Morrisville Branch Ymca - Morrisville PA Child Care Center

Noncompliance Area: CHILD 1 DID NOT HAVE PROOF OF A CURRENT HEALTH REPORT 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.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF A CURRENT HEALTH REPORT (LAST ONE DATED 8/24/17).

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: THE CEILING TILES IN THE DOWNSTAIRS HALLWAY AND BOYS ROOM ARE DAMAGED AND STAINED.

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: AT TIME OF INVESTIGATION ON 8/22/19 AND 9/3/19, STAFF PERSON #1 AND #2 ACKNOWLEDGED THAT SUPERVISION GROUPS ARE NOT USED DURING SUMMER CAMP, DUE TO THE LOW ENROLLMENT.

Correction Required: 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.

Noncompliance Area: AT TIME OF INVESTIGATION ON 8/22/19, STAFF PERSON #3 AND #4 WERE NOT PRESENT AT THE FACILITY. REMAINING STAFF WERE NOT ABLE TO IDENTIFY ANOTHER STAFF PERSON WHO WAS DESIGNATED TO BE IN CHARGE DURING THE DIRECTOR'S ABSENCE.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Noncompliance Area: At the time of the renewal inspection, the emergency contact forms for child #1 and #2 were missing the name, address and telephone 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: At the time of the renewal inspection, the emergency contact forms for child #1 and 2 did not have the health insurance coverage and policy number and the emergency contact forms for child #3 and 4 did not include the policy number for their health insurance.

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: At the time of the renewal inspection, the files of staff #1, 2, 4, and 7 did not have current health assessments.

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.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.

Noncompliance Area: At the time of the renewal inspection, the files of staff #3 and #9 did not have verification of TB screening on the medical form that was submitted.

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.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.

Noncompliance Area: At the time of the renewal inspection, the letter to the local traffic safety authorities was not updated annually.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of the renewal inspection, the files of staff #1 and #6 had only one reference letter and the file of staff #5 did not have any references.

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: At the time of the renewal inspection, it was determined that while new staff did receive emergency plan training, when it was completed annually, they did not receive it at the time of initial 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.

Noncompliance Area: At the time of the renewal inspection, the files of staff # 3, 5, 6, 9 and 10 did not have the mandated child abuse reporting training completed within 90 days of initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At the time of the renewal inspection, the file of staff #10 had verification that the FBI clearance was submitted but the actual clearance was not obtained within 90 days of initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 10 may not work in a child care position at the facility without clearances.. 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.

Noncompliance Area: At the time of the renewal inspection, the file of staff #6 was missing verification of her education and experience so therefore it could not be determined her position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.