Bethlehem Ymca Childcare - Bethlehem PA Child Care Center

Noncompliance Area: During the Renewal Inspection on 11/15/2019, The most recent health report and child immunized status on file for Child #1, an older toddler was dated 7/25/2017. Child #2 also did not have the child's immunized status according to recommendations of the ACIP on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: During the Renewal Inspection on 11/15/2019, Staff #1 re-hired on 10/28/2019 did not have an initial health assessment with a tuberculosis screening by the Mantoux method within the previous 12 months on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: During the Renewal Inspection on 11/15/2019, it was discovered that Staff #1, a previous employee was re-hired on 10/28/2019. Effective 10/1/2019, newly hired staff are required to have the NSOR (National Sex Offender Registry) request on file prior to working in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a child care position at the facility until her NSOR clearance is on file at the facility.

Noncompliance Area: During the Renewal Inspection on 11/15/2019, there were 4 electrical outlets in the Infant classroom and 2 in the Pre-K Counts C classroom that did not have protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the Renewal Inspection on 11/15/2019, a shed located on the outdoor playground had small nails sticking out of the side. Rust was also seen on the stalls in the boys bathroom by the offices and in the boys 3 and 4 bathroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During the Renewal Inspection on 11/15/2019, peeling paint was seen by the lockers in the After Care classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On 4/23/2019, Staff #1 was supervising a group of 5 preschool children while they swimming in the facility indoor pool. Facility Person #2 was identified as the lifeguard on 4/23/2019. As of 5/6/2019, the facility has not provided records to the department to show that Staff #1 has completed annual water safety training within the past year, and also has not provided current lifeguard certification for Facility Person #2.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training). A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Noncompliance Area: On 4/23/2019, Staff #3 only had one written, nonfamily reference on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On 4/23/2019, the director was unable to provide record files for Staff #1 and Facility Person #2. As of 5/6/2019, these records still have not yet been provided to the department.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

Noncompliance Area: On the morning of 4/23/2019, the hot water temperature for the sink that is used for child hand washing in the infant room measured 135 F. The hot water temperature was turned down, but it still measured 115 F early in the afternoon on 4/23/2019.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: On 4/23/2019, the following was observed: Drywall coming out of the bulletin board in the gym that is used by the children, and a Tikes tree house with a crack on the bottom leaving sharp edges exposed and broken fencing by the gate on the outdoor playground.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: On 12/3/2018, the Early Childhood Education Consultant reported that they had completed their time with the Bethlehem YMCA. ECE Consultant wrote that they checked the goal as "unmet" because some of the teachers were still not able to meet the minimum standards for supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. All staff will receive 4 additional hours of technical assistance with supervision of children. In addition, the director will receive 2 hours of technical assistance with rewriting the facility supervision policy. The updated supervision policy will be sent to regional OCDEL when it is complete.

Noncompliance Area: During the renewal inspection on 11/28/2018, several bolts were exposed on the fencing of the outdoor playground.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: During the renewal inspection on 11/28/2018, the refrigerator in the school age classroom did not have a thermometer in it.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: Child files were reviewed during the renewal inspection on 11/28/2018. Child service reports for Child #1 and Child #6 had not been completed within the past 6 months.

Correction Required: The services to be provided to the family and the child, including 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. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).