In Good Hands LLC · 5712 N Broad St, Philadelphia

On 8-17-2023, during the Renewal inspection, the thermometer located in the kitchen refrigerator read 55° F.

On 8-17-2023, during the Renewal inspection, the emergency plan presented did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 8-17-2023, during the Renewal inspection, proof of purchase for the facility's fire detection devices or systems was not presented.

On 8-17-2023, during the Renewal inspection, the facility did not have an emergency plan that addressed that specific location.

On 8-17-2023, during the Renewal inspection, the emergency plan presented did not address evacuation of children to a location away from the facility being inspected.

On 8-17-2023, during the Renewal inspection, proof that a copy of the emergency plan for this location was not sent to the local municipality and to the county emergency management agency.

On 8-17-2023, during the Renewal inspection, the file of staff person #1 did not contain two nonfamily written references.

On 8-8-2023, during the complaint investigation, it was confirmed through staff interviews that child #1 was bitten by another child in the classroom; in a separate incident, child #1 endured an eye injury by climbing onto a changing table located in the adjacent infant classroom. Staff person #1 acknowledged although they were physically present in the same space with child #1, during each occurrence, staff person #1 did not see the incidents occur because they were attending to other children in the classroom and their back was turned away from child #1.

On 8-8-2023, during the complaint investigation, staff person #1 was unable to identify specific children assigned.

On 8-8-2023, during the complaint investigation, toxins labeled bleach and water were on the shelves of the preschool, young toddlers and school age classrooms.

On 8-8-2023, during the complaint investigation, the file for child #1 did not contain an incident report for any of the injuries that child #1 endured while in care at the facility. The facility did not have evidence of an accident file.

The file for staff member #4 did not include the rap sheet(s) for the FBI clearance, dated 12/30/2019; which indicated a record. Facility person #1 was working without clearances or any other documents required under the CPSL, on file at the facility.

The facility's emergency plan entitled "Fire Evacuation Procedures" doesn't provide a method for staff persons to contact the parents as soon as reasonably possible when an emergency situation arises. Nor does the plan provide a method for staff persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be returned with their children.

The facility had not documented in writing the annual review or update of the facility's emergency plan.

Several areas around the facility were in need of repair or cleaning. The floor in the PreK area had missing or broken floor tiles, which were covered with black tape. Water-stained ceiling tiles observed in the indoor play space and other areas of the facility. The air vent in the ceiling of the indoor play space was in disrepair. The back hallway leading to the indoor play space and bathroom was cluttered with discarded furniture and other facility supplies which were possible tilting/ tripping hazards. The area rug in the indoor play space was observed with dirt spots and looked unclean.

Peeling and chipped paint was observed in the infant area, PreK area and other high traffic areas around the facility.

The infant and young toddler areas, on the left set of the facility; lacked play equipment and learning materials which address a child's emotional, cognitive, communicative, perceptual-motor, physical and social development. The childcare area designated for school-age children lacked age-appropriate materials to address a child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

The files for child #1, child #2 and child #3 did not include the child's immunization record or status.

Staff #7 indicated that infant room staff don't immediately discard soiled diapers into a plastic-lined, hands-free covered can. Staffer #7 stated soiled diapers are put into a plastic bag and then placed on top of the half wall ledge for the director to come by and take it to the outdoor trash.

Facility person #1 observed working in the kitchen, did not have a health assessment on file at the facility. Staff member #6 's health assessment, dated 2/27/2020; is over 24 months and no longer valid.

The health form observed in staff member #3's file did not include a medical professional's signature and did not include TB screening results.

Staff member #2's health assessment doesn't include physician's or CRNP's assessment of the person's suitability to provide childcare and it doesn't address medical problems that might threaten the children or prohibit a staff member from providing adequate care to children.

The facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

The facility did not have documentation of the director or designated person checking the fire detection system every 30 days.

The emergency plan observed did not include lock down or shelter in place procedures for emergencies situations.

The facility did not send the updated emergency plan to the Office of Emergency management.

The annual letter to the local traffic safety authority was not sent.

The files for staff members #4 and #5 did not include verification of completing 12 credit hours of child care training/ professional development.

Facility person #1 did not have an individual record on file at the facility with the required health assessment, clearances, qualifications and trainings