Heavens Angels · Phladelphia

At the time of the inspection, the file of staff person #1 and #2 did not include a staff evaluation.

At the time of the inspection, the file of child #1, #2, and #3 did not include a child service report.

At the time of the inspection, the emergency contact of child #4 did not include the address of the individual designated by the parent to whom the child may be released.

At the time of the inspection, the emergency contact and the financial agreement for child #3 did not include once in a 6-month review.

At the time of the inspection, 4 infants and 9 toddlers with 3 staff persons was observed in the toddler room.

At the time of the inspection the record of staff person #2, having served the facility in a child care position for over 45 days, was lacking a completed National Sex Offender Clearance Letter.

At the time of the inspection the children were being cared for in the cafeteria and there was no first aid kit in the room, nor was there emergency contact information for children receiving care in the space.

At the time of the inspection the toilet area in the rear of the building was not equipped with a lidded waste receptacle.

At the time of the inspection the record of staff person #3 was lacking a current valid health assessment.

At the time of the inspection the emergency contact information of child #1 was lacking health insurance coverage and policy number for that child.

At the time of the inspection the record of staff person #1, having over one year of providing care for children at the facility, was lacking in the proof of an annual minimum of 12 clock hours of child care training.

On 4/20/23, at time of inspection, Staff #2 file did not contain completed Child Abuse clearance, PA Criminal Clearance or FBI clearance as required by CPSL.

On 4/20/23, at approximately 10:45am, Staff #1 was observed out of ratio with 12 children (ages 3-5) while Staff #3 left the room to answer the door.

On 4/20/23, at time of inspection, a thermometer was not observed in the refrigerator located in the infant room.

On 4/20/23, at time of inspection, Child #2 (YT) file did not contain an updated health report at least every 6 months.

On 4/20/23, at time of inspection, Child #1 and Child #2 have been enrolled at the facility for more than 60 days. An updated immunization record was not on file for Child #1. Additionally, Child #1 and Child #2 files did not contain documentation of an annual influenza vaccine as recommended by the ACIP.

On 4/20/23, at time of inspection, Staff #2 file did not contain an initial health assessment including results of tuberculosis testing. Staff #1 and Staff #3 file did not contain initial health assessments (only results of tb tests were on file for Staff #1 and #3).

On 4/20/23, at time of inspection, there were two unlabeled bottles in the refrigerator located in the infant room.

On 4/20/23, at time of inspection, Staff #2 was observed working as an aide in the Infant/Toddler Room. Staff #2 file did not contain verification of education/experience.

On 4/20/23, at time of inspection, Staff #2 and Staff #4 files did not contain 2 letters of written references.

On 6/8/22, Staff #1 file did not contain a completed NSOR clearance required by CPSL.

On 6/8/22, the safety feature on the second floor window located in the Toddler Room was not engaged, enabling the window to open more than 6".

On 6/8/22, the facility did not conduct an annual emergency drill.

On 5/8/22, the facility did not have a policy to address shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi)

On 6/8/22, Child #1, Child #2 and Child #3 file did not include the health insurance policy number.

On 6/8/22, Child #2 and Child #4 emergency contact information did not contain the address of the individuals designated by the parent to whom the child may be released.

On 6/8/22, the emergency contact information located in the child care space and in the facility van used to transport children was not updated at least once in a 6 month period. Emergency contact information was updated in the child's master file.

On 6/8/22, Child #1 file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

On 6/8/22, two letters of reference were not observed in the file belonging to Staff #2 (the file contained one letter).

On 11/12/21, during unannounced inspection, Staff #1 was provisionally hired on 10/4/21. At approximately 1:20pm, Staff #1 was observed in the infant/toddler room working alone with children and was not in the vicinity of a permanent employee.

On 11/12/21, during unannounced inspection, at approximately 1:15pm, Staff #2 left 6 sleeping PS age children in the second floor PS room unsupervised and unattended for approx. 2 minutes while answering the front door. The front door is located on the first floor.

On 11/12/21, during unannounced inspection, Child #1 (infant) was not observed in a sleeping position recommended by the AAP. Child #1 was observed asleep in an upright position in a bouncy seat. No evidence of medical reason signed by a physician instructing other sleeping position was on file at the facility)