Titusville YMCA After School Program

The FBI clearances on file for Staff #4 (dated 8/21/23) and Staff #5 (dated 11/11/22) were issued by the Department of Education and are unacceptable for child care. Staff #4 (dated 4/25/25) and Staff #5 (dated 4/23/25) have updated and acceptable FBI clearances on file at the time of the renewal inspection.

The file for Staff #6 contained initial emergency plan training dated 3/24/25, more than 90 days from the staff person's date of hire (SEE IS CODE SHEET). The file for Facility Person #13 lacked emergency plan training.

The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

In the Purple Room, a power strip lacked protective outlet coverings in every outlet.

Multiple canisters containing small amounts of Joico Lightening Powder, labeled "Keep out of the reach of children", were observed on shelves in the Orange Room and were accessible to children. Toxic cleaners and cans of paint were observed in the Boiler Room, which was unlocked and accessible to children. Toxic cleaners were observed in an unlocked closet next to the cafeteria and were accessible to children.

Windows in the Green Room and Brown Room, located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.

In the Blue Room, a metal piece of the heater was detached from the heating system and could be hazardous to children. A clean out pipe was observed protruding from a wall in a bathroom stall on the basement level with exposure to the interior wall, was not clean and in good repair, and was accessible to children.

Peeling paint and plaster was observed on the window sills in the Pink Room and Green Room.

In the bathroom located in the Blue Room lacked a handwashing sign at every sink and toilet.

In the Orange Room, Blue Room, and Pink Room, foam blocks were observed with teeth mark and not in good repair.

The initial health assessment and immunization record on file for Child #5 are dated 4/11/25, more than 60 days beyond the child's date of enrollment (SEE IS CODE SHEET).

The immunization record for Child #2 (Preschool Age) lacked the following immunizations: 1 dose of Pneumococcal without a Letter of Exemption in the file. Child #2 must be dismissed from care by close of business on 5/22/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The initial tuberculosis test on file for Staff #1 (dated 1/14/25) and Staff #2 (dated 11/31/24) are dated after the staff person's date of hire. The initial health assessment on file for Staff #4 (dated 11/18/24) and Staff #5 (dated 10/14/24) are dated beyond the staff person's date of hire (SEE IS CODE SHEET). The initial health assessment and tuberculosis test on file for Staff #6 are dated 8/6/23, which is more than 1 year prior to the staff person's date of hire (SEE IS CODE SHEET).

The tuberculosis test on file for Staff #6 dated 8/6/23 lacked results of the screening which is due at time of hire (SEE IS CODE SHEET).

The health assessment on file for Staff #2 does not indicate that the staff person was examined for communicable diseases.

The health assessment on file for Staff #2 and Staff #3 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Based on a conversation with the director, the facility is not testing the fire alarm system every 30 days and maintaining a log of the test dates, as required with the 12/19/20 Chapter 3270 regulation updates. The facility schedules annual fire system inspections, even though they are able and required to manually test the alarm every 30 days.

The two most recent fire safety trainings on file for Staff #8, Staff #9, Staff #10, Staff #11, Staff #12 are dated 6/20/23 and 4/30/25, more than 12 months apart.

Staff #2 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): Mandated Reporter Training. The training was completed on 2/12/25. Staff #6 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): Get Started with Center-Based Care Revised-2022. The training was completed on 12/13/24.

The mandated reporter trainings on file for Staff #4 (dated 1/8/25) and Staff #5 (dated 8/18/21) are not approved trainings, making them invalid.

The file for Staff #9, classified as an assistant group supervisor, lacked documentation of 2 years of experience with children.

The most recent child service report on file for Child #3 is dated 4/21/25, more than 6 months beyond the child's date of enrollment (SEE IS CODE SHEET).

The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.

The emergency contact form on file for Child #2 and Child #3 lacked a complete address and telephone number for the child's physician or source of medical care.

The emergency contact form on file for Child #2 and Child #4 lacked a complete address and telephone number for the enrolling parent.

The emergency contact form on file for Child #4 lacked complete addresses for all listed release persons.

The most recent 6 month review signature for the emergency contact form on file for Child #1 is dated 1/16/25, more than 6 months beyond the child's date of enrollment (SEE IS CODE SHEET).

