Sewickley YMCA/Osborne Elementary

There was an Albuterol inhaler in Room 116, labeled for use by Child #1 which did not have written instructions from the individual who prescribed the medicine.

There was an Albuterol inhaler in Room 116 labeled for use by Child #2 which did not have written parental permission to administer.

Yogurt, cheese, and lunch meats were observed in lunchboxes in Room 116 and Room 119 that were not refrigerated.

The file for Staff person #1 and #2, who were observed assisting in swimming activity, did not have proof of current water safety training.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; Get Started with Center-Based Care; Building Blocks for Quality; Mandated Reporter training. Staff person #4, has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed 7.15.25.

The file for Staff person #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children.

Staff person #2 was observed to be caring for children unsupervised. Staff person # has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and Health & Safety (CDDBG) training.

The most recent training regarding the emergency plan on file for Staff person #7 is dated 11.12.19, more than 1 year ago. The most recent training regarding the emergency plan on file for Staff person #9 is dated 2.27.23, more than 1 year ago.

There was no lidded trashcan in Room A116 and A119 where children were observed throwing away soiled facial tissues, used plastic utensils, and unfinished food from lunches.

The bathroom in Room A119 did not include a lidded waste receptacle.

The thermometer in the refrigerator in Room A116 where children's lunches are stored, measured 48 degrees Fahrenheit at the time of the inspection.

The immunization record on file for Child #2, who is 4 years old, included 3 of 4 DTAP Vaccines recommended by the ACIP for a child this age; 3 of 4 HIB vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #4, who is 4 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age

Prior to serving snack, it was observed that none of the children washed their hands before eating and staff acknowledged that they had not insured hands were washed.

The 2 most recent health assessments on file for Staff person #6 were dated 9.2.21 and 1.11.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 1.29.22 and 2.10.24, more than 24 months apart. The most recent health assessment on file for Staff person #9 is dated 10.1.22, more than 24 months ago.

The initial health assessment on file for Child #5 with an enrollment date of 8.21.24, is dated 2.4.25, more than 60 days after enrollment.

The file for Staff person #1 includes verification of First Aid/CPR training dated 1.15.25, after the expiration date of the previous training, 12.31.22. Staff person #8 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification; the previously documented Pediatric first aid and CPR training on file expiring 12.31.24 and documentation of updated Pediatric first aid and CPR training is not on file.

The most recent fire safety training on file for Staff person #4 is dated 11.3.23, more than 12 months ago. The most recent fire safety training on file for Staff person #5 is dated 5.24.23, more than 12 months ago. The file for Staff person #7, #9 does not include documentation of fire safety training (See LIS Code Sheet).

The file for Staff person #7, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

The two most recent staff evaluations on file for Staff person #1 are dated 3.10.23 and 12.18.24, more than 1 year apart. The two most recent staff evaluations on file for Staff person #4 are dated 2.28.23 and 11.19.24, more than 1 year apart. The most recent staff evaluation on file for Staff person #5 is dated 2.28.23, more than 1 year ago. The most recent staff evaluation on file for Staff person #7 is dated 3.26.21, more than 1 year ago. The file for Staff person #9 does not include a staff evaluation within 1 year of hire (See LIS Code Sheet).

The emergency contact form on file for Child #6, #7, #8 does not include the telephone number for the child's pediatrician/source for medical care.

The file for Child #1 and #3 does not include written parental consent for the facility to obtain emergency medical care.

The emergency contact form on file for Child #6 does not include a telephone number for all listed release persons. The emergency contact form on file for Child #8 does not include a complete address for all listed release persons.

The file for Child #1 and #3 does not include written parental consent for the facility to administer minor first aid procedures.

The file for Child #7 does not include a copy of the initial agreement.

The file for Staff person #1 includes only 1 written nonfamily reference attesting to the staff person's suitability to work in childcare. The file for Staff person #2, #3 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

The file for Staff person #1, includes verification of 9.5 of the required 12 hours of annual training between 6.2023-6.2024; an additional 3 hours of training from 12.11.24 are borrowed to meet the requirement. The file for Staff person #7, includes verification of 3.5 of the required 12 hours of annual training between 5.2023-5.2024.

Staff person #3 has not had emergency plan training within the last 12 months. The most recent training on file for staff person #3 is dated 2/15/22.

In Room 119, the first aid kit did not include sterile gauze pads.

The resting mats in Room A116 were observed to be ripping apart on the corners of the mats and were not in good repair.

