Ridgway YMCA Child Care

Observed prescription medication for child #1 not labeled and accessible due to the fact it was in the front pocket of the child's bookbag on the floor of the childcare space.

There was not a medication log for the medication observed for child #1.

At the time of reviewing the emergency plan, there was not documentation that an emergency drill had been conducted annually.

At the time of reviewing the emergency plan, there was no documentation the plan was sent to the local municipality and to the county emergency management agency.

The file of child #2 lacked the work address and telephone number of the enrolling parent.

The file of staff #1 lacked transcripts for the college diploma.

Staff file #3 lacked copies of completed PA State Police Criminal Clearance and DHS FBI Clearance in the file within 45 days of hire. (See LIS CODE SHEET)

The facility's emergency plan did not include requirements for continuity of operations to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

The facility lacked a letter to the parents of enrolled children explaining the emergency plan, including any subsequent updates made to the emergency plan.

The facility's emergency plan was not updated to include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The operator developed a log to document emergency drills that did not include the following required information in compliance with Announcement C-22-04 Updated Emergency Preparedness and Response Planning Regulations and Requirements for Child Care Facilities: Special accommodations the facility used for any category of children (Infants, Toddlers, Children with Special Needs) and problems encountered or observations during the drill (For use in updating the Emergency Plan).

The facility lacked documentation of completion of annual fire inspection since 4/14/22 conducted by a fire safety professional.

Staff file #1 contained documentation of completion of Pediatric first aid and CPR training dated 8/31/21 and 1/21/24 which exceeded the 2 year expiration date.

Child file #2 lacked the operator's signature on the agreement form.

Child file #1 lacked the designated release persons to whom the child may be released on the agreement form.

Staff file #3 contained documentation of completion of Pediatric First Aid and CPR training completed on 1/21/24 which was more than 90 days after date of hire. (See LIS CODE SHEET)

Staff file #1 and #2 contained documentation of completion of the Health and Safety training basics completed on 8/13/16, which was prior to the required date of 9/30/16. Both staff files contained copies of Get Started with Center Based Care 10 hr training dated 7/20/23.

The file for staff #1 contains an FBI clearance that was appropriate for the Department of Education rather than the Department of Human Services.

The files for facility person #2 and #3 lack emergency plan training.

The file for child #1 contains a health assessment that was received late. The health assessment was due 1/2022 and obtained 4/2022.

The file for child #1 lacks a flu vaccination for the 2022 year.

The file for child #1 lacks a flu vaccination for the 2022 year. The child is still in care.

The facility's emergency plan did not provide for accommodations for children with disabilities and children with chronic medical conditions.

Observed staff file #1, a provisional hire, did not contain documentation of applying for the criminal background clearance prior to the first day working with children, and staff #1 worked for the first 10 days with a volunteer criminal background clearance which is not acceptable for employment.

Observed hand sanitizer, labeled keep out of the reach of children, accessible to children on a low cabinet by the entrance way. Observed disinfecting wipes, labeled keep out of the reach of children, accessible to children on a low shelf in an unlocked cabinet.

Observed plastic bags accessible to older toddlers, in an unlocked low cabinet by the bathroom.

Observed child file #5, contained an initial health assessment which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Observed child file #1, 2, 3, 4, and 5 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Observed staff file #1, who has started providing initial service in a child care setting, did not contain an initial health assessment.

Observed the facility did not have documentation of conducting an emergency drill within the previous 12 months.

Observed the facility did not have documentation of the fire alarm system being tested at least every 30 days. Observed the facility did not have documentation of the proof of purchase of the interconnected fire alarm system.

Observed staff file #1, who is listed as an aide, did not contain documentation of a high school diploma or a general educational development certificate.

Observed the emergency contact information for child file #1 did not contain the address of the individual designated by the parent to whom the child may be released.

Observed the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.