Ms Leslies Wiggles N Giggles Learning Academy - Philadelphia PA Child Care Center

Noncompliance Area: Staff person #2 does not have a TB test result in her record.

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 persons # 1, 2, & 3 do not have NSOR clearances in their records.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, 2, & 3 may not work in a child care position at the facility. 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.

Noncompliance Area: The agreement for child #1 does not specify the services provided by the facility.

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).

Noncompliance Area: The emergency contact form for child #2 does not include health insurance policy and 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: The emergency contact form for child #1 does 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: When children take walks, there is not the complete emergency contact information accompanying them (for instance, no parent signature for emergency treatment, only phone numbers.)

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: Facility is not maintaining a separate file of incident reports. They are giving original to parent and putting a copy in the child's file.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: Upon arrival, facility had a sign in the vestibule that parents must drop children off there and could not enter the child care space. Staff were observed meeting parents at the front door and accepting the children. Facility staff were notified that they cannot deny parents access to child care space when their child is in care. Staff removed the sign and agreed to change their procedure.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Noncompliance Area: Facility did not have instructions for contacting the appropriate regional day care office posted.

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.

Noncompliance Area: Operator is not documenting in writing annual review of emergency plan.

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.

Noncompliance Area: Staff person #2 has not had emergency plan training since 3/22/18.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff persons # 1 and 3 have not had fire safety training in over 1 year.

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: Facility person # 2 is being used in the staff/child ratio and has criminal history and child abuse clearances that are for volunteers, which are not acceptable for staff persons in the ratio, supervising children.

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

Noncompliance Area: In the outside play space, the outdoor carpeting is loose and can be a tripping hazard. The protective foam covering the metal poles is ripped and peeling.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Noncompliance Area: Children were observed napping on cots in the large child care space that were not labeled for their specific use.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Label the rest equipment for use of a specific child and ensure that children only rest on equipment labeled for their specific use.