Ymca Learning Center - Franklin PA Child Care Center

Noncompliance Area: In the preschool room, observed two round tables which wobbled when touched as the legs were starting to come loose.

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: The most current emergency contact information on file for child #2 lacks the address of all individuals designated by the parent to whom the child may be released.

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 immunization records on file for children #1 and 2 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

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: There was more than 24 months between the previous and most current and updated health assessments on file for Staff # 3, and 5.

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 most current health assessment on file for Staff #2 lacked verification of an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: There was more than 60 months in between the previous and most current mandated reporter trainings on file for Staff #1 and 2. Dates are as follows; Staff #1 - 12/17/14 and then 1/14/2020, Staff #2 - 5/30/15 and then 7/1/2020.

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 prior to service at the facility.

Noncompliance Area: The files for Staff #3 and 6 lacked a National Sex Offender certificate by 7/1/2020. There are now NSOR's on file and dated as follows; Staff #3 - 7/14/2020 and Staff #6 - 7/15/2020.

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

Noncompliance Area: The file for Staff #4, who holds the title of assistant group supervisor, lacks verification of 2500 hours of child care experience. There is a high school diploma 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.

Noncompliance Area: In the Preschool Room, observed a blue toy bin which holds dress up clothing. This toy bin had a 3 inch crack down the middle of it 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: In the Toddler Room, observed Children's Ibuprofen which expired 5/2019 and Infant Acetaminophen which expired 9/2019 .

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

Noncompliance Area: The file for staff #2, lacks a tuberculosis screening by the Mantoux method at initial employment.

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.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 file for staff #1, with hire date of 11/18/019, lacked documentation of emergency plan training within one week of 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. 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 #1, with hire date of 11/18/2019, lacks a disclosure statement on or before initial date in a child care position. The file for staff #1, lacks the correct State Police Clearance required under the CPSL. The file for staff #2, with hire date of 10/4/2019, lacks a disclosure statement which contains a witness signature and date. The file for staff #2, lacked a National Sex Offender Registry certificate on or before initial date in a child care position. There is now a National Sex Offender Registry certificate on file and dated 11/6/2019.

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. 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: The file for staff # 1, who holds the title of group supervisor, lacks 2500 hours of child care experience. There is an associate's degree in early childhood education on file.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years 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: There was more than six months in between the previous reviews and the most current review of the fee agreements and emergency contact information for children 2 through 5. Child #2's emergency contact was reviewed on 1-10-18 and then on 1-14-19 and fee agreement was on 1-10-18 and then on 1-10-19. Child #3's emergency contact and fee agreement was reviewed on 1-10-18 and then on 1-11-19. Child #4's emergency contact was reviewed on 1-11-18 and then on 1-11-19 and fee agreement was reviewed on 1-9-18 and then on 1-15-19. Child #5's emergency contact was reviewed on 1-9-18 and then on 1-10-19 and fee agreement was reviewed on 1-9-18 and then on 1-11-19.

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 informationA 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.