Nurturing Nest Early Learning Academy

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Cert ep reviewed staff #2, #3 and #4 record and observed it did not 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.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Certification rep reviewed staff #3 record and observed one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not in record.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Certification rep reviewed staff #1 record and observed, staff did not have in record Health and safety training part 2 within 90 days of date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Certification rep reviewed staff #1 and #3 record and observed staff did not complete Pediatric First Aid and CPR training within 90 days of date of hire.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #-1 and #3 will have until 10/29/25 to complete the required training. Until such time as the required training has been completed, staff person #1 and #3- must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #-1 and #3-, staff person #-1 and #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed Staff #1 record and observed staff #1 did not obtain an acceptable FBI DHS clearance.; FBI clearance observed in record was from the Department of Education. Staff #4 did not obtain an FBI and child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 and #4- may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection cert rep observe the facility did not manually test its fire alarm at least once every 30 days and maintained a written record of testing with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(1). Durin the renewal inspection staff #5 was unable to properly shut off the fire alarm system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: STAFF 1 AND 3 DID NOT HAVE PROOF OF A PHYSICAL ON FILE AT THE TIME OF THE INSPECTION.

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: STAFF 3 DID NOT HAVE PROOF OF THE RESULTS OF THE TB TEST.

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: STAFF 2 DID NOT HAVE PROOF OF THE NSOR LETTER ON FILE AT THE TIME OF THE INSPECTION.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 # 2--- may not work in a child care position at the facility.

Noncompliance Area: AT THE TIME OF THE INSPECTION, CHILD 3'S EMERGENCY CONTACT FORM DID NOT INCLUDE THE PHYSICIAN'S ADDRESS NOR TELEPHONE NUMBER.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: CHILD 2'S EMERGENCY CONTACT FORM DID NOT CONTAIN THE PARENT'S WORK ADDRESS OR PHONE NUMBER.

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

Noncompliance Area: CHILD 3 DID NOT HAVE SIGNED PARENTAL PERMISSION FOR EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: CHILD 1 AND 2'S EMERGENCY CONTACT FORM DID NOT HAVE THE CHILD'S POLICY NUMBER.

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: CHILD 3 DID NOT HAVE PROOF OF A PHYISCAL OR SHOT RECORD ON FILE (CHILD'S START DATE 3/22/19)

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: CHILD 1 AND 2 DID NOT HAVE PROOF OF A CURRENT FLU IMMUNIZATION (CHILD 1 LAST DATED 1/10/17, CHILD 2 - 1/26/17), NOR DID THEY HAVE A LETTER OF EXEMPTION ON FILE.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: THE EMERGENCY CONTACT FORMS THAT WERE IN THE CHILD CARE SPACES, WHERE THE CHILDREN WERE, ARE NOT THE CURRENT ONES (THEY ARE IN THE CHILD'S FILE).

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: CHILD 3 DID NOT HAVE WRITTEN PARENTAL CONSENT FOR THE ADMINISTRATION OF MINOR FIRST-AID BY FACILITY STAFF.

Correction Required: 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.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF EDUCATION OR EXPERIENCE ON FILE.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF TWO WRITTEN, NONFAMILY REFERENCES ON FILE.

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: STAFF 2 DID NOT HAVE PROOF OF EMERGENCY PLAN TRAINING ON FILE AT THE TIME OF THE INSPECTION.

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: STAFF 2 DID NOT HAVE PROOF OF FIRE SAFETY ON FILE AT THE TIME OF THE INSPECTION.

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: THE FOOD PREP LICENSE EXPIRED ON 4/30/19 AND THEY DID NOT HAVE PROOF OF A CURRENT ONE.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

Noncompliance Area: AT THE TIME OF THE INSPECTION, THE ONLY PROOF OF INSURANCE HAD EXPIRED ON 3/13/2019.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: THERE WAS ONLY ONE STAFF PERSON (STAFF 1) PRESENT IN THE FACILITY BETWEEN 11 AM TO 12 PM WITH 4 CHILDREN.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: THE ELECTICITY WAS BEING "JUMPERED" (ILLEGALLY OBTAINED) -VERIFED BY PECO THROUGH WRITTEN DOCUMENTATION AND VERBALLY -AND THE GAS HAD AN ILLEGAL HOOK-UP AND UNAUTHORIZED USE OF SERVICE - VERIFIED BY PHILADELPHIA GAS WORKS THROUGH WRIITEN DOCUMENTATION , WHICH CAN CAUSES DANGEROUS AND HAZZARDOUS CONDITIONS IN THE CENTER AND TO THE CHILDREN IN CARE.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: STAFF 3, VOLUNTEER THAT WORKS WITH THE CHILDREN, DID NOT HAVE A PHYSICAL WITH A TB TEST RESULTS ON FILE.

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: STAFF 1 DID NOT HAVE PROOF OF FIRE SAFETY TRAINING LESS THAN 12 MONTH IN THEIR FILE.

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: STAFF 2 ONLY HAD A VOLUNTEER STATUS STATE POLICE CLEARANCE AND WAS AN EMPLOYEE/STAFF.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 -- may not work in a child care position at the facility.

Noncompliance Area: THE BACK CLOSET WAS NOT LOCKED AND COULD BE EASILY OPENED, AND HAD TOXICS IN REACH OF CHILDREN WHEN OPENED.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.