Ymca Early Learning Center

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Child #1 pulled up the dress of child #2 and kicked and punched child #2 in the private area on two separate occasions, once on 6/24/26 and then again on 7/8/26. An incident report was not written and provided to the family until at least 7/6/26 for the first incident. The family did not receive a report for the second incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Continued Non-Compliance: During a complaint investigation, it was confirmed through multiple staff interviews that the Preschool and PreK classrooms are out of ratio most mornings. An acceptable plan of corrections was received that stated "Staff:Child ratios will be maintained at all times. The YMCA Early Learning Center will implement a Staffing and Ratio Compliance Policy to ensure required staff-to-child ratios are maintained at all times. The policy will include procedures for morning arrivals, nap time, and end-of-day transitions to prevent classrooms from exceeding ratio limits. Administrative staff will monitor attendance and staffing throughout the day, conduct routine ratio checks, and address concerns immediately. Attendance and staffing patterns will be reviewed regularly to support compliance. All staff will be trained on ratio requirements, supervision expectations, and procedures for reporting ratio concerns. Documentation of training will be maintained in personnel files. The YMCA Richmond Early Learning Center will maintain compliance with staffing ratio requirements by reviewing attendance and staffing throughout the day, including opening, transitions, breaks, and closing. Administrative staff will conduct routine ratio checks and ensure adequate classroom coverage. Children will only be combined when DHS ratios and maximum group sizes are maintained. Staff will receive ongoing training on supervision and ratio requirements, conduct regular child counts, and maintain active supervision at all times. The Program Director or designee will monitor compliance daily and address any concerns immediately through coaching, scheduling adjustments, and corrective action as needed." The final correction date provided was 7/20/26. During an unannounced inspection on 7/23/26, staff #1 was alone with 7 older toddlers, and stated that she was alone with 8 older toddlers on the previous day. Staff #2 was alone with 9 older toddlers.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1) The required staff:child ratios must be maintained at all times. This portion of the plan must have an immediate correction date. 2) For a period of 3 months, the facility shall have no occurrences of non-compliance related to staff:child ratios. The operator shall demonstrate compliance on unannounced visits over the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the plan of corrections.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written references on file for staff #3.

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.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons #1 and #2 have not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 4/17/24. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The disclosure statement for staff #3 and #4 were not signed by a witness.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: There was insufficient documentation to qualify staff #3, #4, and #5 for the identified assistant group supervisor position. Staff #3 had an Associates in Arts degree with no information on what the course of study was and no documentation of experience. Staff #4 had a high school diploma and .96 hours of experience documented. Staff #5 had a high school diploma and no experience documented.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a complaint investigation, it was confirmed through multiple staff interviews that the Preschool and PreK classrooms are out of ratio most mornings.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan must have an immediate correction date. 2. The legal entity shall create a policy to ensure proper staffing to cover ratios in all classrooms at all times throughout the day. The policy must address the steps staff are to take to avoid being over ratio at drop off, at nap time, and at the end of the day. The policy must be approved by the Northeast Regional Office prior to dissemination. Staff shall be trained on the policy and documentation of the training shall be filed in the staff files. The operator shall provide a date for when this portion of the plan will be fully completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a mat being used in room #7 that was torn and had the interior foam exposed.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: There was no health assessment on file within 60 days of the start date of child #1.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Child #1 had been administered Fluticasone Propionate and the medication was in the classroom, however, there was no parental consent for the administration of the medication.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was a gap of greater than 12 months in the written evaluation for staff #1. The most recent evaluation was on 3/28/25. The previous evaluation was in 2023.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: There were gaps of greater than 6 months in the updates of emergency contact and fee agreements for several children. The following were observed: the emergency contact and fee agreement for child #1 were dated 7/29/24 then again on 3/24/25. The emergency contact and fee agreement for child #2 were dated 7/10/24 then again on 2/18/25. The emergency contact information for child #3 was dated 7/29/24 and then again on 2/14/25.

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. 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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: As of the renewal inspection on 4/2/25, the most recent health assessment for child #1, a young toddler, was dated 7/8/24.

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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment of child #4 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was Tylenol for child #5 in Room 14 that expired on 1/2025.

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