Ymca Of Greater Erie/glenwood Ymca Day Care Ctr - Erie PA Child Care Center

Noncompliance Area: In the Penguin Room, empty bags were being stored in a cupboard in which the child lock was broken which made the empty bags accessible to children. In the Bullfrogs room there were Blue Foam peg boards with bite marks in them. In the youth center foam blocks were observed with teeth marks.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The child sized chair in the Penguin classroom had a hole/tear on it, the stuffing inside was exposed and accessible to the children.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Court 4 was lacking a posted daily schedule.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file for Child #2 and #6 contained financial agreements that were lacking the persons designated by the parents to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the address and phone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the enrolling parent's work address and phone number.

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

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the name of the child's health insurance and the policy number.

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.

Noncompliance Area: The file for Child #5 contained an emergency contact form that was lacking the address of the people to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: In the Bullfrog room there were no emergency contact sheets for the children in care because the outside bag that contains the emergency contact forms was left on the playground the day before.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file for Child #1, whose enrollment date was 10/1/18, contained a health assessment that was obtained 8/1/19 which was more than 60 days after enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for Child #6 contained a health assessment that was lacking the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The files for Child #3, 4, 5, 6, and 7 all contain immunization records that are lacking the annual influenza immunization.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Staff #1 whose start date was 5/10/19, had a file that contained a health assessment dated 5/19/19, which was after their start date. Staff #2, whose start date is 6/1/19, had a file that contained a TB dated 12/14/15, which was more than 12 months prior to their start date. The file for Staff #4 contains two health assessments that are more than 24 months apart. Staff #6, whose start date was 5/20/19, had a file that contained a Health Assessment dated 5/29/19 which is after the staff's start date. The file for Staff #7 contained a health assessment that is more than 24 months apart.

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.

Noncompliance Area: There was no documentation of annual review of the emergency plan. The last review was documented in August of 2016.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The file for Staff #1, contained emergency plan training that was conducted more than 7 days after their date of hire.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.