Precious Angels Daycare and Early Learning Center

Staff Persons #2, #3, #4 and #5 lacked Emergency Plan Training that was conducted within the past 12 months. The last Emergency Plan Training was 05.2023. (SEE LIS CODE SHEET)

The water temperature in the "Basement" Bathroom sink, was measured at 118 degrees which was accessible to children.

Staff Persons #1, #2, #3 and #4 lacked Fire Safety Training that was conducted within the past 12 months. The last Fire Safety Training for Staff Persons #1, #4 and #5: 10.2023 and Staff Persons #2 and #3: 05.2023. (SEE LIS CODE SHEET)

Staff persons #2, #3 and #4 and #5 lacked an annual written Staff Evaluation that was conducted within the past 12 months. The last Staff Evaluation was written 04.2023. (SEE LIS CODE SHEET)

The Child Service Report for child #2 and #3 was lacking a six-month update from the last. (SEE LIS CODE SHEET)

The Emergency Contact Form for Child #2 lacked the "Health Insurance/MA Policy Number." (SEE LIS CODE SHEET)

The Emergency Contact Form for child file #1 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)

Staff Person #1(0 Hours) #2 (0 Hours) #3 (1.5 Hours) #4 (0 Hours) and #5 (0 Hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

The file for Staff Person #2 lacked a current Child Abuse and FBI Clearance that had been completed within the last 60 months. The most recent Child Abuse Clearance on file was dated 7.13.2018 and the most recent FBI Clearance was dated 7.25.2018. Staff Person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Staff Person #3 lacked verification that they had received emergency plan training within 90 days of starting at the facility.

A bottle of hand sanitizer was observed on the piano in the Living Room Classroom. The hand sanitizer was labeled Keep Out of Reach of Children and could be accessed by Preschool and School Age children who receive care in the space. Lysol wipes were observed in the open area of the cabinet above the toilet in the downstairs restroom. The Lysol wipes would be accessible to school age children who would receive care in the downstairs classrooms. The Lysol wipes were labeled Keep Out of Reach of Children.

The first aid kits in the Enclosed Porch and Infant Classrooms were missing gloves.

Exposed bolts were observed on the gate area of the outdoor play space fencing.

A hand washing sign was missing from the two changing areas in the Infant Classroom.

The facility has recently installed an anchored loft playhouse/swing set structure in the outdoor play space. The structure was not mounted over a loose fill or unitary playground protective surface covering that meets the recommendations of the USCPSC.

Small wooden blocks with a diameter of less than 1 inch were observed in the Toddler Classroom where a young and older toddler were observed to be receiving care.

The file for Child #1, a young toddler, lacked an updated health report that had been completed within the last 6 months. The most recent health report on file is dated 12.12.2022.

The updated health reports on file for Child #2, who is now a young school ager, exceeded updated health reports between 2.9.2022 and 3.20.23, when they were still considered a preschool age child at the facility.

At the time of the file review, the file for Child #1 lacked verification that the child had received their 15-18 month DTAP, their 12-15 month HIB and Pneumococcal, and their MMR, Varicella and Hep A vaccinations.

The file for Staff Person #2 lacked verification that they had completed an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment and tuberculosis screening on file was dated 2 years, 1 month, 2 weeks and 6 days after their reported starting date.

The facility exceeded 30 days between smoke alarm testing on 1.3.2024 and 2.8.2024.

The file for Child #1 lacked an updated Child Service Report that had been completed within the last 6 months. The last Child Service Report on file was dated 5.3.2023.

The emergency contact form for Child #3 lacked the telephone number of the child's physician.

The emergency contact form for Child #2 lacked the address for one of the release persons listed for the child.

The written emergency transportation plan was missing from the downstairs Multi-purpose and Small Classrooms and the upstairs Enclosed Porch, Infant and Toddler Classrooms. The written emergency transportation plan posted in the Living Room Classroom was missing staffing provisions.

The updates to the agreements for Children #2 and #4 have exceeded 6 months since their last review in February 2023. The updates to the agreement for Child #1 exceeded 6 months between updates in September 2022 and September 2023.

The file for Staff Person #3 lacked verification of education and experience to qualify them for the position they were hired to perform at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

The file for Staff Person #1 lacked 11 of their annual 12 hours of childcare trainings between July 2022 and July 2023.

