YMCA Child Care · Meadville

The file for Staff person #1 includes a PA Child Abuse clearance obtained for volunteer purposes, making it invalid (See LIS Code Sheet).

The first aid kit in the Young Toddler room did not include gloves.

There were holes in the wall with exposed plaster/drywall behind the shelf on the green wall in the Young Toddler classroom. The cover for the radiator on the far wall in the After-School classroom had pulled away from the wall and was falling off, causing pinch points and rough edges on the cover.

There was peeling paint on the far wall across from the door in the After-School classroom.

There was not a handwashing sign at every sink and toilet in the bathrooms in the School-Age 1 & 2 bathroom.

The immunization record on file for Child #4, who is 20 months old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; and 3 of 4 HIB vaccines recommended by the ACIP for a child this age. The file for Child #6 indicates the child has not received the following vaccines: Hepatitis B, Hepatitis A, Polio, MMR, Varicella, or DTAP, and there is no personal or medical exemption or documentation of the child currently following a make-up schedule for immunizations. The file for Child #7, with an enrollment date of8/28/24, more than 60 days ago, does not include the child's immunization record.

The file for staff person #2 does not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for staff person #3 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #5 were dated 6/15/21 and 7/14/23, more than 24 months apart.

There was an infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.

The fire alarm 30-day test log includes test dates 3.14.24-4.17.24, 5.1.24-6.7.24, and 6.7.24-7.8.24, all more than 30 days apart.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

The file for Child #7, with an enrollment date of 8/28/24, which is more than 60 days ago, does not include an initial health report.

The file for Staff person #4, 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 file for Staff person #2, 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 experience with children

There was no written daily activity schedule posted in the lower Child Watch room.

The file for Child #4 includes a child service report dated 6.3.24, more than 6 months after the child's date of admission, 11.13.23.

The emergency contact form on file for Child #1, #5 does not include the address for the child's pediatrician/source for medical care. The emergency contact form on file for Child #4, #7, #8 does not include the address or telephone number for the child's pediatrician/source for medical care.

The emergency contact form on file for Child #1, #4 does not include the work address for the enrolling parent. The emergency contact form on file for Child #5, #7 does not include the work address or telephone number for the enrolling parent.

The current emergency contact form on file for Child #1, #6, #7, #8 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

The emergency contact form on file for Child #2 does not include the child's health insurance coverage and policy number for the child's health care benefits. The emergency contact form on file for Child #3 does not include the policy number for the child's health care benefits.

The file for Staff person #1 included verification of 5 of the required 12 hours of annual training between 12.19.22-12.19.23.

The file for staff person #1 does not include a valid NSOR certificate within 45 days of hire (See IS CODE SHEET).

On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. The children ran to the street, into a parking lot and towards Diamond Park about 15-20 yards away. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited.

On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited. On 5/1/2024, while assessing supervision and ratio in the infant/toddler classroom, staff #5 identified 5 young toddlers in their primary supervisory group. On the other side of the gate, staff #3 identified 3 infants in their supervisory group. Staff #4 struggled with the names of some of the children in their group and stated they were covering the break of a staff person. Staff #4 identified 2 of the children, staff #3 assisted with identifying 1 child and after about 4 attempts, was able to identify the last 2 children in their primary supervisory group.

On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. The children ran to the street, into a parking lot and towards Diamond Park about 15-20 yards away. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited.

The file for staff person #3, provisional hire date (see LIS code sheet), is lacking documentation of request for NSOR and verification of FBI fingerprinting and does not contain a completed FBI clearance and NSOR. The file for staff person #7, hire date (see LIS code sheet) contains a disclosure statement lacking a witness signature.

Observed in the basement School Age Room 1 damaged cracked and crumbling ceiling boards. Observed peeling paint / drywall on the wall by the sink in the infant / young toddler room. Observed damaged ceiling tile boards over the diapering area in the older toddlers room. Observed in the preschool room a green rug visibly soiled and stained. Staff did not know the last time it was cleaned.

The bathroom in the School Age Room 1 is lacking handwashing signs by the toilet and sink.

The preschool Room is lacking a lidded waste can by the classroom sink. The School Age Room 1 bathroom is lacking a lidded waste can.

The rest cots in the young toddler room are numbered but lack a coordinating list to identify which child is assigned to each cot.

The file for child #3, older toddler, contains a health report that is lacking a date and therefore cannot be determined if the report was obtained timely.

The file for child #7 is lacking an immunization report.

The file for child #2 contains a current health report that is lacking a physician's statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #2, preschool age, is lacking verification of a flu shot received during the previous year. The file for child #3, older toddler, is lacking updated DTAP/DTP/TD, Pneumoccal, flu, MMR and varicella immunizations.

