A Mothers Heart Phase 2

During renewal inspection certification rep reviewed staff files. Staff 2 was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During unannounced visit on 11-3-23 and 11-15-23 the toys in room 2 were not accessible.

During two unannounced visits on 11-3-23 and 11-15-23, two of the smoke alarms were not working in room 2 and the kitchen.

During renewal inspection certification rep observed chipped paint throughout the facility

During renewal inspection certification rep observed limited toys for the young toddler enrolled. There was (1 book, 1 puppet, flash cards)

During renewal inspection, certification rep saw small rips on the blue chair exposing the soft foam.

During renewal inspection certification rep reviewed children's file. Child 1 needs updated health assessment

During renewal inspection certification rep reviewed children's file. The file of child 1 enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination within the past year, as required per the ACIP recommended schedule.

During renewal inspection certification rep asked the owner to manually test the fire detection system. The fire detection system was not operational.

During renewal inspection certification rep reviewed facilities certificate of liability. The cretificate of liability expired on 5--13-2023

During renewal inspection certification rep reviewed staff files. Staff 1 was missing an annual evaluation from their file.

During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 and 2 did not specify the amount of the fee to be charged per day or per week.

During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 did not specify the date on which the fee is to be paid.

During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 did not specify the child's arrival and departure times.

During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 did not specify the services which are to be considered as extra.

During renewal inspection certification rep reviewed children's file. Emergency contact for child 1 was missing work addresses and telephone numbers of the enrolling parent.

During renewal inspection certification rep reviewed children's file. Emergency contact for child 1 was missing address of the individual designated by the parent to whom the child may be released.

During renewal follow up visit certification rep reviewed staff file for staff 2. The health assessment for staff 2 was from 8-29-22. Staff 2 start date was 10-16-23.

At time of complaint investigation on 4/20/23, staff person #1, acknowledged that staff person #2 was under the influence of alcohol while working at the facility and caring for children. Staff person #2 was unable to be roused from a sleeping position on the afternoon of 4/11/23 and 911 was called by staff person #1.

At time of unannounced inspection, the file for staff person #2 did not include complete criminal history information as required under the CPSL. The file for staff person #2 contained a volunteer PA criminal clearance dated 5/9/18, a child abuse clearance dated 9/7/17 that was more than 60 months old, and mandated reporter training dated 12/8/16 that was more than 60 months old. The file for staff person #2 did not include a NSOR certificate. There were no applications to apply for a new PA criminal, or child abuse clearance.

At time of unannounced inspection, staff person #3 did not have documentation of receiving emergency plan training at the initial time of employment.

At time of unannounced inspection, the electrical box mounted on the bathroom ceiling was detaching and screws were hanging out of the ceiling

At time of unannounced inspection, the file for staff person #1 did not include an initial health assessment or TB test results.

At time of unannounced inspection, staff person #4 AND #5 did not have documentation of completing the required 1 hour Health and Safety training update.

At time of unannounced inspection, staff person #4 did not have documentation of completing annual fire safety training.

At time of unannounced inspection, staff person #3 did not have documentation of completing the pre-service health and safety training within 90 days of employment.

At time of unannounced inspection, at least 50% of the staff were not group supervisors. Two aides, and one assistant group supervisor were present at time of arrival at approximately 9:50 am.

At time of unannounced inspection, the file for staff persons #1 and #2 did not include two written, non-family references.

At time of unannounced inspection, staff persons #2 and #3 did not have documentation of completing pediatric first aid and CPR within 90 days of hire.

AT TIME OF RENEWAL INSPECTION, THE OUTLET STRIP OBSERVED IN THE MIDDLE ROOM DID NOT HAVE PROTECTIVE COVERS IN THE OUTLETS THAT WERE NOT BEING USED, AND THE OUTLET STRIP WAS ACCESSIBLE TO CHILDREN.

AT TIME OF RENEWAL INSPECTION, HAND SANITIZER WAS OBSERVED UNDER THE UNLOCKED SINK IN THE BATHROOM, AND WAS ACCESSIBLE TO CHILDREN

AT TIME OF RENEWAL INSPECTION, THE FIRST AID KIT LOCATED IN THE MIDDLE ROOM DID NOT CONTAIN SOAP.

AT TIME OF RENEWAL INSPECTION CHIPPED PAINT WAS OBSERVED THROUGHOUT THE FACILITY.

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #3 DID NOT HAVE RESULTS OR A DATE THAT A TB TEST WAS GIVEN.

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE ANY DOCUMENTATION THAT FIRE SAFETY HAD BEEN TAKEN WITHIN THE PAST YEAR.

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #1 DID NOT INCLUDE THE REQUIRED TRAINING UNDER 3270.31(f) 1-9. AND THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE THE DATE OF THE TRAINING FOR THE REQUIRED TRAINING UNDER 3270.31(f) 1-9, WITHIN 90 DAYS OF HIRE.

AT TIME OF RENEWAL INSPECTION, THE FILES FOR STAFF PERSON #1 AND #2 DID NOT INCLUDE 12 HOURS OF ANNUAL CHILD CARE TRAINING.

AT TIME OF UNANNOUNCED INSPECTION ON 10/22/21, AT 10:25 AM, CERTIFICATION REP WAS DENIED ACCESS TO THE FACILITY BY STAFF PERSON #1.