YMCA Younger Days Pre-School CTR

The file for Staff#1 and #4 both contained two NSOR clearances that were more than 60 months apart.

In the Preschool Room Foam blocks with bite marks and frayed parts were observed. In the Toddler Room foam blocks with bite marks were observed.

There was a child sized couch in the Toddler Room that was observed to be cracking and peeling.

The file for Child #4, who is a preschool aged child contained two health assessments that were more than 12 months apart.

The file for Child #6 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.

In the Infant Too Room there were two medication logs for Motrin and Mylicon that did not have the name of the child receiving the medication on the log.

The file for Staff #2 and #4 both contained two health assessments that were more than 24 months apart.

The file for Staff #6 contained a Pediatric First Aid/CPR that had expired.

The file for Staff #3, whose start date was more than 90 days ago(see LIS code sheet) was lacking the required 2 part Health and Safety training. The file for Staff #7 contained Health and Safety training that was obtained more than 90 days after their start date.

The Infant Too, School Age and Preschool 4 group spaces were all lacking a posted written daily schedule.

The file for Child #3 contained an agreement that was lacking the fee amount to be charged.

The file for Child #1 and 2 were lacking the child's admission date.

The file for Child #4 contained an emergency contact form that was lacking the parent's work address and phone number. The file for Child #5 contained an emergency contact form that was lacking the parent's work address.

The file for Child #3 and 7 both contain emergency contact forms that were lacking signed parental consent for emergency medical care.

The file for Child #8 contains an emergency contact form that was lacking the policy number of the child's medical insurance.

The file for Child #3 and 7 contain emergency contact forms that are lacking signed parental consent for the administration of minor first-aid procedures by facility staff.

The file for staff #5 and #7 contained Pediatric first aid/CPR that was obtained more than 90 days after their start date(see LIS code sheet.)

* On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

** On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

At nap time on 9/9/2-24, staff #1 was observed caring for 14 preschool age children. Staff #1 named 12 of the 14 children and was unable to name two of the children in staff #1's supervisory group.

The files for staff #6 and 10 lack the full disclosure statement. Not all pages were in the file. The file for staff #11, who was a provisional hire, lacked FBI fingerprint receipt on or before initial start date in a child care position. FBI fingerprint date is 6/17/24. SEE IS CODE SHEET. There is now an FBI on file and dated 6/17/24. The file for staff #13 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 6/17/24. The file for staff #14, who was a provisional hire, lacked a DHS FBI fingerprint receipt on or before initial start date in a child care position. SEE IS CODE SHEET. FBI fingerprint date is 6/13/24. The FBI clearance on file dated 9/1/22 is from DOE and not DHS as required by the CPSL and NSOR on file was not provided on or before initial start date in a child care position. There is now an NSOR on file and dated 6/10/24. There is no DHS FBI clearance on file.

On 6/20/24, observed staff #9 alone in the OT room with 8 OT and 1 PS. Eight of the children were on rest mats. Based on staff interviews, the 9th child was sitting in a chair because the child was not going to nap and was waiting for their parent to pick them up. Therefore, nap ratio does not apply.

The most current parent letter explaining emergency procedures including updates to the plan, lacked an explanation of lockdown and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

In the PS 4 room. observed an electrical outlet near a child's easel which lacked a protective receptacle cover.

Observed a toxic Golden Pothos plant in the PS 4 room which was in reach of children. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care.

The first aid kit in the PS 3 room lacked tweezers.

The area rug in the PS 4 room, which is beige with black spots, had two areas which were fraying causing a tripping hazard.

The Young Toddler exit door which leads to the outside was blocked by a garbage can and 3 floor cleaning devices. The back door of the preschool 3 room, which leads to the back hallway was obstructed by a child's table and rest equipment and the other side of said door was blocked by toys and cardboard boxes.

There was more than 12 months between health reports on file for child #1, who is of preschool age. This is evidenced by health report dates of 1/9/23 and 6/26/24.

The most current immunization record on file for child #3 contains 2 of 4 Pneumococcal immunizations for the age of the child as in accordance with the recommendations of the ACIP.

The most current health reports on file for children #1 and 8 lack the 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 #7 and 9. This is evidenced by the health assessment dates of- Staff #7 - 9/17/21 and 10/30/23 and Staff #9 - 6/10/21 and 10/30/23.

