Titis Learning Academy - Philadelphia PA Child Care Center

Noncompliance Area: IN THE INFANT ROOM, CHILD 3 WAS SLEEPING IN A CAR SEAT. TWO CHILDREN WERE ASLEEP IN A HIGH CHAIR WHILE THE TEACHER WAS PATTING THE BACK OF ANOTHER CHILD THAT WAS ON A MAT IN ROOM 3 (ODDLER TODDLERS).

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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: STAFF 4 WAS STANDING IN THE DOORWAY OF ROOM 3 WITH THEIR BACK TO THE CHILDREN.

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.

Noncompliance Area: IN THE SCHOOL AGE ROOM THERE WAS 23 CHILDREN ALONE WITH STAFF 1; IN THE INFANT ROOM THERE WAS 5 INFANTS ALONE WITH STAFF 2. IN THE YOUNG TODDLER ROOM THERE WERE 7 CHILDREN, ALONE WITH STAFF 3.

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.

Noncompliance Area: OLDER TODDLERS ROOM ( THE YOUNGEST, CHILD 1 AND 2 ARE 18 MONTHS) HAD 11, WITH ONLY STAFF 4.

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).

Noncompliance Area: STYROFOAM PLATED WERE OBSREVED BEING USED TO SERVE CHILDREN'S LUNCH ON.

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

Noncompliance Area: STAFF 6'S HEALTH REPORT DID NOT STATE THE SUITABLILITY OF STAFF TO PROVIDE CHILD CARE.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: STAFF 8 WAS MISSING PROOF OF EDUCATION AND STAFF 6 WAS MISSING PROOF OF EXPERIENCE AT THE TIME OF THE INSPECTION.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF 1 WAS MISSING PROOF OF A HEALTH ASSESSMENT AND A TB TEST RESULTS; STAFF 7 WAS MISSING THE RESULTS OF A TB TEST.

Correction Required: 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: STAFF 6 DID NOT HAVE PROOF OF TWO REFERENCES ON FILE AT THE TIME OF THE 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

Noncompliance Area: STAFF 1 WAS MISSING PROOF OF FBI FINGERPRINTING AND HAD A VOLUNTEER CHILD ABUSE CLEARANCE; STAFF 2 AND 3 WERE MISSING RECEIPTS FOR CHILD ABUSE STATE POLICE AND FBI CLEARANCES; STAFF 4 AND 7 WERE PROVISIONAL HIRES AND WERE ALONE WITH CHILDREN (BOTH MISSING CHILD ABUSE) - CORRECTED ON SITE; STAFF 5 WAS MISSING RECEIPT OF FINGERPRINTING FOR FBI CLEARANCE; STAFF 6 WAS MISSING PROOF FBI CLEARANCE..

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 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 # 1,2,3,4,5,6 AND 7--- may not work in a child care position at the facility.

Noncompliance Area: TOXIC CLEANING SUPPLIES WERE IN AN UNLOCKED CLOSET IN THE DOWNSTAIRS HALLWAY ACCESSIBLE TO CHILDREN. - CORRECTED ON SITE

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: During the inspection the operator did not have proof of current liability insurance. The policy that was presented had expired on 1/22/2019.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: During the inspection the emergency plan that was first reviewed did not have specific instructions for a shelter in place location.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: During the inspection a review of the file for staff person #1 showed an FBI clearance that expired in February 2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 -- may not work in a child care position at the facility until a completed current FBI clearance is obtained . 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--- may not work in a child care position at the facility until the completed current FBI clearance is obtained.

Noncompliance Area: During the inspection the first aid kit in Room #3 lacked tape, and the first aid kit in room #8 lacked soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.