YMCA of Greater Erie/Early LRNG University

The file for staff person #2 contains current NSOR verification that was received greater than 60 months after the previous NSOR evidenced by verifications on file dated 1/14/2020 and 1/16/2025. The verification is now current. The file for staff person #4 who was provisionally hired (see LIS code sheet) is lacking documentation of an NSOR verification within 45 days of hire. The file does contain a current NSOR verification. The file for staff person #7 who was provisionally hired (see LIS code sheet) is lacking documentation of an NSOR verification within 45 days of hire. The file does contain a current NSOR verification. The file for staff person #8, hire date (see LIS code sheet), contains a criminal history clearance that is lacking a dissemination date and is therefore not valid.

The file for staff person #6 contains documentation of current emergency plan training that was completed greater than 12 months after the previous training. The training is now current.

The file for staff person #1 contains a current health assessment that was conducted greater than 24 months after the previous health assessment evidenced by health assessments on file dated 12/20/2024 and 2/3/2025. The file is now current.

The file for staff person #6 contains current PFA/PCPR certification that was completed after the expiration date of the previous certification evidenced by certifications dated 2/28/23 and 6/30/25. The certification is now current.

The file for staff person #5 is lacking fire safety training completed within the first 12 months of employment. The file does contain documentation of current fire safety training.

The files for staff persons #2 and #3 contain a current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training. The trainings are now current.

The file for staff person #1 contains a current annual review that was conducted greater than 12 months after the previous annual review evidenced by documentation of reviews completed 2/19/24 and 3/31/25. The file is now current.

The provider was not able to locate the site specific facility emergency plan during the inspection.

Observed a tube of calmoseptine diaper rash ointment labeled 'keep out of reach of children' in a mesh pocket of a backpack hanging in a hallway cubby accessible to children in care.

Observed a basin of blue liquid identified by staff as sanitizing solution to be on the counter near the bathroom sink and lacking a label identifying the contents of the basin. The container of sanitizing tablets which was stored under the sink in a locked cabinet stated, 'keep out of reach of children'.

Observed several areas of damaged and peeling plaster and paint on the walls in the front play space.

Observed classroom and bathroom waste receptacles to have lids that were visibly soiled with what appeared to be dried on food waste.

Staff person #1 completed a valid health & safety training prior to 10/31/2022 but has not completed the required 1-hour PA Health & Safety Update 2022.

The file for staff person #1 contains PFA/CPR training that expired 3/23/2024 and is lacking current PFA/CPR training.

The file for staff person #2, serving as an AGS, contains documentation of high school graduation and 15+ college credits in a human service field but is lacking documentation of one year of child care experience.

Based on video observation, Staff #1 and #2 were not responding to Child #1 while screaming or during times when other children were throwing toys, arts and craft materials and bins at Child #1.

**Based on video observation from 9/13/24. In the School-Age Classroom, Child #1 was throwing toys, arts and craft materials, and bins throughout the room, while staff# 1 & staff # 2 's backs were turned. Child #1 then sat on a toy shelf and screamed while other children taunted, threw, kicked stuff from the floor at her to try to get her to stop screaming, all while the Staff # 1 and Staff #2 had their backs to the whole situation the entire time unaware of what was going on.

*Based on video observation from 9/13/24. In the School-Age Classroom, Child #1 was throwing toys, arts and craft materials, and bins throughout the room, while staff# 1 & staff # 2 's backs were turned. Child #1 then sat on a toy shelf and screamed while other children taunted, threw, kicked stuff from the floor at her to try to get her to stop screaming, all while the Staff # 1 and Staff #2 had their backs to the whole situation the entire time unaware of what was going on.

