Description: Almost Home Day Care is a Family Child Care in INDIANA PA, with a maximum capacity of 12 children. The provider also participates in a subsidized child care program.
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable, but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns, as the provider may have already addressed some or all issues. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2020-02-25 | Unannounced Monitoring | 3280.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Noncompliance Area: 2nd CITATION: The most recent child health report for Child #1, a preschooler, is dated more than 12 months ago. PREVIOUSLY CITED on 1/14/20. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) Both children will be expelled from this day care until proper, state approved physicals are delivered to the day care. I obtained a physical for Child #1. In the future, I will monitor the files and obtain physicals in a timely manor. |
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| 2020-02-25 | Unannounced Monitoring | 3280.131(d)(5) - Immunization record | Compliant - Finalized |
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Noncompliance Area: 2nd CITATION: The health report for Child #1 continues to lack indication that the children had obtained current influenza vaccine or acceptable exemption documentation. An acceptable, complete new health report has not yet been obtained. PREVIOUSLY CITED ON 1/14/20. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) I will have the parent either give me proof of a flu shot or a note stating that they don't want their child to get the shot. Both children will be expelled from the day care until the proper state mandated health reports are obtained and delivered to the day care. |
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| 2020-02-25 | Unannounced Monitoring | 3280.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Noncompliance Area: The health report in the file in lieu of the department-provided child health report for Child #2, submitted as a correction, lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable diseases. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) I have expelled this child from the day care. In the future, I will double-check physicals to make sure all proper information is included. |
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| 2020-02-25 | Unannounced Monitoring | 3280.131(d)(8) - Age appropriate screenings complete | Compliant - Finalized |
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Noncompliance Area: 2nd CITATION: The health report in the file in lieu of the department-provided child health report for Child #2 continues to lack indication that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report. PREVIOUSLY CITED 1/14/20. Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. |
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Provider Response: (Contact the State Licensing Office for more information.) I have no control over what a doctor fills out or what the parent obtains when getting a child's physical. My solution to this is to expel the child from day care until they take one of the state-mandated physical papers and have it totally completed. Both children have been expelled from the day care until proper state-approved physicals are obtained and delivered to the day care. |
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| 2020-02-25 | Unannounced Monitoring | 3280.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The file for Child #1 continues to lack a current immunization record and a new one has not been obtained since the renewal inspection. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This was obtained by the parent on 3/4/20 and I stapled it to his physical. I neglected to send you a copy. He will not return until I can check the records, take pictures and submit them to you. However the flu shot is missing or may now be there. Both children will be expelled from this day care until proper, state-accepted health-approved physicals are obtained and delivered to the day care. |
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| 2020-01-14 | Renewal | 3280.102(a) - Clean and good repair | Non Compliant - Finalized |
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Noncompliance Area: In the back play area, one plastic strawberry toy was observed to be cracked. On the shelf behind the rest mats, one handle of a hard plastic storage tote was observed to be cracked on both sides. The hard plastic wastebasket in the restroom was observed to have a long crack down the side. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The strawberry toy was discarded. The handles on the tote were removed. The wastebasket was repaired. In the future, toys will be better monitored and repaired or discarded as needed. |
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| 2020-01-14 | Renewal | 3280.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Noncompliance Area: Upon entry into the facility, Staff #3 was observed to be sitting on a chair at the entrance to the facility and Staff #1 was observed to be serving breakfast to a group of children who were sitting at the kitchen counter area. In the back area, an infant who was stated to be 4 1/2 months old was observed to be crying and lying on a rest cot. When the Cert. Rep. asked staff to identify their supervision groups, Staff #3 walked over to the serving area. Staff #3 identified the infant as part of her supervision group. Therefore, because Staff #3 was sitting at the entrance and not physically present with the infant and Staff #2 was serving breakfast to the children with her back turned to the infant, the infant was not being supervised. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will be spoken to as a group by 1/24/20 and reminded that they are to be present with their assigned children. In the future, staff caregivers who are observed to violate supervision standards will be terminated. |
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| 2020-01-14 | Renewal | 3280.123(a)(3) - Services proceeded | Non Compliant - Finalized |
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Noncompliance Area: Child Service Reports completed since February 2019 could not be located in the files for Child #1 (preschooler), 3 (preschooler) & 4, (older toddler). Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f). |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will look for these reports which were completed in August and if they are not found, new ones will be completed. In the future, the operator will make sure these are service forms are completed, signed by parents and then placed in the children's files. |
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| 2020-01-14 | Renewal | 3280.124(b)(2) - Physician name, address, phone | Non Compliant - Finalized |
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Noncompliance Area: Emergency contact information for Child #3 lacks the name, address and telephone number of the child's physician or source of medical care. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) The information will be obtained from the parents of Child #3 and in the future, child forms will be checked more closely to make sure they are completed. |
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| 2020-01-14 | Renewal | 3280.124(b)(6) - Insurance coverage information | Non Compliant - Finalized |
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Noncompliance Area: Emergency contact information for Child #3 lacks the health insurance coverage and policy number, or a statement that the child does not have health insurance. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The information will be obtained from the parents of Child #3 and in the future, child forms will be checked more closely to make sure they are completed. |
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| 2020-01-14 | Renewal | 3280.124(b)(7) - Name/address/phone release person | Non Compliant - Finalized |
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Noncompliance Area: Emergency contact information for Child #2 lacks a complete address of one of the individuals designated by the parent to whom the child may be released. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The information will be obtained from the parents of Child #2 and in the future, child forms will be checked more closely to make sure they are completed. |
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| 2020-01-14 | Renewal | 3280.131(b)(2) - Toddler/preschool: updated health report every 12 months | Non Compliant - Finalized |
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Noncompliance Area: The most recent child health report for Child #1, a preschooler, is dated more than 12 months ago. The last two child health reports for Child #2, a preschooler, were dated more than 12 months apart. The last health document submitted in lieu of a child health report for Child #3, a preschooler, is dated more than 12 months ago. The last two child health reports for Child #4 are dated more than 12 months apart. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will obtain new health reports for Staff #1 and 3. In the future, the operator will obtain more recent health reports as required by the regulation. |
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| 2020-01-14 | Renewal | 3280.131(c) - Completed or signed by physician, PA, or CRNP | Non Compliant - Finalized |
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Noncompliance Area: The health document contained in the file in lieu of a child health report for Child #3 is not signed by a medical professional either electronically or physically. Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will obtain new health reports for Child#3. In the future, the operator will review health reports to make sure they are complete, including the physicians signature. |
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| 2020-01-14 | Renewal | 3280.131(d)(1) - Child's health history | Non Compliant - Finalized |
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Noncompliance Area: The health document contained in the file in lieu of a child health report for Child #3 lacks a review of the child's health history. Correction Required: A health report shall include a review of the child's health history. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will obtain a completed child health report form and in the future, the operator will ensure all parts of the child health physical are included. |
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| 2020-01-14 | Renewal | 3280.131(d)(5) - Immunization record | Non Compliant - Finalized |
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Noncompliance Area: The health reports for Child #1, 3 & 4 lack indication that the children had obtained current influenza vaccines as well as exemption documentation, if applicable. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator will speak with the parents to see where they stand and request either an updated vaccine record or the correct exemption documentation, as needed. In the future, the operator will check vaccines and discuss with parents when the health report is turned in. |
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