Valley Points Family YMCA After School Child Care

The file for Staff Person #8, a rehire, did not include a current disclosure statement.

The initial emergency plan training in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day in child care (See LIS Code Sheet).

Observed two damaged ceiling tiles in the Art Room.

The timeliness of the initial health report in the file for Child #3 cannot be assessed because the report is missing the date.

The initial health assessments in the files for Staff Person #1 and #2 were conducted after the staff person's first day working in child care (See LIS Code Sheet). The most recent health assessments in the files for Staff Person #5 and #6 exceeded 24 months between assessments.

Pick-up and drop-off procedures were not posted at the facility.

The most recent documented emergency drills exceeded 12 months between drills: 3/10/23 - 6/2/24.

The fire drill/fire system check log did not have documentation of thirty-day fire system tests from 4/3/23 through 6/10/24.

The most recent Pediatric CPR/First Aid Certificates in the files for Staff Person #4 and #7 were dated after the previous certificates had expired.

The file for Staff Person #6 did not have documentation of annual fire safety training conducted within the past 12 months.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training (see LIS code sheet):

The most recent written evaluations in the file for Staff Person #4 exceeded 12 months between evaluations.

The most recent fee agreements in the files for Child #1, 2, 3 and 4 did not specify the date of the child's admission.

The most recent parent updates for the emergency contact form and fee agreement in the file for Child #2 exceeded 6 months between updates. August 2023 - June 2024.

The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child or administration of minor first-aid procedures by facility staff.

**3rd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

2nd CITATION: Based on staff interviews the facility has not had a director since November 2023. PREVIOUSLY CITED ON 3/7/24.

THIRD CITATION Upon arrival to the Facility with Staff Person #2, school age children were observed to enter the room with Staff Person #1 while Staff Person #2 waited in the hallway for a child using the restroom. Staff Person #1 was also observed to leave the classroom to take a child to the restroom across the hallway. Staff Person #1 does not have mandated reporter training on file that would allow them to be unsupervised with children. FACILITY PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

One of the two exits from the classroom to the hallway was observed to be obstructed by a large white board.

Emergency contact forms were not present for children receiving care in the Classroom. Staff Person #2 reported that the emergency forms are kept in the office down the hallway.

2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. Staff person #2 was observed to be caring for children unsupervised. 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 facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

*2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

**2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

*2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

**2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway. No staff person was physically present with the child. PREVIOUSLY CITED ON 12/13/23.

2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. 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 facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

Based on staff interviews the facility has not had a director since November 2023.

During a complaint investigation conducted on 12/13/23, staff disclosed that over the past two months, on multiple occasions, they have exceeded ratio by one or more young school age children for approximately 15 to 20 minutes while getting the children off of the school bus in the afternoon. Once those 13 or 14 young school age children are off of the bus, a staff person would walk those children from the bus stop back down to the facility thus resulting in the staff: child ratio being 1:13 or 1:14 depending on the number of children who get off the first school bus. Also, during the complaint investigation, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves with no staff person present resulting in the staff: child ratio being 0:1.

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

During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves without being supervised by any staff person.

During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves. No staff person was physically present with the child.

During a complaint investigation conducted on 12/13/23, Staff person #1 and Staff person #2 self-disclosed that they 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.

The file for staff #1 contained a current FBI clearance dated 2/8/23, that was not renewed within 60 months of the prior FBI clearance dated 6/5/17. The file for staff #4 contained a current FBI clearance dated 3/14/19, that was not renewed within 60 months of the prior FBI clearance dated 5/7/12. The file for staff # 5 contained a current mandated reporter training certificate dated 1/20/20 that was not obtained within 60 months of the previous certificate dated 1/9/15.

The file for staff # 1 lacked an annual emergency plan training. The prior training was dated. 6/1/22. The file for staff # 2 lacked an annual emergency plan training. The prior training was dated. 6/9/22. The files for staff # 3 and 4 lacked an annual emergency plan training. The prior training was dated. 7/1/21.

There was a multiplug with 3 uncovered electrical outlets by the staff desk in the big room accessible to children 5 years of age or younger. There were 2 uncovered electrical outlets on the wall under the window in the right-side of the big room accessible to children 5 years of age or younger.

There was contaminated trash by human secretions in the uncovered garbage can in the big room.

There was a hole on the wooden frame that contains the air conditioner in the small room at the second floor. The wooden frame around the air conditioner had chipped plaster exposing a sharp metal edge on the corner of the frame. There were two ceiling tiles falling off, one in the big room and one in the small room.

There were chipped paint spots on the blue wall in the big room. There was chipped plater on the white wall under the window in the big room.

The small room lacked play equipment and materials appropriate to the developmental needs, individual interests and ages of the children.

There was a cracked blue bin holding Legos in the big room. There was a cracked pencil box holding crayons in the big room.

The furniture in the small room was not child sizes appropriate. The room had adult rolling chairs available to children.

The operator was not maintaining a medication log for an Albuterol Sulfate Inhalation Aerosol medication for child #6.