The file for staff person #3, hire date (see IS code sheet) contains a DOE FBI clearance which is not accepted for employment in child care and the file is lacking verification of request for DHS FBI clearance prior to start date in a child care position and is lacking a completed DHS FBI clearance within 45 days of working in a child care position. The file does contain a current DHS FBI clearance. The file for staff person #5, hire date (see IS code sheet) lacks verification of request for DHS FBI clearance and request for NSOR verification prior to caring for children. The file does contain current DHS FBI clearance and current NSOR verification.

Observed in the infant room a philodendron plant hanging from the ceiling. The philodendron is on the Caring for Our Children: National Health and Safety Performance Standards list of poisonous plants.

Observed on the wall in the front corner of the indoor play space a small area of peeling paint.

The file for child #1, preschool aged, is lacking an immunization report and has been in attendance for greater than 60 days. Child #1 must be removed from care until an up-to-date immunization report or exemption letter is obtained.

Observed medications (Equate pain reliever, Equate Allergy Relief and Lubricant Eyedrops) lacking the names of the persons for whom they were intended hanging in a blue holder on the back of the restroom door.

The fire test log identified that the facility alarm was tested on 5/28/2024 and then again on 7/1/2024, exceeding 30 days between tests.

The file for child #1, preschool aged, is lacking a child health report and has been in attendance for greater than 60 days.

The file for staff person #4 contains current PFA/PCPR training completed after the previous training expired. The training is now current.

The file for staff person #4 contains current fire safety training that was completed greater than 12 months after the previous training. The training is now current.

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

The file for staff person #1, hire date (see IS code sheet) is lacking mandated reporter training within 90 days of hire as required under CPSL. The file does contain current mandated reporter training.

The files for child #1 and #2 contain emergency contact information and financial agreements whose most recent updates occurred greater than 6 months after the previous update. The forms are now current.

On 5/03/24, at approximately 4:45 PM, three preschool children, child #1, #2, and #3, were unsupervised while playing under the climber in the gym. Staff #1 and #2 were present in the child care space, however, supervision was obstructed by the placement of large foam blocks.

Based on the facility's fire drill log, the last fire drill was conducted over 60 days ago on 3/07/24.

The facility lacked documentation of conducting tests of the fire alarm system at least every 30 days.

The files for staff #2 and #3 contained expired pediatric CPR and First Aid certification dated 3/31/22.

Staff person #1 has 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 #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 contained health and safety training dated 8/14/2016 which is prior to the date of validity as stated in the regulations.

In the PreK Counts Classroom, a pair of adult scissors were observed in an unlocked drawer. The height of the drawer would allow accessibility to children receiving care in the space. Loose crib sheets were observed on two cribs in the ITCS classroom.

The file for Staff Person #2 lacked verification that they had been fingerprinted for their FBI Clearance prior to starting at the facility. The fingerprint receipt on file was dated 1 month after starting. The file for Staff Person #2 lacked a current disclosure statement required at the time of their hire. The disclosure statement on file was an older version and does not meet the requirements of the CPSL. The file for Staff Person #8 lacked a current FBI Clearance. The current FBI Clearance expired on 10.4.22. The updates to the State Police Clearance exceeded 60 months between clearances dated 10.13.17 and 6.20.23. The updates to the Child Abuse Clearance exceeded 60 months between clearances dated 10.4.17 and 6.20.23. The files for Staff Persons #9 and #10 lacked out of state clearances for a State that they have resided in within the last 5 years. The file for Staff Person #10 also lacked a FBI Clearance for DHS purposes. The FBI Clearance on file was completed for Department of Education and is not acceptable for employment in a child care facility. Staff Person #10 was observed alone with a group of 9 preschool age children. The file for Staff Person #11 lacked a completed…

A hanging organizer was observed on the back of the unlocked staff restroom in the Indoor Gross Motor room. Over the counter Medications were observed in the organizer pockets and could be accessible to children should they enter the unlocked restroom. An Air Freshener was observed on a low table in the staff restroom. All items were labeled Keep Out of Reach of Children. Children were observed to be playing in the hallway outside the restroom door.

The first aid kit in the ITCS room was missing Gauze.

