Mon Valley Ymca

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreements for child #1 and child #6 did not include the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #3 does not include the name, address, or telephone number of the child's physician or source of medical care. The emergency contact information for child #4 does not include the address or phone number of the child's physician or source of medical care. The emergency contact information for child #6 does not include the telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 and child #3 does not include the enrolling parent's work address or work phone number. The emergency contact information for child $4 does not include the enrolling parent's work address.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for child #3 does not include information on the child's special needs or disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #2 does not include the child's health insurance policy number. The emergency contact information for child #3 and child #6 does not include the health insurance coverage or 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #2 does not include the address for the release person.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information and fee agreements for child #2, child #3, child #4, and child #5 were not reviewed, updated, and signed once in a 6-month period.

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)

Description: Health information

Noncompliance Area: The initial health assessment for child #3 is dated 2/20/23, which is more than 60 days after the child's date of admission (see LIS code sheet).

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.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An Albuterol Sulfate inhaler belonging to child #7 and stored in the locked medication box in Room 1 was expired. The expiration date was 2/8/25.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment for staff #1 is dated 6/17/23, which is more than 24 months ago. The current health assessment for staff #6 is dated 3/16/23, which is more than 24 months ago. The current health assessment for staff #15 is dated 6/22/23, which is more than 24 months ago. The health assessment for staff #14 is dated 3/5/25, which is after the date of hire (see LIS code sheet). The current health assessment for staff #18 is dated 4/28/25, which is more than 24 months after the previous health assessment dated 12/14/22. The current health assessment for staff #16 is dated 11/4/24, which is more than 24 months after the previous health assessment dated 6/10/22. The health assessment for staff #17 is dated 9/24/24, which is after the date they began providing initial service in a child care setting (see LIS code sheet). The health assessment for staff #10 is dated 12/21/23, which is after the date they began providing initial service in a child care setting (see LIS code sheet).

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The tuberculosis screening for staff #10 is dated 12/11/23, which is after the date of hire (see LIS code sheet). The tuberculosis screening for staff #14 is dated 3/5/25, which is after the date of hire (see LIS code sheet).

Correction Required: 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.

Regulation: 3270.21/3270.31(f)

Description: General Health and Safety/Health and Safety Training

Noncompliance Area: Staff #14 has Health and Safety training dated 2/23/25, which is more than 90 days after their date of hire (see LIS code sheet). Staff persons #10, #17, #19, #23, and #25 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #10, #17, #19, #23, and #25 will have until 8/25/25 to complete the required training. Until such time as the required training has been completed, staff persons, #10, #17, #19, #23, and #25 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #10, #17, #19, #23, and #25, staff persons #10, #17, #19, #23, and #25 may not work in a child-care position at the facility.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #2, #3, #11, #19, and #20 did not renew their certification in pediatric first aid and CPR on or before the expiration of the previous certification. Staff #2 had previous training 8/22 and current 10/1/24; Staff #3 had previous training 6/1/23 and current 6/5/25; Staff #11 had previous training 7/22 and current 10/1/24; Staff #19 had previous training 6/7/22 and current 10/1/24. Staff #20 had previous training 7/22 and 10/1/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #10 does not have annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #21 has pediatric first aid and CPR training dated 10/21/24, which is more than 90 days after their date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.