Mighty Tots On Cots Llc - Philadelphia PA Child Care Center

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training.

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. Obtain and submit written verification of annual fire safety training for the identified staff person.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- hired 6/11/19- no proof of completed NSOR)

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. Facility Person #1 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Amend 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 within the required timeframes in accordance with the CPSL.

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#2) Documentation submitted on 2/14/20 did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. CONTINUING NON-COMPLIANCE

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Noncompliance Area: Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1, #2 and #3). Documentation submitted on 2/14/20 did not contain copies of the required written references as specified. CONTINUING NON-COMPLIANCE

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. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified

Noncompliance Area: Several staff person's records did not include written verification of initial emergency plan training. (#1, #2, and #4).Documentation submitted on 2/14/20 did not contain written verification of completed training for staff #2. CONTINUING NON-COMPLIANCE

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented in writing upon initial employment and annually.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record reviewed did not contain the required CPSL hiring documents. (#1-hired 12/2/19- no proof of requests for STATE POLICE prior to working with children; no proof of request for CHILD ABUSE and NSOR-nothing in record. Documentation submitted on 2/14/20 did not contain written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL. . CONTINUING NON-COMPLIANCE

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. Facility Person #1 may not work in a child care position at the facility until the required CPSL documents (CHILD ABUSE and NSOR) have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff person. 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 within the required timeframes in accordance with the CPSL.

Noncompliance Area: There was no written record of fire drills being held at the facility. Documentation submitted on 2/14/20 did not contain a record of completed fire drills

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Revise and submit written fire drill policies to ensure that fire drills are completed at least every 60 days and recorded in writing as specified in this regulation. Conduct and send a record of all fire drills completed within the next 30 days.

Noncompliance Area: The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age.(#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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age.

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#2)

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes

Noncompliance Area: Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1, #2 and #3)

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. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: Fire detection system inspected. Operator was not able to activate system or submit written verification from fire alarm company indicating that the fire detection system had been tested within the past year. The one on file was dated 6/3/18.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of compliance with 34 PA Code 403.23 is required.

Noncompliance Area: A copy of the 55 PA CODE 3270 regulations was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location. Post a copy of the regulations in a conspicuous location as specified.