Early Learning Academy At Centre Square - Philadelphia PA PA Pre-K Counts

Noncompliance Area: The health assessment for facility child #1 did not show documentation of the Rotavirus vaccine as recommended by the ACIP or acceptable exemption from the vaccine. Facility child's age at the time of inspection is 7 months and should have documentation of at least two doses of the vaccine according to the ACIP

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The record's of facility staff #20 and #24 did not contain a health assessment. The record of facility staff #2 did not contain the required health assessment for a staff person. The health assessment in the file was a child health assessment that was not signed by the health professional or dated. The health assessment in the record of facility staff #9 did not contain verification of a Mantoux test with results and was not signed by the health professional. The record of facility staff #12 had an initial health assessment that was completed more than 12 months prior to the staff's hire date. The staff had a hire date of 4/1/2019 and the initial health assessment was dated 6/19/2017. A subsequent health assessment was completed on 1/6/2020. The record of facility staff #13 did not contain a health assessment as required. The document in the file was written on a prescription paper that stated the staff was in good health and clear to work. This did not indicate a health assessment was completed. There was not a health assessment at the time of initial employment for facility staff #14 who had a hire date of 4/8/2019. The initial health assessment in the record was dated 12/5/2019.

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.

Noncompliance Area: There was not verification that the legal entity has comprehensive general liability insurance for the facility. The director provided insurance documentation that Nobel Learning Communities has coverage but PHMC is the legal entity on file at the time of inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The records of facility staff #1 - #7 did not contain the required education documentation for the positions the staff were listed. The records of facility staff #1 and #2 did not have any education documents. Facility staff #3 had foreign education credentials that were not evaluated for US equivalency. Facility staff #4, #5, #6, and #7 were listed as group supervisors but their record's did not contain transcripts to verify they have the credentials required to be a group supervisor. Facility staff #1 - #20 were listed as either assistant group supervisors or group supervisors but there was not verification/documentation of the clock hours working in child care to qualify for those positions.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: The record's of facility staff #2 and #9 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: On 2/6/2020 the provider did not demonstrate that the fire detection system was operable. The operability of the fire detection system could not be demonstrated with Certification Representative present due to the complexity of the fire alarm system. The facility is located in a 43 story building. The provider did not provide acceptable documentation that the fire detection system has been inspected by an outside agency and verified operable within the last 12 months. On 2/6/2020 the director informed Certification Representative that this documentation would be obtained by the building manager and submitted. As of 2/19/2020 this documentation has not been submitted.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. The provider will demonstrate or document an operable fire detection system to an agent of the department Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. The provider will demonstrate or document an operable fire detection system to an agent of the department. The provider will demonstrate an operable fire detection system to an agent of the department by providing a current valid certificate of inspection verifying operability of the fire detection system. The operator will maintain verification on annual inspections verifying the operability of the fire detection system on file at the facility.

Noncompliance Area: The records of facility staff #2, #22 and #23 did not contain verification that the National Sex Offender's Registry clearance was requested. Facility staff #2 had a hire date of 1/6/2020 and facility staff #22 and #23 had hire dates of 1/20/2020. The director provided the Certification Representative a waiver for allowing provisional hires but the waiver was not issued for the legal entity of the program at the time of inspection. The legal entity on file at the time of this inspection is PHMC but the waiver request listed Nobel Learning Communities as the operator/legal entity of the facility. The record for facility staff #8 who had a hire date of 4/18/2019 did not contain the required FBI rap sheet. The record of facility staff #21 did not have the required State Police clearance. This was corrected onsite when a new State Police clearance was requested and obtained.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, #8, #22 and #23 may not work in a child care position at the facility.

Noncompliance Area: On 1/17/2020 and 2/6/2020 Certification Representative observed full hand sanitizer dispensers throughout the facility that were not made inaccessible to children. On 1/17/2020 the following observations were made: Certification Representative observed the kitchen area was unlocked with no staff and there was various toxic cleaners including bleach, chlorine, sanitizer pellets and peroxide that were not locked or made inaccessible to children. In addition, there was an unlocked utility closet off the kitchen that contained various toxic cleaning supplies. Certification Representative observed the laundry room door was unlocked and had a bucket of powder detergent and other various toxic cleaning supplies on the floor that were not locked or made inaccessible to children. Certification Representative observed the staff lounge was unlocked with no staff and there was toxic materials under the sink area that were unlocked.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: On 1/17/2020 and 2/6/2020 while inspecting an exit off the back of the facility Certification Representative observed a door in the stairwell that was rusted, partially open and had damaged peeling paint.

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

Noncompliance Area: The fire drill log did not list the names of the facility persons who participated in the drill.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: They hypothetical locations of the fire were not changed for each drill. The director acknowledged that only the front exit is used during fire drills.

Correction Required: Hypothetical locations of the fire shall be changed for each drill.

Noncompliance Area: During renewal inspection on 12/11/18, emergency contact forms on file for child #1, #2 and #4 did not include address of release persons.

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 renewal inspection on 12/11/18, emergency contact forms were not in child care spaces at the facility. Documents in child care spaces did not include all items as required for emergency contact forms under 3270.124.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: During renewal inspection on 12/11/18, Tb test on file for staff person #1, hire date 01/22/18, was more than 12 months prior to initial date of hire. TB test on file was dated 02/08/16.

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.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.

Noncompliance Area: During renewal inspection on 12/11/18, agreement and emergency contact forms on file for child #1, #3, #4 and #5 had been updated every 10-12months instead of every 6 months as required.

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.