Raindrops At The Thomas Learning Center Inc 4 - Philadelphia PA Child Care Center

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedures as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures as required in 3270.27 subsection a. Submit a copy of the revised letter.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1- hired 7/27/17- no 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 document (NSOR) for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Noncompliance Area: On 10/2/19 at approximately 11:30am, a mixed-age group of six older toddlers (age 2 years) and preschool (age 3 years to first day of kindergarten) children were left alone and unattended on two occasions when the director/group supervisor (staff #1) left the room to attend to other tasks. As of 11/14/19, provider failed to submit weekly supervision monitoring reports as specified in the provider's plan of correction.

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. 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: On 10/2/19, at approximately 11:30am, a mix-aged group of infants (0-12 months) older toddlers (2 years of age) and preschool (3 years to first day of kindergarten) children were observed being cared for by one staff person (#2) in the Little Explorers classroom when staff person (#2) left the room to tend to a task. Staff person #1 verified the ages of the children. As of 11/14/19, provider failed to submit weekly ratio monitoring reports as specified in the provider's plan of correction.

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. 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 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Two children were observed napping on rest equipment that was not labeled for the use of that specific child and used only by that child. Child #1 was napping on equipment named for Child #2 and Child #6 was resting on equipment named for Child #4.

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. Ensure that children only rest on equipment labeled for their specific use. Notify staff persons of this requirement and submit a copy of the written notification that includes each staff person's signature.

Noncompliance Area: On 10/2/19 at approximately 11:30am, a mixed-age group of six older toddlers (age 2 years) and preschool (age 3 years to first day of kindergarten) children were left alone and unattended on two occasions when the director/group supervisor (staff #1) left the room to attend to other tasks.

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. 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 Southeast Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Two children's record did not contain a child service report that had been completed within the past 6 months. (#5 and #6). CONTINUING NON-COMPLIANCE

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). Complete and submit a current up-to-date child service report for the indicated children. Provide child service report training for all facility staff. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance. Submit a copy of the completed training for all facility staff persons.

Noncompliance Area: Children were observed being cared for in two separate classrooms and several of the children's emergency contact information was not present in the classroom in which they were present. (Elmo Room-#2, #3, #4 and #5) (Little Explorers-child #1)

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months. (#1 and #2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment in accordance with 3270.151(a). (#1) Documentation submitted on 10/2/19 did not contain written verification of negative Manotux TB testing within 12 months prior to date of initial employment.

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.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. Ensure that facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: Menus were posted in an area that was inconspicuous (rear wall in Little Explorers classroom) and were not dated.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Ensure that menus are conspicuously posted in the facility at least 1 week in advance as specified.

Noncompliance Area: Two children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#2 and #5)

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 this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: One child's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. (#7)

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. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 12/14/18-hired more than 90 days and no completed CHILD ABUSE). Documentation reviewed on 10/2/19 did not include 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 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. 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 timeframes in accordance with the CPSL.

Noncompliance Area: One staff person's record did not contain written verification of experience for their aide position. (#2)

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of experience for the identified staff person.