Ymca Of Greater Erie/waterford Ymca - Waterford PA Child Care Center

Noncompliance Area: The file for child #1 contained emergency contact information that lacked the addresses for 2 emergency 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 #2, preschool age, is lacking a health assessment completed during the previous 12 month period.

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: The file for staff person #1 contains a health assessment that is lacking a statement from the physician regarding 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: In the girls and boys bathroom there were rusted heat registers observed accessible to the children. There were also exposed bolts at the base of the toilets.

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: The file for child #3 contained a financial agreement that had not been signed by the operator.

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

Noncompliance Area: The files for child #1 and child #5 are lacking health insurance information. The file for child #4 is lacking the 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, a preschooler who has been enrolled for greater than 60 days, does not contain a child health report.

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

Noncompliance Area: The file for child #1, a preschooler who has been enrolled for greater than 60 days, does not contain an immunization record. Child #1 may not attend until the parent has provided written verification from a physician of the child's immunization status according to the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The files for child #2 and child #3, preschool aged children, do not contain verification of the influenza immunization within the previous 12 months as required 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: In the kitchen there were cases of apples, oranges and nectarines that were sitting on the counter unrefrigerated. The fruit had been delivered 5 days prior to the date of inspection.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Noncompliance Area: The file for staff person #1 contains mandated reporter training that is not acceptable by the CPSL for child care staff. Staff person #1 has worked for more than 90 days.

Correction Required: 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: There was no documentation that a review and update of the facility emergency plan had been completed during the previous 12 month period.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The file for staff person #1, hire date at this location 12/3/18, (employment date with agency was 2004) does not contain verification of FBI fingerprinting prior to serving in a child care position and does not contain a completed FBI clearance with-in 90 days of hire. Staff person #1 may not serve in a child care position until a completed FBI clearance has been obtained.

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

Noncompliance Area: The boy's bathroom was lacking hand washing signs by the urinal and 2 toilets.

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 file for facility person #1, observed serving as a facility lifeguard, does not contain a health assessment and TB test results.

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.