Morrisville Branch Ymca

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: At the time of the inspection, the center was using 2 vans that had 11 seats (3 rows that held 3 people and 2 seats in the front for driver and a passenger).

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: Child 1 did not have proof of a current flu shot nor did they have an exemption letter on file. Child 2 did not have proof a current flu shot, Pneumococcal immunizations and the HIB 3 shot and they did not have an exemption letter on file. Child 3 did not have a shot record nor an exemption letter on file.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: The windows on the top floor classrooms were open and did not contain a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: Certification rep reviewed child #1 file and observed date of admission was missing on the financial agreement form.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Certification rep reviewed staff #1 file and observed staff #1 did not have the required out of state clearances on record: Child Abuse and State Criminal clearance. Hire date: 8/22/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: STAFF PERSON 2 DID NOT HAVE PEDIATRIC CPR AND FIRST AID TRAINING AT THE TIME OF THE INSPECTION AND HAD PASSED THE 90 DAYS PERIOD (SEE LIS FOR HIRE DATE).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: STAFF 1 DID NOT HAVE THEIR NSOR CLEARANCE AT THE TIME OF THE INSPECTION (CHECK LIS FOR HIRE DATE).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility.

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.

Noncompliance Area: At the time of the renewal inspection, the first aid kit in room 1 did not contain tweezers. the first aid kit in the aftercare program in room 2 did not contain soap or scissors and the first aid kit in room 3 did not contain tweezers.

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.

Noncompliance Area: At the time of the renewal inspection, it was observed that the handwashing signs in Room ! did not specify washing before eating and after toileting.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Facility staff #2 had a health assessment dated 11/7/2015.

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 record for facility staff #1 did not include chest x-ray results.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis. 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: The record for facility staff #1 was missing one written reference. The record for facility staff #3 was missing two written 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: The record for facility staff #1 did not include an acceptable evaluation of education credentials to determine the US equivalency for a foreign transcript.

Correction Required: Training conducted by a secondary or postsecondary institution is acceptable and may count toward the annual requirement for 6 hours of child care training when the institution is approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council of Postsecondary Accreditation and acceptable to the Department of Education.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Facility staff #1 forcefully put child into a chair.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: Facility staff #1 singled out facility child #2 in front of a relative and other classmates regarding facility child #2's behavior.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child`s family and may not specifically aim to degrade the child or the child`s family.

Noncompliance Area: On two occasions when Certification Representative interviewed staff regarding the children they were assigned responsibility for, staff were unsure which specific children they were assigned.

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: Certification Representative observed two unlocked closet doors in the facility that contained cleaning and maintenance materials.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.