Hollidaysburg Area YMCA Early Learning Center

Based on interviews, Staff #1, #2, and #3 took 12 children including 10 older toddlers and 2 preschoolers outside at 10:30 AM. At approximately 11:00 AM Staff #1 began the process of bringing 4 to 5 children at a time inside for diapering. At approximately 11:20 AM a toddler was dropped off by the parents while Staff #2 and #3 were on the play space with the children. At approximately 11:30 AM Staff #1 brought the last 4 children inside for diapering. At approximately 11:45 AM Staff #2 and #3 brought 8 children inside. At approximately 11:53 AM Child #1 was observed by Staff #4, Staff #5, and Staff #6 to be alone in the Toddler Play Space. Staff #4 and #6 reported that the gate leading to the parking lot and side entrance to the facility was open.

Observed in room 310 a clear plastic bin with cracked edges. Observed in the outdoor play space the middle space fencing that is adjacent to the third space had splintering wood and exposed screws at the interior gate and to the left of the gate. Observed in the middle play space a bench storage bin crack on the ends of the front panel.

The files of staff #1, #2, and #4 had documentation of health assessments more than 24 months apart.

Based on the fire drill log, the hypothetical location was the same on 12-17-24 and 1-16-25.

At the time of reviewing the Emergency Plan, there was not documentation the plan was sent to the local municipality and to the county emergency management agency.

The file of staff #3 had documentation of completing Mandated Reporter training more than 60 months apart.

Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Staff persons #1and #3 have 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 persons #1 and #3 only completed the online portion of Pediatric first aid/CPR. Staff person #5 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. Staff person #5 has documentation of completing Health and Safety Training on 8/27/16.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/30/20.

The file of staff #2 had Child Abuse clearances more than 60 months apart due to the fact they were dated 1-16-24 and 1-15-19. The file of staff #4 had FBI clearances more than 60 months apart due to the fact they were dated 10-4-19 and 9-29-14. The file of staff #5 had PA State Police and Child Abuse clearances more than 60 months apart due to the fact they were dated PSP 8-19-20 and 7-28-15; CA 8-24-20 and 8-3-15.

The file of staff #1 had documentation of a late health assessment due to the fact they were dated 2-2-23 and 10-14-20.

Staff person #2 had not completed the required 1-hour update Health and Safety Training by 12-30-22 due to the fact documentation of completion was dated 2-1-23 (see LIS code sheet). Staff person #6 had not completed the required 1-hour update Health and Safety Training by 12-30-22 due to the fact documentation of completion was dated 3-7-24 (see LIS code sheet).

At the time of the inspection, there was not a daily schedule posted in rooms 310, 314, and in the gross motor space.

The file of child #1 lacked an emergency contact form with the full work address of the enrolling parent.

The file of staff #3 completed Mandated Reporter training more than 60 months apart due to the fact they were dated 3-23-22 and 2-22-17.

Child #1, an older toddler, was left behind and unattended in the outdoor play area for approximately 5 minutes before being found and returned to the facility by a teacher in the community. The assigned staff member was unaware that the child was not with their group.

Staff person #1 was assigned supervision of child #1. Child #1 was left behind, unattended in the outdoor fenced play area. The assigned staff member was unaware that the child was not with their group.

The files for Staff persons #1 and #2 were observed to lack documentation of completing the Pennsylvania Health and Safety Training that was updated 2022 by December 30, 2022.

Observed in room 311, used tissues in a garbage can lacking a lid.

There was no handwashing sign posted in the restroom used by children in room 305.

Observed in room 311, a square Magna-tile that was cracked.

Observed in room 310, 2 red foam blocks with teeth marks.

Observed in room 311, a round, wooden table in kitchen play area with 2 loose legs.

Observed in the kitchen an Amana brand refrigerator used for drinks served to the children in care, lacking a thermometer.

The files of staff #4 and #5 had initial health assessments that were more than 12 months prior to their start dates.

The file of child #1 lacked an initial health assessment within 60 days of start.

The file of Staff #5 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Staff person #1 has not completed the following required pre-service training within 90 days of their hire date: 10 hour Health and Safety training.

The files of #2, #4, and #5, all Assistant Group Supervisors lacked documentation to support their position due to the fact there was not proof of 2500 hours of child care experience. The file of staff #1, an AGS lacked documentation of education.

The file of child #2 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

The file of staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #3 had not completed the following required pre-service training within 90 days of their dates of hire (see LIS code sheet): 10 hour Health and Safety. This is evidenced by the 10 hour health and safety training not being completed until 3/3/2023.

