Ready For The World Academy Llc - Philadelphia PA Child Care Center

Noncompliance Area: On 11/15/19, the initial health assessment and the results of tuberculosis testing by Mantoux method observed in the file belonging to Staff #1 were not dated to ensure they were conducted within 12 months of initial hire.

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: On 11/15/19, initial training in the facility's emergency plan was not observed in the file belonging to Staff #1.

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: On 11/15/19, a signed disclosure statement was not observed in the file belonging to Staff #1.

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.

Noncompliance Area: On 10/22/19, rest equipment (pack n plays and mats) were not labeled for the individual use of a specific child.

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.

Noncompliance Area: On 10/22/19, the agreement belonging to Child #1 was not signed by the parent. Date of admission was not observed on the agreement forms belonging to Child #1, Child #2, Child #3 and Child #4.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child's admission.

Noncompliance Area: On 10/22/19, emergency contact information was not observed in the play space area where children were receiving care.

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.

Noncompliance Area: On 10/22/19, certification representative observed Staff #1 changing diapers. The diaper changing surface was not sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: On 10/22/19, diapers at the facility were not checked nor changed at least every 2 hours. According to documentation provided by Staff #1, Child #4 diaper was changed at 9:08am and Child #3 diaper was changed at 10:05am. Staff #1 did not check nor change the diapers of Child #3 and Child #4 until 1:15pm.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: On 10/22/19, the date of the initial health assessment observed on file for Staff #1 (hired 9/5/19) was not legible to ensure it was conducted within 12 months of initial service in child care.

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: On 10/22/19, menus were not observed posted at the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: On 10/22/19, signed parental consent for obtaining medical emergency care and administration of minor first aid was not observed in the file belonging to Child #1.

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: On 10/22/19, three electric cords accessible to children hanging from cloud shaped lamps attached to the wall were observed in the toddler area. The hanging electrical cords pose a safety threat if a child pulls on the cord, the cloud shaped lamp could fall off the wall, injuring a child. The cords could also strangle a child if wrapped around neck.

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

Noncompliance Area: On 10/22/19, Staff #1 was observed alone at the facility with four children. First aid training was not observed in the file belonging to Staff #1.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: On 10/22/19, a Director responsible for the general management of the facility and present at the facility for a minimum of 30 hours per week was not observed at the facility. Staff #2 is listed as the Director of the facility, however, Staff #2 is the Director at another facility owned by the Legal Entity.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: On 10/22/19, Staff #1 was observed working alone with four children at the facility. Staff #1 is qualified as an aide.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.