YWCA of York Day Care Center

Documentation of the state police clearance and child abuse clearance on file for staff member 1 were both volunteer clearances and staff member 1 is working as an aide and in ratio with children.

During the time of inspection, it was observed that an infant was sleeping with a pacifier attached to a clip causing a choking hazard. This was corrected during the inspection. An infant had a wipe in their mouth causing a choking hazard. This was corrected during the inspection.

During the time of inspection, it was observed that there was an unlabeled spray bottle in the infant classroom. This was corrected during the inspection.

During the time of inspection, it was observed that a ceiling tile in the infant classroom had a water mark on it which could indicate a leak. This was corrected during the inspection. The rubber playground surfacing had large holes in it causing a tripping hazard. This was corrected during the inspection.

During the time of inspection, it was observed that paint was peeling by the closet and the main door in the infant classroom. This was corrected during the inspection. Paint was peeling by the play kitchen in classroom number 3.

During the time of inspection, it was observed that a training chair was located in the bathroom in classroom 4 that contained the sanitized solution. This was corrected during the inspection.

During the time of inspection, it was observed that a container with pretend phones was broke and the bottom of the brown chair was ripped in classroom 3. Both of these were corrected during the inspection. A bin with plastic animals was cracked in classroom 4. This was corrected during the inspection. There was a cracked piece of equipment on the playground. This was corrected during the inspection. A basket was broke in classroom 7. This was corrected during the inspection.

During the time of inspection, it was observed that a sippy cup was not labeled with a child's name in the infant classroom. This was corrected during the inspection.

During the time of inspection, it was observed that the daily schedule was not posted in classroom 12 and classroom 13. This was corrected during the inspection.

Documentation of the emergency contact information on file for child 1, did not include the complete address for the individuals designated by the parent to whom the child may be released. This was corrected during the inspection.

During the time of inspection, it was observed that the emergency transportation plan was not posted in classroom 10. This was corrected during the inspection.

Documentation of a letter signed by a representative of the experiential, educational or training entity was not on file for staff member 1. This was corrected during the inspection.

During an unannounced monitoring visit, it was observed that a large knife with the cover on it was accessible to children. The knife was approximately fourteen inches from the handle to the tip of the knife.

During an unannounced monitoring visit, it was observed that the staff did not wash their hands prior to serving snack and the children didn't wash their hands before eating snack.

During the time of inspection, it was observed that staff member 2 was alone with 15 young/ old school age children until staff member 3 arrived with an additional 6 young/old school age children.

During the time of inspection, it was observed that a child was alone and unsupervised in the fitness center while the rest of the children and staff were in the yoga room. Director escorted the child to the room where the rest of the group was.

During the time of inspection, it was observed that gloves were missing in the first aid kits in classroom 10 and classroom 12. Tweezers were missing in the first aid kit in the infant classroom. All items were added to each first aid kit and corrected during the inspection.

During the time of inspection, it was observed that the first aid kit in the van used to transport children did not include soap, tweezers and a bottle of water.

During the time of inspection, it was observed that the floors under the cabinets in classroom 3 were visibly dirty. The upper window next to the counter in the infant classroom was cracked.

During the time of inspection, it was observed that visual identification was missing on the glass window next to the classroom door in classroom number 3. This was corrected during the inspection.

During the time of inspection, it was observed that a basket containing puppets, a basketball and blanket in classroom number 3 was broken. The basket was removed during the inspection.

During the time of inspection, it was observed that the cots in classroom 2 were not labeled for the use of a specific child. This was corrected during the inspection.

During the time of inspection, it was observed that the trashcan located next to the diaper changing area in classroom 2 was broken and not hands free. This was corrected during the inspection.

During the time of inspection, it was observed that there was a bottle of cool whip that expired on 11/05/24 in the refrigerator in classroom 3. The cool whip was thrown away during the inspection.

During the time of inspection, it was observed that the insurance information in the van used to transport children expired on December 1, 2024.

Documentation on file for staff member 1, did not include an updated mandated reporter training. The mandated reporter training on file expired on 10/14/24

During the time of inspection, it was observed that a written plan of daily activities was not posted in the infant classroom. This was corrected during the inspection. The space used by the school age program did not include a written plan of daily activities for the before school program.