The file of Staff #1 lacked the National Sex Offender Registry within 45 days of hire (SEE LIS CODE SHEET). Staff #1 had a NSOR dated 2/2/22. The file of Staff #9 lacked a valid disclosure statement. The disclosure statement on file for Staff #9 was not the one updated in 2020.

At approximately 12:30 PM Certification Staff observed Staff #3 place an infant on his/her side to sleep.

On 3/28/22 observed 2 pair of adult scissors in the top drawer of the teacher's desk which were accessible to children in the Older Preschool Classroom.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in the Young Preschool Classroom.

On 3/28/22 observed a first-aid kit on the shelf by the air conditioner and teacher's desk in the Older Preschool Classroom which was accessible to children.

The first-aid kit in the Young Preschool Classroom lacked scissors and soap.

On 3/28/222 observed rotted wood at the frame of the gate located in the Older Toddler Outdoor Play Space. On 3/28/22 observed a divider in the Infant Classroom which was not secured creating a potential tipping hazard.

On 3/28/22 observed peeling on paint on the white board by the gate in the Older Toddler Outdoor Play Space.

On 3/28/22 observed a cracked yellow bin containing white boards and a cracked square orange Magna Tile in the Older Preschool Classroom. On 3/28/22 observed a broken knob on the gear base in the Pre K Classroom. On 3/28/22 observed a cracked pie-shaped Magna Tile in the Pre K Counts Classroom.

On 3/28/22 observed 12 geometric foam blocks with bite marks, 2 larger foam blocks with bite marks, and 5 hollow foam blocks with bite marks in the Older Preschool Classroom.

On 3/28/22 observed rest equipment in the Older Preschool Classroom and Young Preschool Classroom which were not labeled for the use of a specific child.

Child #1, a 15 month old, lacked Pneumococcal immunizations, an influenza immunization, MMR immunization, Varicella immunization, and Hepatitis A immunization in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of 3 Pneumococcal immunizations, no MMR immunization, no Varicella immunization, and no Hepatitis A immunization. Child #2, a 4 year old, lacked an influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of no Hepatitis A immunizations.

The file of Staff #9 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 #9 contained a health assessment dated 2/24/22.

The files of Staff #7 and #8 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. (SEE LIS CODE SHEET) Staff #7 had a health assessment dated 6/3/21 but a Mantoux test read date of 6/9/21. Staff #8 had a health assessment dated 3/4/22 but a Mantoux test read date of 3/7/22.

An emergency drill was not conducted annually. The facility provided documentation of an emergency drill being conducted on 3/9/22.

Child #3, with an admission date of 9/1/21, lacked an initial health report no later than 90 days following the first day of attendance at the facility. The file of Child #3 contained a health report dated 1/20/22 and a previous health report dated 6/2/20.

The files of Staff #2, #4, and #5 lacked documentation of renewing certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The files of Staff #2, #4, and #5 contained documentation of first aid and CPR training completed on 1/27/21 with a previous training completed on 1/26/19.

The files of Staff #1, #3, and #7 lacked documentation of completing pre-service training within 90 days of hire (See LIS CODE SHEET). The file of Staff #1 contained documentation of completing pre-service training on 1/31/22. The file of Staff #3 contained documentation of completing pre-service training on 1/23/22. The file of Staff #7 contained documentation of completing pre-service training on 12/24/21.

The file of Staff #3 lacked documentation of completing Mandated Reporter Training within 90 days of hire (See LIS CODE SHEET). Staff #3 had documentation of completing Mandated Reporter Training on 2/20/22.

The file of Staff #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #4 contained a written evaluation dated 12/13/21 with the previous one dated 11/1/20.

The file of Staff #7, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

The written plan of daily activities was not posted in the Young Preschool Classroom.

Emergency contact information for Child #4 was not present in the Young Preschool Classroom while Child #4 was receiving care in the space.

The file of Staff #7 lacked documentation of child care experience prior to service at the facility.

The files of Staff #3 and #7 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The file of Staff #3 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/30/21. The file of Staff #7 lacked documentation of a valid pediatric first aid and pediatric cardiopulmonary resuscitation course.

The file of Staff #6 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Based on interviews, Staff #1 grabbed Child #1's arms before pinning Child #1's head between his/her legs to keep Child #1 still to wipe Child #1's nose.

Based on interviews, Staff #1 grabbed Child #1's arms before pinning Child #1's head between his/her legs to keep Child #1 still to wipe Child #1's nose.