Mamas Little Angels Learning Center

SECOND VIOLATION Staff person #3 does not have current pediatric first aid/CPR training. This is evidence by the most recent pediatric first aid/CPR training documented on file at the time of inspection has an expiration date of 8/31/24. Previously cited on SIN-00265871 on 5/8/25.

The file for staff person #4 did not contain documentation of current FBI clearance results. The FBI clearance results on file were observed to have expired on 4/4/25.

At approximately 9:13am in the Preschool Room, Staff Person #4 identified 2 young toddlers, 6 older toddlers, and 3 preschool aged children in their assigned group of children. At approximately 9:18 in the Infant/ Toddler Room, Staff Person #1 identified 2 infants, 4 young toddlers, and 1 older toddler in their assigned group of children.

In the Kitchen area next to the children's restroom, 2 sharp kitchen knives, screws, and adult scissors were observed in an unlocked drawer accessible to children in care.

In the Infant/Toddler room, peeling paint was observed on the base board near the door.

In the Infant Room, the door that leads to the basement and serves as an exit was observed not unobstructed as a pack n play was placed in front of the door.

In the Preschool room, a plastic lid on a bin containing children's toys was observed to be cracked and not in good repair.

At approximately 9:15am in the Infant/Toddler room, a pack n play that was observed to be in use lacked 2 feet of space on three sides.

The file for staff person #3 did not contain documentation of a health assessment conducted within the last 24 months. The most recent health assessment on file is dated 9/6/22.

The operator did not contain documentation of sending the facility's emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The file for staff person #1 contained documentation of pediatric first/aid CPR training that was not renewed before the expiration date of the most current certification: 10/25/22 and 12/1/24. Staff person #3 does not have current pediatric first aid/CPR training. This is evidence by the most recent pediatric first aid/CPR training documented on file at the time of inspection has an expiration date of 8/31/24.

The file for staff person #3 did not contain documentation of fire safety training within the last 12 months.

The file for staff person #2 contained documentation of completing the following training on 9/13/24 but was not completed within 90 days of hire (See IS Code Sheet): Health and Safety.

The file for staff person #3 did not contain documentation of a written evaluation by the director within the last 12 months. The most recent documented evaluation in the file at the time of inspection was dated 4/26/24.

The file for staff person #3 did not contain documentation of two years of experience with children to quality for the position they are performing.

The emergency contact form in the file for child #1 did not contain information on the enrolling parents work address and telephone number.

The emergency contact forms in the files for children #2 and #3 did not contain documentation of the addresses of the individuals designated by the parent to whom the child may be released.

Emergency contact forms were observed not to be present in the Infant/Toddler room where children were receiving care.

The emergency contact form in the file for child #2 was reviewed and updated by the parent on 8/12/24 and 4/28/25, which is more than 6 months apart.

The file for staff person #3 did not contain documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person at the time of inspection.

The file for staff person #3 contained documentation of 0/12 annual clock hours of child care training, and the file for staff person #5 contained documentation of 7/12 annual clock hours of child care training.

In the Infant room, disinfectant wipes, disinfectant spray bottles, and an unlabeled spray bottle that staff person #1 identified contained disinfectant spray were observed stored on a shelf located above children's food.

In the Preschool room, a children's toy bin was observed to be cracked with rough edges and was not in good repair.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training).

The file for Staff #1 lacked a Child Abuse Clearance, and therefore Staff#1 was incorrectly hired. Staff #1 was observed working unsupervised on the day of the inspection.

At approximately 12:00 PM, Staff #2 left Staff #1 alone in the Infant Classroom with 5 infants. Therefore, at the time ratio was 1:5.

At approximately 12:00 PM, Staff #2 left Staff #1 alone in the Infant Classroom with 5 infants. During this time Staff #2 was not physically present with her assigned group of children. At approximately 2:40 PM, Staff #2 was only able to identify 5 of the 6 children that were in her assigned group.

