Chambersburg YMCA at Fayetteville Elem

Emergency contact information for Child #1 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #3 did not include the complete home address of the enrolling parent.

Emergency contact information for Child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file of Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written, nonfamily reference.

The file of Staff #2 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a NSOR request date of 6/1/23 with a NSOR dated 9/4/24. The file of Staff #4 lacked a State Child Abuse from the State(s) in which Staff #4 resided in the last 5 years. The file of Staff #4 did not contain a State Child Abuse from the State(s) in which Staff #4 resided.

Childcare staff reported they remove trash daily from the facility and place it in a dumpster on school grounds, but there was not a written agreement between the school and the childcare program's legal entity documenting the school's process for removing trash at least weekly from the facility grounds. Observed Bic Cover It which indicated "keep out of the reach of children" in a small 3 drawer bin on top of the cart in the cafeteria which was accessible to children.

Observed prescription medication for Child #3 which was not in an original container.

The operator did not establish a medication log for prescription medication administered to Child #3.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

The files of Staff #2 and #3, who were designated as assistant group supervisors, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

The agreement for Child #2 did not specify the amount of the fee to be charged per day or per week.

The agreement for Child #1 did not specify the date of the child's admission.

The file of Staff #2 lacked a disclosure statement signed at the time of initial employment (SEE LIS Code Sheet). The file of Staff #2 contained a disclosure statement dated 1/20/22.

Observed 3 pair of adult scissors in a plastic bin on the 2nd shelf of the red and yellow shelving unit which were accessible to children.

Observed a foam ball with approximately a 2 inch by 1 inch piece missing.

The health report of Child #2 was not signed by a physician, physician's assistant or a CRNP.

Child #2's health report did not include a list of the child's allergies.

The file of Child #1 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of immunizations.

The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 1/31/22.

The file of Staff #2 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #2 had a Mantoux test read date of 1/31/22.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 10/12/22, 12/19/22, 1/9/23, 2/6/23, 3/28/23, 5/3/23, 6/16/23, 7/12/23, 8/17/23, and 9/27/23.

The file of Staff #1 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 had documentation of completing health and safety training on 9/30/22.

The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of meeting one of the applicable staff qualifications for the position in which the staff is performing.

Emergency contact information for Child #2 lacked the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 lacked the work telephone number of the enrolling parent.

Emergency contact information for Children #3 and #4 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released.

The file of Staff #1 lacked a valid FBI Clearance. The file of Staff #1 contained a FBI Clearance completed by Criminal Justice Information Services.

On 10/11/22 observed a cracked bin containing wooden blocks. On 10/11/22 observed a torn purple ball with exposed foam. On 10/11/22 observed a mesh bag with approximately a 6 inch tear containing balls.

The files of Children #1 and #4 lacked a health report which included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 9/27/22 with a previous one dated 9/1/20.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure fire drills are conducted at least once every 60 days. Fire drills were conducted on 10/14/21, 12/16/21, 1/27/22, 3/4/22, 4/28/22, 6/22/22, and 8/17/22.

The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address practice drills.

The file of Staff #1, who was designated as the director, lacked documentation of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. The file of Staff #1 contained a college diploma indicating Master of Science, but it did not specify the degree.

The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

The file of Child #2 lacked the date on which the fee is to be paid on the agreement.

The file of Child #5 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the complete work address and work telephone number of the enrolling parent on the emergency contact form.

The files of Children #3 and #5 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #3 had an admission date of 8/25/22 with an emergency contact form signed on 9/27/22. Child #5 had an admission date of 8/29/22 with an emergency contact form signed on 9/28/22.

The file of Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The files of Children #3 and #5 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #3 had an admission date of 8/25/22 with an emergency contact form signed on 9/27/22. Child #5 had an admission date of 8/29/22 with an emergency contact form signed on 9/28/22.

The file of Staff #2, who was hired prior to the implementation of the new regulations, did not complete health and safety training under subsection (f) within 180 days of the new regulations being implemented (SEE LIS Code Sheet). The file of Staff #2 contained documentation of health and safety training completed on 10/11/21.

The file of Staff #2 lacked documentation of completing an annual minimum of 12 clock hours of child care training.