YMCA Learning Center

The file for Staff #3 contained a Child Abuse Clearance dated 5.12.2020 which is more than 60months old. The file for Staff #4 contained an NSOR clearance that was dated 12.19.24 which is more than 45 days after the staff's start date. (See LIS code sheet) The file for Staff #5 was lacking a state police clearance.

In the infant room the child lock on the cupboard under the sink was broken making liquid tide accessible to the children in the room.

The toilets in the boys restroom in the Preschool room were lacking handwashing signs above the toilets.

The file for Child #1 who is a preschool age child contained a child health report that was obtained more than 12 months ago.

The file for Child #3 contained a child health report that was lacking a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for Staff #3 contained an initial TB screening that was conducted more than 12 months prior to the staff's start date at the facility and did not indicate the results of the screening.

The file for Child #2 who has been enrolled for more than 60 days was lacking an initial child heath report.

The file for Staff #1 was lacking proof of a high school diploma.

The file for Staff #2 contained Pediatric First Aid/CPR dated 5.9.24 which was more than 90 days after their hire date.(see LIS code sheet)

At approximately 1:25 PM Facility Persons #1, #2 and #3 were supervising a total of 12 preschoolers in the preschool space. When asked to identify which children they were each responsible for supervising, Facility Person #1 indicated they were not assigned specific children for supervision purposes. Facility Person #2 claimed responsibility for five specific children, and then Facility Person #3 claimed responsibility for six specific children, including two children claimed by Facility Person #2. Two children were identified by both staff, and three other children were not identified by any staff as their responsibility to supervise.

Fire drill logs at the facility indicate that fire drills were conducted on 12/19/24, then again on 2/26/24, more than 60 days apart.

The last date listed on the documentation of the facility's smoke detector testing indicates that smoke detectors were tested on 12/31/25. Subsequent documentation of testing does not provide the date, only the calendar month and staff initials. Act 62 require smoke detectors to be tested, and testing documented, at least every 30 days.

Based on interviews, there were multiple occasions where staff #1 raised her voice in a harsh tone towards the children.

The files for staff #1 and 3, lack the most current disclosure statement required by the CPSL. The file for staff #2, lacks a DHS FBI clearance and the most current disclosure statement required by the CPSL. The file for staff #4, who was a provisional hire, lacks an NSOR within 45 days of hire. SEE IS CODE SHEET.

In the preschool room, observed a bottle of soapy water which lacked a label that specifies the content.

Observed prescription medication for child #1. Written instructions from the individual who prescribed the medication were not on file.

Observed Children's Ibuprofen which lacked the name of the child for whom the medication was intended.

The file for staff #4, lacks a health assessment within 12 months prior to providing initial service in a child care setting.

The file for staff #4, lacks a TB screening by the Mantoux method within 12 months prior to providing initial service in a child care setting.

The last fire drill on file was not within the last 60 days. This is evidenced by the most current fire drill on file with date of 10/15/24.

Staff persons #3 and 4- have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #3 and 4 - Pediatric CPR/FA and Health and Safety Training.

Staff person #4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet

The file for staff #3, who holds the title of assistant group supervisor, lacks verification of a high school diploma.

The file for staff #2, lacks one written, nonfamily reference. The file for staff #4 lacks two written, nonfamily references.

There was more than 60 months between FBI clearances on file for staff #1. This is evidenced by FBI clearance dates on file of 1/28/19 and 2/26/24. There was more than 60 months between PA State Police clearances on file for staff #2. This is evidenced by PA State Police clearance dates on file of 6/27/18 and 3/18/24. The file for #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 5/21/24. There was more than 60 months between PA State Police and FBI clearances on file for staff #5. This is evidenced by PA State Police and FBI clearance dates of - State Police - 8/27/18 and 9/1/23 and FBI- 8/20/18 and 11/27/23. The file for staff #6 lacks a PA State Police, Arizona criminal history and sex offender, and Virginia and Texas required clearances under the CPSL and lacked an NSOR prior to start date in a child care position. SEE IS CODE SHEET. There is an NSOR on file and dated 5/24/24. There was more than 60 months between FBI clearances on file for staff #8. This is evidenced by FBI clearance dates on file of 10/23/18 and 12/11/23. The file for staff #11 lacks the Child Abuse clearance required under…

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

The parent letter explaining emergency procedures did not address lockdown and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

There was more than 12 months between updated health reports on file for children #1 and 4. This is evidenced by dates of Child #1- 5/15/23 and 6/3/24 and Child #4 - 8/22/22 and 11/1/23.

The most current health reports on file for children #3, 4 and 5 lack a review of the child's immunized status.

The health reports on file for children #3, 4 and 5 lack a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

There was more than 24 months between health assessments on file for staff #5 and 10. This is evidenced by health assessment dates on file of - Staff #5 - 9/16/21 and 12/5/23 and Staff #10 - 4/27/22 and 5/15/24. The files for staff #7 and 11 lack an initial health assessment within 12 months prior to providing initial service in a child care setting. SEE IS CODE SHEZET. There is now a health assessment on file for staff #7 and dated 7/5/23.

The file for staff #7 lacks a TB screening by the Mantoux method within 12 months prior to providing service in a child care setting. SEE IS CODE SHEET. There is now a TB screening on file and dated 7/5/23. The file for staff #11 lacks a TB screening by the Mantoux method within 12 months prior to providing service in a child care setting.

The file for staff #9, whose record contains a positive TB skin test, lacks the results of a chest x-ray and evaluation for chemoprophylaxis within 12 months of providing service in a child care setting.

The most current health assessment on file for staff #3 lacks an examination for communicable disease and the results of that examination and the staff's suitability to provide child care.

The facility file lacks documentation that the operator sent the most recent update of the emergency plan to the local municipality and to the county emergency management agency.

The file for staff #7 lacks health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated 5/14/24.

The file for staff #4, lacked mandated reporter training within 90 days of hire. SEE IS CODE SHEET. This is evidenced by the mandated reporter training date on file of 5/15/24. There was more than 60 months between mandated reporter trainings on file for staff #5. This is evidenced by mandated reporter training dates on file of 9/25/18 and 10/27/23.

The file for staff #7, who holds the title of assistant group supervisor, lacks 2500 hours of verified child care experience.

The file for child #2 lacks a review of the fee agreement within the past six months. This is evidenced by the last review dated 12/11/23.

The facility's current certificate of compliance was not posted.

The file for staff person #2, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked an NSOR verification certificate within 45 days of hire and was not removed from the childcare. The NSOR verification certificate in the file is date 2/16/23.

In the preschool room Expo White Board Cleaner spray was on the teacher's desk accessible to the children. The spray was labeled "Keep Out of Reach of Children".

In the school-age classroom it was observed that handwashing signs were not posted above the toilet.

In the preschool room a toy yellow hard hat was observed to be broken causing rough edges and sharp corners.

The file for child #1 lacked an influenza vaccination according to recommendations of the ACIP. Child #1 was not dismissed in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 7/10/20 and 10/14/22.

It was observed in the child restroom the 1st stall was missing a posted hand washing sign above the toilet.

The file for child #1 lacked a health report that the doctor completed a list of the child's allergies.

The file for child #2 lacked a health report that included a statement from the doctor that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #4 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

The files for children #2 and #3 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.