Mercy Neighborhood Ministries Of Phila

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of the Renewal Inspection on 01/08/2025, the facilities Emergency Plan did not provide for a method for contacting parents as soon as reasonably possible when an emergency arises, and once an emergency has ended to provide information regarding reunification.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of the Renewal Inspection on 01/08/2025, the facilities Emergency Plan did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Noncompliance Area: On 1/13/20 at renewal inspection certification representative observed that the agreement form and emergency contact form for child # 4 had not been updated in the last 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Noncompliance Area: On 1/13/20 at renewal inspection certification representative observed that the file of child # 3 did not contain a health assessment or immunization record.

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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: On 1/1/3/20 at renewal inspection certification representative observed that the file of child # 2 contained a health assessment dated 10/24/18.

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.

Noncompliance Area: On 1/13/20 at renewal inspection certification representative observed that the immunization records for child # 1 and child # 2 reflected that the children have not had an influenza vaccine in the last 12 months as recommended by the ACIP. No exemption letters are on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: On 1/13/20 at renewal inspection certification representative observed that the file of staff person # 1, hire date 9/9/97, had a mandated reporter training dated 12/8/14, the file of staff person # 2, hire date 10/8/12, contained an FBI clearance dated 12/4/14, and the file of staff person # 3, hire date 10/7/19, did not contain an NSOR verification as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: On 1/13/20 at renewal inspection certification representative observed 21 children cared for by 2 staff persons in preschool classroom # 1.

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: On 1/13/20 at renewal inspection certification representative observed a broken floor tile in the gross motor room that left a large hole in 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.

Noncompliance Area: On 1/23/19 at renewal inspection certification representative observed that the file of child # 1 did not contain a health assessment.

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.

Noncompliance Area: On 1/23/19 at renewal inspection certification representative observed that the files of staff person # 2, # 3, # 4, # 5, # 6 and # 7 did not contain 2 written references.

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

Noncompliance Area: On 1/23/19 at renewal inspection certification representative observed that the file of staff person # 1 did not contain verification that staff person has completed fire safety training in the last 12 months.

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: AT THE TIME OF INSPECTION CHILD #1'S AGREEMENT WAS NOT COMPLETED ENTIRELY.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: AT THE TIME OF INSPECTION CHILDREN # 1,2 AND 3'S FILES DID NOT INCLUDE THE PERSONS' ADDRESSES.

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 INSPECTION STAFF PERSON #2 DID NOT HAVE VERIFICATION OF TUBERCULOSIS SCREENING.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #2'S HEALTH ASSESSMENT DID NOT INCLUDE AN EXAMINATION FOR COMMUNICABLE DISEASES OR 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 INSPECTION CHILDREN#1 AND 2'S EMERGENCY CONTACT OR FINANCIAL AGREEMENTS WERE NOT UPDATED AT LEAST ONCE IN A 6-MONTH PERIOD.

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.

Noncompliance Area: THE FILE OF STAFF PERSON #1, HIRED 9/2014, DID NOT CONTAIN A COPY OF CRIMINAL HISTORY INFORMATION AS REQUIRED UNDER CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: AT THE TIME OF INSPECTION CHILD #1 DID NOT HAVE HEALTH INSURANCE COVERAGE INFORMATION OR POLICY NUMBER. CHILDREN # 2 AND 3 DID NOT HAVE HEALTH INSURANCE POLICY NUMBER LISTED ON THE EMERGENCY CONTACT FORM.

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.

Noncompliance Area: AT THE TIME OF INSPECTION CHILD #3'S EMERGENCY CONTACT FORM DID NOT INCLUDE THE RELEASE PERSON'S ADDRESS.

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 INSPECTION STAFF PERSON #1'S HEALTH ASSESSMENT DID NOT INCLUDE AN EXAMINATION FOR COMMUNICABLE DISEASES OR THE 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 INSPECTION STAFF PERSON #4 DID NOT HAVE FIRESAFETY TRAINING AS REQUIRED AT LEAST ANNUALLY.

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: AT THE TIME OF INSPECTION FACILITY PERSONS #1,2 AND 3 DID NOT HAVE VERIFICATION OF COMPLETING MANDATED REPORTER TRAINING AS REQUIRED WITHIN 90 DAYS OF EMPOLYMENT,

Correction Required: LACKING REQUIRED HIRING DOCUMENTS