Children Advancing Towards Success - Philadelphia PA Child Care Center

Noncompliance Area: DURING RENEWAL INSPECTION ON 14 JANUARY 2020, THE CERTIFICATION REP OBSERVED THE FILE FOR CHILD #1 #2 AND #3 THAT DID NOT SPECIFY THE DATE ON WHICH THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: During renewal inspection on 14 JANUARY 2020, the certification rep observed electrical outlets accessible to children 5 years of age or younger that were not covered by protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: DURING RENEWAL INSPECTION ON 14 JANUARY 2020, THE CERTIFICATION REP OBSERVED SEVERAL SUBSTANCES USED FOR CLEANING LEFT OUT ON TABLES THAT THE CHILDREN WERE SITTING AT.

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: DURING RENEWAL INSPECTION ON 14 JANUARY 2020, THE CERTIFICATION REP OBSERVED A TRASHCAN FILLED TO THE TOP IN THE THIRD FLOOR BATHROOM WITH TRASH FROM THE DAY BEFORE AND A TRASHCAN FILLED IN THE BASEMENT WITH TRASH IN IT FROM THE DAY BEFORE.

Correction Required: Trash shall be removed from the facility at least once per day.

Noncompliance Area: DURING RENEWAL INSPECTION ON 14 JANUARY 2020, THE CERTIFICATION REP OBSERVED A FIRST AID KIT AT THE FACILITY THAT DID NOT CONTAIN TWEEZERS OR SCISSORS. IN ADDITION, THE FIRST AID KIT WAS PLACED ON A TABLE THAT WAS EASILY ACCESSIBLE TO CHILDREN.

Correction Required: A first-aid kit must be inaccessible to children. 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 RENEWAL INSPECTION ON 14 JANUARY 2020, THE CERTIFICATION REP OBSERVED STAPLES PROTRUDING FROM THE FENCE, GREASY SURFACES IN THE BACK CORNER (OPPOSIT OF MEANS OF EGRESS)

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.

Noncompliance Area: Observed tears and rough, fraying edges along the sides of five of the cots in Classroom B.

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: The file for Child #4, who has been enrolled for more than six months (3/14/16) did not include a Child Service Report.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The initial health report in the file for Child #1 was dated more than sixty days following the first day of attendance at the facility. The most recent health report in the file for Child #1 is current.

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 shall contain initial and subsequent health reports.

Noncompliance Area: The most recent health reports in the files for Child #2, #3 and #5, all preschool children, exceeded 12 months between reports. The most recent health reports in the files for Child #2 and #3 are not valid as cited under 131.d.7. The most recent health report in the file for Child #5 is current and valid.

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

Noncompliance Area: The most recent health reports in the files for Child #2, #3 and #4 did not include a statement that the child 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: The first aid kit in Classroom A and Classroom B contained Antiseptic Pain Relieving Liquid that did not identify the name of the medication and the name of the child for whom the medication is intended. The first aid kit in Room A1 contained ibuprofen and triple antibiotic ointment that did not identify the name of the medication and the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed a bottle of eye wash that had expired in 2008 in the first aid kit in Classroom B.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The most recent health assessments in the file for Staff Person #2 exceeded 24 months between assessments. The most recent 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 most recent health assessment in the file for Staff Person #3 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.