During the time of inspection, it was observed that the emergency transportation plan was not posted in the fitness center. This was corrected during the inspection.

Video footage provided by the facility showed staff member 1 and a parent in a verbal altercation while children were in care.

Video footage provided by the facility showed staff member 1 and a parent in a verbal altercation while children were in care.

During an unannounced swimming visit at camp, it was observed that children were playing close to the road while the staff member was sitting on the ground with their back turned to the children working on a bracelet. Children were observed to be outside of the art hut unsupervised and staff members weren't present.

While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch. Child 1 was visibly upset and was not spoken to or comforted by a staff member for the remainder of time the footage was available.

While reviewing two minutes of camera footage, it was observed that staff member 1 was on their smart watch multiple times and not properly supervising children in care. Proper supervision of children is being able to see, hear, direct and assess the activities of the children at all times.

While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch.

While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch. Administrative staff, who are mandated reporters, did not report this situation after observing the camera footage.

Documentation of the medication log on file for child 1 did not include the date of administration and time of administration. The date of administration and time of administration were added to the medication log during the correction verification visit.

Continued Non-Compliance: On 1/26/24 a renewal inspection was conducted at the facility. Staff person 1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 2/27/24 On 3/21/24 an unannounced inspection was conducted. Staff person 1still has not completed the following required pre-service training: Pediatric First Aid/CPR

Documentation of the disclosure statements on file for staff member 1, staff member 2, staff member 9 and staff member 10 were signed online and not in person. Documentation of the disclosure statements on file for staff member 3, staff member 4 and staff member 7 were signed by the staff member and the witness on two different dates. Documentation of the state police clearance on file for staff member 6 indicated there was a record but the rap sheet was not on file. Documentation of the state police clearance, child abuse clearance and FBI clearance on file for staff member 11 was updated after the 60 month time frame. The state police clearance expired on 10/3/23 and was updated on 11/28/23. The child abuse clearance expired on 11/8/23 and was updated on 12/11/23. The FBI clearance expired on 10/10/23 and was updated on 12/11/23.

During the time of inspection, it was observed that tape was missing in the first aid kit located in the butterflies classroom. Tape was added to the first aid kit during the inspection.

During the time of inspection, it was observed that ceiling tiles located in classroom number 5 and the butterflies classroom had water marks on them indicating a leak.

During the time of inspection, it was observed that paint was peeling by the window located in the butterflies classroom.

During the time of inspection, it was observed that baskets containing toys that children play with were broken in the sea otters, sharks, star fish, ducklings and cuddly cubs classrooms. The baskets in all of the classrooms were removed during the inspection.

Medication for child 1 did not include a label with the name of the medication and the name of the child for whom the medication is intended or the written instructions from the individual who prescribed the medicine.

Documentation of a medication log was not on file for child 2, child 3 and child 4.

During the time of inspection, it was observed that multiple half galloons of whole milk were expired in the refrigerator in the turtles classroom. All milk was discarded during the inspection.

During the time of inspection, it was observed that the facility did not have the manufacturers' instructions for the use of safety restraints in the vehicle.

Documentation of the fire detection alarm testing on file showed that testing wasn't completed every 30 days. Testing was completed on 11/1/23, 12/6/23 which is 35 days.

Documentation of the Health and Safety Basics training on file for staff member 8 and staff member 10 were completed after staff members first 90 days of employment.

During the time of inspection, it was observed that previous inspections summaries that the certification representative didn't verify that the corrections have been made were not posted in a conspicuous location used by parents.

Staff member 10 has not completed the following pre service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR

Documentation of two years' experience working with children was not on file for staff member 5 and staff member 8.

Documentation on file for staff member 8, included one reference letter. Documentation of the reference letters on file for staff member 5 do not attest to the person's suitability to serve as a facility person.

During an unannounced monitoring visit, it was observed that staff member 1 and staff member 2 had 9 children total but only identified 7 children. Staff members weren't able to identify all of the children in their primary care groups.

A parent was denied access into the building to pick up her children from care.

