Greensburg YMCA Early Childhood Learning Center

The file for facility person #1 lacked the NSOR clearance.

The emergency plan was not posted in the facility at a conspicuous location where the camp program operates.

There was a an equate sunscreen, an off-insect repellent, a ChapStick and a lotion sunscreen beach defiance label " Keep out of reach of children". In the children's backpacks on the gym floor accessible to children.

There was a medication bottle without a name for whom the medication is intended. There was an EPI pen without the for whom the medication is intended and without an original box.

There was a lunch box out of the refrigerator that contained cheese, lunch meet and yogurt.

The file for facility person #1 lacked and emergency training.

The file for facility person # 1 lacked a health assessment and TB test.

The facility inspection summary was not posted in a conspicuous location used by parent in the gym area where the camp program operates.

The facility was not displaying an Emergency Transportation Plan in a conspicuously location (in the gym) in every child care space or accompany a staff person who leaves on an excursion with children.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents in the camp program in the gym.

The files for staff #2,3,4,5 and 6 lacked water safety training. Staff 2,3,4,5 and 6 were observed at the indoor pool with their groups during the swimming inspection conducted on 7/1/25.

The file for facility person # 1 lacked a Mandated Reporter Training.

The facility lacked the emergency numbers posted by the telephone.

Racquetball Room A and B lacked the Emergency Transportation Plan posted conspicuously in every childcare space.

The files for staff #2,4, and 7 lacked documentations of the annual Emergency plan training. The file for staff#3 lacked an updated emergency plan training. The previous training on file is dated 3/9/23. The file for staff#5 lacked an updated emergency plan training. The previous training on file is dated 6/21/23.

There were 5 uncovered electrical outlets in the gym accessible to children 5 years of age or younger.

There was an unlidded garbage can that contained trash that has been contaminated by human secretions in the gym.

The left side window screen in, Room #4, the preschool room, was damaged with 2 holes. The left side window screens in, Room #6, the back room, were damaged.

The left side window glass in room # 4, the preschool room, is cracked.

There was peeling paint on the left side window frame in room #4, the preschool room.

There were 3 cracked clear bins and some foam blocks with teeth marks in room #4, the preschool room. There was a red circle table with loose legs, making the table wobble. There were two broken garbage cans in the boy's bathroom. The hands-free lids were not working. There were 3 broken stencils in room #2, the pre-k room.

In the OT room there were 2 mats with children resting on them, that did not have at least 2 feet of space on three sides.

The thermometer in the refrigerator located in room #3, the infant room, was not operable.

The operator was not maintaining a medication log for a nonprescription medication, Children's acetaminophen, for child # 6.

The file for staff #6 contained an initial health assessment dated 11/21/24 that lacked a TB test.

The facility emergency plan lacked accommodations for infants and toddlers.

The file for child #1, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file for child #2, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file contained a current health report dated 1/31/25. The file for child #3, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file contained an immunization record.

The file for staff #3 contained a current fire safety training certificate dated 1/13/25. The training was obtained greater than one year past the prior training, obtained 2/17/23 The file for staff # 5 contained a current fire safety training certificate dated 1/9/25. The training was obtained greater than one year past the prior training, obtained 1/24/23.

The file for staff #5 (see LIS Code Sheet) lacked an evaluation completed within 12 months from the staff's date of hire. The file contained a current evaluation dated 1/9/25.

The file for child #4 contained an agreement form that lacked the operator's signature.

The files for child # 1,2 and 5 lacked child service reports to provide information to the family about the child's growth and development in the context of the services being provided.

The files for children #1 and 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child #4 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The SA program posting in the gym lacked the Emergency Transportation Plan.

The files for children #1, 2 and 3 contained an agreement form that has not been reviewed within the last 6 months. The files for children #4 and 5 contained an agreement form and an emergency contact form that has not been reviewed within the last 6 months

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Pediatric CPRFA.

