Butler YMCA Early Care and School Age Center

The facility did not have documentation of safe pedestrian crossways, pick-up and drop-off points and bike routes determined in the vicinity of the facility which was communicated to the families in writing.

Documentation of comprehensive general liability insurance to cover the persons who are on the premises was not on file at the facility.

The financial agreement of child #1 did contain the amount of the fee to be charged by day or week.

The financial agreement of child #1 did not contain the date on which the fee is to be paid.

The file of child #4 contained the original financial agreement.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym or the toddler classrooms.

Documentation of the 6-month reviews and/or updates to the emergency contact forms of child #2 and #3 were dated 6/2024 and 12/2024, exceeding 6 months.

The file of staff #5 contained documentation of 2 annual training hours during their annual training year of 12/2023 to 12/2024 lacking 10 hours. The file of staff #6 contained documentation of 6 annual training hours during their annual training year of 2/2024 to 2/2025 and an additional 6 hours (4/4/2025 and 4/10/2025) making staff #6 complaint with 12 training hours. The file of staff #7 contained documentation of 8 annual training hours during their annual training year of 12/2023 to 12/2024 and an additional 4.5 hours (1/2025 and 4/2025) making staff #7 complaint with 12 training hours.

A handwashing sign was not posted in the diapering area of the infant classroom.

In the infant classroom, 4 bottles were not labeled with the name of the child to whom they belonged.

The fire drill log contained documentation of fire drills being conducted on 10/10/2024 and 11/2024 but did not contain the time of day, the hypothetical location, evacuation time, number of children or names of staff who participated in the fire drill written on the log.

Based on the documentation of testing the fire detection system, manual testing exceeded 30 days from 9/10/2024 to 12/10/2024 to 1/13/2025.

SECOND CITATION - ORIGIANLLY CITED ON 9/10/2024: During rest time, in the toddler classroom, 2 children asleep on their mats were both positioned in corners against a wall at the top of the mat and a shelf on the side. The mats did not have at least 2 feet of space on three sides.

In the toddler classroom closet, OdoBan cleaning product was stored above Cheerios, Pirate Booty and other snacks.

The wall above the toilet in the first stall of the boy's restroom had peeling paint.

The changing table and one sink in the girl's restroom did not have posted handwashing signs.

Plastic bags in the closet of the toddler classroom were stored low enough to be accessible to children.

In the toddler classroom, the seams of 4 nap mats were pulling apart at the corners and vinyl was observed to be peeling on the side.

A child was sleeping in a crib in the infant room which was placed directly against the wall and the changing table, 3 mats in the preschool classroom were placed against the wall and furniture or pieces of furniture and in the toddler room and a child was sleeping on a mat which was placed against the 2 sides of the corner of the climber. The crib or mats did not have 2 feet of space on three sides.

The file of child #1 contained health assessments which were updated more than 6 months apart (5/12/2023 and 2/19/2024) as a young toddler (see LIS coded sheet).

In an unlocked closet in the toddler classroom, a staff purse which staff stated contained an Epi-Pen, was placed on top of items in the closet low enough to be accessible to children. Hand sanitizer labeled "keep out of the reach of children" was on the shelf next to the closet door in the toddler classroom accessible to children.

The file of staff #1, #2 and #4 contained health assessments which were updated more than 24 months from the previous assessment.

Based on a conversation with staff #5, the updated emergency plan was not sent to local and county emergency management agencies after the update was made.

Documentation of the fire safety training for staff #3 was dated 4/1/2024, more than 12 months from their start date at the facility (see LIS code sheet).

Current mandated reporter training for staff #1 was dated 8/18/2024, which was more than 60 months from the previous training dated 5/19/2019.

The only written evaluation of staff #1 was dated 4/22/2024, which was more than 12 months from their start date at the facility (see coded LIS sheet).

The files of child #1 and #4, both enrolled for more than 6 months (see LIS code sheet), did not contain current documentation of child service reports to provide information to the family about the child's growth and development within the past 6 months.

The original financial agreements were on file for child #1, #2, #3 and #4.

The emergency contact form of child #1 did not contain the work telephone number and child #3 did not contain the work address and telephone number of an enrolling parent.

Documentation of the training hours of staff #3 totaled 10 hours between their annual training year (see LIS code sheet), lacking 2 hours. An additional 2 hours was dated 8/26/2024 and staff #3 now has 12 hours of training.

It was observed that there was peeling paint in the outdoor play area on the board under the chalkboard and on the board attached to the building by the Dynamic Ducks room.

It was observed that the little tikes house with the blue roof was cracked exposing rough edges.

It was observed that the rest equipment mats were torn with exposed foam.

It was observed that the refrigerator in the young toddler room did not have a working thermometer.

The health report on file for Child #1 was observed not to contain documentation of an influenza immunization being administered with in the last year in accordance with the recommendations of the ACIP.

It was observed that the facility did not have a written consent for administration of medication of gas drops for Child #2.

The most up to date health assessment on file for staff person #1 and staff person #2 were observed to be greater than 24 months. This is evidenced by the health assessment being dated 3/1/19 to 6/30/22 for staff person #1 and 10/28/19 to 12/1/22 for staff person#2.

It was observed on 9/19/23, that the pick-up and drop-off procedures were not posted in a conspicuous location.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing being don 11/18/22 to 12/19/22 and 1/18/23 to 2/20/23.

Staff reported that parents are notified of incidents but may not receive the actual report until the following day.

The disclosure statement in the file for Staff Person #2 was on an outdated form. The file for Staff Person #6, who has resided out of state within the past five years, did not include the required out of state clearances (New York).

On 10/20/22, Staff Person #7 was supervising a group of 9 Preschool Children in the Spiders Room. Staff Person #7 could not identify four of the children in this group.

Observed holes in the 2nd and 7th screens from the left in the Wiggle Worms/Busy Bees Room. Observed hole in the 2nd screen on the right in the gym.

Observed flaking rust at the bottom of the exit doors in the gym.

The most recent updated health reports in the file for Child #1, a young toddler, exceeded 6 months between reports.

The most recent updated health reports in the file for Child #3, a preschool child, exceeded 12 months between reports.

The immunization records in the files for Child #1 and Child #2 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

The file for Staff Person #3 did not contain documentation of a health assessment conducted within the past 24 months.

An emergency drill was not conducted for the period 12/19/20-12/19/21.

The monthly fire system check log documented two times when fire system checks exceeded thirty days between checks: 5/20/22-6/21/22 and 7/16/22-8/31/22.

There was no documentation on file verifying that a copy of the emergency plan was sent to the local municipality and county emergency management agency.

The file for Child #2, who has been enrolled for more than 60 days, lacked an initial health assessment.

The facility did not have an annual letter on file which notified local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The Health and Safety training in the file for Staff Person #1 was dated 10/30/22, which was more than 90 days after the date of hire (See LIS Code Sheet).

The most recent evaluations in the file for Staff Person #4 exceeded 12 months between evaluations: 12/21/20-1/13/22. The file for Staff Person #5, who has been working for more than one year (See LIS Code Sheet) did not include a written evaluation.

The first parental update for the fee agreement (7/28/22) in the file for Child #1 was more than 6 months after the child's enrollment (8/25/21).

Information on how to access the regulations electronically and instructions for contacting the appropriate regional child care office was not posted at the facility.