Altimease N Tann Family Child Care Home

Noncompliance Area: The child file for Child #2, who is a young school age child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 1/9/20. The child file for Child #3, who is a preschool age child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 3/1/17. The child file for Child #4, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 7/20/18. The child file for Child #5, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 2/13/18.

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 staff file for Staff person #1 lacked a valid health assessment; the most recent health assessment on file is dated 10/12/17 which is more than 24 months old.

Correction Required: 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 child file for Child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the financial agreement and emergency contact information form were reviewed and signed by the parent on 6/30/19 and 6/30/20. The child file for Child #3, Child #4, and Child #5 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the financial agreement form was reviewed and signed by the parent on 7/21/19 and 7/3/20 and the emergency contact information form was reviewed and signed by the parent on 7/5/19 and 7/3/20.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The staff file for Staff person #1 lacked valid first-aid training; the certification on file expired as of 8/30/19.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: The child file for child #3, child #4, and child #5 contained a financial agreement form that lacked the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked the addresses of three of the individuals designated by the parent to whom the child may be released to.

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 child file for child #4 and child #5, who are both young toddlers, lacked an updated health report at least every 6 months; the most recent health report on file is dated 9/12/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The child file for child #3, who is an older toddler, lacked an updated health report; the most recent health report on file is dated 4/13/18.

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 child file for child #1 contained an updated health assessment dated 6/18/19 that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The child for child #2 contained an updated health assessment dated 6/17/19 that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The child file for child #4 and #5 contained an initial health report dated 9/12/18 that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Noncompliance Area: The child file for child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review for the emergency contact information form were 8/27/18 and 6/30/19 and dates of review for the financial agreement form were 9/17/18 and 6/30/19. The child file for child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review for the emergency contact information form were 8/27/18 and 7/10/19 and dates of review for the financial agreement form were 9/17/18 and 7/10/19. The child file for child #6 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review for the emergency contact information form were 8/27/18 and 6/18/19 and dates of review for the financial agreement form were 8/277/18 and 7/10/19.

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 staff file for staff person #1 lacked documentation of having completed a minimum of 6 clock hours of the biennial minimum of 12 clock hours of child care training for 10/2016-10/2018

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: The child file for child #1 contained child service reports that were not completed every 6 months. The dates of the child service reports on file were 12/15/17 and 7/2/18.

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 3290.124(e).

Noncompliance Area: The child file for child #1, who has an enrollment date of 5/23/17, contained an initial health report dated 9/20/17 which is more than 60 days from first day of attendance 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 child file for child #3, who is a young toddler, contained health reports which were not updated at least every 6 months. The dates of the health reports on file were 4/1/17 and 7/6/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The child file for child #1, who has an enrollment date of 5/23/17, contained an emergency contact information and financial agreement form that were not updated at least once in a 6 month period. The date of review for the emergency contact information form was 9/1/17 and 7/2/18 and date of review for the financial agreement form was 9/27/17. The child file for child #2, who has an enrollment date of 7/6/16, contained an emergency contact information and financial agreement form that were not updated at least once in a 6 month period. The date of review for the emergency contact information and financial agreement form was 9/25/17. The child file for child #3, who has an enrollment date of 2/27/17, contained an emergency contact information and financial agreement form that were not updated at least once in a 6 month period. The date of review for the emergency contact information form was 9/23/17 and the date of review for the financial agreement form was 9/21/17.

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 child file for child #2 contained an emergency contact information form that lacked signed parental consent for emergency medical care for the child.

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.

Noncompliance Area: The child file for child #2 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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 child file for child #7 contained a financial agreement form that lacked the names of the person designated by the parents to whom the child may be released to.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The child file for child #2 and #4 contained an emergency contact information form that lacked the health insurance policy number. The child file for child #8 contained a financial agreement form that lacked the health insurance name 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: The child file for child #6 and #7 lacked a valid health report. The DHS approved child health form on file was not signed by a doctor.

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 child file for child #4 contained an health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Noncompliance Area: Staff person #1 self-reported that the pack n play which is used for the young toddler in care was not labeled with the child's name.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: The facility lacked a daily activity schedule

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: Two cigarette lighters were observed to be stored in the top drawer to the left of the stove which was unlocked and accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: Child #1 through #8 lacked an individual record

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: Staff person #1 lacked a staff file.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: Staff person #1 lacked a valid health assessment and TB test results.

Correction Required: 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: The staff file for staff person #1 lacked documentation of the biennial 12 training hours of child care training.

Correction Required: A facility person's record shall include records of training required by the Department.

Noncompliance Area: The facility emergency plan lacked a method to contact parents in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Noncompliance Area: The facility emergency plan lacked a method to contact parents when the emergency has ended and instructions to reunite with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: The facility emergency was observed to not be reviewed and updated annually.

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.

Noncompliance Area: Staff person #1 lacked documentation of having completed first-aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: The staff file for staff person #1, household member #9 and #10 lacked a Child Abuse and FBI Clearance. The staff file for staff person #1 lacked proof of having completed mandated reporter training.

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: In the downstairs child care space a power strip located to the left of the TV was observed to lack a protective outlet cover on one of the outlets.

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

Noncompliance Area: The cabinet under the kitchen sink which stored cleaning supplies was observed to be unlocked and accessible to the children. In the downstairs child care space a bottle of hand sanitizer and Vitamin D ointment was observed on a shelf to the left of the TV which was accessible to children. Outside on the deck where the children play bags of moth balls were observed on the porch swing accessible to the children.

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: Staff person #1 self-reported that fire drills were not conducted 4 times a year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.