YMCA Child Care · Bradford

In the Kid Zone room, it was observed cleaners marked "Keep out of Reach of Children" in an unlocked cupboard accessible to children.

In the preschool room, it was observed cracked magnetic blocks.

A written, signed, and dated exemption from immunization for religious belief or strong personal objection equated to a religious belief was observed not to be in the file of Child #1

It was observed in the infant room a diaper cream that did not identify the name of the child for whom it was intended.

It was observed in the young toddler room an expired bottle of Tylenol in the locked medicine cupboard.

The file for staff #1, staff #3, staff #6, staff #7, staff #9, staff #10, staff #12, staff #13, staff #14, staff #15, staff #17 did not complete pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff #1, staff # 3, staff #6, staff #7, staff #9, staff #10, staff #12, staff # 13, staff #14, staff #15, staff #16 and staff #17 showed e documentation of a written evaluation being done more than a 12-month period.

The file for Child #2 was observed not to contain the emergency contacts home telephone number of enrolling parent.

The file for Staff #8 did not have documentation of education.

The file for Staff #1 and Staff #3 did not have documentation of updated health assessments.

The NSOR certifications for Staff #1, Staff #3 and Staff #6 were dated after each staff person's Date of Hire. The NSOR certification for Staff Person #8 lacked from the staff file. (SEE LIS CODE SHEET). The file for Staff Person #8, who resided in Texas within the past 60 months lacked Out of State Clearances. (SEE LIS CODE SHEET). The PA State Police, Child Abuse and NSOR clearances for Staff Person #10 were dated more than 60 months apart. (SEE LIS CODE SHEET).

In the gym, on all walls, seven protective receptacle covers were missing which was accessible to children 5 years of age or younger.

The refrigerator, in the Young School Age Room, used for childcare was lacking an operating thermometer.

The file for Child #1, (Older Toddler) lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET)

Immunization record in the file for Children #4 (INF), #5 (PS) and #6 (INF) were dated more than 60 days after initial enrollment. (SEE LIS CODE SHEET).

The two most recent Health Assessments for Staff #7 were dated more than 24-months apart. (See IS CODE SHEET)

The Initial Child Health Report for Child #2 (PS), enrolled for more than 60 days, lacked from the child file. (SEE LIS CODE SHEET)

The Initial Child Health Report and Immunizations for Child #6 (INF), enrolled for more than 60 days, was lacking from the child file. (SEE LIS CODE SHEET)

Staff persons #1, #4 and #6--- have 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.

The two most recent Mandated Reporter Trainings for staff #2 were dated more than 60 months apart.

The two most recent staff evaluations for Staff Persons #2, #5, #9, #11, #12 and #13 were completed more than one year apart. (SEE LIS CODE SHEET). Staff person #10 lacked an annual written evaluation that was conducted within the past 12 months. (SEE LIS CODE SHEET)

On the right, back and left walls of the gym, six protective receptacle covers were missing which were accessible to children 5 years of age or younger.

The First Aid Kit in the Pre-School Room was lacking soap.

In the shelf in the Young Toddler Room, a clear, plastic bin with toys was cracked which posed a pinch point or cutting hazard.

The immunization record for Child #1 (YT), Child #2 (OT), Child #3 (OT), Child #4 (OT), Child #5, (Pre-S) and Child #6 (Pre-S) lacked a yearly Influenza shot with no Letter of Exemption in File.

The two most recent Health Assessments for Staff #5 were dated more than 24-months apart.

The fire extinguishers next to the restroom, near the main entrance and kitchen were expired as of January 2023.

The Initial Child Health Report and Immunizations for Children #6, enrolled for more than 60 days, was lacking from the child file.

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

Staff person #3 and #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training (dated 0610/01/2021 and 11/28/2021, respectively). Staff person #2--- had 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 (dated 06/2019).

Staff person #7 had not completed mandated reporter training (07/12/2022) within 90 days of their date of hire (see LIS code sheet).

Staff person #4 lacked an annual written evaluation that was conducted within the past 12 months.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 03/16/2020.

Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety.

When she was asked to name her supervision group, Staff #1 could only name eight of the nine children for whom she was responsible.

On 3/2/22 observed staff file #2 contained updated criminal background clearance, child abuse clearance, FBI fingerprint clearance and Mandated reporter training which were all completed more than 60 months after the previous valid clearance and training. Observed staff file #3 contained the NSOR verification letter which was dated more than 45 days after starting in a child care position.

On 2/22/22 observed shaving cream and bingo daubers, both labeled keep out of the reach of children, in the arts and craft storage area of the preschool room.

On 2/22/22 observed the first aid kits were accessible to children in the school age room, pre k counts room, and in the preschool room. In the school age room the first aid kit was lacking tweezers. In the preschool room the first aid kit was lacking gauze. In the two year old room the first aid kit was lacking soap.

On 2/22/22 observed a leak stained ceiling tile over the are where the infants play. Observed a damaged cabinet door in the preschool room. Observed a spot of damaged drywall by the bathroom door in the hallway and another small hole in the drywall of the two year old room.

On 2/22/22 observed damaged paint in several spots in the kid zone area.

On 2/22/22 observed peeling rest mat covers in the two year old room and the pre k counts room. Observed a loose back of a toy housekeeping appliance in the two year old room.

On 2/22/22 observed a less than 1 inch piece of rest mat covering accessible to children on the floor of the two year old room.

On 2/22/22 observed child file #7, a preschool child, contained a most recent health assessment which was dated more than 14 months ago.

On 2/22/22 observed child file # 3, 4, 6, and 7 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 and #2 did not contain written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered.

On 2/22/22 observed an epi pen in the 1 year old room which did not have the written instructions are provided from the individual who prescribed the medicine.

On 3/2/22 observed staff file #1 and 5 contained updated health assessments which were dated more than 24 months after the previous valid health assessment. Observed the initial health assessment for staff file #4 did not contain the results of the TB test.

On 2/22/22 observed the initial health assessment for child #3 was dated more than 90 days after the first day of attendance at the facility. Observed the updated health report for child #2, a young toddler was dated more than 6 months after the previous valid health assessment.

On 3/2/22 observed staff file #1, 2, 5, and 6 contained first aid and cpr certifications which were expired. Observed staff file #3, who is required to have pediatric first aid and pediatric cpr, did not contain documentation of completion of the training.

On 3/2/22 observed staff file #2 contained a most recent evaluation which was dated more than 12 months after the previous valid evaluation.

On 2/22/22 observed child file #1, 2, 4, 5, and 6 contained original agreements.

On 2/22/22 observed the emergency contact information for child file #1, 3, and 4 did not contain the health insurance coverage and policy number. The emergency contact information for child file #6 did not contain the health insurance policy number.

On 2/22/22 observed the emergency/excursion bag in the one year old room did not contain the emergency transportation plan.

On 2/22/22 observed the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.