Dubois Area YMCA Day Care

The file of child #3 lacked a health assessment at the time of enrollment (7-25-23) due to the fact the only health assessment on file was dated 10-22-24.

The file of child #2 had a financial agreement that lacked the fee amount.

The file of child #2 lacked an emergency contact form with the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of child #2 lacked an emergency contact form with the address and telephone number of the individual designated by the parent to whom the child may be released.

The file of child #4 lacked documentation the emergency contact was reviewed by the parent every 6 months.

Observed the child file and the agreement form, did not contain written permission for the child to be released to an individual/company designated by the child's parent.

On the day of the inspection 9/18/24, it was observed that the last documented fire drill was conducted more than 60 days ago on 7/12/24.

On the day of the inspection 9/18/24, it was observed that the last documented fire alarm testing was conducted more than 30 days ago on 8/8/24.

Observed the emergency contact information did not contain the name, address and telephone number of the individual/company designated by the parent to whom the child may be released.

At approximately 2:00 PM on 4/24/24 Certification Staff observed 1 preschooler lying on rest equipment behind a bookcase in Room C which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

On 4/24/24 observed 5 pair of adult scissors in a bin on the desk which were accessible to children in Teen Center B.

On 4/24/24 observed an electrical outlet which lacked a protective receptacle cover under the basketball hoop in Gym A and to the right of the entrance of Gym B.

On 4/24/24 the Teen Center did not have a first aid kit.

On 4/24/24 the first aid kit in Room D lacked soap and disposable, nonporous gloves.

On 4/24/24 the sink in Room B did not have platforms or steps to be easily approached.

On 4/24/24 observed a cracked red square Magna Tile in Room D. On 4/24/24 observed a cracked bin containing dolls in Teen Center B.

On 4/24/24 observed foam blocks with bite marks in Room C.

The file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained health reports dated 8/15/23 and 4/4/24.

The files of Children #2 and #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 5/27/22. The file of Child #3 contained a health report dated 3/27/23.

The file of Child #4 did not contain written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates the child was administered immunizations in accordance with the recommendations of the ACIP. Child #4 who had an admission date of 7/5/23 had no documentation of immunizations being administered.

The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter in place at the facility.

The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

The file of Child #4 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 7/5/23 did not have a health report on file.

The file of Staff #1, who was designated as the director, lacked documentation of 1 year of experience with children.

On 4/24/24 the written plan of daily activities was not posted in the Teen Center.

The agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.

The files of Children #1 and #3 lacked child service reports completed at least every 6 months. The file of Child #1 contained child service reports dated 4/3/23, September 2023, and 4/3/24. The file of Child #3 contained child service reports dated 4/3/23 and 4/2/24.

Emergency contact information for Children #4 and #5 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Children #3 and #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

The director indicated child records were not stored in a locked cabinet.

The facility's emergency plan lacked a plan for continuity of operations for the aftermath of a disaster. The files for staff #2, 3, 4, 5, 6, 7, 8, 9, 10. 11 and 12 lacked the 1 hour health and safety update by 12/30/22. There are now current health and safety updates on file for all staff.

The parent letter explaining the emergency procedures did not address shelter and lockdown, evacuation, method to contact parents, method to inform parents when the emergency has ended and for how to safely be reunited with their children, accommodations for infants, toddlers, children with chronic medical conditions and the 12 months emergency drill.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #5 and 9.

There was more than one year between fire safety trainings on file for staff #1, 5 and 9. There are now current fire safety trainings on file.

The most current fee agreement on file for child #4 lacks a signature by the parent.

The fee agreements on file for children #1, 2, 3 and 5 were the originals. Therefore, the originals were not given to the parent.

The most current emergency contact information on file for child #1 was not reviewed/updated within the past six months as the last review was completed on 11/1/22.

In infant room, observed a crib which was blocking an exit.

The initial health report on file for child #6, who was a young toddler at admission, lacked a health assessment that was dated no more than 6 months prior to the first date of attendance at the facility. (SEE LIS CODE SHEET)

The file for child #1, who is of school age, lacks an initial health report dated in accordance with the requirements for medical examinations for school attendance. (See LIS CODE SHEET)

The health assessment on file for child #6, who is an older toddler, has not been updated within the past 12 months. (SEE LIS CODE SHEET)

The immunization record on file for child #6 lacks verification that vaccines administered are in accordance with the schedule recommended by the ACIP. The file contains documentation of 2/3 HEP B, 2/4 DTAP, 2/4 HIB, 2/3 IPV, 0/1 Varicella, 0/2 Hep A, and a flu shot within the past year.

The facility file lacked documentation of proof of purchase of the interconnected fire detection system.

The fee agreement on file for child #8 lacks the amount of fee to be paid and the child's arrival and departure times.

The fee agreement on file for child #8 lacks the names of the persons designated by a parent to whom the child may be released.

The fee agreements on file for children #1 thru 8 were the originals. Therefore, the originals were not given to the parent.

The emergency contact information on file for child #7 lacks a health insurance policy number. The emergency contact information for child #8 lacks the address of all persons designated by a parent to whom the child may be released.

On 3/24/22, at approximately 12:30 PM, observed child #1, who is of preschool age, alone and unsupervised in the preschool room for approximately 1 minute. Ratio 0:1.

On 3/24/22, at approximately 12:30 PM, observed child #1, who is of preschool age, alone and unsupervised in the preschool room for approximately 1 minute.

On 3/24/22, at approximately 12:30 PM, observed child #1, who is of preschool age, alone and unsupervised in the preschool room for approximately 1 minute.