*4th CITATION. The facility's 30-day fire detection system check was reviewed on 11/25/24. The last 30 day check on file of the fire detection system was not completed within the past 30 days. Last check is dated 10/24/24. PREVIOUSLY CITED ON 10/24/24, 6/13/24 & 4/29/24.

.**4th CITATION. The facility's 30-day fire detection system check was reviewed on 11/25/24. The last 30 day check on file of the fire detection system was not completed within the past 30 days. Last check is dated 10/24/24. PREVIOUSLY CITED ON 10/24/24, 6/13/24 & 4/29/24.

The file for Staff Person #1 lacked an NSOR clearance within 45 days of hire date. Staff Person #1 may not return to childcare until the clearance has been obtained.

The file for Staff Person #1 did not contain emergency plan training upon hire. (SEE LIS CODE SHEET)

The facility's emergency plan was not posted in the facility at a conspicuous location.

2nd CITATION. On 10/24/24, there were 2 damaged stair covers causing a tripping hazard and had exposed splintering wood on the stairs leading to the 4th floor. In the infant room #3, there was a ripped window blind. In room #6, there was a damaged door. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION. On 10/24/24, the thermometer in the preschool room refrigerator was not operable. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION. On 10/24/24, the file for child # 1 a toddler lacked a current health report the previous report was dated 6/15/23. The file for child # 3 a young toddler lacked a current health report the previous report was dated 10/4/23. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION. On 10/24/24, the file for child # 2 a preschooler lacked a current health report. The previous repot was dated 4/18/23. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION. On 10/24/24, the facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location. PREVIOUSLY CITED ON 6/13/24.

The facility lacked a written record documenting the facility's fire drills.

**3rd CITATION. The operator was not maintaining a written log for testing the fire detection system every 30 days. PREVIOUSLY CITED ON 6/13/24 & 4/29/24.

*3rd CITATION. The operator was not maintaining a written log for testing the fire detection system every 30 days. PREVIOUSLY CITED ON 6/13/24 & 4/29/24.

2nd CITATION. On 10/24/24, the operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION on 10/24/24, Inspection summary, SIN-00246364, that contained regulatory noncompliance items cited on the inspection summary and had not been verified corrected, was not posted in a conspicuous location used by parents. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION. On 10/24/24, the file for child # 3 lacked a child service report, information to the family about the child's growth and development in the context of the services being provided. PREVIOUSLY CITED ON 6/13/24.

2nd CITATION on 10/24/24 the facility's current certificate of compliance was not posted in a conspicuous location used by parents of the early childhood program. PREVIOUSLY CITED ON 6/13/24.

Staff #3 was observed caring for children unsupervised. Staff #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Pediatric CPR and Pediatric First Aid. On 6/13/24 at approximately 9:50am, staff #3 took 2 preschool aged children to the restroom. At approximately 4:00 pm, staff #3 was supervising 2 Toddlers in the Toddler room.

Per staff statements, the Albuterol Sulfate medication for child #6 was in a locked metal box, that could not be opened because the combination to the box was unknown. There were 3 cribs with loose sheets in the infant room. The loose sheets are a suffocation hazard.

Per staff statements the facility has been out of ratio while combining mix age groups in the morning at opening and in the afternoon at the end of the day. There have been up to 10 children, including infants supervised by one staff.

*Per staff statements the facility has been out of ratio while combining mix age groups in the morning at opening and in the afternoon at the end of the day. There have been up to 10 children, including infants supervised by one staff.

Per staff statements, there have been multiple occasions that at least two facility persons have not been present in the facility when two or more children are in care. This has occurred at the beginning and end of the day.

On 6/13/24 at approximately 9:00 am in the gym, there were 7 staff and 57 school-aged children. After the staff identified the children in their supervisory group, there were 10 children not identified. The 10 children were assigned to staff #8, who was not in the gym at that time.

