Toddler Town Early Learning Center Llc - Philadelphia PA Child Care Center

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF CHILD 5 DID NOT INCLUDE AN AGREEMENT WITH THE CHILD'S ARRIVAL AND DEPARTURE TIMES. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF CHILD 1 (ENROLLED 9/10/18) DID NOT HAVE AN UPDATED HEALTH ASSESSMENT AND THE FILE OF CHILD 2 (ENROLLED 3/25/19), DID NOT INCLUDE A HEALTH REPORT OR DOCUMENTATION OF IMMUNIZATION STATUS. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: DURING THE MONITORING INSPECTION, THE FILE OF STAFF 5 DID NOT INCLUDE A HEALTH ASSESSMENT. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE MONITORING INSPECTION THE FILE OF STAFF 2 DID NOT CONTAIN 2 WRITTEN, NON-FAMILY REFERENCES ATTESTING TO SUITABILITY TO WORK AS A FACILITY PERSON IN CHILD CARE. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE MONITORING INSPECTION THERE WAS NO DOCUMENTATION OF ANNUAL EMERGENCY PLAN TRAINING FOR STAFF 1 (HIRED 5/27/16), STAFF 2 (HIRED 5/22/18), STAFF 3 (HIRED 7/15/16), STAFF 4 (HIRED 6/12/17) AND STAFF 5- (HIRED 8/1/18). THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE MONITORING INSPECTION THE FILE OF STAFF 4 (HIRED 6/12/17- 0 HRS) DID NOT INCLUDE DOCUMENTATION OF ANNUAL MINIMUM OF 6 CLOCK HOURS OF TRAINING. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: DURING THE MONITORING INSPECTION THE FILE OF STAFF 2 (AGS -- HS DIPLOMA & 2 YRS EXP) DID NOT INCLUDE VERIFICATION OF EXPERIENCE PRIOR TO HIRE DATE AND THE FILE OF STAFF 4 (GS -- ASSOCIATE DEGREE & 2YRS EXP) DID NOT INCLUDE VERIFICTION OF EXPERIENCE OR EDUCATION. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS EXCESSIVE FOLIAGE AND DEBRIS OUTSIDE OF THE EXIT FROM THE INFANT ROOM. THERE WERE ALSO LARGE CEMENT SLABS AND A TREE STUMP BLOCKING THE PATH OF EGRESS. THIS PATH OF EGRESS WAS ALSO THE PATH OF EGRESS FOR THE 2ND FLOOR. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: DURING THE MONITORING INSPECTION THE STEEL WOOL PLACED IN GAPS IN THE WALL IN THE INFANT ROOM HAD BEEN REMOVED AND REPLACED WITH SPRAY FOAM INSULATION. THE TOXIC CHEMICALS INCLUDING LATEX, LYSOL AND CEILING PAINT LOCATED IN AN UNLOCKED CABINET UNDER THE SINK IN THE KITCHEN AREA ON THE 2ND FLOOR WERE STILL THERE. THIS IS CONTINUNED NON-COMPLIANCE.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WERE TORN SCREENS IN THE WINDOW LOCATED IN THE 2ND FLOOR KITCHEN AREA AND THE WINDOW LOCATED IN THE ROOM OUTSIDE OF THE KITCHEN AREA ON THE 2ND FLOOR. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Screens shall be in good repair.

Noncompliance Area: DURING THE MONITORING INSPECTION, THE OPENING OF THE WINDOW LOCATED IN THE SECOND FLOOR ROOM OUTSIDE OF THE KTICHEN MEASURED BEYOND 12 INCHES. THE BOTTOM OF THE CENTER WINDOW LOCATED ON 20TH STREET IN THE IMAGINATIVE PLAY AREA WITH YELLOW WALLS CAME COMPLETELY OUT OF THE WINDOW FRAME WHEN OPENED AND THERE WAS A SCREW POTRUDING FROM THE WINDOW-SILL. THIS IS CONTINUNED NON-COMPLIANCE.

Correction Required: 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.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS NO FIRST AID KIT IN THE 2ND FLOOR CHILD CARE SPACE. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WERE STAINED AND LOOSE TILES IN THE INFANT ROOM AND A PIECE OF METAL WAS BENT AND POTRUDING FROM THE CEILING. THE SINK IN THE INFANT ROOM NEAR THE DIAPER AREA HAD A SHARP METAL OBJECT PROTRUDING FROM THE FAUCET. THE OBJECT WAS COVERED WITH A PIECE OF TAPE THAT WAS NOT STICKING. THE WINDOW BLINDS IN THE INFANT ROOM WAS TORN. AN ELECTRICAL OUTLET LOCATED ON THE LEFT WALL OF THE INFANT ROOM WAS LOOSE WITH SPACE AROUND THE OUTLET. ANOTHER ELECTRICAL OUTLET IN THE INFANT ROOM LOCATED BEHIND THE REFRIGERATOR WAS LOOSE. THERE WERE SPACES AND GAPS ALONG THE BASE BOARD AND CORNER OF THE WALL IN THE INFANT ROOM THAT CONTAINED SPRAY-FOAM INSULATION. THE EDGES OF THE CARPET IN THE INFANT ROOM WERE FRAYED AND TORN. THERE WAS A BENT VENT WITH A SHARP EDGE AND PEELING PAINT AND RUST LOCATED ON THE LOWER RIGHT WALL IN THE INFANT ROOM. THE CARPET LEADING FROM THE TODDLER ROOM TO THE INDOOR PLAY SPACE WAS TORN AND FRAYED. THE WALL IN THE CORNER OF THE 2ND FLOOR ROOM HAD GAPS AND SPACES ALONG THE FLOOR BOARD. A VENT LOCATED IN THE 2ND FLOOR BACK KITCHEN AREA AND A VENT LOCATED ON THE LEFT WALL OF THE 2ND FLOOR ROOM PAST THE TOP OF THE STAIRS WAS LOOSE. THE EXIT FROM THE 2ND FLOOR KITCHEN AREA HAD A LOOSE CABLE WIRE AT THE TOP OF THE STAIRS POSING A TRIPPING HAZARD.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: DURING THE MONITORING INSPECTION THERE WAS A LONG CRACK IN THE PLASTER ON THE WALL OF THE INFANT ROOM. THERE WAS PEELING PAINT AND PLASTER AT THE ENTRANCE OF THE INFANT ROOM LOCATED IMMEDIATELY TO THE RIGHT OF THE ENTRANCE AT THE BASEBOARD. THE PAINT IN THE CORNER OF THE 2ND FLOOR ROOM BELOW THE WINDOW WAS PEELING. THE PLASTER AROUND THE WINDOW WAS ALSO PEELING. THE EMERGENCY EXIT STAIRS LEADING FROM THE 2ND FLOOR KITCHEN AREA WERE RUSTED WITH PEELING PAINT AND RUST. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 7/9/19, THERE WAS NO INCIDENT REPORT IN FILE FOR THE INCIDENT IN QUESTION.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.