Octorara Ymca At Octorara Elementary

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the toddler outdoor play area had mulch for the play surface.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.131(c)/3270.131(d)(1)

Description: Completed or signed by physician, PA, or CRNP/Child's health history

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #1 did not have a health report on file. The child only had an immunization record.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A health report shall include a review of the child's health history.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the record for staff #1 did not have verification of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan for the facility did not specify a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan for the facility did not specify a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan for the facility did not include accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not conduct an emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a letter explaining the emergency procedures to parents.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #2 did not have the required out of state clearances on file at the facility.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint in classroom bathroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint over sink and behind trashcan in room 4 bathroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed bathroom in room 4 toilet and floor with old dried urine on it.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: Observed child 1,2,4,6,7,8 emergency contact form with no 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: Observed child 1,2,5,6,7,8 emergency contact form with no health insurance coverage and 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: Observed child 8 emergency contact form with no release person address listed.

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: Observed child 3 and 6 file without an updated health assessment.

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: Observed staff 1 file with no verification of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Observed staff 2 file with no health assessment.

Correction Required: 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: Observed staff 2 and 3 file without 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: Observed peeled paint in bathrooms in room 1 and room 3.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Child did not have diaper change between 10:30 am and 3:30 pm.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: At the time of the renewal inspection, the file of staff #4 had an outdated health assessment; the file of staff #2 had a health assessment that was not properly dated by the physician and the file of staff #6 did not contain a health assessment or TB screening conducted within 12 months prior to providing initial service in the child care setting.

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 file of staff # 3 had a reference from a family member and therefore did not have the required amount of 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 staff #8 was not yet 18 years of age and therefore could only be considered a volunteer.

Correction Required: A staff person shall be 18 years of age or older.

Noncompliance Area: At the time of the renewal inspection, the file of staff # 5 did not contain an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.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 #1 did not have proof of the FBI clearance and the file of staff #7 did not have proof of the child abuse clearance.

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 # 1 and #3 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. 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 #9 did not show verification that high school had been completed and therefore could only be considered an aide. The file of staff #2 did not show appropriate proof of 2500 hours of child care experience and therefore can only be considered an aide. Both would need to be supervised by a minimum assistant group supervisor at all times.

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 cot list that indicated which numbered cot was for each child was missing from the room.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: At the time of the renewal inspection, the file of child #1 did not have any updated health assessment.

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.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: At the time of renewal inspection, an expired medication was found in the cabinet of the preschool room.

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

Noncompliance Area: At the time of the renewal inspection, the files of staff # 2, 3 and 7 did not have a health assessment or TB screening at time of initial hire. The file of staff # 6 did not have an updated health assessment in his file.

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 #2,4, 7, 8, 9 and 10 did not contain two references attesting to the person's suitability to serve as a facility person.

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: While all staff have had annual emergency plan training, there was no verification that staff members #2,5,7, 8, and 10 had emergency plan training at 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 file of staff # 6 did not have verification of 6 hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.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 files of staff #2, 4, 7, 8 and 11 did not have verification that the mandated child abuse training was completed within 90 days of initial hire. The files of staff #1 and 10 did have verification of such training but it was completed after the 90 day period.

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 files of staff #1,and 4 had criminal background checks completed after the 90 day provisional hire deadline and without verification that the clearance had been applied for. The file of staff #5 does nto have verification that FBI clearances had been applied for and therefore cannot work in child care until the clearance has been received. While Staff #9 does have verification that he has applied for a child abuse clearance, he can only be considered a provisional hire until 4/2/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Facility Person #5 may not work in a child care position at the facility.

Noncompliance Area: At the time of the renewal inspection, the files of staff #2, 3, 4, 5, 7, and 9 did not have verification of education and/or experperience to determine the position in which the person is performing.and as such can only be considered volunteers until such verification can be received.

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, two outlet accessible to children in the older toddler room were not covered.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: At the time of the renewal inspection, a ceiling tile had a water stain indicating a leak or condensation and that tile needed to be replaced.

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.