3290.32(a)/3290.192(3) · 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.

At the time of renewal inspection, file of staff person #1 did not include current NSOR certificate. NSOR certification on file was from 3/3/20 and is more than 60 months old. File of staff person #1 did not include mandated reporter training.

Corrected Corrected by May 12, 2025

Category: background checks. Marked corrected in the state record.

3290.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of the inspection, emergency contact information of child #2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)(2)/3290.192(2) · 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.

At the time of renewal inspection, file for staff person #1 included a health assessment that was dated 10/28/22 and was not valid since it was more than 24 months following the date of signature.

Corrected Corrected by May 12, 2025

Category: health medication. Marked corrected in the state record.

3290.182(3)/3290.182(5) · 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.

At the time of renewal inspection, a record of child #1 and #2 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Corrected Corrected by May 12, 2025

Category: ratio. Marked corrected in the state record.

3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

At the time of renewal inspection, verification that provider emailed emergency plan to OEM@phila.gov was not observed.

Corrected Corrected by May 12, 2025

Category: physical safety. Marked corrected in the state record.

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children, prior to issuing a certificate of compliance.

At the time of initial inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers and continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Dec 9, 2024

Category: ratio. Marked corrected in the state record.

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves, prior to issuing a certificate of compliance.

At the time of initial inspection, first aid kit did not include tweezers.

Corrected Corrected by Dec 9, 2024

Category: health medication. Marked corrected in the state record.

3290.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label, prior to issuing a certificate of compliance.

At the time of initial inspection, first aid kit included Neosporin cream that was expired on 12/2019 and had to be discarded.

Corrected Corrected by Dec 9, 2024

Category: health medication. Marked corrected in the state record.

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met, prior to issuing a certificate of compliance.

At the time of initial inspection, documentation of proof of purchase and date of purchase of an interconnected fire detection system was absent.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.