In the Infant Room at approximately 11:30 AM, one infant was observed sleeping in a car seat and another infant was observed to be sleeping in a bouncy seat that had been placed inside a pack n play.

The facilities Emergency Plan did not address Continuity of Operations.

In the entranceway there was a loose baseboard that was coming off of the wall creating a pinching hazard. There were two missing ceiling tiles observed in the front classroom. In the Infant Classroom there was a bulletin board that was leaning against a wall creating a toppling hazard for the children in care. The doorknob on the door leading from the Infant Classroom to the kitchen was not secured in the door and created a pinching hazard. In the Outdoor Play space, the plastic fencing along the dumpster area and the two air conditioners were bunched up and created a tripping/tangling hazard to the children in care. In the Outdoor PlaySpace there was a rusty curtain rod that had fallen to the ground and was accessible to the children. There were various pieces of trash that created tripping hazards in the Outdoor PlaySpace. There was a nail sticking up from the floor in the children's restroom that created a cutting hazard for the children in care.

In the Outdoor Play Space, a broken blue slide was observed creating a pinch point. In the Outdoor Play space there were two broken bookshelves that were leaning and created a toppling hazard for the children in care.

In the Front Classroom there was a large bottle of glue on the floor that had the warning "Choking Hazard." There was a Healthy Habits Game on a low shelf in the Front Classroom that was labeled as a choking hazard as it contains small pieces. In the Infant Classroom there was a container of bubbles that were labeled " Choking Hazard." In the Outdoor Play space there was ripped black foam mats and a water bottle lid. All of these items were accessible to children who are still placing items in their mouths.

In the Front Classroom an Older Toddler was observed not buckled in the highchair.

The file for Child #2, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination as required based on the child's age as per the ACIP recommended schedule.

In the Infant room, Staff #2 was observed changing an Infant's diaper. Staff #2 did not ensure the child's hands were washed after being diapered.

In the Infant Room, Staff #2 was observed changing a diaper. Staff #2 did not wash their hands after the diaper change was completed.

The last documented Emergency Drill occurred on 5-5-23.

Upon review of the facility's Fire Drill log, the following tests were observed to have been conducted more than 60 days apart: 11/6/26-1/8/24 (63 days), and 3/10/24-5/23/24 (74 days).

Based on conversations with the operator, the operator did not send a copy of the emergency plan to the local or county municipalities.

In the Outdoor PlaySpace standing water was observed in multiple toys including over two inches of water in a play table.

The files for Staff #3 and #4 contained Pediatric First Aid and CPR certification obtained on 5/25/24. Their previous certificate expired on 3/2024, creating a lapse in their First Aid and CPR training.

The file for Staff #2, who has been employed for more than 12 months, did not contain documentation of training in fire safety.

The file for Staff #2, acting as an Assistant Group Supervisor, lacked proof of education and/or documentation of 2 years' experience with children.

The file for Child #2 lacked a child service form that provides information to the family about the child's growth and development in the context of the services being provided.

The Emergency Contact Form for Child #3 lacked the name and phone number of the child's physician.

The Emergency Contact Form for Child #1, #2, and #3 lacked the complete address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #4 lacked the phone number and address of the individual designated by the parent to whom the child may be released.

The file for Staff #2, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

The file for Staff #2, lacked documentation of 11 hours of the required 12 annual clock hours of childcare training.

The file for Staff #2 contained an FBI Clearance that had not been updated in the previous 60 months.

Observed a staff member who singled out and ridiculed a child for not laying on their rest equipment and took their rest equipment away from them as a source of discipline.

The operator lacked a letter or other means of providing information regarding the emergency procedures to parents of enrolled children.

Observed the bungie cord in the Outside Play space which is used to secure the gate leading from the facility to the street has become stretched to the point where a child could fit through the gate and access the street.

In Front Classroom, there were three electrical outlets on a surge protector that lacked protective receptacle covers. This surge protector was accessible to children 5 years of age and younger who were receiving care in this classroom.