The two most recent health assessments on file for staff persons #1, #5, and #7 are dated more than 24 months apart. Staff person #1: 9/23/21 and 1/24/24. Staff person #5: 5/26/20 and 4/12/23. Staff person #7: 9/5/21 and 10/4/23.

The hypothetical location on the facilities fire drill log was observed to state "Front of School" for the past 6 consecutive drills and did not rotate around the facility (PS and After School Programs).

The fire drill logs on file at the facility did not include the specific date of each drill conducted (PS and After School).

The file for staff person #7 was observed to have documentation of Pediatric First Aid/CPR training certificate that was not renewed before the expiration date of the most current certification: 9/5/21 and 10/4/23.

Staff persons #3 and #9 have not had fire safety training within the last 12 months. The most recent training on file for staff person #3 is dated 3/3/22 and for staff person #9 is dated 3/3/22. The two most recent fire safety trainings in the files for staff persons #4, #7, and #8 are dated more than 12 months apart.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): Pediatric first aid/CPR.

The two most recent evaluations in the file for staff persons #1 and #3 are dated more than 12 months apart. Staff person #1: 9/15/22 and 1/12/24. Staff person #3: 7/11/21 and 1/20/24. The file for staff person #8 did not include a written evaluation on the staff person within the last 12-months.

The agreement form in the file for child #2 did not include operator's signature.

The file for child #2 contained the original agreement form.

The emergency contact forms for children #2 and #3 did not include the phone number of the child's physician.

The emergency contact form in the file for child #1 lacked the addresses of the individuals designated by the parent to whom the child may be released.

The emergency contact and the parent agreement form in the file for child #3 were updated by the parent on 1/23/23 and 8/23/23, which exceeded 6-months between updates.

The file for staff person #6 has documentation of pediatric first aid/CPR training dated 6/20/23, which was not within 90 days of hire (See LIS Code Sheet).

The files for staff persons #4 and #6 were observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 was observed not to contain a valid child abuse or state sex offender clearances from the state of Delaware where the staff person resided in the 5 years prior to employment, within 45 days of hire (See IS CODE SHEET). Staff person #6 cannot work in the facility until the child abuse and state sex offender clearance results from the state of Delaware are submitted and verified.

The files for staff persons #1 and #2 lacked documentation of annual emergency plan training. The most recent emergency plan training on file for staff persons #1 is dated 11/1/21 and staff #2 is dated 4/12/21.

The bathroom sink in Room A116 was observed to lack a posting of a handwashing sign.

In Room A119, rest equipment lacked labels with the names of the specific children receiving care.

The refrigerator in Room A119 was observed to lack an operating thermometer.

The file for child #5 lacked a review of the child's immunized status according to recommendations of the ACIP.

The files for children #1, #2, and #4 lack an immunization record and have been enrolled in the facility for more than 60 days.

The files for staff persons #4. #5, and #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

The afterschool program at the facility does not have documentation of conducting an emergency drill in 2022.

The SA program at the facility has not completed a fire drill within the last 60 days. The most recent documentation of a fire drill being conducted was on 8/31/22. The PS program at the facility had documentation of fire drills being conducted that exceeded 60 days from 10/14-12/22.

The files for children #1, #2, #4, and #5 lack an initial health report and have been enrolled in the facility for more than 60 days.

The files for staff persons #1 and #2 were observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022.

The file for staff person #2 lacked documentation of completing fire safety training annually. The most current training on file was observed to be dated 11/26/21.

Staff person #3 has 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.

The files for staff persons #1 and #2 have not had a written evaluation completed by the director within the past 12 months.

A written plan of daily activities was not posted in the afterschool program in the cafeteria.

The file for child #6 lacked an agreement form that shall be signed by the operator and the parent.

The agreement on file for child #7 lacked the operator's signature.

The emergency contact form on file for child #5 and #7 lacked the telephone number of the child's physician.

The emergency contact form on file for child #3 lacked the address of the individual designated by the parent to whom the child may be released.

The agreement on file for child #7 has not been reviewed and updated by the parent within the last 6 months.

The emergency form on file for child #7 lacked signed parental consent for emergency medical care.

The emergency form on file for child #7 lacked parental consent for administration of minor first-aid procedures by facility staff.

The file for staff person #1 lacked documentation of child abuse clearance results prior to date of hire as required under the CPSL for provisional hiring. The file for staff person #1 now has a current child abuse.

