LITTLE 1S FIRST START - Philadelphia PA Group Child Care Home

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One staff person was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: A staff person was observed changing a child's diaper and did not sanitize the diaper changing surface after changing the child's diaper.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. The legal entity must arrange for all staff persons to be trained in proper diaper changing procedures that includes sanitizing the diaper changing surface after each use to ensure proper sanitization. Submit written verification of the completed training for all facility staff.

Noncompliance Area: One staff person was observed changing a child's diaper and did not wash her hands after diapering the child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. The legal entity must arrange for all staff persons to receive hands on training in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified.

Noncompliance Area: Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Develop, post and submit written safe routes notification as specified.

Noncompliance Area: One facility person's records did not include written verification of emergency plan training at the time of initial employment. (#1)

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. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented at the time of initial employment.

Noncompliance Area: The indoor temperature exceeded 82 F in the middle room. The temperature read 85 F and the facility did not have a means of mechanical air circulation in operation.

Correction Required: If the indoor temperature exceeds 82 F in a child care space, a means of mechanical air circulation shall be operating. Provide an operating means of mechanical air circulation for the multi-purpose room. Ensure that the facility remains properly ventilated in accordance with this regulation.

Noncompliance Area: The first aid kit in the infant/ toddler classroom lacked the required contents.

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. Replenish the first aid kit and ensure that all first kits has the required contents as specified in this regulation.

Noncompliance Area: Surfaces in the facility were in disrepair, in need of cleaning and/or presented a visible hazard: the step on the rear basement exit was in disrepair; the rear yard needed to be cleaned; knives in the kitchen that children must enter to exit the rear where accessible to children and presented a hazard.

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. Complete all cleaning and repairs as specified. Remove the knives to an area inaccessible to children so that they do not present a hazard. Submit written verifications of the corrections.

Noncompliance Area: Peeling and damaged paint and damaged plaster was observed on several surfaces in the facility; baseboards, doors and walls.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Make necessary repairs to ensure that there is no peeling and damaged paint or damaged plaster in the facility. Submit written proof of the repairs and adequate documentation verifying removal of the peeling paint.

Noncompliance Area: The rear exit was obstructed by debris and other items.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the debris and other items to ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed. Notify staff of this requirement and submit written verification of staff notification.

Noncompliance Area: Facility person # 1 is a 16 year old student participating in a program administered by the City of Philadelphia. He is being used as a volunteer and his first day at the center was the date of inspection, 7/9/18. There was no record or paperwork for him on site.

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: Facility person # 1 is a 16 year old student participating in a program administered by the City of Philadelphia. He is being used as a volunteer and his first day at the center was the date of inspection, 7/9/18. There was no record or paperwork for him on site.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: Facility person # 1 is a 16 year old student participating in a program administered by the City of Philadelphia. He is being used as a volunteer and his first day at the center was the date of inspection, 7/9/18. There was no record or paperwork for him on site.

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