Almost Home Daycare - Marion Center PA Group Child Care Home

Noncompliance Area: Observed a slat that is cracked in half on the window blinds near the tall bookcase in the corner of the main room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The sawdust under the swings on the embedded swing set measured at various depths, the shallowest being 1.5 inches.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The file for child #2 contains emergency contact information which lacks the address and phone number of the child's physician. The file for child #3 contains emergency contact information which lacks the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file for child #2 contains emergency contact information which lacks the enrolling parent's work address. The file for child #5 contains emergency contact information which lacks the enrolling parent's work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file for child #2 and child #5 contains emergency contact information which lacks the health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: There was not emergency contact information in the main room for child #1, who was observed receiving care in that room

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file for child #5 lacks an initial health report. Child #5 has been in attendance at the facility since 05/14/20.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for child #3 lacks verification of a current flu vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #5 lacks verification of a current Pneumococcal and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The most recent health assessments on file for staff person #1 is dated more than 24 months ago.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file for staff person #2 contains verification of mandated reporter training which was updated in an interval greater than 5 years or 60 months as required by current CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff person #1 and staff person #3 contains an NSOR certificate dated after 07/01/20, which is the date the current CPSL requires staff hired prior to 09/30/19 to have the NSOR on file. The file for staff person #2 contains a child abuse clearances and a state police clearance updated in an interval greater than 5 years or 60 months as required by the current CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #4 contains a high school diploma which is not issued by a state recognized institution, making it invalid.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Observed several small areas of cracked siding along the back of the house near the down spout in the outdoor gross motor space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Observed chipping and peeling paint on the floor boards of the wooden deck.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Observed a cracked plastic toy storage bin in the play room which creates a pinch point.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.