Young Mens Christian Assoc of Warren PA

Facility persons #6 and #7 have not received training regarding the facility emergency plan.

Observed in the hallway bathroom by the gym an electrical outlet that was lacking a protective cover.

Observed the hallway bathroom by the gym and the bathrooms in the Program 6 room are lacking hand-washing signs by toilets and sinks.

Observed the hallway bathroom by the gym was lacking a lidded waste receptacle.

In the Program 2 room there was a bottle of Children's Allergy medication that was lacking the name of the child for whom it was intended.

The file for staff person #1 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The files for facility person #6, serving as the bus driver, and facility person #7, serving as a classroom volunteer, are lacking valid health assessments.

The proof of purchase was not available for the individual fire detection devices that were demonstrated operational during the inspection and are tested every 30 days

Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Approved PFA/PCPR with a PQAS instructor.

The file for staff person #3, hire date (see IS code sheet) lacks documentation of PFA/PCPR training within 90 days of hire as evidenced by the training on file is dated 5/24/2024. The file does contain current training.

The Program 4 room was lacking a written plan of daily activities.

The file for staff person #2 contains only 1 of the required 12 hours of training between 12/ 2023 and 12/2024. The file for staff person #5 contains only 11 of the required 12 hours of training between during 12/2023 and 12/2024.

It was reported by the operator and verified through staff interviews that staff person #1 was holding child #1's hand during a field trip and when the child stated he didn't want to hold hands and pulled away, staff #1 used physical punishment when she held onto the child's wrist and raised the child's arm up above his head.

The file for Staff #4 was lacked documentation of application for an FBI clearance prior to hire and the FBI clearance is dated 12/14/23 (SEE IS CODE SHEET).

The facility's Emergency Plan lacked updates to include the following sections: Continuity of Operations.

The file for Staff #2 and Staff #11 lacked Emergency Plan Training within 90 days of hire. The most recent Emergency Plan training on file for Staff #8 is dated 2/22/23, more than 12 months prior.

In Program 4, an outlet cover was missing in the surge protector attached to the wall.

In Program 4, a door that leads to the kitchen was observed unlocked, which made the stove accessible to children.

A hole in the poured playground surfacing was observed in the Large Fenced Playground, which could be a tripping hazard.

Peeling paint was observed on the shed wall in the Small Fenced Playground, which is accessible to children.

Foam blocks with teeth marks and broken magnatiles were observed in Program 2, Program 6, and Program 7, which could be hazardous to children. In the Small Fenced Playground, a plastic picnic table was observed with cracked plastic with sharp edges that could cause injury.

In the Small Fenced Playground, splintered wood less than 1 inch in diameter was observed at the base of the shed wall, in a space used by Toddlers who are still placing objects in their mouths.

The most recent health assessment on file for Child #2 (PSA) is dated 2/1/23, which is more than 12 months ago.

In Program 2, Children's Tylenol labeled for use by Child #7 expired on 2/2024 and was not in accordance with the manufacturer's original label.

The two most recent health assessments on file for Staff #8 are dated 11/15/21 and 2/22/24, more than 24 months apart. The initial health assessment on file for Staff #10 is dated 1/12/23, which is more than 1 year prior to date of hire (SEE IS CODE SHEET).

The health assessment on file for Staff #5 and Staff #9 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

The fire drill log on file included fire drill conducted 4/4/23-6/12/23, more than 60 days apart.

The file for Child #4 did not contain an initial health assessment and written verification of immunization, which is more than 60 days beyond date of enrollment. The file for Child #5 contained an initial health assessment dated 2/23/24, which was more than 60 days beyond date of enrollment. (SEE IS CODE SHEET)

The two most recent Pediatric First Aid/CPR trainings on file for Staff #7 were dated 1/27/22 and 3/1/24, which is more than 24 months apart.

The two most recent fire safety trainings on file for Staff #1, Staff #2, and Staff #8 are more than 12 months apart.

The most recent water safety training on file for Staff #2 is dated 2/1/23, more than 12 months prior.

Staff #2, Staff #6, and Staff #12 had not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR. Staff #2 completed the training on 12/30/22, Staff #6 completed the training on 12/30/22, and Staff #12 completed the training on 10/23/23. (SEE IS CODE SHEET) Staff #4 and Staff #11 have not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR

The file for Staff #9 and Staff #12 contained a Mandated Reporter training that is not from an approved training source, making it invalid.

The Emergency Contact form for Child #3 & Child #5 lacked the address and phone number for the child's physician or source of medical care.

The Emergency Contact form for Child #1 did not contain the enrolling parent's work address and phone number.

