YMCA Early Learning Center

There were aloe plants in the infant room, which have been determined to be toxic to children.

As of the renewal inspection on 4/2/25, the most recent health assessment for child #1, a young toddler, was dated 7/8/24.

The health assessment of child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

There was Tylenol for child #5 in Room 14 that expired on 1/2025.

As of the renewal inspection on 4/2/25, the updated emergency plan had not been sent to the local municipality.

There were gaps of greater than 6 months in the updates of emergency contact and fee agreements for several children. The following were observed: the emergency contact and fee agreement for child #1 were dated 7/29/24 then again on 3/24/25. The emergency contact and fee agreement for child #2 were dated 7/10/24 then again on 2/18/25. The emergency contact information for child #3 was dated 7/29/24 and then again on 2/14/25.

On 10/23/24 child #1 ran unattended through an open door from the playground into the building, through the building, out the front door and onto a heavily travelled road, Route 222, in front of the facility. Staff were unaware that child #1 had left the playground.

During the renewal inspection on 10/29/24, there was Polysporin in the first aid kit in Room 7. The Polysporin expired 6/2022 and was not labeled for an individual child.

During the renewal inspection on 10/29/24, the emergency contact information for child #1 did not contain health insurance information.

During the renewal inspection on 10/29/24, the emergency contact information for child #2 was not in the classroom where the child was receiving care.

File for staff person #1, see code sheet for hire date, did not contain a fully completed state police clearance. This full clearance was printed and placed on file during the time of inspection. Files for staff person #3, #5, and #6, see code sheet for hire dates, did not contain a NSOR verification certificate. File for staff person #7, see code sheet for hire date, contained a NSOR verification certificate dated 6/1/23; this certificate was dated more than 45 days from the their start date.

It was stated by staff person #8 in Room 8 that an Albuterol haler present along with a medication log was to be used for child #8. Medication was labeled and prescribed to someone other than child #8. Written medication log showed that the medication was administered to child #8 on 6/14/2023 by staff person #8. Medication log indicated that 90 mcg of Albuterol was given twice on 6/14/2023, while written instructions from the parent stated 110 mcg of Albuterol should have been administered twice as needed.

It was observed in Room 7 that a bottle used for a fish tank stated "keep out of reach of children" was stored in a lower level cabinet accessible to children in care.

It was observed in Room 17 that a spray bottle of cleaner, used by facility staff, was not labeled.

It was observed in Room 5 that tweezers were not present in the first aid kit used in that space.

It was observed in Room 8 that the sand located in the manipulative table was unclean and contained surface mold and sprouting plants. The manipulative table was freely accessible to children in care. It was observed in Rooms 5 and 6 that rest mats used by the children in care were ripped and not in good repair.

It was observed in Rooms 5, 7, and 8 that the children's rest equipment was left unlabeled.

It was observed in Room 14 and 18 that the sleeping equipment in use at the time of inspection did not contain at least 2 feet of space on at least 3 sides of that rest equipment.

It was observed that the thermometer located in the classroom refrigerator in Room 8 was broken.

File for child #3, see code sheet for date of birth, contained a health report dated 3/17/21, but no subsequent health report was observed on file dated within the last 12 months as required.

File for child #3, see code sheet for date of birth, contained a health report dated 3/17/21, but no subsequent health report was observed on file dated within the last 12 months. Due to the outdated documentation on file, the immunization record observed did not contain the status of all age-appropriate vaccines as recommended by the ACIP.

It was observed in Room 14 that the Albuterol medication present for child #6 was not being stored in its original container.

It was observed in Room 13 that a medication log was present showing that Tylenol was administered to a child on 8/16/23, but the staff that administered this medication did not initial the medication log on that date as required.

Health assessment form on file for staff person #4 was incomplete. The health assessment did not contain documentation showing an examination for communicable diseases was completed or the results of that examination.

