Rose E Schneider Family YMCA Early Learning Center

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: (Pediatric First Aid/CPR).

The file for Staff #2, #3, #6, and #8 contained an invalid Disclosure Statement. The file for Staff #3 lacked a complete State Police Clearance.

At approximately 10:00 AM, Staff #9 and #10 were observed in the Outdoor PlaySpace with 10 children including 8 Older Toddlers and 2 Preschool Aged Children. Staff#10 named four children as being in their assigned group including 1 Preschool Aged Child, and three Older Toddlers. Staff #9 named five children in their assigned group including 1 Preschool Aged Child and four Older Toddlers, therefore leaving Child #2 not identified as being in an assigned primary group.

In Room 1, Q-tips, labeled "Keep Out of Reach of Children," were observed in a low unlocked drawer accessible to the children in care posing a protrusion hazard to the children in care.

In the Outdoor PlaySpace there was a rip in the squishy surface underneath the green airplane toy that posed a tripping hazard to the children in care. In the Multi-Purpose Room along the right-side wall the baseboard was loose and detached from the wall. In the Multi-Purpose Room, there were three ceiling tiles that were not in good repair as they each had a hole in the section of tile.

In the Multipurpose Room along the back wall there was damaged plaster and along the right-side wall there was peeling paint.

In the Infant Room there was an Infant toy that had individual separate beads that were less than an inch in diameter. In the Outdoor PlaySpace there was mulch, and small rocks in an area where toddlers were playing. The Outdoor PlaySpace also had small pieces of the squishy material that had become loose and posed a choking hazard. These items were accessible to children still placing objects in their mouths.

Observed rest equipment in Room 2 and Room 3 that lacked 2 feet of space on three sides while in use. A crib in the Infant Room was observed to lack 2 feet on 3 sides while an infant was sleeping in the crib

The refrigerator in Room 1 contained a thermometer that was reading 53 degrees.

The file for Child #4, a Preschool Aged Child, contained Health Reports that had been updated in an interval greater than 12 months.

In Room 1, there was an albuterol inhaler that did not identify the name of the child for whom the medication was intended.

The file for Staff #7 lacked a Health Assessment completed within the previous 24 months. The file for Staff #4 and #5 contained health assessments that were not conducted within 24 months of the previous assessment.

The file for Staff #3 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have tuberculosis screening by the Mantoux method before their first day working in childcare.

The file for Staff #5 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to other exposed to this individual.

Observed a cheese stick, which requires refrigeration, was being stored in a child's backpack not in the refrigerator as required by regulation.

The only fire safety training in the file for staff person #2 was dated more than 12 months after they began working with children.

Staff person #1 had completed First Aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Although Staff #2 and #6 had Pediatric First Aid and CPR at the time of the Renewal Inspection it was observed that Staff #2 and #6 had not completed Pediatric First Aid/CPR within 90 days through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

The files for Child #2 and #3 contained child service reports that provide information to the family about the child's growth and development in the context of the services being provided dated more than 6 months apart.

The Emergency Contact Form for Child #4 lacked the name, address and telephone number of the child's physician.

The Emergency Contact Forms for Child #1, #2, #4, and#5 lacked the enrolling parents work address and telephone number.

The Emergency Contact Form for Child #1 lacked the complete address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #4 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released.

At approximately 9:00 AM during the swim visit there was 11 preschool aged children present; Staff #1 identified 3 preschool aged children as part of their assigned group, Staff #2 identified 3 preschool aged children as part of their assigned group, and Staff #3 identified 5 children as part of their assigned group. Staff #3 who was in ratio was also identified as the facilities lifeguard. Therefore, putting the ratio of staff to preschool aged children 2:11.

In the Young Toddler Classroom there was a bottle of Children's Tylenol that was observed with the other medication that was not labeled for whom the medication is intended.

The file for Staff #3 lacked complete provisional hire documentation at the time of initial hire; Staff #3 has lived out of state in the last 5 years and did not have documentation of requests for the Ohio clearances.

Although the file for Staff #1 contained Emergency Plan training at the time of Renewal Inspection, it was observed that Staff #1 did not obtain Emergency Plan training within 90 days of hire.

In the Outdoor Fenced Grassy Area there were short green stakes in the fencing that were sharp along the top, posing a cutting hazard for the children in care.

In the multi-purpose room, there was peeling paint on the far wall near the ride on toys. In Room 4, the Young Toddler Classroom there was peeling paint underneath the outside window. In Room 4, the Young Toddler Classroom there was peeling and rough plaster underneath the internal window.

In Room 4, Camilia (Teething Drops), were observed in a bag in the Medicine Box and not the original container.

In Room 4, the Young Toddler Classroom there was a bottle of Tylenol, Baby Cough Syrup, and Camilia (Teething Drops) that did not identify the name of the child for whom the medication was intended.

Observed the medication at the facility for Child #6, #7, and #8 lacked written parental consent for administration of the medication.

The file for Staff #2 contained a Health Assessment at the time of inspection, but it was observed the Health Assessment was not dated and therefore it could not be determined if the Health Assessment was timely.

Based on the Fire Detection System Annual Letters, there was a gap in the documentation exceeding 1 year where the smoke detectors were not tested, 4/21/23 and 6/11/24.

The files for Child #3, #4, and #5 contained child service form that provides information to the family about the child's growth and development in the context of the services being provided that had not been updated in the previous 6 months.

The file for Child #1 contained an Agreement which did not specify the child's arrival and departure times.

The Emergency Contact form for Child #5 lacked the name, address, and telephone number of the child's physician.

The Emergency Contact form for Child #4 lacked signed parental consent for emergency medical care.

The Emergency Contact form for Child #3 lacked the health insurance coverage policy number for the child.

The files for Child #1, #2, #3, #4, and #5 contained Agreement Forms that had not been updated within the last 6 months.

The Emergency Contact form for Child #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

In the Gross Motor Room along the far wall next to the storage closet there was peeling and flaking plaster.

Observed rest equipment in Room 3 that was not labeled for the use of a specific child.

The files for Child #2, #3, and #4 contained an agreement which did not specify the child's arrival and departure times.

The Agreements for Child #2, #3, and #4 lacked the persons designated by a parent to whom the child may be released.

The Agreements in the files for Child #2, #3, and #4 did not have a section on the form to address the services which are to be considered as extra.

The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

The Emergency Contact Form in the file for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff #1 contained a disclosure statement that lacked a witness signature and date.

In Room 2, Older Toddler Classroom and Room 3, Young Toddler Classroom there was not a sink in or near the diapering area.

In Room 2 Older Toddler Classroom, Room 3 Young Toddler Classroom, and Room 4 Infant Classroom there were no hand washing sign posted in the diapering area.

In Room 2, Older Toddler Classroom there was a loose screw sticking out the bookshelf that created a rough edge.