Super glue and a wound care kit were accessible to children in the school age room #5. There was an Albuterol Sulfate, 2 bottles of sunscreen, and a deodorant in back packs accessible to children on the gym floor. All of the items were labeled, "keep out of reach of children."

There was a bottle with liquid that was not labeled. Per staff statement it was soapy water.

There was a ripped screen on the 1st window to the right in the preschool room.

The windows in the preschool room on the second floor were not modified or adapted to limit the opening to 6 or fewer inches. The window stopper on the right side is 10 inches.

In the preschool room #2, the window on the left had a crack on the glass. There was a metal radiator cover pulling away, crating sharp edges. On the 4th floor hallway, there was a radiator cover coming detached from the wall. On the stairs leading to the 4th floor, there were damaged stair covers causing a tripping hazard and with exposed splintering wood. In the infant room #3, there was a ripped window blind. In room #6, there was a damaged door.

There was peeling paint on the hallway wall coming out of the gym. There were 3 spots with damaged plaster on the preschool room #2 walls. There was damage plaster and peeling paint on the back wall in room #5.

The toilet and urinal in the gym bathroom used by the summer camp children lacked handwashing signs.

The back door in the toddler room was obstructed with an easel and a basket.

There were 2 cracked blue bins in the toddler room. There was a playhouse with a hole on the left corner. There were 4 cracked cots in the preschool room. There were 2 ripped yoga mats in the Rocket ball room.

The refrigerator in the gym used by the summer camp program lacked a thermometer. The thermometer in the preschool room refrigerator was not operable.

The file for child # 1 a toddler lacked a current health report the previous report was dated 6/15/23. The file for child # 3 a young toddler lacked a current health report the previous report was dated 10/4/23.

The file for child # 2 a preschooler lacked a current health report. The previous repot was dated 4/18/23. The child cannot return to care until the facility receiver a copy of the current health report and immunization record.

There was an Aquaphor lip repaid and an infant ibuprofen concentrated drops without the name of the child for whom the medication is intended in the infant room.

The Albuterol Sulfate for child # 7 was expired. The medication expiration date was 11/23.

The operator was not maintaining a medication log for prescriptions medication, Albuterol for child # 7.

The health reports on file for staff # 4, 5, and 6 lacked an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

There were several lunchboxes in the gym that contained food that should be refrigerated; cheese, lunch meat, boil eggs and yogurt.

The facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location in the summer program.

The facility emergency plan lacked accommodations for infants, toddlers.

2nd CITATION. The operator was not maintaining a written log for testing the fire detection system every 30 days. PREVIOUSLY CITED ON 4/29/24.

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Inspection summary, SIN-00243623, that contained a regulatory noncompliance item cited on the inspection summary and had not been verified corrected, was not posted in a conspicuous location used by parents.

The file for staff # 2 contained current fire safety training dated 2/7/24, that was obtained greater than a year from the previous fire safety training, dated 7/19/20.

On 6/13/24 in the gym, school-age children were seated on the gym floor and bleachers for approximately one hour. During that time the children were not involved in any activities. The Certification Representative informed staff, 3 times throughout the hour, that they should continue with their scheduled routine and activities.

The file for child # 3 lacked a child service report, information to the family about the child's growth and development in the context of the services being provided.

The file for child # 1 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 4/26/24. The file for child # 2 contained an emergency contact form that was not renewed withing 6 months. The current review was dated 4/25/24. The file for child # 3 contained an emergency contact form that was not renewed withing 6 months. The current review was dated 4/25/24.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents of the early childhood program. The facility's current certificate of compliance was not posted in a conspicuous location used by parents of the summer camp program.

The file for staff # 2 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

The facility has exceeded 30 days since their last documented fire alarm system testing on 3.1.2024.

At approximately 7:50am Staff Person's #1 and #2 were observed to be caring for a mixed age group of children that included 1 infant, 2 young toddlers, 4 older toddlers and 8 preschoolers.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: 10 hour health and safety training.