During an unannounced monitoring visit, it was observed that staff member 1 did not wash their hands prior to serving breakfast. Staff member 2 did not wash their hands or the child's hands after a diaper change.

During an unannounced monitoring visit, it was observed that staff member 1 and staff member 2 weren't able to identify the children in their primary care assigned group.

Mold was observed in a lid of a child's sippy cup.

Staff member 1, staff member 2, staff member 3 and seven young and older toddler aged children were exiting the elevator on the second floor. The staff didn't realize that a child 1 was still on the elevator when the elevator door closed and immediately went to the first floor where staff member 4 was waiting to enter the elevator with two other young and older toddler aged children.

Staff member 1, staff member 2, staff member 3 and seven young and older toddler aged children were exiting the elevator on the second floor. The staff didn't realize that a child 1 was still on the elevator when the elevator door closed and immediately went to the first floor where staff member 4 was waiting to enter the elevator with two other young and older toddler aged children.

During an unannounced monitoring visit, it was observed that the fire detection system was not being tested every thirty days. The alarm was tested on 6/8/23, 7/13/23; which is thirty-five days.

Documentation of a complete lifeguard file for staff member two was not available to certification representative during the unannounced pool monitoring visit.

Documentation of water safety training was not on file for staff member 3, staff member 4, staff member 5 and staff member 6.

When conducting an unannounced swimming monitoring visit, it was observed that staff member one was caring for eight young school-age children.

During this inspection, it was observed that the strollers that the infants use had old food/crumbs and dirty used tissues in them. The strollers were cleaned/vacuumed during the visit and the dirty/used tissues were thrown away and stroller was sanitized during the visit.

The child abuse clearance and FBI clearance for staff member 9, was updated after the 60 month timeframe. The child abuse clearance expired on 9/22/2022 and was updated on 9/30/2022. The FBI clearnace expired on 8/26/2022 and was updated on 10/032022.

At the time of inspection, a spray bottle that wasn't labeled was located in the refrigerator in the sea otter's classroom. This was labeled at the time of inspection.

During the time of inspection, it was observed that one window in the turtles room was able to be opened more than six inches. Both windows in the stingrays room were able to be opened more than six inches and both windows in the clownflish room were able to be opened more than six inches.

During the time of inspection, it was observed that the fence surrounding the playground had multiple areas of broken and splintered wood pieces facing the inside of the playground area.

During the time of inspection, peeling paint was observed in the penguins room, sea otters, and dolphin rooms. Staff member covered peeling paint in all classrooms during the inspection.

At the time of inspection, it was observed that there was a unlidded waste receptacle located in the school age bathroom. A lidded trash can was placed in the bathroom at the time of inspection.

During the time of inspection, it was observed that the play structure on the playground had a bridge which was surrounded by a net that was torn on both sides. The shed that is located on the playground had a metal piece coming off of the lower left side of the structure that had sharp edges. A cushion that was located on a couch in the gazebo had a tear with the stuffing from the inside coming out. A wooden crate structure meant to hold the child's belongings had sharp staples protruding out of the wood. The wood crate structure was split in places that could cause splinters. The shed was taped at the bottom to cover the sharp edge during the time of inspection. The hole in the cushion was covered with tape during the inspection. The staples were hammered into the wooden crate structure during the time of inspection and all splintered pieces were removed.

During the time of inspection, it was observed that there wasn't an operable thermometer in the refrigerator in the sea otter's classroom. The refrigerator also had carrots that were turning into liquid and sticky liquid was observed at the bottom of the pull out drawer on the left. A thermometer was placed in the refrigerator, the carrots were thrown away and the drawer was cleaned at the time of inspection.

Documentation of immunization records on file for child 7 wasn't administered in accordance with the recommendations of the ACIP. An exemption letter for a strong personal belief against immunizations for the child was provided at the time of inspection.

During the time of inspection, it was observed that a bottle of unlabeled diaper cream was located in the number four classroom. This was labeled during the inspection.

Documentation of health assessment on file for staff member 1, staff member 2, staff member 3 and staff member 6 were completed after their first day of caring for children. Documentation of the updated staff health assessment for staff member 7 and staff member 8 were completed after the 24 months of their initial health assessments.

