PERSON #1 DID NOT HAVE THE REQUIRED 6 CLOCK HOURS OF CHILD CARE TRAINING, OR THE HEALTH AND SAFETY TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/19, STAFF PERSON # 2 DID NOT HAVE A STATE POLICE CLEARANCE, CHILD ABUSE CLEARANCE OR FBI CLEARANCE DATED WITHIN THE LAST 5 YEARS.

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 THE RENEWAL INSPECTION ON 11/6/19, THE WATER TEMPERATURE IN THE BATRHROOM USED BY THE CHILDREN MEASURED AT 120 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/6/19, THE FIRST-AID KIT DID NOT HAVE TAPE.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 10/23/19, STAFF PERSON # 1 WAS LEFT ALONE IN THE FACILITY FROM 10:45AM TO 11:28AM. THE CERTIFICATION REPRESENTATIVE REMAINED ONSITE UNTIL STAFF PERSON # 2 CAME BACK TO THE FACILITY.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in 3280.52(b) or (c) requires a second or third staff person.

Noncompliance Area: The file for child #2 and #3, who have been enrolled for longer than 60 days, lack an initial health assessment.

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: In the main child care room and located next to the diaper changing table, observed that the hands free can had a broken lid.

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 file for Staff Person #1 lacks an initial health assessment. The initial health assessment in the file for Staff Person #2 was dated after the Staff Person's first day in a child care position. The health assessment in the file for Staff Person #2 is current.

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: The file for Staff Person #1 lacks a tuberculosis screening at initial hire.. The tuberculosis screening in the file for Staff Person #2 was dated after the Staff Person's first day in a child care position. The tuberculosis screening in the file for Staff Person #2 is valid and current.

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: The fee agreement and the emergency contact form in the file for Child #1 have not been updated since the child's initial enrollment date of 6/8/17.

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 Child #2 and #3 lack a fee agreement.

Correction Required: 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: The file for Staff Person #1 lacked two written, nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The files for Staff Person #1 and #2 lacked emergency plan training at initial hire.

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 verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for Staff Person #2, who has been employed longer than 90 days, lacked mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.