Play And Learn Norristown

Noncompliance Area: During compliant investigation on Tuesday, 04/16/19, cert rep determined that a staff used forceful touch with a child receiving care.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: During compliant investigation on Tuesday, 04/16/19, cert rep determined that a staff used harsh language towards a child receiving care.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: ON 9/25/18, DURING RENEWAL INSPECTION, A THERMOMETER WAS NOT OBSERVED IN THE REFRIGERATORS LOCATED IN THE YOUNG TODDLER OOM (BUTTERFLIES) AND IN THE EXPLORER ROOM. ADDITIONALLY, PEACH FLAVORED YOGURT CONTAINING AN EXPIRATION DATE OF 9/24/18, WAS OBSERVED IN THE REFRIGERATORS LOCATED IN THE HALLWAY PANTRY AND IN THE EXPLORER ROOM.

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.Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: THE FBI CLEARANCE FOR STAFF #1 CONTAINS A CHARGE WITH AN UNREPORTED DISPOSITION AND THE FILE DOES NOT CONTAIN DOCUMENTATION OF REQUEST FOR DISPOSITION OF CHARGES. A DISPOSTION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES (CPS) LAW AND 55 PA CODE CHAPTER 20.

Correction Required: STAFF #1 MUST OBTAIN DISPOSITION OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF #1 MUST BE SUPERVISED AT ALL TIMES UNTIL DISPOSITION IS OBTAINED AND SUITABILITY TO WORK WITH CHILDREN IS DETERMINED.

Noncompliance Area: ON 9/25/18, DURING RENEWAL INSPECTION, DIAPER CREAM INSTRUCTING TO KEEP OUT OF REACH OF CHILDREN WAS OBSERVED ACCESSIBLE TO CHILDREN IN AN UNLOCKED DIAPER CABINET LOCATED IN THE YOUNG TODDLER ROOM (BUTTERFLIES). ADDITIONALLY, A GLUE CAP WITH A DIAMETER LESS THAN 1 INCH WAS OBSERVED ON THE FLOOR OF THE TODDLER ROOM (CATEPILLARS) CAUSING A POTENTIAL CHOKING HAZARD.

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: ON 9/25/18, DURING RENEWAL INSPECTION, A WET CEILING TILE WAS OBSERVED IN THE EXPLORER CLASSROOM. A DIRTY AND STAINED AREA RUG WAS OBSERVED IN THE EXPLORER ROOM. A RIPPED CHANGING MAT WAS OBSERVED IN THE INFANT ROOM (LADYBUG A). A CRACKED COT WAS OBSERVED IN THE YOUNG TODDLER ROOM (BUTTERFLIES).

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.Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: ON SEPTEMBER 6, 2018 DURING THE COMPLAINT INVESTIGATION, STAFF #1 AND STAFF #2 ACKNOWLEDGED THAT STAFF #3 AND STAFF #4 LEFT CHILD OUTSIDE WHEN THEY RETURNED FROM THE PLAY YARD.

Correction Required: 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 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: During complaint investigation on 7/26/18, neither Staff# 1 and Staff # 2 did not write an incident report for Child #1 that got hurt at the facility

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.

Noncompliance Area: During complaint investigation on 7/26/28, Staff # 1 reported to Cert rep on 7/30/18, that the facility was notified that the child went to the emergency room, but did not report it to the department.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: During unannounced monitoring on 4/6/18, while doing s walk through of the facility, Cert rep observed that -Child # 1 in the infant room - Ladybugs A was asleep on the bouncy chair. - Child # 2 in the Ladybugs B room and Child # 3 in the Cuddlebugs room were in a cribs that were not labelled

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: During unannounced monitoring on 4/6/18, while reviewing new staff files, Staff # 1 whose hire date 4/4/18 did not have 2 written references in file.

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 Allocated Unannounced Monitoring on 1/25/18, while doing a walk through of the facility, Cert Rep observed Child # 1 asleep in a bouncy chair in the Cuddlebugs room

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: During Allocated Unannounced Monitoring on 1/25/18, while reviewing new staff files, Staff # 2's health assessment did not have question # 2 answered, and the date of physical appeared as if it had been changed.

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 Allocated Unannounced Monitoring on 1/25/18, while doing a walk through of the facility, Cert Rep observed bottles in the Ladybugs A and B rooms were not labelled .

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: During Allocated Unannounced Monitoring on 1/25/18, while reviewing new staff, Staff # 3 had 1 reference written by a family member.

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 Allocated Unannounced monitoring on 1/25/18 while reviewing new staff files, - Staff # 3( Provisional Employee) whose hire date 11/15/17, did not have a FBI and Mandated Reporter training in file and was alone in the Caterpillars Room with 5 young toddlers. -Staff # 4 listed as an Aide ,whose hire date 12/12/17 who works in the Ladybugs room with Staff # 6, was left alone with 4 children in the room. Staff # 4 does not have FBI or Mandated reporter training in file.

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 # -- 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 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 #--- may not work in a child care position at the facility.