Documentation of the TB test for staff member 1 was dated after her start date to care for children. Documentation of file for the TB test for staff member 6 was dated more than one year prior to her start date. Documentation of the TB test for staff member 4 was not on file.

Documentation of health assessment on file for staff member 2 didn't indicate an examination of communicable diseases. This was corrected on 12/28/2022. Documentation of health assessment on file for staff member 5 indicated that she had a communicable disease but did not include the conditions and the risk it might pose to others exposed. This was corrected on 12/28/2022.

During the time of inspection, it was observed that the program was using a 15-passenger van to transport a 7 year old child from school to the facility. During the time of inspection, it was observed that the 15-passenger van didn't have a booster seat for the child to be transported in from the school to the facility.

During the time of inspection, it was observed that the fire detection system wasn't be tested every thirty days.

Documentation of number of hours experience working with children was not on file for staff member 2. This was corrected on January 5, 2023

The financial agreement on file for child 6 didn't include a departure time. The emergency contact form on file for child 6 didn't include the enrolling parents phone number. The emergency contact form on file for child 8 didn't include the enrolling parents work address.

Staff Person number 2 did not have Pediatric CPR/First Aide from an approved trainer on file. Staff Person number 3 did not have Pediatric CPR/First Aide on file. Until such time as the required trainings are completed, staff person #2 and 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2 and 3, staff person #2 and 3 may not work in a child care position at the facility.

Staff person number 1 had health and safety training dated 9/9/16, which is not an approved 6 hour health and safety course. Until such time as the required trainings are completed, staff person #1must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Staff person number 4, hire date 11/11/21 did not receive emergency plan training at initial employment. Emergency plan training for staff 4 was completed on 12/23/21. Staff person number 5, hire date 12/3/21, did not receive emergency plan training at initial employment.

In room 7, an uncovered outlet was observed on an extension cord. This was corrected on site.

In Room 10, the carpet on the floor was observed to be curling upwards, causing a tripping hazard. This was corrected on site. In Room 11, there was fabric observed to be wrapped around the pipes that was frayed and in disrepair. The pipes along the ceiling, and vents in room 11 were observed to be dirty and covered in dust. In Room 12, the pipes along the ceiling and vent was observed to be dirty and covered in dust. Toy bins and surfaces in Room 12 were observed to have dust and dirt on the shelves and toy bins. In Room 13, dust and dirt was observed on the shelves and inside of toy bins. On the outdoor playground, the fence was observed to be in disrepair near the outdoor sink and basketball hoop.

In the Yoga Studio, broken plaster was observed on the lower corner of the white wall near the sanitizer dispenser. Peeling paint was observed around hand sanitizer dispensers on white and orange walls. In the Small Studio, peeling paint was observed around the hand sanitizer dispenser. In Room 6, peeling paint was observed on the left side window sill.

The napping cots in rooms 10, 11, 12, and 13 were not marked for individual use. This was corrected on site.

The health assessment for child number 4 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Staff person number 6 had a health assessment dated 11/14/19 and was updated on 11/16/21, which is greater than 24 months.

Child number 2 did not have an initial health assessment. Current health assessment on file for child number 2 was dated 12/21/21, which is greater than 60 days from the enrollment date. Child number 3 does not have a health assessment on file. Child number 5 did not have a health assessment on file. Child number 6 does not have a health assessment on file. Child number 7 does not have a health assessment on file.

Staff person number 3. hire date 9/23/21, did not complete Pediatric CPR/First Aid within 90 days of hire. Staff person number 3 does not have Pediatric CPR/First Aid on file.

The emergency contact form for child number 8 did not contain written consent for emergency medical care.

The emergency contact form for child number 1 did not have the address for release persons listed.

Staff person number 2 was missing a nonfamily reference that attests to the person's suitability to serve as a facility person. Corrected on site.

Staff person number 8, hire date 9/23/20, did not complete health and safety training within 90 days of employment. Health and safety training is dated as 1/5/22

Staff person yelled at a child telling the child to "shut up"

Staff person number 1 was observed striking child number 1 with an open hand in the chest.