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.