The file for Staff #7 contained 2 written letters of reference, but one letter was written by a family member making it unacceptable. The file for Facility Person #14 lacked 2 nonfamily written reference letters.

There was more than 60 months between the PSP, Child Abuse and DHS FBI clearances on file for staff #1. There are now current clearances on file. Dates are as follows: PSP - 1/22/19 and 4/30/24, Child Abuse- 1/26/19 and 5/6/24 and FBI- 8/27/18 and 5/1/24. The file for staff #3 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 2/12/24. The file for facility person #4 lacks a disclosure statement. The file for facility person #5 lacks an NSOR and a disclosure statement.

The emergency plan lacked a plan addressing continuity of operations for the aftermath of a disaster.

In the PS 3 room, observed 3 pairs of adult scissors in an accessible drawer in the teacher's desk.

The facilities emergency plan lacked a plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The files for facility persons #4 and 5 lack verification of any emergency plan training.

The parent letter explaining the emergency plan procedures and updates lacked an explanation of lockdown, a method to contact parents to notify them that there is an emergency and a method to inform parents that the emergency has ended and how they can be safely reunited with their children and accommodations for children with disabilities and children with chronic medical conditions.

In the PS 1 room, observed an electrical outlet under a picture of a sunflower which lacked a protective receptacle cover.

In the PS 2 room, observed that the first-aid kit was sitting on the chalk board and was accessible to the children in care.

The first aid kit in the PS 1 room lacked soap.

The wall outside of the boy's bathroom which was blue and yellow, under the sinks in the boy's bathroom and outside of the stalls in the boy's bathroom had peeling paint.

The base of the faucet at the sink and wall beside the sink in the bathroom in the PS 3 Room were dirty.

There was more than 24 months between the previous and most current and updated health reports on file for staff #1 and 2. There are now current health reports on file. The files for facility persons #4 and 5 lack a health report which has been completed within the past 24 months.

The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility. SEE IS CODE SHEET. There is now a health report on file and dated 12/11/23.

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.

Facility persons #4 and 5 have not completed the mandated reporter training within 90 days of their date of hire (see IS code sheet).

There was more than six months between reviews/updates of the emergency contact and financial agreement information on file for child #2. This is evidenced by the dates of 3/1/23 and then 2/20/24.

The files for facility persons #4 and 5 lack two written nonfamily references from individuals attesting to the persons suitability to serve as a facility person.

In Room #1, four (4) pair of adult scissors, Room #2, four (4) pair of adult scissors and Room #3, three (3) pair of adult scissors were observed on the teacher's desks which were accessible to children.

The files for Staff #1, #2, #3 and #4 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

Mandated Reporter Training for staff #3 was dated more than 60 months ago.

Although the files for Staff #3 and #4 contained documentation of the completion of emergency plan training completed in the past 12 months, each staff member previously completed emergency plan training more than 12 months prior to the most recent training.

A first-aid kit was not present in the Tiny Footsteps room.

Two approximately 12"x8"x8" plastic storage bins in areas accessible to children in care in the Tiny Footsteps 1 Room were observed to have cracked edges that could cause laceration and/or pinch point injuries. A dry erase board in an area accessible to children in care in the K4 Room was observed to have a sharply edged metal mounting brace that could cause laceration injuries.

The facility's outdoor equipment located in the outdoor play space was observed to be embedded, but lacked sufficient substrate as recommended by the United States Consumer Product Safety Commission.

The file for Child #1 contained a health assessment that did not include a physician's attestation that the child is able to participate in child care.

The file for Child #1 did not include a physician's statement that all age appropriate screenings were completed as recommended by the American Academy of Pediatrics.

Although the files for Staff #1, #3, #4, and #5 contained documentation of the completion of fire safety training that was completed over the past 12 months, the previously completed fire safety trainings for each staff were dated more that 12 months prior.

Although the file for Staff #3 contained documentation of the completion of mandated reporter training completed in the past 60 months, the previously completed mandated reporter training on file was dated more than 60 months prior to the most recent training.

The files for Staff #2, #4, and #5 contained performance evaluations completed in the past year; however, the previous evaluations for each noted staff member were completed more than 12 months prior to the most recent evaluations.