Chambersburg Memorial YMCA

The file for child #2 was observed to lack written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The facility's fire drill testing log was observed to document that testing had not occurred at least once every thirty days. This was evidenced by a written record of a test on 07/09/24 and again on 08/09/24 a span of 31 days, and a test on 08/09/24 and again on 09/12/24 a span of 33 days and a test on 09/12/24 and again on 10/14/24 a span of 32 days.

The files for children #2 and #4 were observed to lack an initial health report no later than 60 days following the first day of attendance at the facility as evidenced by no health report present in their files.

The files for children #1 and #4 were observed to contain agreement forms that did not specify the amount of the fee to be charged per day or per week

The file for child #4 was observed to contain an agreement that did not specify the date on which the fee is to be paid.

The files for child #1 was observed to contain an agreement that did not specify the child's arrival and departure times.

The file for children #3 and #4 were observed to contain an emergency contact form that did not include the work telephone numbers of the enrolling parent.

The files for children #2 and #4 were observed to contain emergency contact forms that did not include health insurance policy numbers.

The files for children #2, #3, and #4 were observed to contain emergency contact forms that did not include the address and telephone number of the individual designated by the parent to whom the child may be released. Specifically, the emergency contact form for children #2 and #3 did not include the release person's phone number and the emergency contact form for children #3 and #4 did not include the address of the release person.

The file for Child #1 was observed to contain emergency contact and agreement forms that had not been updated once in a 6-month period as evidenced by only forms dated 08/2024 present in the file.

Observed staff file #2, who was rehired with all valid clearances, did not contain an updated and signed disclosure statement at the time of being rehired into a child care position.

Observed hand sanitizer, labeled "keep out of the reach of children", accessible to children on a low shelf in the children's entranceway. Observed disinfectant and cleaning materials accessible to children in an unlocked cabinet under the sink in the childcare room.

Observed staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment. Observed staff file #2, contained an initial health assessment which was dated more than 12 months prior to providing initial service in a childcare setting.

Observed child files #3 and #4 did not contain an initial health assessment, and both children have been in attendance at the facility for more than 60 days.

Observed child file #3 did not contain the health insurance coverage and policy number for the child.

Observed child files #2 and #3 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed child file #1, did not contain documentation of the parental review of the financial agreement completed within the previous 6 months.

Observed a cabinet by the window with a damaged side exposing nails and creating a pinch point. Observed several of the cabinet hinges were loose keeping them from being able to close securely.

Observed the health report for child file #1 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed the facility had an expired certificate of compliance posted on the parent board by the entrance and exit to the facility.

The file for Staff Person #2 hired 9/17/21 was observed not to have valid Pediatric CPR and First Aide training after 90 days of start date.

The file for Staff Person #1 was observed not to have 12 hours of annual training.