The file for staff #13, who was a rehire, lacks a TB within the past 12 months of rehire date. SEE IS CODE SHEET.

The health assessment on file for staff #2 lacks an assessment of the person's suitability to provide child care and an examination for communicable diseases.

Observed 5 infant bottles which lacked a label with the child's name.

There was more than 30 days between testing of the fire detection system which were completed as follows: 9/12/23 and 10/17/23, 11/8/23 and 12/29/23 and 2/12/24 and 3/22/24.

Staff person # 12 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): 10 hour health and safety training.

The file for staff #3, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/9/24 and pediatric CPR/FA training date of 3/18/24. The file for staff #4 lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training on file date of 6/11/24. The file for staff #5, lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 6/11/24. The file for staff #8, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/19/24 and pediatric CPR/FA training date of 3/18/24.

The files for staff 3 and 4 lacked mandated reporter training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the mandated reporter training date of - Staff #3- 2/7/24 and Staff #4 - 6/10/24.

The file for staff #3, who holds the title of AGS, lacks verification of a high school diploma or GED. The file for staff #4, who holds the title of AGS, lacks 2500 hours of child care experience. The file for staff #8, who holds the title of AGS, lacks verification of a high school diploma or GED. the file for staff #13, who holds the title of AGS, lacks 335 hours of child care experience.

The file for staff #1 lacks a staff evaluation within the past 12 months. This is evidenced by the current staff evaluation on file dated 12/20/22.

The most current emergency contact information on file for child #6 lacks the phone number of the child's physician or source of medical care.

The most current emergency contact information on file for child #1 lacks the enrolling parents work address. The most current emergency contact information on file for children #2, 6 and 7 lack the enrolling parents work address and work phone. The most current emergency contact information on file for child #4 lacks the enrolling parents work phone.

The file for staff #7 lacks 5 hours of child care training from 12/2022 - 12/2023.

The file for staff person #1, whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked an FBI Clearance that was completed 60 months from the previous FBI Clearance. The FBI Clearances in the file are dated 3/19/18 and 5/25/23. The file for staff person #8, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked a valid FBI Clearance. The FBI Clearance in the file was completed through the Public Department of Education instead of the Department of Human Services as required.

In Preschool 4 it was observed that a protective receptacle cover was missing in the outlet near the kitchen play area.

In the restroom it was observed that a handwashing sign was not posted above the toilet in the middle stall.

In the school-age classroom a lego was observed to be broken creating rough edges and sharp corners. In Preschool 4 a bin with wooden blocks in it was observed to be broken causing rough edges and sharp corners. In Preschool 4 a bin with legos in it was observed to be broken causing rough edges, sharp corners, and pinch and crush points.

The file for child #2 lacked a child health report that was updated 12 months from the previous child health report. The child health reports in the file are dated 8/31/21 and 3/14/23.

In the older toddler room an albuterol inhaler was observed not to be in an original container.

The file for staff person #1 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/24/20 and 11/21/22. The file for staff person #7 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/2/20 and 11/11/22.

The file for staff person #2 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/24/23.The file for staff person #5 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/27/23. The file for staff person #7 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training. The file for staff person #9 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 1/11/23.

The file for staff person #4 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/7/21 and 12/20/22. The file for staff person #7 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/17/21 and 12/20/22.

The file for staff person #6 lacked a high school diploma.

The file for child #1 lacked emergency contact information that included the address and telephone number of the child's physician.

The file for child #1 lacked emergency contact information that included the work addresses and work telephone numbers of the enrolling parent.

The file for staff person #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. There was one nonfamily reference letter in the file.

The file for staff person #4 lacked an annual minimum of 12 clock hours of child care training. There were 6 child care training hours in the file.

During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left alone on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

In the Preschool 3 room wooden toy blocks were observed that were splintered causing rough edges.

In the Preschool 3 room Motrin and an Epi pen was observed to be expired. In the Older Toddler room a Tylenol was observed to be expired.

It was observed that the smoke detection system was checked more than 30 days in between the following dates 3/14/22 and 4/22/22.

The file for staff person #1 lacks valid training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f). The training in the file is dated 8/29/16. The file for staff person #2 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) within 90 days of hire (See LIS CODE SHEET). The training in the file is dated 5/31/22.

The files for children #1, #2, and #3 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

The file for child #4 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.