YMCA of Greater PGH/Duquesne University Child Dev

There was no child abuse clearance, or proof of application for this clearance, on file for Facility Person #3 from a state in which Facility Person #3 resided within the previous 60 months.

The letter to the families explaining the emergency plan does not include information regarding the accommodations for infants and toddlers in the event of an emergency.

There was a sink in the infant room used by walking young toddlers in care to wash hands. There is no stool at the sink. Staff state they must hold the children at the sink in order for them to reach it to wash their hands.

There were two pieces of climbing equipment in the indoor gross motor space without any protective surface covering underneath them.

There were two prescription medications - both albuterol inhalers, one in the young toddler room and one in the preschool room - without written instructions from the prescriber.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment.

There was an infant's bottle not labeled with the child's name in the infant room.

The operator has a valid reason they are unable to test their smoke detectors. The documentation on file of the current professional inspection of the smoke detectors indicates the inspection was conducted on 10/10/24. Inspections are required annually. The previous inspection on file was dated 10/4/23.

The current staff evaluations completed and on file for Facility Persons #1 and #2 were completed more than 12 months after their previous evaluations on file.

The agreements on file for children #1 and #2 did not specify the date on which the fee is to be paid.

The current child service reports on file for children #1 and #3 were completed and a copy given to the parent more than 6 month after the previous child service reports on file.

The emergency contact form on file for child #3 did not include the addresses and phone numbers for all release persons.

There was documentation of 4 hours of child care training on file completed during the most recent review year (9/2023-9/2024) for Facility Person #1.

The file for staff #4, hired provisionally (SEE LIS CODE SHEET), contained an NSOR application dated 12/18/22 and a completed NSOR dated 107 days later on 4/26/23. No record of suspension after 45 days was on file. The file for staff #6, hired provisionally (SEE LIS CODE SHEET), contained an NSOR application dated 6/09/23 and a completed NSOR dated 115 days later on 10/06/23. No record of suspension after 45 days was on file.

At approximately 9:15 AM, staff #2 was observed answering the front door of the facility which resulted in staff #8 being alone in the OT room with 7 children; 4 older toddlers and 3 preschoolers.

Emergency numbers were not posted by the telephone in the infant room.

A broken plastic mechanical toy spider was observed on a low shelf in the OT room. The small broken leg piece was accessible to children. A sleeping mat with a split seam that exposed the inner foam filling was observed in the PS room. (mat #9)

Multiple bins of art stampers with a diameter of less than 1 inch were accessible to children in the OT room.

The file for child #1 did not contain record of the child receiving the influenza vaccine at anytime in 2022 or yet in 2023. A written exemption was not on file.

An epi pen and an inhaler, which were not labeled with the name of the child for whom the medication was intended, were observed in the preschool room. The epi pen was not in the labeled prescription box. The inhaler was in a plastic bag, however the name was illegible and the inhaler itself was not labeled.

An inhaler observed in the preschool room expired 7/2023. The medication was intended for child #3.

The file for staff #9 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Staff #1 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 9/11/23.Staff #5 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 9/29/23. Staff #7 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 10/03/23. Staff #9 did not complete training in health and safety topics 1-9 within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 2/07/23.

Staff person #1 has not completed the mandated reporter training from an approved source within 90 days of their date of hire (SEE LIS CODE SHEET)

Staff person #3 did not complete training in pediatric first aid and pediatric CPR within 90 days of hire. (SEE LIS CODE SHEET) The training was dated 10/06/23.

The file for staff #2 did not contain documentation of completing emergency plan training within 90 days of hire (SEE LIS CODE SHEET). The only documented training on file was dated 9/7/22.

Multiple packages of Wipes Plus brand disinfecting wipes were accessible to children in the bottom drawer of an unlocked storage cabinet in the preschool room. An open can of wall paint and a rolling tray with paint still inside were observed on the floor of an unlocked maintenance closet.

The following items were observed in the OT room; a wooden chair with loose legs that created a pinch point, a protruding screw on one leg of the sensory table, and a broken yellow helmet. The following items were observed in the PS room; a blue #10 car with a broken wheel, a loose hinge creating a pinch point on the door of the pretend market stand, and cracked sharp clear plastic also on the door of the market stand. Multiple baskets with broken sharp edged weave were observed in the YT and PS rooms.

The file for child #2, now an older toddler, contained consecutive health reports which were not conducted within 6 months of each other. The previous health report was not updated by the deadline of 1-06-22. The most recent health report on file for child #2 is now current.

The file for child #5 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The facility has not had the fire detection system inspected on an annual basis. The previous inspection report was dated 3/24/21. A current inspection has not been conducted. Based on statements made by staff, an inspection is scheduled for 10/11/22.

The file for staff #7 contained consecutive fire safety training documentation dated more than 12 months apart; 8/21/21 and 9/02/22.

Staff persons #1, #3, #4, #5, and #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/FA. Current training is now on file.

The files for children #1-5 contained agreement which did not specify the date on which the fee is to be paid.

The files for children #1-5 contained agreements which did not specify the child's arrival and departure times.

Th file for child #2 contained emergency contact information which was not updated within a 6 month period. The document is now current.

The file for child #3 contained an agreement which was not updated within a 6 month period. The document is now current.

A loose crib sheet was observed on 2 infant cribs in the Infant Room, causing suffocation hazards.

The first-aid kit in the YT Room was observed to lack gauze.

The last stalls of the OT and PS bathrooms lacked handwashing signs.

3 cots in the OT room and 1 crib in the Infant Room were observed to lack 2 feet on 3 sides while children were sleeping.

The refrigerator in the Infant Room was observed to lack a thermometer.

During an observed diaper change in the Infant Room, a staff member used her hand to lift the lid of the can to dispose of the soiled diaper and did not use the hands-free mechanism.

The observed fire drill log contained drills conducted ore than 60 days apart.

The proof of purchase for the interconnected fire detection system was not available at the time of inspection.

Documentation of notification to local traffic safety authorities of the location of the facility and the use of pedestrian and vehicular routes around the child care facility was not available at the time of inspection.

The file for Staff #3 contained consecutive certifications in Pediatric First-Aid and CPR in which had a lapse of time between certifications.

The file for Child #1 contained an emergency contact form which lacked the name, address and telephone number of the child's medical provider.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the PS Room.

The files for Staff #2 and #5, existing staff members, contained certification in Pediatric First-Aid and CPR which were dated more than 180 days after the implementation of the current regulations. The files for Staff #1 and #4, new staff members, contained certification in Pediatric First-Aid and CPR which were dated more than 90 days after the first day of employment in child care.