Smart Alecks Learning Center - Philadelphia PA Child Care Center

Noncompliance Area: At the time of inspection on 9/18/19, there were large white shelves in the (1) restroom used for diapering on the first level. There was (2)one on the second level.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: At the time of inspection on 9/18/19, facility child #1 was observed sleeping/ not eating in a high chair. During the inspection period child #2 mother came to the facility to drop-off snack. The parent stated their concern because was sleeping in the high chair at pick-up and was not strapped in.

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: The facility refrigerator in the kitchen, with food inside; on the second level of the facility did not have a working thermometer during the inspection on 9/18.19.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: At the time of inspection on 9/18/19, staff #2 was observed changing a child diaper. Once the change was complete; the staffer did not wash the child's hands, clean the surface, and picked-up another child wearing the same pair of gloves.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.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: The health assessment in the file for staff #5-hire date 9-9-19; who was observed working in the infant room did not have written proof of a TB test being applied or read with negative results at the time of inspection on 9/18/19. The health assessment in the file for staff #1 had positive TB results with no chest XRay results. Staff #1 was also observed working in the infant room on 9/18/19.

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.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: At the onset of the inspection on 9/18/19 pizza was served for lunch. During lunch observation CR did not see fruit of vegetable to supplement the meal.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: There were fourteen children in the infant room at the time of inspection on 9/18/19. Thirteen were under the age of one-year. Eight of the thirteen had written feeding schedules on file at the facility.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The file for staff #4-hire date 2/11/19, did not have written proof of complying with the CPSL (child abuse)requirements. The form on file was for a volunteer, not employment or child care.

Correction Required: A facility person's record shall include a copy of requests for the FBI, 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 #4- may not work in a child care position at the facility.

Noncompliance Area: The file for staff #6-hire date 9/18/19 did not have the two written references as required by the regulations.

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: There was no emergency plan training in the file for staff #1 and #4 during the inspection on 9/18/19.

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: The file for staff #1-hire date 4/3/18 and #4-hire date 2/11/19, did not have written proof of complying with the CPSL (child abuse)requirements. The form on file was for a volunteer, not employment or child care.

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 # 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 FBI, 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 #4 may not work in a child care position at the facility.

Noncompliance Area: There was no written proof of education to support their position in the file for staff #1, #2 and #3 at the time of inspection on 9/18/19.

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 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: During the inspection on 9/18/19, thirteen (13) younger and older toddlers were observed in the classroom and on the play space with two facility staff.

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). IF USING TIERED LIS: 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.

Noncompliance Area: When tested with a thermometer at the time of inspection, the water tempeturer at the sink used by the children to wash their hands was 116 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: During the inspection on 9/18/19, there was an open un-screened window in the toddler classroom.

Correction Required: Windows or doors used for ventilation shall be screened when open. Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.