Almost Home Day Care Inc - Abington PA Family Child Care

Noncompliance Area: On 10/29/19 at renewal inspection certification representative observed that the immunization record of child # 1 reflected that the child has not had a flu shot in the past 12 months. No exemption letter is on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: On 10/29/19 at renewal inspection certification representative observed a high chair in use that did not have a safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: At the time of inspection on 1/2/18, the CPSL information (child abuse and state police) in the file for staff #1 was requested for a volunteer and not a staff person. The CPSL information (state police) in the file for staff #2 was requested for other-not-employee.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in an unsupervised child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #1 and #2 must be supervised at all times.

Noncompliance Area: There was no written proof of a health assessment in the file for facility child #1-start date 9/2017 during the inspection on 1/2/17.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).A child's record must contain initial and subsequent health reports.

Noncompliance Area: The health assessment in the file for staff #1 had a TB test information and a date that was prior to the actual exam.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: During the inspection on 11/29/16, the files for staff #1 and #2-hire dates 8/2001-did not have written proof of six-hours training. Each staff person had proof of four hours each. There was a copy of an expired 2-hrs training (8/2016) in each file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.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: When measured with a thermometer during the inspection on 11/29/16, the water temperature was 112 degrees at the sink in the kitchen and lower level used by the children attending the facility.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: There are two large wall shelves in the lower level of the facility that are strapped yet unstable. When rocked items fell off the shelves. The could pose a hazard to the children in care.

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: A parent dropped off medication (Tylenol) between 1:30-1:45 during the inspection on 11/29/16. The medication was non-prescription and not in the original package.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.