Cuddles-N-Care

At time of renewal inspection on 11/26/24, chipped or damaged paint was observed in the downstair classroom by the kitchen in the following areas: Yellow paint on the baseboard trim, blue trim around the door, white paint on the heater, and green paint on the top of the half door.

At time of renewal inspection on 11/26/24, the file for child #1 contained a health assessment that was more than 12 months old with a date of 7/24/23.

At time of renewal inspection on 11/26/24, fire safety documentation did not show the fire system was being tested every 30 days as required.

At time of renewal inspection on 11/26/24, provider did not have documentation to show the emergency plan was sent to Philadelphia County.

At time of renewal inspection on 11/26/24, staff person #1 and #2 did not have documentation of completing the 1-hour PA Health and Safety update within the required time frame.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not have documentation of completing the 10-hour Health and Safety Training within 90 days of employment.

At time of renewal inspection on 11/26/24, the emergency information for child #2 and #3 did not include the policy number and/or health insurance information for the child.

At time of renewal inspection on 11/26/24, the emergency information for child #4 did not include the addresses of the persons to whom the child may be released.

At time of renewal inspection on 11/26/24, the emergency information and agreement for child #1 had not been reviewed/updated with a signature and a date within the past 6 month. The most recent review/updated was dated 9/5/23 and 9/6/23.

At time of renewal inspection on 11/26/24, 5 of the emergency contacts located in the downstairs classroom had not been updated with a signature and date within the past 6 months.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not include an ID for verification of age.

At time of renewal inspection on 11/26/24, the file for staff person #3 only had one written reference.

At time of renewal inspection on 11/26/24, staff person #2 did not have documentation of completing 12 hours of annual child care training.

During file review at renewal inspection, the file for staff person #2 did not include a signed and dated disclosure statement as required by the CPSL.

During paperwork review at renewal inspection, the facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations

During file review at renewal inspection, it was observed the immunization report for child #1, #2, and #3 (enrolled more than 60 days) did not include updated influenza vaccines.

During file review at renewal inspection, the agreement for child #4 did not include the arrival and departure times for the child.

During file review at renewal inspection, the emergency information for children #1 and #5 did not include the policy number of the insurance coverage for the child.

During file review at renewal inspection, the emergency information for child #1, #2, #3, and #4 did not include complete address and phone information for all of the release persons as required.

During file review at renewal inspection, the file for facility persons #1 and #2 did not include two written non-family references.

At time of complaint investigation on 8/10/23, staff person #1 left the classroom to answer the door at the back of the facility, and then went to get the director, leaving staff person #2 alone with three Young Toddlers and thirteen Pre-School Children.

Certification Representative could not verify a health assessment was completed as required for facility child #3. The document in the child's file did not indicate a health assessment was completed as the form indicated that a vision screening was completed.

The Certification Representative could not verify facility child #4's health assessment as the report was not written by the health care provider.

There was not documentation in the file that facility child #2 received all immunizations as recommended by the ACIP. The child's file had verification of only on series of immunizations from 10/8/2021 and there were not any form of exemptions letters/statements from a health provider or the child's parent in the child's record.

There was not developmental assessment at least every six months in the file for facility child #3.

The emergency contact form for facility child #2 did not include the health insurance policy information.

The emergency contact forms for facility children #1, #2 and #4 did not list the addresses of all release persons.

Certification Representative observed several children's emergency contact forms in the classroom were not updated at least every 6 months as required.

The file for facility staff #1 did not include all required clearance information. The State Police clearance in the file was still under review and the FBI clearance did not include the rap sheet.

There was not documentation in the file for facility staff #1 of emergency plan training at the time of initial employment.

There was not verification of education or experience in the staff file for facility staff #1.

There was not two written, nonfamily references in the file for facility staff #1.

Certification Representative observed facility persons #2 and #3 who are volunteers, working alone in the upstairs pre-school classroom with 6 children and without supervision of another qualified staff person.