Kid-doodles Learning Center - Ambler PA Child Care Center

Noncompliance Area: During time of inspection, the children in the preschool room were not napping on their assigned mats/rest equipment as identified on the map chart.

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 time of inspection, the temp. on the thermometer in the refrigerator in the second floor preschool room refrigerator measured at 50 degrees.

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 time of inspection at approximately 1:25pm there was one staff person alone with 7 infant age children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During time of inspection, the electrical outlets in the hallway leading to the preschool room with children in care that are under age 5 years old did not have electrical outlet covers.

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

Noncompliance Area: During time of inspection, there were cleaning materials being stored in an unlocked under sink cabinet in the preschool room bathroom which is accessible to the children.

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 time of inspection, the windows in the older toddler room and preschool room were opened more than 6 inches and there were no screens in the windows.

Correction Required: Windows or doors used for ventilation shall be screened when open. Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: During time of inspection, the cover over the heater in the back of the preschool room had chipped paint that was flaking onto the floor.

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

Noncompliance Area: Child injured at facility from hitting their head on one of the metal feet on the cribs. Which occurred due to lack of supervision and/or inappropriate placement of play equipment and/or proximity of staff to child during activity movement/floor play in room to prevent and/or assist child from falling and/or injuring himself.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: During time of inspection, I observed numerous toy dolls in the toddler and preschool rooms that need to be cleaned and/or replaced.

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 observation in the infant nursery room, I observed the staff person place an infant child on their stomach to put child to sleep.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The parent of child # 2 did not have the insurance provider and provider number documented on their child's emergency contact forms.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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: Child # 1 and Child # 2 did not have the required immunization for influenza documented on their child's immunization record. In addition, there was no exemption letter/notice present in the children record to show exclusion.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: At time of inspection, 6 children from the young and older toddler rooms (1 young toddler and the 5 older toddlers) were taken to particapate on an art project in a separate room alone with the Art Teachaers (AGS) putting her out of ratios with the age grouping she was instructing.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: At time of inspection, there was no schedule posted to identify the times and/or when each group recieving care at facility program were participating in large muscle activitiy in the shared outdoor play space used by the facility.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Noncompliance Area: During time of inspecting, the molding in the toddler room and preschool room was in need of repair and/or replacement. The blue wooden chair in the older toddler room had chipped paint. The cubbies in all of the preschool rooms need to be mounted to ensure the safety of the children in all of these child care spaces.

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