Petit Carrousel Childcare - Philadelphia PA Child Care Center

Noncompliance Area: Upon finalization of the most recent renewal inspection dated 12/12/19, there were frequent periods of lack of supervision. This violation was addressed on the unannounced monitoring inspection.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times.

Noncompliance Area: With regard to ratio and supervision; there has been continued non-compliance. At the time of the renewal inspection on 12/12/19 there were 9 children which consisted 3 preschoolers; 5 older toddlers and 1 younger toddler. Upon review of the facility on 1/16/2020 there was an inadequate number of staff to children. There were: On 1/16/2020, Ocdel rep observed ratio non-compliance as there were eleven children present at the facility two staff and there was a mixture of one infant; along with preschoolers and older and younger toddlers present at facility. When the non-compliance was brought to the attention of the provider, it was stated that staffing issues would prevent compliance. Provider informed OCDEL rep that there was not enough staff to compliment the number of children enrolled. Upon review of facility on 2/19/2020 there were 16 children which consisted of 1 infant; 2 young toddlers; 7 older toddlers and 6 preschoolers and only 2 staff present.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in 3270.51--3270.55.

Noncompliance Area: Upon finalization of the most recent renewal inspection, Provider has yet to bring the facility ratio into compliance. Upon review of the facility on 2/19/2020, there were 16 children present in the facility and only 2 staff present. Of the 16, there was 1 infant; 2 younger toddler; 7 older toddlers; and 6 preschoolers

Correction Required: The legal entity will confirm continuing compliance by sending copies of the documentation to the SE Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: There were multiple children resting on mats and or in a crib in which the children did not have at least 2 feet of space as required on three sides of the rest equipment.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Styrofoam plates and bowls were being used on the day of the renewal inspection.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: There were periods of frequent lack of supervision. During those moments, an infant was given a toy by a younger toddler. The infant later mouthed the toy and a staff retrieved it from an infant. A preschooler took food off of multiple children's plates as the children ate food that was provided from their own parents and not the facility.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of two months after DHS approves the documentation format.

Noncompliance Area: Review of files reveal that Child # 1, #2 and #4 did not have their parent's work address or work phone number listed on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child#1 and #3 did not have their require immunizations as recommended by the ACIP at the time of the renewal inspection.

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

Noncompliance Area: While visiting the facility there were several children that were diapered and did not receive a handwashing after the changing during the renewal inspection.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: A staff diapered multiple children on the day of renewal and did not was there hands between the changings.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Review of files revealed that Child # 1 did not have the consent for minor first aid or emergency medical treatment on their Emergency Contact form during the renewal inspection.

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.

Noncompliance Area: Upon OCDEL rep's arrival there were eight children which consisted of 3 preschoolers; 5 Older toddlers with 1 staff in the front childcare room. One younger toddler would walk freely walk back and forth from the first room to the rear room as the rooms are separated by waist level gate partitions.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). 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. The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in 3270.51--3270.55.

Noncompliance Area: Upon review of the facility and forms within the facility, it was revealed that the last fire drill at the facility was 9/23/19 at the time of the renewal inspection on 12/12/19.

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.

Noncompliance Area: Review of files reveal that Staff #2 did not have their educational verification at the time of the initial inspection.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Staff #2 did not have their two written, non family references attesting to the person's suitability to serve as a facility person at the time of the initial inspection.

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