Ymca Of Greater Pgh/Duquesne University Cdc

Noncompliance Area: The files for Child #1 and #3 contained agreements which lacked the arrival and departure times for the children.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The file for Child #2 contained an emergency contact form which lacked the child's health insurance 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: The file for Child #1 contained an emergency contact form which lacked the addresses for release persons.

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: The file for Child #3 contained a most recent health report dated more than 12 months ago.

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: The files for Child #2 and #3 contained health reports which lacked statements that the children are able to participate in child care and appear to be free from contagious or communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The files for Child #2 and #3 contained documentation of immunization histories which lacked the second Hepatitis A vaccination.

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.

Noncompliance Area: An Albuterol labeled for Child #6 was observed to be expired in the PS Room.

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

Noncompliance Area: Albuterol labeled for Child #6 in the PS Room was observed to lack written parental consent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The files for Staff #2, #4, #5, #6 ,#7, #8 and #13 contained initial health assessments dated more than 12 months prior to the employees ' dates of hire.

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: The files for Staff #1, #2, #4, #5, #6, #7, #8 and #13 contained an initial tuberculosis screening by the Mantoux method dated more than 12 months prior to hire.

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.

Noncompliance Area: The file for Staff #12 contained a health assessment which lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: An unlabeled bottle containing a white liquid was observed in the refrigerator of the infant Room.

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

Noncompliance Area: The file for Child #2 contained an emergency contact form with consecutive updates dated more than 6 months apart. The files for Child #3 and #4 contained emergency contact and agreement forms which contained most recent updates dated more than 6 months ago.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file for Staff #16 lacked documentation of two written, nonfamily references from individuals 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: Two pairs of adult scissors were observed to be accessible to children in an unlocked drawer next to the refrigerator in the PS Room.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The files for Staff #1, #2, #3, #4, #5, #6,#7, #8 , #9, #10, #13 and #14 contained documentation of initial emergency plan training completed more than one week after the first day of employment in a child care position. The file for Staff #11 lacked documentation of initial emergency plan training. The files for Staff #15 and #16 contained emergency plan training documentation which lacked dates, making it unable to be determined when the training was conducted.

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: Staff #13 completed the required mandated child abuse reporting training more than 90 days after hire.

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

Noncompliance Area: The file for Staff #4, designated as an AGS, contained documentation of a high school diploma and 6 credit hours. The file for Staff #10, designated as an AGS, contained documentation of a high school diploma, 21 credit hours and 1000 hours of prior child care experience. The file for Staff #16, designated as an AGS, contained documentation of a high school diploma, 25 credits and 985 hours of prior child care experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: An electrical outlet was observed to be uncovered in the front left corner of the PS Room.

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

Noncompliance Area: Shaving cream labeled Keep out of Reach of Children was observed in the PS Room and reported to be used by staff with children for craft activities. An OdoBan container labeled Keep out of Reach of Children was observed to be accessible to children in an unlocked cabinet in the PS Room. Batteries labeled Keep out of Reach of Children were observed to be accessible to children in an unlocked cabinet in the bathroom.

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: A sanitizer labeled Keep out of Reach of Children was observed on the counter next to children's cups in the PS Room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The left toilet stall in the bathroom was observed to lack a handwashing sign.

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: The faucet of the toy sink in the play kitchen area of the Older Toddler Room was observed to be loose, causing a pinch point.

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: A bench was observed to be setting unsecured on top of a toy shelf, causing the risk of a child pulling it down.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The files for Child #1, #2, #3 and #4 contained agreements which lacked the date of the child's enrollment.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file for Child #5 contained an emergency contact form which lacked the work telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file for Child #3 contained an emergency contact form which lacked release persons.

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: The file for Child #4 contained consecutive health reports dated more than six months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: A Ventolin inhaler, unlabeled for whom it was intended, was observed in the Young Toddler Room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The file for Staff #8 contained a most recent health assessment dated more than 24 months ago.

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: A menu was not posted in a conspicuous location in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The file for Child #2 contained an agreement which had a current update but had not been updated in the prior 6-month period.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The files for Child #2 and #3 contained emergency contact forms which lacked a parental signature to consent for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files for Child #2 and #3 contained emergency contact forms which lacked a parental signature to consent for the administration of first-aid.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file for Staff #2 contained one of the two required written, nonfamily 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 files for Staff #1, #2, #4, #5, #6, #7 and #10 lacked documentation of initial emergency plan training within the first week of employment.

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: The emergency plan was not posted in a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The file for Staff #9 lacked documentation of the required 6 hours of annual 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: The file for Staff #4 contained receipt of fingerprint for FBI clearance and valid state police clearance dated after the first day of employment in child care. The file for Staff #5 lacked documentation of a state police clearance.

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 #5--- may not work in a child care position at the facility.

Noncompliance Area: The file for Staff #7, designated as an AGS, lacked documentation of education or prior experience with children.

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: The file for Staff #8 lacked documentation of a current staff evaluation. The file for Staff #9 contained a current staff evaluation but lacked an evaluation in the previous year.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The file for Staff #3, designated as an AGS, contained documentation of 9 credits and 1 year of prior experience. The file for Staff #8, designated as an AGS, contained documentation of 17 credits and 935 hours of prior experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The first-aid kit in the Pre-School Room was observed to lack 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.