The file for Staff Person #1 lacked a completed NSOR Certificate and they have exceeded 45 days at the facility. The file also lacked verification that they had requested their NSOR Certificate prior to starting at the facility.

In the Toddler Classroom, where an infant and toddlers were observed to be receiving care, small counting bears and wooden blocks that measured less than 1 inch were observed.

The file for Staff Person #1 lacked verification that they had received emergency plan training within 90 days of starting at the facility.

One of the exits doors from the Infant Classroom was observed to be blocked on one side by a cubicle wall and a panel had been placed over the exit on the Infant Classroom side. The facility lacked information from their local municipality Code Enforcement or an updated Occupancy allowing this exit to have been closed as an exit source.

The file for Staff Person #1 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting in a child care taking position.

The facility has exceeded 60 days since their last fire drill on 10.30.23.

The facility has exceeded 30 days since they last tested their smoke detection system on 12.19.23.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training, pediatric first aid and CPR training with a PQAS instructor.

The file for Staff Person #1 lacked verification of education and experience to qualify them for a position at the facility. The education transcript on file did not include the Staff Person's name. The file for Staff Person #2 lacked verification of 1 year experience to qualify them for the position they were observed to be performing.

One loose crib sheet was observed on a pack and play in Classroom #3.

The file for Staff Person #1 lacked a current FBI clearance that had been completed for DHS purposes. The most recent FBI clearance on file was completed for DOE purposes and is not acceptable for employment in a child care.

In Classroom #2 a container of floor cleaning pads was observed in an unlocked cabinet allowing them to be accessible to children receiving care in the space.

A container of floor cleaning pads was observed in a cabinet containing food in Classroom #2.

The file for Child #3 lacked documentation that the child had received the ACIP recommended influenza vaccination. A written exemption was not on file at the time of the inspection.

A medication log was observed to be missing a parent signature for a gripe water/gas drop medication in Classroom #3. The medication log indicated that the medication had been given to the child.

The initial health assessment on file for Staff Person #2 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Two unlabeled bottles, intended for an infant in care, were observed in the Infant Classroom.

Staff person #2 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 and Pediatric First Aid and CPR training.

The files for Children #1 and #2 lacked approved developmental assessments addressing the child's growth and development. The files only contained screening tools and not assessments.

Staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: Mandate Reporter Training. The files for Staff Person's #9 and #10 lacked completion of the required 1-hour Health and Training update prior to 12.30.22. The update for Staff Person #10 was completed on 3.13.23.

The disclosure statements on file for Staff Person's #4, #5, #11, #13, #14, #15, #16, #17 and #19 lacked a date. The file for Staff Person #18 lacked a current disclosure statement. The disclosure statement on file for Staff Person #18 was an older version that does not meet the requirements of the CPSL. The file for Staff Person #6 lacked a current FBI Clearance. The FBI Clearance on file expired 5.24.23.

Staff Person's #2 and #3, whose file qualifications show them as Aides, were observed in the Toddler Classroom without supervision of a Staff qualified at minimum of an Assistant Group Supervisor. Staff Person #7 was observed to be caring for a group of Preschool children. The file for Staff Person #7, whose file qualifications show them as an Aide, was observed to be caring for a group of Preschool children without supervision of a Staff qualified at minimum of an Assistant Group Supervisor.

* Children were observed to walk between the 4th floor front classroom and the 4th floor middle classrooms. The classrooms are separated by a doorway. Staff Person #1 reported being responsible for 12 children in the 4th floor front classroom however some of the children they were responsible for were not physically present in the same classroom as Staff Person #1.

** Children were observed to walk between the 4th floor front classroom and the 4th floor middle classrooms. The classrooms are separated by a doorway. Staff Person #1 reported being responsible for 12 children in the 4th floor front classroom however some of the children they were responsible for were not physically present in the same classroom as Staff Person #1.