In the Indoor Gross Motor classroom damaged plaster was observed on the lower wall to the right of the front door (upon entrance to the facility).

Hand washing signs were missing from the toilet and sink in one of the restrooms in the Indoor Gross Motor room.

The mulch under the embedded equipment in the Preschool Play Space did not have the required 9 inches of mulch.

In the ITCS Classroom an unlabeled crib and pack and play reported to be in use for children in care was observed.

The file for Child #6, an older toddler, lacked an updated health report that had been completed within the last 12 months. The most recent health assessment on file was dated 1.28.22.

The immunization record on file for Child #1 lacked verification that the child had received the ACIP recommended Hepatitis A vaccination. The immunization record on file for Child #2 lacked verification that the child had received the ACIP recommended Influenza vaccination. The immunization record on file for Child #6 lacked verification that the child had received their 4th dose of DTAP and Pneumococcal as recommended by the ACIP. The files for Children #4 and #5 lacked immunization records for the children. Written exemptions were not on file at the time of the inspection.

A disposable diaper was observed in the restroom garbage can located in the Indoor Gross Motor room. The garbage can in place was not hands-free allowing for appropriate disposal of soiled diapers. The hands-free can in place at the changing table in Toddler Classroom was in place on the other side of the steps where staff were observed to stand for changing. The steps blocked access allowing the Staff to immediately discard a soiled diaper into the can.

The health assessments on file for Facility Person #1 exceeded 24 months between examinations on 7.10.19 and 6.20.22. The health assessments on file for Facility Person #2 exceeded 24 months between examinations on 3.16.20 and 4.20.22. The health assessments on file for Facility Person #7 exceeded 24 months between examinations on 7.26.18 and 8.11.21.

The health assessment on file for Staff Persons #6 and #12 lacked information that they were examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

A lunch box containing a Go-gurt dairy product was observed on the counter area in Preschool 2.

The file for Children #1, #4 and #5 lacked an initial health assessment within 60 days of starting at the facility (refer to LIS code sheet).

The file for Staff Person #2, #3, #4 and #13 lacked verification that they had completed the required 1-hour health and safety training update prior to 12.30.22 as required by Federal Regulation. The 1-hour health and safety training update on file for Staff Person #4 was completed on 7.3.23.

The updates to the Pediatric First Aid and CPR trainings on file for Staff Person #2, #7, #8 and #13 were not completed before the certificate expiration. The current training on file for Staff Person #2 was completed in February 2023. The prior training expired in January 2023. There was a gap between expiration and training date. The current training on file for Staff Persons #7 and #8 was completed in March 2023. The prior training expired in January 2022. The current training on file for Staff Person #13 was completed in February 2023. The prior training expired in November 2022.

Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9).

Facility person #1 and Staff Person #13 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10.9.16 for Facility Person #1 and 6.11.18 for Staff Person #13.

The files for Staff Person #5 and #12, identified as an Assistant Group Supervisors, lacked verification of experience to qualify them for the position. The file for Staff Person #7, identified as a Group Supervisor, lacked verification of education to qualify them for the position.

The file for Staff Person #2 lacked an evaluation that was completed prior to 1.10.23. This was not within 12 months of the Staff Person's hire date (refer to LIS Code sheet).

The daily activity schedule was not posted in the ITCS Classroom.

The file for Child #1, #4 and #5 lacked a current assessment of the child's growth and development.

The agreements on file for Children #2 and #3 were observed to contain an original agreement.

The written emergency transportation plan posted in the Classrooms was missing staffing provisions in the event of an emergency.

The updates to the emergency contact form and financial agreements on file for Children #1 and #5 exceeded 6 months since last review. The forms were dated 12.27.22 for Child #1 and 12.19.22 for Child #5.

The file for Staff Person #4 lacked two written, nonfamily references attesting to their suitability to serve as a facility person. The file for Staff Person #13 lacked one of their two written nonfamily references attesting to their suitability to serve as a facility person.

