The Family Ymca Of Lower Bucks

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, THERE WERE 3 TOY TRUCKS FOR KIDS TO RIDE THAT WERE NOT CLEAN OR IN GOOD REPAIR IN THE OUTSIDE PLAY AREA. THERE WERE ALSO TOYS IN 2 WHITE BINS THAT WERE NOT CLEAN.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, THE REFRIGERATOR IN ROOM # 5 HAD A THERMOSTAT THAT READ 52. THE REFRIGERATOR IN THE VIZ ROOM DID NOT HAVE AN OPERABLE THERMOMETER.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, AT NAP TIME THERE WAS NOT ENOUGH ARTIFICIAL OR NATURAL LIGHT TO SEE THE CHILDREN.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, CHILD # 1 HAD EMERGENCY CONTACT INFORMATION THAT HAD NOT BEEN UPDATED WITHIN THE LAST 6 MONTHS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, STAFF PERSON # 2 DID NOT HAVE QUESTION 2 CONFIRMING FREEDOM FROM COMMUNICABLE DISEASE ANSWERED ON THE HEALTH ASSESSMENT IN HER FILE.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: DURING THE RENEWAL INSPECTION ON 5/17/19, THERE WERE 3 CRATES WITH PERISHABLE FOOD THAT STAFF PERSON # 3 INDICATED HAD ACCIDENTALLY BEEN UNREFRIGERATED OVER NIGHT.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, THERE WAS NO ADDRESS PROVIDED TO CONTACT THE APPROPRIATE REGIONAL DAYCARE OFFICE WITH THE COPY OF THE POSTED REGULATIONS.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, THERE WERE NO PROTECTIVE COVERININGS ON 4 ELECTRICAL OUTLETS OVER THE SINK IN THE VIZ ROOM AND A SURGE PROTECTOR HAD MULTIPLE UNUSED ELECTRICAL OUTLETS THAT DID NOT HAVE PROTECTIVE RECEPTACLE COVERS IN ROOM # 7.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, THE WATER TEMPERATURE IN ROOM NUMBER # 1 MEASURED AT 120 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 5/17/19, IN THE VIZ ROOM THERE WAS NO SCISSORS, SOAP, OR TWEEZERS IN THE FIRST-AID KIT AND ON THE 72 PASSENGER BUS THERE WAS NO SOAP IN THE FIRST-AID KIT.

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: DURING THE RENEWAL INSPECTION ON 5/17/19: HALF DAY PRESCHOOL ROOM: -PEELING PAINT IN THE BATHROOM. -RUST ON THE BASEBOARDS OF THE HEATING UNIT. ROOM # 6: -MOLDING NEAR THE SINK AT THE BASE OF THE WALL TO THE LEFT HAD PEELING PAINT.

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 the time of the unannounced inspection, it was observed that an infant was sleeping in a swing.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: At the time of the unannounced inspection, it was observed that the applicable posted regulations for parents did not have instructions for contacting the appropriate regional day care office

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: During renewal inspection, cert rep notice refrigerator in Room 5 did not have a thermometer.

Correction Required: Refrigerator shall be capable of maintaining food at 45 F or below and an operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During renewal inspection, cert rep notice Room 5 and Room A did not have a written daily schedule posted.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: During renewal inspection, cert rep notice that infant bottles were not labeled with child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: In review of staff files, staff person 6 failed to have verification of age located in file.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: In review of staff files, staff persons 1, 2, 4 and 6 failed to have verification of child care experience located in file. Staff persons 5 and 9 failed to have verification of education located in file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In review of staff files, staff persons 1, 2, 4, 6, and 7 failed o have 2 written non family references located in their files.

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: Facility's emergency plan failed to provide shelter in place and shelter away information.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: Facility's emergency plan failed to provide evacuation location information.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: Facility's emergency plan failed to provide a method of contacting parents at the beginning and end of emergency.

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. 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.

Noncompliance Area: Staff had not been trained on the facility's emergency plan at the time of renewal inspection on 05/30/18.

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. 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: In review of staff files, staff persons 3 and 8 failed to have completed required six annual hours of training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: In review of staff files, staff persons 5 and 7 failed to complete mandated reporter training and staff person 6, whom is a provisional hire, hired on 04/16/18, failed to have copy of PA child abuse clearances or receipt/request of child abuse clearance located in file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: During inspection, cert rep notice cleaning materials/toxics located in afterschool room (VIZ) were accessible to children.

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

Noncompliance Area: During inspection, cert rep notice after school room (VIZ) did not have a first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: During inspection, cert rep notice facility failed to have written hand washing signs posted near sinks and diapering/toileting areas throughout the facility addressing when a staff person and child must wash their hands.

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: During inspection, cert rep notice evacuation routes was not posted in Room A and after school room (VIZ).

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: In review of the children's files it was found that child #1, #2 and #6 did not have documentation of operators signature on the agreement form

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: In review of the children's files it was found that child #1 and #2 did not have documentation of updated child service report or approved assessment on file

Correction Required: The services to be provided to the family and the child, including the Department`s approved form to provide information to the family about the child`s growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: In review of the children's files it was found that child #1, #2 and #5 did not have documentation of designated release persons on the agreement form

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: In review of the children's files it was found that child #3 did not have documentation of updated health assessment 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: In review of the staff files it was found that facility person #2 and #3 did not have documentation of initial health assessment and/or TB screening on 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.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.

Noncompliance Area: In review of the children's files it was found that child #1, #2, #3, #4 and #6 did not have documentation of updated agreement form on file

Correction Required: 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.

Noncompliance Area: In review of the staff files it was found that facility person #5 did not have documentation of updated health assessment on file

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: In review of the staff files it was found that facility person #2, #4 and #5 did not have documentation of two written non-family references on file

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: In review of the staff files it was found that facility person #1 did not have documentation of emergency plan training on file

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: In review of the staff files it was found that facility person #1 did not have documentation of updated Child Abuse Clearance, FBI Clearance and updated Disclosure Ststement #2 did not have documentation of Disclosure Statement, State Police Clearance, Child Abuse CLerance and FBI CLearance, #3 did not have documentation of Disclosure Statement, #4 did not have documentation of Disclosure Statement, #5 did not have documentation of Disclosure Statement, #6 did not have documentation of updated Disclosure Statement and #7 did not have documentation of Disclosure Statement, State Police Clearance and Mandated Reporter Training on file

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

Noncompliance Area: In review of the staff files it was found that facility person #2, #3, #4 and #7 did not have documentation of education on file

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.