**** Children were observed to walk between the 4th floor front classroom and the 4th floor middle classrooms. The classrooms are separated by a doorway. Staff Person #1 reported being responsible for 12 children in the 4th floor front classroom however some of the children they were responsible for were not physically present in the same classroom as Staff Person #1.

*** Children were observed to walk between the 4th floor front classroom and the 4th floor middle classrooms. The classrooms are separated by a doorway. Staff Person #1 reported being responsible for 12 children in the 4th floor front classroom however some of the children they were responsible for were not physically present in the same classroom as Staff Person #1.

In the Toddler changing area a desk was observed to have an opening in the front drawer that would allow access to three pairs of scissors, 2 staple removers and 2 rolls of packing tape. All items had sharp edges that could injure a child.

The file for Staff Person #9 lacked verification that they had received initial emergency plan training for the child care center within 90 days of starting with the facility. The emergency plan training for the child care center was completed 206 days after starting.

At approximately 3:00pm Staff were observed to be caring for children in a classroom on the 4th floor that had not been measured for capacity. Upon measurement, the room had a measured capacity of 9 children. Staff were observed to be caring for 12 children in the space. At approximately 3:05 Staff were observed to be caring for 23 children in the 4th floor middle classroom. The classroom has a measured capacity of 11 children.

In the Toddler, Preschool and PreK Classrooms white out bottles were observed in unlocked desk drawers making them accessible to children who could be in the space. In the PreK Classroom a bin containing sunscreens was observed on a low shelf in an unlocked cabinet. In the 4th Floor Middle Classroom bottles of Multipurpose Solution were observed on a lower shelf that could be accessed by school age children who receive care in the space. All items were labeled Keep Out of Reach of Children.

In the PreK Classroom a spray bottle containing a bleach water solution was observed to be unlabeled.

The hot water in the restroom in the Gym was measured at 114.2° F.

In the 4th Floor Front classroom 3 windows were observed to be unrestricted. In the 4th Floor Middle Room 1 window was observed to be unrestricted. In the 4th Floor Back Room 4 windows were observed to be unrestricted.

The telephone number for the nearest hospital was missing from the telephone in the Gym.

A first aid kit was missing from the 4th floor middle classroom where school age children were receiving care and in the gym where toddler age children were receiving care.

The first aid kit in the Toddler Classroom was missing soap and the first aid kit in the PreK Classroom was missing gauze.

In the outdoor play space peeling paint was observed along the back fence, on the retaining wall to the far left upon entering the space, on the steps leading to the play space and on a picnic table in the play space.

The garbage cans in place in the Gym restroom and the Men and Women's locker rooms were observed to be unlidded.

A cracked bin, with a potential pinch point, was observed in the Toddler Classroom. In the outdoor play space a red and yellow Little Tykes car was observed to have cracked resulting in a missing piece of the plastic. The area in disrepair had sharp edges.

The physician instructions were missing for an Inhaler in the first aid bag intended for child #3, a school age child, receiving care at the facility.

Written parental consent was missing for a Desonide Cream, a Pittsburgh Paste (from a compound pharmacy), an Epi-Pen and a Fluticasone in the Toddler Classroom.

The health assessment on file for Staff Person #6 has exceeded 24 months since last examination on 3.8.21. The files for Staff Person's #7 and #12 lacked an initial health assessment that had been completed within 12 months prior to starting at the facility. The file for Staff Person #10 exceeded 24 months between examinations on 9.24.19 and 7.19.22.

The files for Staff Person's #7, #12, #13 and #16 lacked a tuberculosis screening within 12 months prior to starting at the facility.

The health assessment on file for Staff Person #4 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

The emergency plan lacked accommodations for infants and toddlers.

The file for Staff Person #10 lacked renewal of their Pediatric First Aid and CPR on or before expiration on 11.10.21. The renewal training was completed on 5.5.22.

The fire safety trainings on file for Staff Person #10 exceeded 12 months between trainings on 4.7.20 and 11.22.22.

