York JCC Gan Rimon Campus

The dress up shelf located in the 2-year-old classroom was unstable and not secured to the wall. The dress up shelf fell on child #1 resulting in an emergency room visit and 2 stitches in the child's head.

During naptime, a child refused to lie down. Staff member #1 responded inappropriately by removing the child's pillow, which caused the child to bump their head on the floor.

Facility person #1 and facility person #2 assumed responsibility for child #1 when they took the child out of the classroom and did not administer the child's EipPen. The child had a red rash, itchiness, wheezing, laboring to breath, and vomiting. These are all symptoms of an allergic reaction according to Pediatric First Aid/CPR training which facility person #1 and facility person #2 both have on file at the facility. Child #1 was admitted to the Intensive Care Unit after his mother sought medical care.

Child fell on the playground and no accident report was written for the accident. Parents were not notified of the day the accident.

Documentation of the clearances on file for facility person #2 indicated there was a record but the rap sheet was not submitted to the regional office for review before Facility person #2 began working with children.

Documentation of the facilities parent letter did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

During the time of inspection, it was observed that classroom 102 had visible dirt and sand under their changing pad on their changing table. - corrected on site

Facility person #1 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 6.29.22 and the updated health assessment was completed on 9.4.24.

During the time of inspection, classroom 106 had two breastmilk bottles and one formula bottle that were not labeled. - corrected on site

Documentation of comprehensive general liability insurance on file at the facility expired on 9.1.2024. - Corrected on site

Staff person #2 did not have an NSOR clearance on file at the facility. Staff person #3 did not have an FBI clearance on file at the facility.

Staff person #1 did not have documentation of the 10 hour health and safety training on file.

Facility Person #1 has been named as a perpetrator in an indicated report of child abuse.

During the time of inspection, it was observed that the outdoor shed in the toddler playground had a sharp broken piece of siding.

During the time of inspection, it was observed that there was not a responsible designated staff responsible in the Director's absence.

Facility self-reported noncompliance on 4.5.24 that child #1 picked up a medical marijuana pen and smoked the pen.

Facility self-reported noncompliance on 4.5.24 that staff person #1 dropped a medical marijuana pen and walked out of the classroom.

On 2/8/24, the facility self- reported that they were out of ratio in their young toddler classroom and their older toddler classroom from approximately 7:50-8:15am.

Documentation of the results of the NSOR on file for staff member 5 didn't include a date.

During the time of inspection, it was observed that the first aid kit in room 103 was missing tweezers. Tweezers were added to the first aid kit during the inspection.

During the time of inspection, it was observed that the table that the changing pad was on in classroom 103 was dirty. A pillowcase in room 105 was dirty. The pillowcase was removed during the inspection. The baskets in room 104 that contained toys for the children were broken and had sharp edges that could cause a child to be cut.

During the time of inspection, it was observed that toys that children were placing in their mouths were not removed to be cleaned in room 105.

Documentation of the medical log on file for child 1 did not include special notes related to problems of administration of medication.

Documentation of the health assessment on file for staff member 4 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During the time of inspection, it was observed that the pickup/drop off procedures were not posted in a conspicuous location in the child care facility. The pickup/drop off procedures were posted during the inspection.

Documentation of the emergency plan and the parent letter on file didn't include accommodations for infant, toddler, children with disabilities, and children with chronic medical conditions

There wasn't documentation on file an emergency drill conducted annually.

Documentation on file for staff member 2 and staff member 3 didn't include verification of 2 years' experience working with children.

During the time of inspection, it was observed that a written plan of daily activities was not posted in the infant classroom.

During the time of inspection, it was observed that a young toddler was visibly upset and crying for almost two and a half minutes before a staff member talked/comforted the child during story time.

The original agreement was on file for child 2, child 3, child 4 and child 5.

Documentation on file for staff member 1 and staff member 3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During an unannounced monitoring visit, it was observed that there were one inch worms on the carpet in the infant room. The teachers reported that the children were attempting to put the worms in their mouths and they've had the worms for approximately one week.

During an unannounced monitoring visit, it was discovered that the facility was not providing an alternative fruit to a child 1 on the days that the food that the child is allergic to is provided for lunch

Child 1 went to the emergency room and it wasn't reported to the department of human services certification representative.

Child 1 was fed a food that they are allergic to on two separate occasions.

During an unannounced monitoring visit, it was observed that the inspection summary from the previous unannounced monitoring wasn't posted in a conspicuous location and certification representative had not yet verified the corrections from that inspection summary.

Fire drills were not conducted at least once every 60 days with a lapse of 81 days, 5/11/23 - 7/31/23.

The fire system was not tested every 30 days. 5/11/23 - 6/22/23 = 42 days 6/22/23-7/31/23 = 39 days

The facility reported that child #1 was left unattended and unsupervised in the gross motor room for a time period of 5-8 minutes.

Documentation was not available to show that facility conducts testing of the fire alarm every 30 days.

It was observed on 12/2/2022 in a hallway bathroom a tube of diaper ointment was accessible to children. (CORRECTED ON SITE)

It was observed on 12/2/2022 in room 103 a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (CORRECTED ON SITE)

It was observed on 12/2/2022 in room 103 an Epi-Pen was present for Child #3; however, a parent did not provide written consent for the administration of the medication.

A Child Service Report, which is the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided was not completed for Child #1 and Child #2. Both Child #1 and Child #2's admission date was 5/31/2022.

The letter to the parents explaining the emergency procedures did not contain accommodations for toddlers; lock-down procedures; a method to contact parents when an emergency situation arises and when it ends; and emergency drills will be conducted and documented annually.

It was observed that a White Out Correction bottle was accessible to children, in Room 103, in a drawer to the left of the sink (corrected during inspection)

It was observed, in both bathrooms across the hall from the Director's office, that there were plastic bags accessible to children on a shelf and in a drawer (corrected during inspection).

It was observed that a rest mat, in Room 104, was not labeled for the use of a specific child. (corrected during inspection)

Child #1's most current Influenza vaccination is dated 11/6/19. Child #2 did not receive the required number of Hepatitis A vaccinations based upon child's age.

It was observed, that in room 104 and room 105, the trash cans used to discard diapers were not hands-free. It was observed that, in the two bathrooms across the hall from the Director's office, the trash cans used to discard pull-ups are not hands-free.

Fire drills were conducted beyond the every 60 days permitted. Fire drill conducted 7/26/21 then on 9/30/21.

There are no supervision policies included in the parent handbook.

Due to a lack of supervision, Child #1, part of staff person #1's assigned group, was able to climb and fall off playground equipment, sustaining a broken arm.

Child #1 fell from playground equipment unwitnessed by staff persons 1 and 2. It was unknown to staff if child's head struck any surface. Child appeared lethargic and was crying. Child's right arm began to swell, child was crying and in pain. Facility did not call for emergency medical care to assess the child. Child later reported to have sustained a broken arm.

In room 105 (1 yr olds), there were 13 children in care with two staff persons in the classroom. The third staff person was in the restroom at the start of the visit in classroom causing them to be out of compliance regarding the required 1:5 staff to child ratio. The third staff person came back into the classroom within a few minutes, correcting this staff to child ratio violation.