The file for staff person #2 and #4 lacked documentation of annual emergency plan training in 2021. The two most recent emergency plan trainings on file for staff person #2 are dated 12/15/20 and 2/15/22, and the two most recent staff person #4 are dated 10/19/20 and 2/15/22, which is more than one year after the previous training. The file for staff person #5 lacked documentation of emergency plan training at initial employment. The emergency plan on file for staff person #5 is dated 2/15/22.

On the staff table in the cafeteria room at Osborne Elementary, multiple first aid bags were observed on the table making the first aid kits accessible to children.

The file for staff person #1 lacked contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #1 was dated 5/21/22. The file for staff person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #2 are dated 7/26/19 and 9/2/21.

The file for staff person #1 was observed not to contain documentation of a tuberculosis screening by the Mantoux method at initial employment (See LIS CODE SHEET). The tuberculosis screening for staff person #1 was dated 5/21/22.

The most recent fire safety training on file for staff person #4 is dated 2/15/22, more than one year after the previous training, dated 10/19/20. The most recent fire safety training on file for staff person #5 is dated 6/6/22, more than one year after the start date of 6/1/21.

Staff person #3, #4, #5 #6, #7 and #8 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for staff person #5, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person # 5 was dated 11/14/21. The file for staff person #2, was observed not to have completed pre-service training of completing pediatric first aid/CPR by an approved PQAS instructor by April 29, 2022. The pre-service training on file for staff person #8 was dated 8/1/22.

The file for staff person #2 and #4 lacked documentation of annual 12 clock hours of child care training.

The facility does not have verification of proof of purchase for the fire alarm system.

The file for staff person #1 does not include a criminal history clearance, child abuse clearance, or sex offender clearance from Washington, where she resided within 5 years prior to hire. The file for staff person #4 did not include a child abuse clearance, or sex offender clearance from Missouri, where she resided within 5 years prior to hire.(See LIS CODE SHEET) as required under the CPSL.

The most recent emergency plan training on file for Staff person #5 is dated 2/15/22, more than 1 year after the previous training, dated 10/19/20.

The most recent influenza vaccine on file for Child #3, who is 4 years old, is dated 9/16/19, more than 1 year ago; the influenza vaccine is recommended annually by the ACIP

The files for Child #6 and #9, who have been enrolled for more than 60 days, do not include an immunization record.

The health assessment on file for Child #3 does not indicate that the child is free from contagious/communicable disease and is able to participate in child care.

There was an EpiPen on site for Child #1 that expired 11/2020.

There was an EpiPen on site for Child #1 that does not have written parental consent to administer.

The 2 most recent health assessments on file for Staff person #5 are dated 9/21/19 and 9/23/21, more than 24 months apart.

The facility does not have documentation of conducting an emergency plan drill by 12/19/21, as required by current regulations, which were effective as of 12/19/20.

The file for Child #1, with an enrollment date of 1/3/22, does not include an initial health assessment, which was due within 60 days of enrollment. The file for Child #6, with an enrollment date of 8/25/21, does not include an initial health assessment, which was due within 60 days of enrollment.The file for Child #9, with an enrollment date of 11/1/21, does not include an initial health assessment, which was due within 60 days of enrollment.

The file for Staff #5 contained documentation of pediatric first-aid and CPR which expired 12/2/21.

The most recent fire safety training on file for Staff person #5 is dated 2/15/22, more than 1 year after the previous training, dated 10/19/20.

The file for Staff person #1, classified as a director does not include a bachelor degree in education or a related human services field with 1 year of experience with children; or a bachelor degree with 30 credits in education or a related human services field and 2 years of child care experience; or an associate degree in education or a related human services field and 3 years of child care experience; or an associate degree with 30 credit hours in education or a related human services field with 4 years of child care experience.

The agreement on file for Child #1 is not signed by the operator.

The agreement on file for Child #8 does not include the fee to be paid for services.

The agreement on file for Child #7 does not include the child's arrival and departure times.

The emergency contact form on file for Child #3, #4, and #8 does not include a complete address for the child's physician/source of medical care.

The emergency contact form on file for Child #5, does not include a work addresses and telephone number of the enrolling parent.

The file for Child #2, #3, #6, with an enrollment date of 8/25/21, does not include a 6 month review signature for the emergency contact form and agreement.

The file for staff person #1, #2, #3, and #4 does not include documentation of completion of pediatric first aid and pediatric CPR training within the first 90 days of hire (See LIS CODE SHEET).

The file for Staff person #5 includes 6 of the 12 hours of required annual training between 12/19/20-12/19/21, as per Announcement C-21-09.