The file for facility person #6, serving as the cook, is lacking a health report at the time of hire. The file does contain a current health report.

The file for facility person #6, serving as the cook, contains a TB test that was conducted greater than 12 months prior to hire and is therefore not valid.

The file for child #7, school age, is lacking a health report and has been in attendance for greater than 60 days.

The files for staff #1, #2 and #4 are lacking verification of completion of the Health & Safety Update 2022 which was required to be completed by 12/30/2022.

The file for staff person #3, serving as an aide, is lacking documentation of education and experience to serve as a staff person.

The files for child #1, #4,#5,#6 and #7 contain the original agreements.

The older toddler room, young toddler room, preschool room, pre-k room, Gym, upstairs school age room, SA 1 and SA 2 rooms are all lacking an emergency medical transportation posting in a conspicuous location.

The file for child #2 contains emergency contact information and financial agreement that have not been reviewed and updated during the previous 6-month period.

The files for facility persons #3 and #5 are lacking two written, nonfamily references.

The facility did not notify the regional office within 24 hours of an incident where a child in care received emergency room treatment.

The fire drill log on file included fire drills conducted 12/16/23-2/15/23, 3/13/23-5/30/23, and 7/27/23-9/26/23, more than 60 days apart.

The fire alarm 30-day test log includes test dates 12/16/22-1/20/23, 4/10/23-5/12/23, 5/12/23-6/14/23, and 7/10/23-8/11/23, more than 30 days apart.

The PA Health and Safety Update 2022 training on file for Staff #2 is dated 9/29/23 and Staff #4 is dated 9/25/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff #3 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.

The file for Staff person #5 includes verification of First Aid/CPR training dated 9/28/23, after the expiration date of 5/17/23.

The file for staff person #1 contains current state police and child abuse clearances that were obtained after the previous clearances expired. The file is now current. The file for staff person #3 contains a current child abuse clearance that was obtained after the previous clearance expired. The file is now current. The file for staff person #6 contains a current child abuse clearance that was obtained after the previous clearance expired. The file is now current. Clearances are not available for facility person #10, serving as the maintenence worker and having access to children in care.

**On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

*On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

****On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

The files for facility persons #9 and #10 are lacking verification of training regarding the facility emergency plan and have exceeded 90 days since hire.

Observed 5 electrical outlets without protective covers in the Gym where Older Toddlers were receiving care.

Observed the Kitchen, with bleach and dishwasher soap labeled 'keep out of reach of children' stored on the floor under the sink, to be accessible to children in care. The kitchen door on the side of the hallway leading to the infant and toddler rooms was open with no other barrier in place and children walk past the doorway to access the stairway. Staff also disclosed that occasionally staff walk children through the kitchen to get from one side of the child care facility to the other.

Observed the Kitchen, with stove and crock pots, to be accessible to children in care. The kitchen door on the side of the hallway leading to the infant and toddler rooms was open with no other barrier in place and children walk past the doorway to access the stairway. Staff also disclosed that occasionally staff walk children through the kitchen to get from one side of the child care facility to the other.

Observed in the Older Toddler Room, located on the second floor, 2 windows that are able to open greater than 6 inches due to the safety clips being broken.

Observed in the second floor hallway bathrooms, a rusted and crumbling metal strip behind the heat register in the girl's bathroom and a plastic panel separating from the wall in the boy's bathroom.

Observed crumbling plaster on the wall in the infant room near a window.

In the young toddler room, the sink that is located in the changing area is standard height. A step stool is present however, the step stool is not tall enough for children to access the sink independently and therefore staff must lift the children up to wash hands.

Observed in the older toddler's room an exposed bolt protruding from the base of the toilet.

Observed the waste receptacle in the downstairs school aged bathroom to be lacking a lid.

The file for child #3, young toddler, contains a current health report that was conducted greater than 6 months after the previous health report. The file is now current.

The file for child #7 contains a current health report that is lacking physician's statement regarding suitability for child care and communicable disease status.

The files for child #5 and child #7, preschool age, are lacking immunization reports and have been attending for greater than 60 days.

The files for staff persons #1, #2, #6 and #8 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files are now current. The file for staff person #7 is lacking a health assessment conducted during the previous 24-month period.

The files for child #5 and child #7 are lacking initial health reports within 60 days of attendance at the facility. The files are now current.

The file for staff person #8 contains PFA/PCPR completed greater than 90 days after hire. The training is now current. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training topics #1-#9. Staff #5 completed training prior to 9/30/2016 and is therefore not a valid training. Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics #1-#9 and approved PFA/PCPR.

