Angels Babies INC

In the facility's locked medication box, a bottle of Children's Tylenol labeled for Child #1 and a bottle of Child's Allergy labeled for Child #2 did not contain parental consent for administration.

The facility's emergency plan parent letter lacked accommodations for infants, toddlers. children with disabilities, and children with chronic medical conditions.

In Room 2, an unlabeled spray bottle was observed in a locked cabinet under the sink.

On the outdoor playground area, a green metal siding piece along the building was observed to have sharp edges along the bottom and was accessible to children.

On the outdoor playground area, a plastic playhouse contained a peeling sticker with pieces smaller than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Located in the facility's medication bin, an Albuterol inhaler for Child # 1 did not contain a prescription label from the individual who prescribed the medication.

Located in the facility's medication bin, a zip-lock bag containing Children's Tylenol and Children's Oral Pain Relief was not labeled with a child's name.

Located in the facility's medication bin, a bottle of Infant's Tylenol for Child #2 had expired in 12/2023.

A bottle of Children's Allergy medicine labeled for Child #1 lacked written parental consent for administration.

The two most recent Mandated Reporter training certificates on file for Staff Person #1 are dated 4/7/19 and 9/29/24, more than 60 months apart.

While in the 3 Y/o room a child was observed to have their face covered by a blanket which can be dangerous to the child and could not allow staff person #1 to fully supervise the child. While in the Infant room the room was observed to be so dark that it was difficult to see the children, making it difficult to ensure full supervision by staff person #2. While in the 2 y/o room Staff person #3 was standing behind the changing table obstructing their view of where a child was observed to be sleeping, making it so that not all children could be adequately supervised.

In the 3 y/o, 4 y/o, 2 y/o and 1 y/o classrooms there was less than 2 feet observed between rest equipment.

The fire alarm 30-day test log includes test dates 10/3/23-11/3/23, 12/3/23-1/3/24, and 3/1/24-4/1/24, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

The Child Abuse and FBI Clearances in the file for Staff Person #4 were dated more than 60 months apart. (SEE LIS CODE SHEET)

The Updated Child Health Assessment for Children #1, #2 and #3 were dated more than 12 months apart. (See LIS Code Sheet)

In Room #1, the provider was unable to demonstrate the trash can, used for diapering, operated in a hands-free manner. (See LIS Code Sheet)

The two most recent Health Assessments for Staff #3, #4 and #5 were dated more than 24-months apart. (See LIS Code Sheet)

The file for Staff #2 lacked completion of the UPDATED 1 Hour Health and Safety Training on or prior to 12/30/2022. (See LIS Code Sheet)

The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 was dated more than 24-months apart. (See LIS Code Sheet)

Mandated Reporter Training for staff #1 was dated more than 60 months apart. (See LIS Code Sheet)

When children are in the facility, emergency contact information must be present in a childcare space for children receiving care in the space.

The files for staff #1 and #2 contained clearances that were initially obtained or updated late. Staff #1 was provisionally hired but the receipt of the NSOR clearance exceeded 90 days. Staff #2's child abuse clearance was due to be renewed on 9/11/22 and was renewed on 10/5/22.

Observed sharp pieces on the ends of the fence at the gate area.

The file for staff #2 who was hired on 12-7-2020 contained an NSOR Clearance dated 1-27-2021 and a State Police Clearance dated 1-21-2021 which exceeded the date of 12-2-2020 to obtain the clearance. The facility was not granted the provisional hire waiver until 11-30-2021.

The fie for staff #1 had a health assessment date of 4-24-2019 and 9-26-2021 exceeding the 24 months allowed for a health assessment renewal. The file for staff #3 contained a health assessment date of 4-2-2019 and 4-5-2021 exceeding the 24 months allowed for a health assessment renewal.

The file for staff # 4 contained a Pediatric First Aid/CPR date of 1-4-2019 and 2-2-2021 which exceeded the renewal date of 1-4-2021.

There was no file for Staff #1 who was hired on 11-29-2021. Therefore, there was not any of the required clearance paperwork to allow Staff #1 to be provisionally hired. The facility did not have paperwork for the request for missing clearances or the required FBI or State Police clearance to review for the file of Staff #1. Staff #1 was observed working alone with children. Staff #1 cannot work in a child care position at a facility.

The file for child #2 contained an influenza vaccine with a date of 12-18-18 and did not contain an updated influenza vaccine.

Staff #1 with a hire date of 11-29-2021 did not have a health assessment prior to providing initial service in a child care setting.

Child #1 was observed receiving care in the second room from the right without an emergency contact form present in the space.

Staff #1 who was hired on 11-29-2021 did not have an individual record which is required for each facility person.

Staff #1 did not have a record that included the name, address, and telephone number of the facility person.

Staff #1 did not have a record that included verification of child care experience, education, and training following the outset of service at the facility.

Staff #1 did not have a record that included two written non family references attesting to the person's suitability to serve as a facility person.