The files for Staff Person's #2 and #4 lacked verification of education to qualify them for the position they were observed to be performing. The files for Staff Persons #7 and #12 lacked verification of education and experience to qualify them for the position they were observed to be performing. The file for Staff Person #8 lacked verification of education to qualify them for a position at the facility. Staff Person #2 was observed to be supervising Staff Person #3 and Staff Person #4 was observed alone while giving breaks in the Preschool and Infant Classrooms. Staff Person #7 was observed to be caring for children alone in the Preschool Classroom.

A written plan of daily activities was not posted in the Toddler, Gym, 4th Floor Front, 4th Floor Middle and 4th Floor Back Classrooms.

The emergency contact form for Child #1 was missing the telephone number for the child's physician.

Emergency contact forms were not present for children receiving care in the 4th floor middle classroom. The emergency contact forms were present in a backpack that was observed in the 4th floor front classroom. Staff Person's #2 and #3 were observed in the gym with a group of toddler children. The emergency contact forms were not present for the children.

The written emergency transportation plan was not posted in the Gym or the 4th Floor Front, Middle or Back Classrooms.

The emergency contact form for Child #2 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

The child and staff records for the Summer Camp were observed in an unlocked cabinet in the office.

The file for Staff Person's #2 and #11 lacked one of their two required written, nonfamily references. The file for Staff Person's #8 and #12 lacked two written, nonfamily references.

The file for Staff Person #10 lacked verification that they had completed the required 1-hour health and safety training update prior to 12.30.22.

Based on interviews at the time of a complaint investigation, it has been verified that Staff Person #1 has used physical discipline by grabbing children by the arms and pulling them in a way that is concerning for the health and safety of the children.

On 5.9.23, Staff Person #1 left a group of children in the Preschool Classroom with an outside agency person while the Staff Person took a child to the restroom. This outside agency person is not a Staff Person employed by the Greensburg YMCA ECLC. Staff Person #1 leaving the room resulted in there not being a Staff Person present with the children to meet compliance with the required Staff:Child Ratio.

On 5.9.23, Staff Person #1 left a group of children in the Preschool Classroom with an outside agency person while the Staff Person took a child to the restroom. This outside agency person is not a Staff Person employed by the Greensburg YMCA ECLC. Staff Person #1 leaving the room resulted in the Staff Person being unable to see, hear, direct and assess the children which is required to meet the Supervision regulation.

On 5.9.23, Staff Person #1 left a group of children in the Preschool Classroom with an outside agency person while the Staff Person took a child to the restroom. This outside agency person is not a Staff Person employed by the Greensburg YMCA ECLC. Staff Person #1 leaving the room resulted in there not being a Staff Person physically present with the children in their group. At the time of an unannounced inspection at 10:00am on 5.18.23, Staff Person's #2 and #3 were observed with 8 older toddlers. Staff Person #2 reported that the children had not yet been assigned to specific staff and assigned groups were not in place.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: 31(f)(1-9). The 6-hour health and safety training on file for Staff Person #1 was completed on 8.17.16 which was not in the acceptable time frame for that training.

The emergency plan on file lacked information related to the continuity of operations as required by Federal Regulation.

In Classroom #2 two pairs of adult scissors were observed in a cup on the desk. The scissors were accessible to preschool children who receive care in the space. In Classroom #1 an unlocked desk drawer located in the changing area was observed to contain a pair of adult scissors.

In classroom #2 one uncovered outlet was observed. In classroom #4 two uncovered outlets were observed.

In Classroom #2 a bottle of hand sanitizer spray was observed on the desk and could be accessible to Preschool age children who receive care in the space. A bottle of hand sanitizer was also observed to be hanging from a lanyard attached to a desk drawer and was also accessible. In Classroom #4 an unlocked cabinet containing a bin of sunscreens was observed. The sunscreens were labeled keep out of reach of children. In the kitchen an unlocked cabinet was observed to contain a container of The Pink Stuff and Glass Cleaner. The items were labeled keep out of reach of children.