The file for staff person #1 contains a current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training. The file is now current.

The file for staff person #2 is lacking a staff evaluation completed during the previous 12-month period.

The files for children #3,4,5,6 and 7 contain current emergency contact and financial agreements that were updated more than 6 months after the previous update. The files are now current. The file for child #2 is lacking financial agreement and emergency contact info updated during the previous 6-month period.

The file for child #1 is lacking signed parental consent for emergency medical care and administration of minor first-aid.

The file for staff person #4 is lacking 2 written reference letters. The file for staff person #9 contains only 1 of the required 2 reference letters.

The files for staff persons #3, #5,and #6 are lacking verification of 12 hours of childcare training during the year 12/19/2020 to 12/19/2021. The file for staff person #2, is lacking verification of 12 hours of training from 2/28/2021 to 2/28/2022.

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: Health and Safety topics 1-9.

Staff persons #1 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics 1-9.

Staff persons #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):PFA/PCPR.

Facility failed to promptly notify DOH and OCDEL of a positive COVID test result that occurred on Saturday, 12/18/21; DOH and OCDEL did not receive notification of the positive COVID test result until Monday, 12/20/21 which was more than 24 hours.

The staff file for Staff person #2, who has a start date working in child care of 8/24/20, contained an National Sex Offender Registry (NSOR) certificate dated 8/26/20 and there was no application on file of having applied prior to the first day working with children as required by the Child Protective Service Law (CPSL). The staff file for Staff person #5, who has a start date working in child care of 10/5/20, contained a State Police clearance dated 10/20/20 which was not obtained prior to the first day working with children as required by the CPSL. The staff file for Staff person #7, who has a start date working in child care of 9/20/21, contained a DHS FBI clearance dated 10/4/21 and there was no receipt of having been fingerprinted on file prior to the first day working with children as required by the CPSL. Staff person #7 also lacked documentation of having applied for and received a State sex offender registry check, and a State child abuse and neglect registry check from the State in which they resided in within the previous five years as required by the CPSL. The staff file for Staff person #9 contained an updated State Police clearance dated 12/16/20 that was not…

In the Pre-K Room, which is used by children 5 years of age or younger, an electrical outlet located near the library reading area was observed to be missing one protective cover.

The School Age #2 Room lacked a first-aid kit.

The first-aid kit in School Age #1 Room lacked tweezers.

In the Toddler Room peeling paint was observed on the wall located to the left of the dress up area. Damage plaster was observed on the left side wall portion of a window seal nearest the area where circle time is conducted.

The bathroom located in the School Age #1 Room lacked a handwashing sign above the toilet.

In the School Age Room a black foam portable recliner seat was observed to be torn exposing the foam inside causing the chair to not be in good repair.

The child file for Child #2 and Child #5 lacked a flu shot for 2020.

The staff file for Staff person #6 lacked a valid health assessment; the most recent health assessment on file is dated 9/15/19 which is more than 24 months old.

Upon review of the facility's fire drill log it was observed that fire drills were being conducted every 90 days instead of 60 days. The dates fire drills were conducted were 9/29/20, 12/23/20, 3/3/21, 4/22/21, 7/29/21, and 10/1/21.

The facility's documentation of the annual fire alarm test by a fire professional lacked mention that the interconnected smoke alarms were tested and that they were operable. The facility also lacked documentation of proof of purchase for their interconnected fire detection system.

The staff file for Staff person #1, Staff person #2, Staff person #3, Staff person #4, Staff person #5, and Staff person #6 all lacked pediatric first-aid and CPR within 90 days of hire. The staff file for Staff person #2 contained an adult, child, and baby first aid and CPR online only training which is not an acceptable training.

The staff file for Staff person #5, who has a start date working in child care of 10/5/20, contained mandated reporter training dated 6/10/21 which was not obtained within 90 days of hire.

The child file for Child #1 contained a financial agreement form that lacked an arrival and departure time.

The child file for Child #4 contained an emergency contact information form that lacked the health insurance policy number.

The child file for Child #1 contained an emergency contact information form that lacked the addresses for one of the designated release persons listed. The child file for Child #3 contained an emergency contact information form that lacked the address and phone number of one of the designated release persons listed.

The child file for Child #1 contained an emergency contact information form that lacked signed parental consent for emergency medical care.

The child file for Child #1 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The child file for Child #1 contained an emergency contact information form that lacked signed parental consent for transportation, walking excursions, swimming and wading.

The staff file for Staff person #4 lacked two nonfamily references.

The facility lacked a means to provide parents of enrolled children a way to access the regulations in this chapter electronically.