WANDA McDOWELL-BRISBON FAMILY CHILD CARE HOME - Philadelphia PA Family Child Care Home

Noncompliance Area: During renewal inspection on 12/18/19, the facility's cat 's vaccination expired 6/7/19

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: During renewal inspection on 12/18/19, while reviewing children's files, - Child # 3's emergency contact did not have health insurance and policy number listed. - Child # 4's emergency contact did not have policy number listed

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During renewal inspection on 12/18/19, while reviewing children's files, Child #2 had a health assessment completed but did not have a child health report atatched

Correction Required: A health report shall include a review of the child's health history. A child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 12/18/19, while reviewing children's files. Child # 1's emergency contact did not provide consent of obtaining medical care and administering of minor first aid

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During renewal inspection on 12/18/19, Household Member # 1 clearances were dated - State Police,- 12/27/12, Child Abuse- 12/6/13, and FBI- 12/27/12

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

Noncompliance Area: During renewal inspection on 12/20/18, while reviewing children's files, Child # 3 whose enrollment date 2/2017 , emergency contact and agreement dated 2/13/17 and 1/1/18

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During renewal inspection on 12/20/18, while reviewing children's files, Child # 3's health assessment was last dated 2/3/17

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 12/20/18, the facility's emergency plan did not provide a method of contacting parents at the onset of the emergency and at the end of the emergency

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: During renewal inspection on 12/20/18, the facility did not have documentation to show - that the emergency plan had been reviewed and updated - Staff # 2 did not have documentation in file to show emergency plan training

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. 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.

Noncompliance Area: During renewal inspection on 12/20/18, while reviewing files , Individual # 1 's child abuse was dated 2/6/13

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: UPON REVIEW ON 2/27/2018 DURING RENEWAL INSPECTION, THE FILES FOR ONE DOG AND THREE CATS DID NOT CONTAIN CURRENT RABIES IMMUNIZATION.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: UPON REVIEW ON 2/7/2018 FOR RENEWAL INSPECTION, THE FILE FOR CHILD #1 DID NOT CONTAIN A PHYSICAL EXAM.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: Certification rep observed some toys and play equipment to be dirty.

Correction Required: 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: The emergency contact information for child #1 and 2 did not include health insurance coverage and policy number for the child.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The operator did not have a written plan identifying the means of transporting a child to emergency care posted.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.