Lenes Daily Child Care IV - Philadelphia PA Child Care Center

Noncompliance Area: Observed 2 provisional hires in infant room with assigned kids not known.

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: At the time of the inspection, the agreement on file for child #2 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #1-5.

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

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #2.

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: At the time of the inspection, the health report on file for child #3 (date of birth 2-6-17) was dated 12-15-18 and therefore expired. There should have been another report 6 months later, on or round 6-15-19 accompanied by an updated immunization record that is in accordance with the ACIP.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, the health report on file for child #1, 3 and 5 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: At the time of the inspection, the immunization record on file for child #2 (Date of birth 1-11-19 and date of admission of 4-18-19) was not in accordance with the ACIP standards.

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 the time of the inspection, there was no updated health report on file for staff #2. The last health report on file was dated 4-17-15. There was no updated health report on file for staff #5. The last health report on file was dated 6-14-16. There was no updated health report on file for staff #6.The last health report on file was dated 12-8-16.

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.

Noncompliance Area: At the time of the inspection, on the health assessment for staff #7, it did not include an examination for communicable diseases and the results of that examination and did not include 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.

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #6.

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 and kept on file at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of 6 clock hours of child care training on file for staff #1.

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

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #1 (date of hire 5-24-18).

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON NOVEMBER 1, 2018, CERTIFICATION REP OBSERVED THE DOOR TO THE PLAY KITCHEN IN THE TIMON CLASSROOM WAS HANGING LOOSE FROM THE KITCHEN, IN NEED OF REPAIR.

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 UNANNOUNCED INSPECTION ON NOVEMBER 1, 2018, AT APPROXIMATELY 2:05 PM, CERTIFICATION REPRESENTATIVE OBSERVED CHILD #1 SLEEPING ON THEIR STOMACH IN THE CRIB.

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: DURING UNANNOUNCED INSPECTION ON NOVEMBER 1, 2018, THE RECORD OF STAFF #2 DID NOT INCLUDE A HEALTH ASSESSMENT CONDUCTED WITHIN 12 MONTHS PRIOR TO PROVIDING INITIAL SERVICE IN A CHILD CARE SETTING.

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.