First-aid supplies used to restock the facilities first-aid kits were on a low file cabinet and accessible to the children in care.

On the back door of the facility that is used to enter the outdoor play space there was peeling paint.

Observed a Health Helping Activity Mat labeled Ages 4+ that had small pieces that was on a low shelf in the Front Classroom where children who are still placing objects on their mouths were receiving care. Observed playdough labeled "Not suitable for children under 36 months due to small parts that may cause choking hazard," that was on a low shelf in the Front Classroom where children who are still placing objects in their mouth were receiving care.

Observed a child in the Front Classroom that was using bed linens as rest equipment.

The file for Child #3, a young toddler, did not contain a Health Report completed within the previous 6 months. The file for Child #3, a young toddler, contained Health Reports updated in an interval greater than 6 months.

The files for Child #1, #2, and #4, enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination as required based on the child's age as per the ACIP recommended schedule. The file for Child #3, enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination, four DTAP vaccinations, four pneumococcal vaccinations, and three polio vaccinations as required based on the child's age as per the ACIP recommended schedule.

In the Back Classroom, staff was observed changing a toddler's diaper. Staff did not ensure the child's hands were washed after being diapered.

The trash can in the diapering area in the Back Classroom was observed to have broken foot pedal, resulting in the can no longer being hands-free.

The file for Staff #3 lacked a Health Assessment.

The file for Staff #1 lacked a Health Assessment completed within the previous 24 months.

The file for Staff #3 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

In the Back Classroom, staff was observed changing a diaper. Staff did not wash hands after the diaper change was completed.

The facility lacked written statements provided by the parents giving the formula and feeding schedule for the infants in care.

An infant in the Back Classroom was observed to be sleeping in their pack n play with a bottle in their mouth.

The facility lacked a Fire Drill log.

Based on conversations with the operator, the operator did not send a copy of the emergency plan to the local municipality or the county emergency management agency.

Based on statements made by the operator, the local traffic authorities have not been notified this year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Staff person #2 has not completed the following required pre-service training by the compliance date of 12/30/22 as set forth in Announcement C-22-06. (see LIS code sheet): (Pennsylvania Health and Safety Update).

The files for Child #3, #4, and #5 lacked child service forms that provide information to the family about the child's growth and development in the context of the services being provided.

The Emergency Contact Form in the file for Child #4 lacked written consent signed by a parent for emergency medical care.

The Emergency Contact Form for Child #3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact information was not present in the Back Classroom for the four children who were present and receiving care in the room.

The file for Child #3 contained an emergency contact form that had not been updated within the last 6 months.

The file for Child #3 contained a financial agreement form that was not updated within 6 months of the previous update.

The Emergency Contact Form in the file for Child #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

At approximately 12:00 PM, during naptime, Staff #2 was observed alone in the Infant Room with 7 children; 2 infants and 5 young toddlers.

At approximately 12:00 PM in the Infant Room, during naptime, it was observed to be too dark that Staff #2 could not see, hear, direct, and assess the children in care. The Infant Room had no lights on and it has no windows. The two adjourning rooms also had no lights on and therefore Staff #2 could not see, hear, direct, and assess the children.

The Health Assessment in the file for Staff #1 lacked tuberculosis screening by the Mantoux method at initial employment.

Staff person #1 and staff person #3 were observed to be caring for children unsupervised. Staff person #1 and staff person #3 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR and Mandated Reporter training.

The file for Staff #1 contained complete clearances at the time of inspection, it was observed that the file lacked a request for the National Sex Offender certificate dated prior to the date that Staff #1 began working with children. Therefore, she was incorrectly hired. The file for Staff #2 lacked a disclosure statement, proof of application for the National Sex Offender Certificate, and proof of application for FBI clearance. Therefore, staff #2 was incorrectly hired.

The file for Staff #1, #2, and #3 lacked Health Assessments.

