Little Friends Nursery & Day Care Center - Upper Darby PA Child Care Center

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their aide position. (1)

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Noncompliance Area: Surfaces in the facility were in disrepair: 1) wall surfacing and baseboards near the toilet in the Kindergarten bathroom were stained from urine and need of replacement; 2) ceiling tiles were water stained from the leaking roof in the preschool classroom.

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. Replace the wall surfacing and baseboards in the bathroom, repair the roof and replace ceiling tiles. Submit written certification of bathroom and roof and ceiling repairs.

Noncompliance Area: The agreement form used by the facility did not have a provision to include services to be provided to the family and child. (#1 - #5)

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). Amend the facility's agreement form to include services to be provided to the family and child. Submit a copy of the amended agreement that includes this information for the identified children.

Noncompliance Area: Emergency contact information in several children's records were not being updated every 6 months. (#!, #2 and #3-no update for financial agreement.

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. Submit updated information for the identified children. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. The form had "yes" written rather the parent's signatures indicating consent. (#3)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: Electrical outlets near the older toddler classroom area lacked protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.

Noncompliance Area: The first aid kit in several classrooms lacked the required contents. (PreK, preschool and young toddler)

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: Handwashing signs posted in the older toddler classroom did not specify that a facility person and an able child shall wash his hands after toileting and before eating.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Revise and post handwashing signs that includes the information as specified in this regulation.

Noncompliance Area: The facility lacked a sufficient amount of toys to handle and manipulate in the young toddler classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development. Obtain additional of toys to handle and manipulate in a sufficient amount to preclude long waits. Submit written documentation of purchase receipts for verification of compliance.

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#3)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: One child's record contained health reports that were not completed every 6 months as required for a child from infant to older toddler age. They were completed on 2/17/17 and 3/26/18. (#1)

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Revise and submit written policies and procedures to ensure that health reports are completed in accordance with this regulation.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff/prior to admission. (#2)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified child as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 3/14/18-no proof of request for STATE POLICE prior to working with children).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: One staff person's record did not contain written verification that their bachelor's degree was in early childhood education, child development, special education, elementary education or the human services field as it was conferred in a foreign country and required an equivalency. (#2)

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written documentation of educational equivalency to verify that the bachelor's degree meets the educational qualifications for group supervisor.

Noncompliance Area: Child service reports were not being completed every 6 months in accordance with these regulations. (#3 and #5)

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). Revise and submit written policies and procedures regarding the completion of child service reports every 6 months to ensure ongoing compliance.