The file for Staff Person #1 lacked a disclosure statement that had been signed prior to starting at the facility. The disclosure statement was completed 30 days after starting. The file for Staff Person #1 also lacked a completed Child Abuse Request, verification that they had been fingerprinted for their FBI clearance and that they had requested their NSOR Certificate prior to starting at the facility. The Child Abuse Clearance on file was dated 82 days after starting, the FBI clearance was dated 23 days after starting and the NSOR Certificate was dated 81 days after starting at the facility. The file for Staff Person #2 lacked a signed disclosure statement prior to starting at the facility. The disclosure statement on file was dated 13 days after starting at the facility. The file for Staff Person #2 also lacked verification that they had requested their PA State Police Clearance prior to starting at the facility. The State Police Clearance on file was dated 50 days after starting at the facility. The file did contain a request indicating their Child Abuse Clearance was requested 147 days prior to starting at the facility. A completed Child Abuse Clearance was dated 197 days…

The emergency plan lacked Continuity of Operations as required by Federal Regulation. The required Health and Safety Training update was not completed prior to 12.30.22 for Staff Persons #3, #4 and #5. The training was completed on 3.7.23 for the Staff Persons.

The file for Staff Person #2 lacked verification that they had received emergency plan training within 90 days of starting at the facility. The training on file was dated 184 days after starting at the facility. The file for Staff Person#3, #4 and #5 lacked verification that they had received current emergency plan training within the last 12 months.

An electrical outlet was missing a protective receptable cover in the Enclosed Porch room. A power strip was observed to be in use in an unlocked drawer in Large classroom downstairs. Seven of the outlets on the strip were observed to be uncovered.

In the first floor restroom toxics, including disinfectant spray and arthritis cream, were observed in an unlocked cabinet under the sink. A container of disinfecting wipes was observed on the ledge in the bathtub. In the downstairs restroom packets of disinfecting wipes were observed in an unlocked cabinet under the sink. All items were labeled Keep Out of Reach of Children.

The hot water in the first floor restroom was measured at 121.2° F and the hot water in the downstairs restroom was measured at 121.5° F.

The indoor temperature of the Enclosed Porch room was measured at 60.1° F.

The windows located above the ground floor in the Green/Toddler and Infant rooms were observed to be unrestricted which would allow the windows to open more than 6 inches.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the telephone in the kitchen or in the Large room downstairs.

A first aid kit was not present in the Enclosed Porch room.

The first aid kits in Green/Toddler and Infant rooms and the downstairs Blue room, the Large room and Small rooms were missing scissors, soap and gloves. The first aid kit in the Living room was missing tweezers, soap and scissors.

A hand washing sign was missing from the potty chair and the toilet in the first floor restroom and from the toilet and sink in the downstairs restroom. A hand washing sign was also missing from the changing area in the Infant room.

A portable space heater was observed in the Enclosed Porch room and in the downstairs Large room.

The crib and pack and play reported to be in use in the Infant room were observed to be unlabeled for use of a specific child.

The files for Children #2 and #4, both Preschool age children, lacked a health assessment that had been completed within the last 12 months. The most recent health assessment on file for Child #2 was dated 2.9.22 and the most recent health assessment on file for Child #4 was dated 7.9.21.

The file for Child #2 and #4 lacked verification that the children had received annual influenza vaccinations as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

The file for Child #2 and #4 lacked verification that the children had received annual influenza vaccinations as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

The files for Staff Persons #1 and #2 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment and chest x-ray on file for Staff Person #1 was completed 200 days after starting at the facility. The health assessment on file for Staff Person #2 was completed 51 days and the tuberculosis screening on file was completed 53 days after starting at the facility.

The health assessment on file for Staff Person #2 lacked verification that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

A written statement from the parent giving the formula and feeding schedule was missing for Child #1.

Staff Person #5 was observed to return to the facility with Preschool Age Children who had been picked up from two local PreK Programs. Another Staff Person was not present in the vehicle to meet the staff:child ratio requirement when the Preschool children were being transported as the driver does not count in the staff:child ratio.

The emergency plan on file lacked information related to the facility's shelter in place and lock down procedures.

The file for Child #3 lacked an initial health assessment within 60 days of enrollment (refer to LIS code sheet).

The facility lacked verification that they had submitted annual written notification to the local traffic safety authorities notifying them of the facility's location and use of pedestrian and vehicular routes around the facility.

The files for Staff Persons #3, #4 and #5 lacked fire safety training that had been completed within the last 12 months. The last documented fire safety trainings were completed on 11.24.21.

The required 10 hour health and safety training on file for Staff Persons #1 and #2 was not completed within 90 days of their start date at the facility. The health and safety training for Staff Person #1 was completed 167 days after starting at the facility. The health and safety training for Staff Person #2 was completed 317 days after starting at the facility.

The file for Staff Person #1 lacked verification of education and experience to qualify them for the position of Assistant Group Supervisor, which they were observed to be performing. The files for Staff Persons #2 and #3 lacked verification of experience to qualify them for the position of Assistant Group Supervisor that they have been observed to be performing.