The file for Staff #1, #2, and #3 lacked tuberculosis screening by the Mantoux method.

After conversation with staff, it was stated that the director is not currently present for 30 hours a week.

The file for Staff #2 lacked verification of education.

The file for Staff #1 contained one nonfamily reference attesting to the person's suitability to serve as a facility person. The file for Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #1 contained a FBI clearance that has not been updated within the last 60 months. The file for Staff #1 contained a Child Abuse clearance that was updated in an interval greater than 60 months. The file for Staff #2 contained State Police Clearances, Child Abuse Clearances, and FBI Clearances that were updated in intervals greater than 60 months. The file for Staff #3 contained a Child Abuse Clearance that has not been updated in the last 60 months. The file for Staff #4 contained Child Abuse Clearances and FBI Clearances that were updated in intervals greater than 60 months. (See LIS Code Sheet)

At approximately 11:20 AM Staff #2 left to go prepare lunch and retrieve items from the kitchen. Staff #5 was left alone in the Preschool Room with 10 children; ages 4 older toddlers and 6 preschoolers. At approximately 11:45 AM Staff #2 left the room again to retrieve more items from the kitchen leaving Staff #5 alone with 11 children; 5 preschoolers, 4 older toddlers and 1 young toddler.

Located on the desk in the Preschool Classroom was a pair of sharp scissors and a stapler. These items were accessible to the children in care.

The last documented review of the emergency plan occurred on 2-14-21.

The file for Staff #1 and Staff # 4 did not contain documentation of receiving training regarding the emergency plan within the past 12 months. The file for Staff #2, #3, and #5 contained emergency plan training updated in an interval greater than 12 months. (See LIS Code Sheet)

Located on the desk in the Preschool Classroom was hand sanitizer labeled keep out of reach of children. The cabinet in the bathroom had a broken safety lock and contained Clorox and Microban, both labeled keep out of reach of children. All of these toxics were accessible to the children in care.

Located by wall in the entrance, the far wall in the middle of the Preschool Classroom, and the wall leading to the Infant Room has peeling paint.

Located on the wall in the entranceway was tape approximately 2 feet from the ground. The tape was pulling away from the wall and coming off in small pieces and accessible to the children in care still placing items in their mouth.

A pack n play in use by a toddler was ripped in the four corners. The ripped areas allowed the beam and bolts underneath to be accessible to the child. There was a small file cabinet in the Preschool Room that had a sharp broken drawer that was a scratching hazard to the children in care.

The strap on the booster seat in the infant room was tied in a knot and unable to be used to secure the child in the seat.

A pack n play in use by an infant lacked 2 feet of space on three sides.

The Health Reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #1 lacked an influenza vaccination.

The facilities emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility lacked documentation of conducting an annual emergency drill.

The facility lacked a monthly fire detection log attesting to the operability of the system.

The facility's emergency plan did not provide details regarding shelter of children during a lockdown, sheltering in place or sheltering at locations away from the facility.

The file for Child #3 lacked an initial health report within 60 days of attendance.

The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The file for Staff #1, #4, and #5 did not contain documentation of training in Fire Safety in the last year. The file for Staff #3 contained Fire Safety training that was updated in an interval greater than 12 months. (See LIS Code Sheet)

Staff person #1 and #5 have not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10).

Staff person #1, #2, and #4 has not completed mandated reporter training within 60 months. this evidenced by the previously documented mandated reporter training on file being dated. (Staff person #1 6/1/15; Staff person #2 6/30/15 and 9/1/20; and Staff person #4 1/20/17).

The file for Staff #1, #4, and #5 did not contain an evaluation completed within the previous 12 months. (See LIS Code Sheet)

The Emergency Contact Form for Child #2 lacked the enrolling parents work address and phone number.

The operator did not provide the parents of each child enrolled with information on how to electronically access the regulations.

The file for Staff #1, #2, #3 and #5 lacked documentation of the annual 12 clock hours of child care training. (See LIS Code Sheet)