A first aid kit was missing from Classroom #2.

The first aid kit in Classroom #3 was missing tape, scissors, tweezers and soap. The first aid kit in Classroom #4 was missing gauze and soap.

Hand washing signs were missing from 2 toilets in the Women's locker/restroom and 4 toilets in the Men's locker/restroom.

In classroom #1 a torn pillow was observed.

The file for Child #5 lacked verification that the child had received an annual influenza vaccination in 2022. The last documented influenza vaccination was 10.16.21. A written exemption was not on file at the time of the inspection.

The file for Child #5 lacked verification that the child had received an annual influenza vaccination in 2022. The last documented influenza vaccination was 10.16.21. A written exemption was not on file at the time of the inspection.

A Staff Person was observed to change a child's diaper and then return the child to the child care space without washing the child's hands first.

A Staff Person was observed to place a soiled diaper onto the changing table and to complete the diaper change without disposing the soiled diaper into the hands free covered can. The hands free covered can was in the changing area but not accessible to allow for the Staff to immediately dispose of the soiled diaper.

The initial health assessment and tuberculosis screening on file for Staff Person #3 was not completed within 12 months prior to starting at the facility.

The lunch that was served to the children at the facility lacked a dairy product.

The menu was not posted in a conspicuous location at the facility.

The facility lacked documentation that an annual emergency drill has been completed at the facility within the last 12 months.

The facility has exceeded 60 days since their last fire drill.

The emergency plan lacked information related to the sheltering in place and lock down procedures for the facility.

Staff Person #3 was to complete the health and safety training update 12.30.22. The facility was not in operation at that time however the training would have needed to be completed prior to reopening. The facility reopened on 2.13.23. The training was completed on 2.21.23.

The agreements for Children #1 and #3 lacked the date of the child's admission.

The files for Children #1, #2, #3, #4 and #5 were observed to include the original agreements.

The emergency contact form for Child #4 listed an incorrect date of birth for the child.

The emergency contact form for Child #1 lacked the address for the release persons listed.

Child #1 was observed to be sharing a file with a sibling. Individual records to include emergency contact forms and financial agreements have not been established.

The update to the agreement for child #5 has exceeded 6 months at the time of the inspection. The last dated update was 6.20.22.

The file for Facility Person #1 and #4 lacked verification of experience to qualify them for the positions they were reported to be performing.

2ND CITATION: Written parental consent was missing for administration of an Epipen observed in the first aid back pack for Child #2. PREVIOUSLY CITED ON 7.1.22.

2ND CITATION: The emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff. PREVIOUSLY CITED ON 7.1.22.

2ND CITATION: The emergency contact form for Child #1 lacked signed parental consent for transportation, walking excursions, swimming and wading. At the time of the visit the child was observed at Lynch field participating in swimming activity. It was reported that the children walked from the YMCA. PREVIOUSLY CITED ON 7.1.22

The file for Facility Person #1 lacked a signed disclosure statement and request for her NSOR Certificate prior to starting at the facility.

Written parental consent was missing for administration of an Epipen observed in the first aid back pack for Child #2.

The file for Facility Person #1 lacked a completed health assessment and tuberculosis screening prior to starting in their position at the facility.

The facility lacked water safety training for Facility Person's #2, #3, #4 who were observed to participate in swimming activity with the children at the time of the inspection.

The emergency contact form for Child #1 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

The emergency contact form for Child #1 lacked signed parental consent for transportation, walking excursions, swimming and wading. At the time of the visit the child was observed at Lynch field participating in swimming activity. It was reported that the children walked from the YMCA.

The file for Facility Person #1 lacked verification of name, address, telephone number and age.

The file for Facility Person #1 lacked two written, nonfamily references attesting to their suitability to serve as a facility person.