The file for Staff Person #2 lacked 6 of their required 12 hours of child care training in their respective training year of 12.19.21-12.18.22. The file for Staff Person #7 lacked 12 hours of child care training in their respective training year of 12.19.21-12.18.22. The file for Staff Person #8 lacked 6.5 of their 12 hours of child care training in their respective training year of 12.19.21-12.18.22. The file for Staff Person #13 lacked 12 hours of child care training in their respective training year of 8.27.21-8,26.22.

The file for Staff #1 contained an FBI clearance that was dated as processed after Staff #1's first date in a child care position. The file for Staff #1 did not contain documentation that fingerprinting had been completed as a part of the FBI clearance process on or before Staff #1's first date in a child care position. The file for Staff #2 contained an NSOR verification that was completed more than 45 days following the staff member's first date in a child care position. The file for Staff #4, who has been employed in a child care position for more than 45 days, did not contain an NSOR verification. The files for Staff #5 and #6, whose first dates in child care positions were 04/17/2019 and 10/09/2017 respectively, contained NSOR verifications that were completed after July 01, 2020. The file for Staff #8 contained an NSOR verification that was completed more than 45 days following Staff #8's first date in a child care position. The file for Staff #11 contained an NSOR verification that was completed after Staff #11's first date in a child care position. The file for Staff #11 did not contain documentation that an NSOR verification request had been submitted.

An approximately 4'x2' wooden shelving unit in the Preschool room and an approximately 4'x2' wooden shelf with a flat screen monitor placed atop, each in areas accessible to children, were observed to be tipping hazards, which could cause blunt force trauma injuries.

Although the files for Staff #5 and #6 contained documentation of the completion of emergency plan training in the past year, the previously completed trainings for each staff member were dated more than 12 months prior.

A toilet used by children in care in the toddler restroom was observed to have an exposed, upwardly facing bolt on one side of the base of the toilet in an area accessible to children in care.

An approximately 2' high faux yield traffic sign was observed in an area accessible to children in care in the PreK room. Two outwardly facing, exposed bolts were observed on the back of the sign. An approximately 3' high, metal hose reel was observed in an area accessible to children in the Preschool play space. A sharply edged piece of metal was protruding from side of the reel. Also in an area accessible to children, in the indoor play space, an exposed bolt was observed on the inside of the door of an approximately 6' high cabinet. Contact with exposed bolts or sharply edged metal could cause laceration and/or puncture injuries.

A storage container of foam blocks was observed in an area accessible to children who are still placing objects in their mouths in the Toddler B room. Bite marks were evident in several of the blocks. In the ages 1-3 play space, pieces of mulch that were less than 1" in size were observed in areas accessible to children who are still placing things in their mouths. It appeared that the pieces of mulch were washing into the area from an adjacent play space as a result of rain drainage.

The files for Child #3 and #7, who each have been in care at the facility for more than 60 days, did not contain immunization records. The files for Child #5 and #6 did not contain documentation of influenza vaccines administered in the past year.

The files for Staff #5 and #6 contained current health assessments; however, the previously completed health assessment for each staff was dated as administered more than 24 months prior to current assessments. The file for Staff #9 contained a health assessment that was completed following Staff #9's first date in a child care position.

The files for Child #3 and #7, who each have been in care at the facility for more than 60 days, did not contain health assessments.

The file for Staff #2 contained documentation of the completion of Health and Safety Basics training that was completed more than 90 days after Staff #2's first date in a child care position.

The files for Staff #1, #3, #6, #8, and #10 did not contain written performance evaluations completed in the past 12 months.

A written plan of daily activities was not posted in the Toddler A room.

The files for Child #1, #2, #4, #5, #6 and #7, who each have been in care at the facility for more than six months, did not contain documentation that emergency contact information and financial agreements were reviewed by a parent/guardian in the past six months.