The file for staff # 1 contained a current health assessment dated 4/7/22. It was not obtained within 24 months of the previous assessment dated 1/24/20. The file for staff # 3 contained a current health assessment dated 1/15/22. It was not obtained within 24 months of the previous assessment dated 5/15/19. The file for staff # 4 lacked an updated health assessment, the prior report was obtained more than 24 following the date of signature. The prior report was dated 2/29/21. The file for staff # 5 contained a current health assessment dated 1/3/23. It was not obtained within 24 months of the previous assessment dated 12/22/20. The file for staff # 6 contained a current health assessment dated 2/10/23. It was not obtained within 24 months of the previous assessment dated 3/12/20. The file for staff # 7 contained a current health assessment dated 9/14/22. It was not obtained within 24 months of the previous assessment dated 7/9/19.

There were 4 different lunchboxes out of the refrigerator that contained cheese and lunch meat.

According to the Fire Drill Log the fire drill has not been conducted once every 60 days. The last fire drill was conducted on 4/3/23.

On the day of the inspection, the provider was unable to demonstrate the fire alarm system. The fire alarm system was not operable.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 4/3/23 to 6/12/23.

The file for staff # 6 and 8 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

The file for staff # 4 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21. The file for staff # 5 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21.

The files for staff # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional.

The file for staff # 1,2,3,4,5,6,7 and 8 lacked the completion of basic instruction in water safety training from a certified lifeguard.

The file for staff # 1 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 2 contained a current Health and Safety Updated training dated 5/8/23, that was not completed by the deadline of 12/30/22 The file for staff # 3 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 4 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 5 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 6 contained a current Health and Safety Updated training dated 2/9/23, that was not completed by the deadline of 12/30/22.

The file for staff # 1 lacked an evaluation within 12 months. The last evaluation is dated 6/1/22. The file for staff # 3 lacked an evaluation within 12 months. The last evaluation is dated 10/4/21. The file for staff # 4 lacked an evaluation within 12 months. The last evaluation is dated 3/10/21.

The small and the large rooms both lacked daily activities scheduled posted.

The files for children #1,3,4,5 and 6 lacked the operator's signature on the agreement form. The files for children # 4 lacked the parent's signature on the agreement form.

The file for child #4 lacked the amount of the fee to be charged per day or per week. on the agreement form.

The file for child #4 lacked the date on which the fee is to be paid on the agreement form.

The files for child #1and 4 lacked the arrival and departure times on the agreement form.

The file for child #1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

The files for children #1,2,3,4,5 and 6 lacked the date of the child's date of admission on the agreement form.

The file for child # 4 lacked services which are to be considered as extra on the agreement form.

The file for child # 2 lacked the name of the child's physician or source of medical care on the emergency contact form. The files for child # 1,2 and 4 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

The files for children # 1,4 and 6 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The files for children # 1,2 and 4 lacked the health insurance policy number on the emergency contact form.

The files for children #1 and 2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The child files were stored at the staff desk in the big room. The files were not in a locked cabinet.

The emergency contact form was not present in the pool where the children were receiving care.

At 9:00 am, Staff #3 and staff #4 were caring for 25 children with a mixed age level of PS to school age, in room #2. Staff #5, had left the room, to take 4 children to the restroom located in the hallway across from the room.

Staff #4 refused to identify his group.

The Emergency plan was not posted in a conspicuous location at the facility.

In room # 2 upstairs the window on the back of the room by the wall on the left have a cracked glass.

The file for staff #1 contained a current health assessment that was renewed after 24 months dated 7/9/19-4/14/22.

There was a pink and purple lunchbox in the main room that contained lunch meat and cheese sandwich. The lunchbox was not in a refrigerator.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 11/17/21 and 2/22/22.

The file for child # 5 lacked the initial health report.

The facility lacked a policy to identify and Prevent Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

The file for staff #1 has a current pediatric first-aid and pediatric CPR certification dated 8/5/21-8/5/23. .The certification was not renewed prior to the expiration of the previous certification dated 8/21/17-8/21/19.

The file for staff #1 lacked written evaluation for 2020.

The main room lacked a written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The files for child #1,2 and 5 lacked the persons designated by a parent to whom the child may be released on the agreement form.

The files for child # 1 and 5 lacked the date of the child's admission on the agreement form.

The file for child #4 lacked the address of the child's physician on the emergency contact form.

The file for child #3 lacked the work address and telephone number of the enrolling parent on the emergency contact form.

The file for child # 3 lacked the information on disabilities on the emergency contact form.

The file for child #1 lacked the child's health insurance coverage and policy number on the emergency contact form.

The files for child #1,2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The emergency contact form for child # 6 was not present in the Main room where the child was receiving care.

The file for staff # 2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The binder with that contained the certificate of compliance, the information on how to access the regulations and DHS information, was not in a conspicuous location accessible to the parents.

The files for staff #1 and #2 lacked the annual 12 clock hours of child care training certificates.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.