A review of the fire drill log revealed that fire drills were conducted on 2/19/21 and 7/14/21, an interval which exceeds 60 days.

At the time of inspection, the facility lacks a proof of purchase for the hardwired, interconnected fire detection system installed and currently in use at the facility.

Observed a loose fitting mattress sheet in a Pack n Play in use by a sleeping infant, which creates a suffocation hazard.

The state police and child abuse clearances on file for staff person #1 expired 08/28/21. The file for staff person #7 lacks a current NSOR. The file for staff person #8 lacks an FBI clearance and an NSOR. The file for staff person #9 lacks an NSOR. Staff persons #7, #8, and #9 have been employed more than 45 days.

The most recent verification of emergency plan training on file for staff person #2 and #3 is dated more than 12 months ago. The file for staff person #9 lacks verification of emergency plan training completed at the time of initial employment.

Observed accessible hand lotion, White-Out, and hand sanitizer labeled 'keep out of the reach of children' on the staff desk in the toddler classroom. Observed hand sanitizer labeled 'keep out of the reach of children' on an accessible back pack in the preschool room. Observed a bottle of White-Out labeled 'keep out of the reach of children,' a bottle of Aqua-Safe, and sunscreens, all labeled 'keep out of the reach of children' in an unlocked cupboard in the preschool room.

Observed one unlabeled bottle of cleaner above the sink in the infant room.

The garbage can in the girls' bathroom was observed to contain used paper towels and tissues and was unlined.

The first aid kit in the preschool room was observed to lack gauze.

Observed water-damaged ceiling tiles in the front corner by the air conditioner and above the changing table. Observed exposed insulation on a heating access pipe in the preschool room.

The couch in the toddler room was observed to have a torn cushion.

Observed accessible rubber bands and crafting googly eyes both with a diameter of less than 1 inch on the staff desk in the toddler room. Observed accessible Ice Breakers in the top unlocked desk drawer in the infant room.

The refrigerator in the toddler room measured at 54° F.

The initial health report for child #2 is dated more than 6 months prior to the first day of attendance at the facility. Child #2 is a young toddler.

The file for child #1 and child #2 lacks verification of a current Rotavirus, DTAP, HIB, Pneumococcal, Polio, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 and child #4 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

The file for child #5 lacks an exemption from immunization which is written, signed and dated from the child's parent or guardian. Child #5's file lacks verification of any administered vaccinations.

Observed a bottle of infant's fever reducer in the toddler room which expired 03/2021.

Observed a tube of Orajel in the infant room which lacks parental written consent for administration.

The two most recent health assessments on file for staff persons #2, #3, and #7 were updated in an interval greater than 24 months.

The first aid and CPR on file for staff person #5 and staff person #6 expired 05/19/2021.

The two most recent fire safety trainings on file for staff person #2, staff person #3, staff person #4, staff person #5, and staff person #6 are dated more than 12 months apart.

The Health and Safety training on file for staff person #2 is the version for Family providers, making it invalid. The file for staff person #3 and staff person #9 lacks current Health and Safety training.

The file for staff person #7 lacks current mandated reporter training. Staff person #7 has been employed more than 90 days.

The file for staff person #8 lacks verification of 30 credits hours in ECE or a related field to qualify for the position of assistant group supervisor, the role assigned to and being performed by staff person #8.

The agreement on file for child #1 lacks the amount of the fee for care.

The file for child #1 contains an agreement which lacks the child's arrival and departure times.

The file for child #2 and child #4 contains emergency contact information which lacks the child's health insurance policy number.

The file for child #1 and child #5 contains emergency contact information which lacks the complete address of the parent-designated release person(s).

The most recent update to the emergency contact information and agreement on file for child #1 and child #4 is dated more than 6 months ago.

The file for staff person #7 and staff person #8 lack two written, non-family references.

The file for staff person #1 lacks 5 hours of child care training completed in the most recent service year. Staff person #2 lacks 12 hour of child care training completed in the most recent service year.