Williamsport Ymca Child Care Center

Noncompliance Area: During the physical site inspection in the outdoor play area, protruding bolts were observed on the fencing separating the older children play area from the younger children play area.

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: During the physical site inspection in the Stingrays room, peeling paint and rust was observed on the toilet fixture, collar/hose leading to the wall.

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

Noncompliance Area: 1. In reviewing of the children's files, child #1 and child #2 were missing immunizations on their immunization records contained within their files. 2. In reviewing of the children's files, child #3's file did not contain an immunization record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: In reviewing of staff files, staff person #1's file did not contain a health assessment or the results of a tuberculin skin test.

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 reviewing of staff files, staff person's #2's file did not contain the required hiring documents.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- may not work in a child care position at the facility.

Noncompliance Area: During the inspection, the air vents in the daycare rooms were observed to be very dirty with a build up of dust and dirt.

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: In reviewing of the fire drill log for the facility, it was incomplete and inaccurate.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Staff member #1 tapped child #1's hands after becoming frustrated with the child's repetitive behavioral issues in the outside play area.

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

Noncompliance Area: In reviewing of children's files, child #1's file did not contain an initial health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: In reviewing of children's files, child #3's file did not contain 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: In reviewing of staff files, staff persons #1, #2, #6, and #9 files did not contain an updated health assessment.

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: In reviewing of children's files, child #1 and child #2's files did not contain an updated emergency contact form and financial agreement. Child #3's file did not contain an updated financial agreement.

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 reviewing of staff files, staff person #3's file did not contain verification of education.

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 reviewing of staff files, staff person #7 and staff person #12 did not have documentation of completion of annual emergency plan training.

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 reviewing of staff files, staff person #10 is only 17 years of age and is not enrolled in an approved training curriculum.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person.

Noncompliance Area: In reviewing of staff files, staff persons #4, #7, #8, and #11 did not have documentation of annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: In reviewing of staff files, staff person #5's file did not contain a FBI clearance. During the inspection, staff person #5 was noted to be alone with the older school-aged children. In reviewing of staff files, staff person #3's file did not contain a disclosure statement.

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

Noncompliance Area: In reviewing of the fire drill log, there was not a fire drill held every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Staff member #1 grabbed child #1 harshly by the arm.

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

Noncompliance Area: Staff person #1 was overheard yelling at child #1, causing concern for what was occurring in the room.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: On 3/28/18 at approximately 1:45PM, staff member #1 put packaging tape on child #1's mouth. The tape remained on child #1's mouth for less than 15 seconds, at which time child #1 removed the tape and disposed of it.

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

Noncompliance Area: During the Christmas break on 12/27/18, staff did not realize that a school-aged child had been picked up from the program by the mother's boyfriend (approved party), who did not sign the child out or verbally interact with staff, resulting in a lockdown of the building for approximately 10-15 minutes, until mother was contacted and verified child was home and safe.

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: In reviewing of children's files, child #1 and #2 did not contain documenation of a health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: In reviewing of children's files, child #3's file did not contain updated emergency contact information nor a financial agreement. Child #4 and #5's files did not contain an updated financial agreement.

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 reviewing of staff files, staff person #1's file did not contain 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: In reviewing of staff files, staff person #4's file did not contain documentation of annual 6 hours of training.

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

Noncompliance Area: In reviewing of staff files, staff person #2's file did not contain verification of annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: In reviewing of staff files, staff persons #3 and #4, did not have verification of Mandated Reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).