Noncompliance Area: During Allocated Unannounced Monitoring on 1/25/18, while reviewing new Staff files, - Staff # 2 did not have verified verification of experience in file to determine AGS position -Staff # 3 did not have verified verification of experience in file to determine AGS position

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH OF THE FACILITY THE LADYBUGS A ROOM THE CRIB IN THE ROOM WAS NOT LABELLED

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: DURING RENEWAL INSPECTION ON 10/23/17 WHILE REVIEWING STAFF FILES, STAFF # 14 AND COMPLETED A HEALTH ASSESSMENT, BUT DID NOT HAVE A STAFF HEALTH FORM WITH THE QUESTIONS ANSWERED

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH OF THE FACILITY, THE CUDDLEBUGS ROOM DID NOT HAVE ALL BOTTLES LABELLED FOR SPECIFIC CHILD

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE DOING ENTRANCE INTERVIEW, THE FACILITY DID NOT HAVE A COPY OF THE UPDATED LIABILITY INSURANCE AT THE FACILITY. LIABILITY INSURANCE HAD EXPIRED ON 10/1/17

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 RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH OF THE FACILITY, THE FOLLOWING STAFF DID NOT KNOW THE RELOCATION SITE WHEN ASKED- STAFF # 2, 4, 5, 6, 9

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 RENEWAL INSPECTION ON 10/23/17, WHILE REVIEWING STAFF FILES THE FOLLOWING STAFF DID NOT HAVE VERIFICATION OF FIRE SAFETY TRAINING IN FILE- STAFF # 8, 13

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE REVIEWING STAFF FILES, STAFF # 11 DID NOT HAVE A COMPLETED TRANSCRIPT IN FILE. THE FOLLOWING STAFF DID NOT HAVE VERIFICATION OF EXPERIENCE IN FILE- 5, 7, 10, 11,AND 15

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). 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 RENEWAL INSPECTION ON 10/23/17, WHILE REVIEWING STAFF FILES, THE FOLLOWING STAFF DID NOT HAVE VERIFICATION OF EXPERIENCE IN FILE- STAFF # 1,3,8, AND 14

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10//23/17, WHILE DOING A WALK THROUGH OF THE FACILITY , THE LOWER CABINET IN THE DRAGONFLY B'S ROOM WAS OPEN AND ACCESSIBLE TO CHILDREN WITH SUNSCREEN INSIDE THE CABINET

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 RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH OF THE FACILITY , THE FIRST AID KIT IN THE LADYBUGS A ROOM WAS MISSING A TWEEZER

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH OF THE FACILITY, THE FOLLOWING ROOMS HAD CHIPPED/PEELING PAINT- BUTTERFLY, EXPLORERS, AND CUDDLEBUGS

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17, WHILE DOING A WALK THROUGH AT THE FACILITY, CERT REP OBSERVED THAT THE SINK IN THE BUTTERFLY ROOM WAS INOPERABLE

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/23/17 , WHILE DOING A WALK THROUGH OF THE FACILITY, THE FOLLOWING ROOMS DID NOT HAVE A HAND-WASHING SIGN POSTED - BUTTERFLY, EXPLORERS, AND CUDDLEBUG ROOM.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: DURING UNANNOUNCED MONITORING ON 5/15/17, STAFF # 1 DID NOT HAVE DOCUMENTATION OF 2 NON FAMILY REFERENCES IN FILE.

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 UNANNOUNCED MONITORING ON 5/15/17, STAFF # 1 WHOSE START DATE 5/15/17 DID NOT HAVE DOCUMENTATION OF EMERGENCY PLAN TRAINING IN FILE

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 UNANNOUNCED MONITORING ON 5/15/17, STAFF # 1 LISTED AS AGS DID NOT HAVE DOCUMENTATION OF VERIFICATION OF EXPERIENCE IN FILE

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING UNANNOUNCED MONITORING ON 4/26/17, STAFF # 2 WHOSE HIRE DATE WAS 4/3/17, DID NOT HAVE A HEALTH ASSESSMENT ( HEALTH ASSESSMENT WAS FILLED OUT, BUT WAS NOT SIGNED BY A PHYSICIAN, PHYSICIAN'S ASSISTANT OR CRNP)

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.An adult health assessment must include a physical examination.

Noncompliance Area: DURING ANNOUNCED MONITORING ON 4/26/17, STAFF # 2 WHOSE HIRE DATE WAS 4/3/17 DID NOT HAVE 2 WRITTEN NON FAMILY REFERENCES IN FILE

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 UNANNOUNCED MONITORING ON 4/26/17, STAFF # 1 AND 2 DID NOT HAVE DOCUMENTATION OF EMERGENCY PLAN TRAINING IN FILE

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 UNANNOUNCED MONITORIING ON 4/26/17, STAFF # 1 LISTED AS DIRECTOR DID NOT HAVE A FBI CLEARANCE IN FILE

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 # -- 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 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 #--- may not work in a child care position at the facility.

Noncompliance Area: DURING UNANNOUNCED MONITORING ON 4/26/17, STAFF # 1 LISTED AS DIRECTOR DID NOT HAVE A COMPLETE FILE, AND CANNOT BE A PROVISIONAL HIRE( FBI CLEARANCE WAS NOT ON FILE AND EMERGENCY PLAN TRAINING)

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).