Heath assessment form on file for staff person #2 was incomplete. The health assessment contained a written statement explaining that the person conducting the physical was "unable to answer" the question regarding the staff person's suitability to provide adequate care to children. Health assessment form on file for staff person #4 was incomplete. The health assessment did not contain a written assessment of the staff person's suitability to provide adequate care to children.

It was observed that pre-packaged apple slices, requiring refrigeration, were left stored in the outdoor first aid kit backpack.

It was observed and stated by staff that the classroom schedule in Room 5 was not posted.

Emergency contact form for child #1 did not contain the release person's address.

It was observed in Room 5 that the emergency contact form for child #4 was not present in that space where the child was receiving care. It was observed in Room 7 that the emergency contact form for child #5 was not present in that space where the child was receiving care.

File for child #2 contained both an agreement form and emergency contact form that were signed and dated by parents on 1/11/23 and 8/1/23. These dates and reviews are more than 6-month apart.

It was observed in Room 5 that two medications were present the day of inspection for child #7, Benadryl and an EpiPen, but no parental consent for the administration of those medication was observed on file at the facility.

Although staff person #1 completed their original 6 hour health and safety training topics on 8/21/17, and the the 1 hour Pennsylvania Health and Safety Update on 6/2/23, staff person #1 had not completed that required 1 hour updated pre-service training within 90 days of their date of hire (see LIS code sheet).

On 5/2/23, staff person #1 stated that they took a group of preschool children down to use the bathroom. Child #1 ran out of the bathroom and down the hallway. Staff person #1 left the bathroom in pursuit of child #1 leaving the remaining children in the bathroom unsupervised for approximately 45 seconds. Staff person #2 stated that child #2 has run out of the bathroom several times causing staff person #2 to chase the child down the hallway leaving the remaining children in the bathroom for up to 2 minutes unsupervised. Several other staff, including staff person #2, #3, and #4, stated that over the course of the last month or two they have had several issues with children eloping from classrooms and the preschool bathroom area which had caused multiple cases of either a lapse in direct supervision or that child to no longer be in the same physical space as their primary care staff person.

On 5/2/23, staff person #1 stated that they took a group of preschool children down to use the bathroom. Child #1 ran out of the bathroom and down the hallway. Staff person #1 left the bathroom in pursuit of child #1 leaving the remaining children in the bathroom unsupervised for approximately 45 seconds. Staff person #2 stated that child #2 has run out of the bathroom several times causing staff person #2 to chase the child down the hallway leaving the remaining children in the bathroom for up to 2 minutes unsupervised. Several other staff, including staff person #2, #3, and #4, stated that over the course of the last month or two they have had several issues with children eloping from classrooms and the preschool bathroom area which had caused multiple cases of either a lapse in direct supervision or that child to no longer be in the same physical space as their primary care staff person.

It was observed in Room 7 that three toy bins used by children were cracked and broken.

File for child #1, did not contain a written review of the status of all immunizations recommended by the ACIP, and an exemption note was not found on file.

File for staff person #1 did not contain verification on their health assessment form that an assessment of the person's suitability to provide child care was conducted.

On 10/08/21, during a renewal inspection, it was observed that a mold-like substance was found scattered around the entire facility specifically noted on the following surfaces: in Room 18 this was observed on a child-sized chair, in Room 9 this was observed on the toy shelf and a ceiling tile, in Room 7 this was observed on the ceiling tiles and areas of the cabinet doors, and in Room 8 this was observed on the ceiling tiles and all along the water pipes in the ceiling of that room. On 11/23/21, continue noncompliance observed. The documentation obtained by the facility confirmed the presence of mold, but the air quality test documentation was incomplete. The facility did not obtain mold testing as described in the plan of correction obtained on 10/26/21; no documentation was provided showing that the mold present was at an acceptable level or was not hazardous. The facility did complete a visual clean up of all previously noted surfaces, but facility did not complete a follow up test which was required for a finalized report to determine if mold is controlled and not hazardous.