The Emergency Contact form for Child #3 lacked the child's Health Insurance/MA Policy Number.

The Emergency Contact form for Child #3 and Child #5 lacked complete addresses for all listed release persons.

The Emergency Contact for Child #5 lacked written parent permission for the facility to administer minor first aid procedures.

The file for Staff #3 contained 11 of 12 annual child care training hours.

The first-aid kit located in the Pro 2 room contained non-sterile gauze pads.

The tray of a mounted bulletin board in an area accessible to children in the Pro 1 room was observed to have metal support brackets with sharp edges that could cause laceration injuries.

An approximately 12"x6" plastic bin in an area accessible to children in care in the Pro 2 room was observed to have cracked, jagged edges that could cause laceration or pinch point injuries. A storage basket located in an area accessible to children in care the Pro 1 room was observed to have a cracked edge that could cause laceration injuries.

A wooden, child-sized chair located in an area accessible to children in the Pro 1 room was observed to have loose framing that could cause a pinch point injury.

The file for Staff #1 did not contain the documentation of the completion of the additional one-hour Healthy and Safety Basics training module.

*Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

Based upon facility self-report and subsequent interviews with staff persons, it was determined that Staff #1 left one pre-school aged child unsupervised while said staff person used the restroom.

The operator self-reported that the file for facility person #1, date of hire (see IS code sheet), contains a FBI clearance dated 11/8/2021 and obtained through the Department of Education which is not accepted for employment in a child care facility under CPSL.

The file for staff person #3, provisionally hired 11/29/2021, is lacking an NSOR verification within 45 days of hire as required under the provisional hire waiver. The file does contain a current NSOR verification dated 2/15/2022.

The files for staff persons #2 and #3 are lacking verification of emergency plan training at the time of initial hire and the files for staff persons #4, #5 and #6 are lacking emergency plan training during the previous 12 month period.

Observed electrical outlets missing protective covers in the Program 1 room by the string of lights and in the Program 4 room in the power strip on the left side wall. Children under the age of 5 were observed to have access to the outlets in these child care spaces.

Observed the large gate on the blacktop area of the school age outdoor child care space to have several large protruding bolts without safety caps.

Observed on the toddler preschool playground peeling paint on the top rail of the chain link fence.

Observed in the Program 1 room a child's painted wooden table with peeling paint and splintering wood on the legs of the table.

Observed lunch boxes stored in the cubbies in the Program 1 and Program 2 rooms containing potentially hazardous foods including a 'lunch-able' and yogurt labeled 'keep refrigerated' and a sandwich containing lunchmeat.

The file for child #5 contains an initial health report that is dated more than 1 year prior to the first date of attendance and is therefore not valid and does not contain an updated or current health report.

The file for child #4, preschool aged, is lacking verification of a flu vaccine during the year 2021 as required by the ACIP immunization schedule.

The file for staff person #4 is lacking a health assessment conducted during the previous 24 month period.

There is no documentation of an annual emergency drill conducted during the period of 12/18/2020 to 12/18/2021.

The facility fire drill log showed fire drills conducted on 4/30/2021 and 1/31/2022, exceeding 60 days between drills.

The operator self-reported that the most current emergency plan has not been sent to the local municipality.

The file for child #4 is lacking an initial health report within 90 days of the first day of attendance. The file does contain a current health report.

The file for staff person #6 is lacking fire safety training during the previous 12 month period.

The file for staff person #1, employed greater than 90 days, is lacking verification of training in the first 9 of the 10 required health and safety topics.

The file for staff person #3, serving as an aide, is lacking a highschool diploma or verification of completion of 8th grade and 2 years of child care experience.

The files for staff persons #4,#5 and #6 contain current employee evaluations that were completed greater than 12 months following the previous evaluation. The files are now current.

The file for child #2 contains a financial agreement that was not signed by the operator.

The files for child #3 and child #4 are lacking child service reports or approved child assessments completed during the previous 6 month period.

The file for child #2 contains the original financial agreement.

The files for children #1 through #5 contain the original agreement instead of a copy.

The file for staff person #3 contains only 1 of the required 2 written, nonfamily references.

The file for staff person #3 is lacking verification of training in pediatric first aid and pediatric CPR and has exceeded 90 days since hire.

The file for staff person #5 contains only 3 of the required 12 hours of professional development training completed during the 12/19/2020 to 12/19/202 time period.

On 10/19/2021 at 3:15 pm it was observed that staff person #1 was alone supervising 15 young school aged children until staff person #3 arrived at 3:40 pm.