Brookville YMCA Laugh and Learn Daycare

It was observed that there was a jar of peanut butter and a bag of donuts that were on the same shelf as sunscreen in the Learning Blvd classroom.

It was observed that the bottom door of the sink in the Learning Blvd. Classroom had a chunk missing on the corner of the door leaving a sharp edge and exposed partial board.

It was observed that there were foam building blocks in the preschool Learning Blvd Classroom that had teeth marks with chucks missing from the blocks leaving them in not good repair.

During a diaper change it was observed that Staff Person #1 did not wash the hands of the young toddler before placing them in their pack and play.

During a diaper change it was observed that Staff Person #1 discarded the soiled diaper by lifting the lid of the hands-free garbage can with their hand to dispose of the soiled diaper.

The emergency drill log was missing information on if special accommodation were needed for the children in care and if any problems occurred during the emergency drill.

On 9/9/2024, staff #2 was observed alone in the infant room and caring for 5 infants for approximately one minute.

On 9/9/24, staff #1 named six children in her supervisory group. One of the children was of preschool age and five of the children were young toddlers. Ratio: 1:6.

The current State Police clearance on file for staff #1 is lacking a dissemination date. The file for staff #3 lacked a disclosure statement at rehire. SEE IS CODE SHEET.

The operator did not provide the parents a letter explaining emergency procedures, including shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises, evacuation of children from the facility building and evacuation of children to a location away from the facility premises, evacuation routes and evacuation plans to exit the building may be the same as those required by § 3270.94 (relating to fire drills), a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises, 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 and acommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The refrigerators in the two toddler rooms had sticky substances on the bottoms of the inside of the refrigerators.

The file for staff #4, who's medical record is said to demonstrate a positive TB skin test, lacks the TB screening.

The file for staff #2 lacked Pediatric CPR/FA with approved curriculum and approved PQAS instructor within 90 days of hire. SEE IS CODE SHEET. This is evidenced by the current training on file dated 1/18/24.

The fee agreements on file for children #1, 2, 3, 4 and 5 lack the date of the child's admission.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training,

The file for staff person #2 contains a volunteer child abuse clearance which is not accepted for employment in a child care facility. The file for staff person #3 contains a current child abuse clearance that was completed after the start date in the child care facility. The child abuse clearance on file at initial employment is a volunteer clearance which is not accepted for employment in child care. The clearance is now current.

The first-aid kit in the Common Area is lacking tweezers.

The laminate floors throughout the facility are visibly dirty and sticky to the touch. According to staff interview, the floors are mopped daily but have not been stripped or deep cleaned in more than a year.

Observed in the infant room the activity bouncer and baby seat with activity tray to be visibly dirty and sticky. Observed on the outdoor play space 2 Radio Flyer tricycles with rusted surfaces and a red tricycle with a sharp metal emblem on the front. Observed parked on the front porch area two 4 passenger baby buggies with fabric seats that were covered with dirt, cobwebs, and black spots resembling mold. Also observed the back wheel axle on one of the buggies to be rusted and cracked.

Staff person #3 has not completed an acceptable mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for staff person #1 contains only 3 of the required 12 hours of child care training completed during the year 12/19/2021 to 12/19/2022. Staff #1 has since completed 9 additional training hours.

The provider did not notify the regional office of an incident that occurred at the facility on 10/4/2022 which required emergency room treatment for child #1.

An incident report was not completed for an injury occurring to child #1 on 3/6/2023. The operator disclosed that a copy of incident reports is retained in a facility incident file but not retained in the child's file.

The file for staff person #1, date of hire (see LIS code sheet) is lacking verification of fingerprinting or a completed clearance prior to the start date as required under CPSL. The file does contain a current FBI clearance.

The file for staff person #6, hire date (see IS code sheet) contains an FBI clearance obtained through the DOE which is not valid for a position in child care under CPSL.

Observed that a first aid kit was not available on the playground where 20 children ages infant through school age were observed receiving care.

Observed 2 protruding bolts on the gate of the playground outdoor playspace. The bottom of the vanity in the Inventors room bathroom was damaged. The countertop on the sink in the Creators room was damaged.

The trash container in the common area bathroom was not lidded.

Observed a bumbo seat being used for infant care and there was no strap. Bumbo seats were recalled with a requirement to have an adaptive strap if still in use.

A tall bookshelf in the common area was not anchored for stability posing a risk of the shelf falling on a child.

The files for staff persons #2 and #4 contain current health assessments that were completed greater than 24 months after the previous health assessment. The files are now current. The files for staff persons #3 and #5 contain initial health assessments that were obtained after the individual's start date. The files are now current.

The files for staff #3 and #5 contain results of TB tests after the start date in a child care position. The files are now current.

The file for staff person #6 contains an initial health assessment that is lacking physician statements regarding communicable disease and suitability for working in child care.

A bottle of infant formula was observed in the refrigerator and was not labeled with the name of the infant.

The file for staff person #1 contains a current PFA/PCPR training that was conducted after the previous training had expired. The training is now current. The file for staff person #7 contains expired PFA/PCPR training and does not contain current training.

The file for staff person #2, hire date (see IS code sheet) contains current PFA/PCPR training that was received greater than 90 days after hire date. The file is now current.

On 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 1 OT and 4 PS children were present and walk thru the middle room and answer the door. This left the 5 children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 1 OT and 4 PS age children alone and supervised in the toddler room for approximately 30 seconds. Ratio 0:5.

On 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 5 children were present and walk thru the middle room and answer the door. This left 1 OT and 4 PS children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 5 children alone and unsupervised in the toddler room for approximately 30 seconds.

On 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 5 children were present and walk thru the middle room and answer the door. This left 5 children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 5 children alone and supervised in the toddler room for approximately 30 seconds.

The facility file did not contain any documentation that manual tests of the fire detection systems have been completed every 30 days.