Almost Home Daycare

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.

Noncompliance Area: The depth of the sawdust under the embedded swings measured at 3 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 emergency contact information in the file for child #1 did not include any work information for the child's father.

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

Noncompliance Area: The emergency contact information in the file for child #5 did not include an address for two of the release persons.

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.

Noncompliance Area: The emergency contact information was not present for the children who were eating lunch in the kitchen.

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 last health report in the file for child #4, a preschooler, was more than 12 months ago. The last two health reports in the file for child #5 were dated when she was a preschooler and then when they were 9 years old.

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.

Noncompliance Area: On the health repot for child #2, the physician did not indicate that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

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.

Noncompliance Area: The last flu shot in the file for child #4 was dated in 2017. The last flu shot in the file for child #3 was dated in 2016.

Correction Required: 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: The last two health assessments in the file for staff person #2 and #3 were dated more than 24 months apart.

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 most recent emergency contact information in the file for child #1 did not include signed parental consent fo walking. Based on conversation with the operator, they do take children for walks.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The file for staff person #2 included only 3 hours of child care training in their last anniversary year. The file for staff person #3 contains verification of two hours of child care training completed in the most recent service year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: At the time of the inspection, the staff present did not have current first aid training. A review of the staff files revealed that all staff lack current first aid training.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: At approximately 12:15 p.m., staff person #1 was supervising 4 children in the eating area. Staff person #1 exited the eating area to enter the main child care space, leaving the 4 children without supervision and a 0:4 staff:child ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b). Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: Observed accessible toothpaste labeled 'keep out of the reach of children' above the sink in the bathroom in the medicine cabinet. Observed accessible diaper cream labeled 'keep out of reach of children' in the bathtub in the bathroom.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed a crack in a plastic toy bin in the main child care space which creates a pinch point and sharp corner

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: Observed accessible screws and fasteners and AAA batteries in an unlocked drawer in the kitchen area, all objects with a diameter of less than one inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: A review of the staff file revealed that the first aid training verification on file for staff person #1 was an online only course and did not include an in-person component, making the first aid training invalid. Staff person #1 was the only staff person present with 4 children at the time of the inspection.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: Observed an accessible electrical outlet which lacked a protective cover along the baseboard in the main child care room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: The file for child #4 contains child service reports which were completed in an interval which exceeds 6 months.

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).

Noncompliance Area: The file for child #4 contains emergency contact information which lacks the work address and phone number of the enrolling parent.

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 #3 and #4 contains emergency contact information which lacks the complete address of the parent-designated release person.

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.

Noncompliance Area: Observed staff and children in the outdoor play space without emergency contact information being present.

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 #1 and child #2 contain emergency contact information which was updated in an interval which exceeds 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: The file for child #1, child #2, and child #3 contain initial health reports which are dated more than 60 days after the child's first date of attendance at the facility. The file for child #5, who has been in attendance at the facility more than 60 days, lacks an initial health report.

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 most recent health report on file for child #4 is dated more than 12 months ago.

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.

Noncompliance Area: The file for staff person #3, staff person #4 and staff person #5 contain health assessments which were updated in an interval greater than 24 months.

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 agreement on file for child #2 was updated in an interval which exceeds 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for staff person #1 lacks verification of annual current emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: Observed a cracked rain spout with a sharp edge in the outdoor play space. Observed chipping and peeling deck stain on the rear deck of the facility.

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 a cracked toy bin which creates a sharp edge and a pinch point in the main child care space.

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 depth of the sawdust under the embedded swing set in the outdoor play space measured at less than 9 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 and child #4 contains a current child service report which is a copy of previously completed child service report which is in the child's file. The duplicate reports have previous and current dates, therefore child #2 and child #4 lack current child service reports.

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).

Noncompliance Area: The file for child #4 lacks the health insurance 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: The file for child #3 and child #4 lack the complete address of the parent-designated release person(s).

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.

Noncompliance Area: Child #3, who has been enrolled for more than 60 days, lacks an initial health report on file at the facility.

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 most recent health report on file for #1, child #2, and child #4 is dated more than 12 months ago.

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.

Noncompliance Area: Observed a medication log for child #5 which lacks the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: The file for staff person #4 contains a health assessment which 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 child #3 lacks written consent for emergency medical care and administration of minor first-aid procedures by facility staff,

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for staff person #2 lacks one non-family written reference.

Correction Required: A facility person's record shall include two written, non-family references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: The last documented review of the emergency plan occurred more than 12 months ago.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The file for staff person #3 contains documentation of intial emergency plan training which was not completed at the time of initial employment. The file for staff persons #2 and #4 contains contains verification of emergency plan training which was completed in an interval which exceeds 12 months.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: The file for staff person #1, staff person #2 and staff person #4 lack verification of completion of 6 hours of child care training in the previous service year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file for staff person #1 lacks a current disclosure statement and a current state police clearance. The file for staff person #1 contains verification of mandated reporter training which was completed after 90 days of employment in a child care taking position. The file for staff person #2 lacks verification of current mandated reporter training. The file for staff person #3 contains verification of a signed disclosure statement which was completed after initial employment in a child care taking position.

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. Facility Person #1 may not work in a child care position at the facility until a current state police clearance and signed disclosure statement are on file at the facility.

Noncompliance Area: The file for staff person #3 lacks verification of education and experience to qualify as a staff person.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of the inspection, the facility lacked a staff person who had documented competency in first aid.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: At the time of the inspection, the facility lacked a staff person who had qualifications on file to serve as a primary staff person.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person.

Noncompliance Area: Observed an unlabeled, accessible bottle of cleaning materials near the kitchen sink. When questioned, staff identified the bottle as bleach.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed exposed concrete near the base of the embedded support legs of the swingset in the outdoor playspace. Obsereved exposed concrete around the base of several embedded fence posts in the outdoor playspace. Observed a window frame which is in disrepair in the bathroom. Observed dislodged door trim around the back door.

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.