Ymca Before And After School Program At Millcreek

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #3's agreement did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #4 and #5's emergency contact information did not include the work addresses of the enrolling parent. Observed child #1, #5, #6 and #7's emergency contact information did not include the work telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #6 and #8's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #3 and #8's emergency contact information and financial agreements were not within the 6-month period. Last review dates on file were 5/25/2023 and 5/26/2023.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #7's record did not include verification of initial health report.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed child #2's health report did not include verification the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed staff person #2's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed the operator did not have verification that a copy of the emergency plan and subsequent plan updates were sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed staff person #1's state police clearance did not include a result. It stated request still pending.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection conducted on 12/20/2023 observed the first-aid kit did not contain disposable nonporous gloves. Corrected on-site 12/20/2023.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 1/24/23, it was observed that the records of staff person #2 did not include the health and safety update 2022 training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the renewal inspection on 1/24/23, it was observed that the records of staff person #1 did not include a health assessment conducted within 12 months prior to providing initial service in a childcare setting.

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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 1/24/23, it was observed that the records of staff person #5 did not include verification of childcare experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During the renewal inspection on 1/24/23, it was observed that the records of staff person #1 did not include a record of Tuberculosis testing. The records of staff person #4 did not include an updated health assessment. Health record dated 9/2/2020.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 1/24/23, it was observed that the records of staff person #1 did not contain the National Sex Offender Registry (NSOR) clearance as required by the CPSL. The records of staff person #2 did not contain the correct PA State Police Criminal record clearance for an Aide as required by the CPSL. Volunteer clearance submitted. The records of staff person #3 and staff person #5 did not contain the correct Federal Bureau of Investigations (FBI) clearance as required by the CPSL. Provider submitted Department of Education FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #5 may not work in a child care position at the facility. 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.