The file for Staff Person #3 lacked a written staff evaluation that had been completed within the last 12 months.

The written plan of daily activities was not posted in the enclosed porch classroom.

The files for Children #1, #2, #3, #4 and #5 lacked completed child service reports.

The agreement form for Child #1 lacked the arrival and departure times.

The agreement form for Children #1 and #4 lacked the designated release persons to whom the child may be released.

The files for Children #1, #2, #3, #4 and #5 were observed to contain the original agreements.

The emergency contact form for Child #3 lacked the address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #2 lacked the telephone number for the enrolling parent.

The emergency contact form for Child #3 lacked the policy number for the child's health insurance coverage.

The emergency contact forms for Children #1, #2, #3 and #4 lacked the completed addresses for the release persons listed.

The written emergency transportation plan was not posted in the Enclosed Porch, the Green/Toddler room, the Infant classroom, the Blue room downstairs, The Large room downstairs, or the Small room downstairs. The emergency transportation plan in the Living room lacked information related to the staffing provisions in the event of an emergency.

The updates to the emergency contact forms for Children #2, #4 and #5 and the agreement form for Child #4 exceeded 6 months between review and updated signature at the time of the inspection.

The emergency contact form for Children #1, #2 and #3 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

The file for Staff Person #1 lacked a telephone number.

A copy of the current certificate and the instructions for contacting the regional office with information as to how to access the regulations was not posted in a conspicuous location at the facility. The Certificate was posted in the Operator's office but it is not in an area that would be conspicuous to parents arriving to the facility.

The smoke alarm testing log indicated that the smoke detection system was last tested on 2/23/22. The system is required to be tested at least once every 30 days.

Each child care space lacked it's own first aid kit.

Observed white rocks with a diameter of less than one inch in the outdoor play space that are accessible to children who are still placing objects in their mouths.

The file for child #2 lacks verification of a flu vaccination.

The files for children #3, #4 and #5 lack any immunization records. Both children have been in care for more than 60 days. Both children can no longer be in child care.

The files for children #3, #4 and #5 lack initial health assessments. The health assessments were due 8/7/21, 7/5/21 and 10/2/21.

The files for staff #1 and #2 lack health and safety training. The health and safety training was due 10/15/21.

The files for staff #1 and #2 lack mandated reporter training. The trainings were due 10/15/21.

The files for children #1 - #5 lack service reports.

The files for children #1, #2, #3, #4 and #5 lack updated parental signatures.

The file for child #5 lacks signed permission for minor first aid and emergency medical care.

On 12/8/21, staff person #1 denied an agent of the Department immediate access to the facility.

Staff #2 was the sole caregiver on the front porch during the length of the inspection. Staff #2 does not have 3 of 4 valid clearances on file. Staff #2 is not provisionally hired.

The files for staff #2 and #3 lack disclosure statements.

The file for staff #2 lacks a valid child abuse clearance, FBI clearance, and NSOR certificate.

Staff #2 obtained a criminal clearance late (after initial service in the child care setting).

Observed 6 children in the care of one staff person aged as follows: 1 young toddler, 2 older toddlers, 3 preschoolers.

Children were not adequately supervised for a brief period when staff #2 left them in the care of a volunteer to go to the back of the facility to get the operator.

Observed 6 children in care in the front porch child care space that has a capacity of 3.

The file for child #5 lacks verification of a flu vaccination.

The file for staff #2 contains a health assessment that was obtained late (after initial service n the child care setting).

The file for staff #3 lacks a current health assessment.

The file for staff #3 lacks a TB test.

Staff #2 and #3 did not obtain emergency plan training at the outset of service at the facility.

Staff #2 left the child care space for a few minutes to get the operator leaving the children to be cared for by a volunteer (facility person #1).

The files for staff #2 and #3 do not contain verification of a high school diploma or a general educational development certificate and 2 years of experience with children.

The file for child #2 lacked a fee amount and the date that the fee is to be paid.

The file for child #2 lacks arrival and departure times and release persons.

The operator did not sign the agreement for child #1 and #2. The parent did not sign the agreement for child #1 through #4.

The files for children #1 and #2 lack emergency contact forms / information.

Child #3 and #4 files lack work addresses and work telephone numbers.

Child file #3 lacks a health insurance policy number.

Child #3 file lacks a release person's address and phone number.

The facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space.

Child files #1 through #5 lacked admission dates.

Files for child #!, #2, #3 lacked signed parental permission for emergency medical care and minor first aid.

The file for child ##1 and #2 lacks signed permission for transportation.

Facility person #1 does not have an individual record.

The files for staff #2 and #3 did not contain staff data forms that would collect the name, address and telephone number of the facility person.

Staff files #2 and #3 lack two, written, non family references.