Ymca Of Greater Pgh/ross Elementary

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the health insurance coverage policy number for the child.

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.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #1, enrolled for more than 60 days lacked a Health Report and Immunization record. The file for Child #2, enrolled for more than 60 days lacked a 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. 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 3:50 PM Cert Rep arrived for Renewal Inspection and observed 16 school aged children in the cafeteria. Staff #1 named 9 school aged children as part of their assigned group. Staff #2 named 6 school aged children as part of their assigned group. Therefore, this left Child #1 not being named as part of either assigned group.

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.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The child file for Child #2 was observed to contain a current health assessment dated 7/31/23 on file that was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The child file for Child #1 was observed to contain current health report dated 8/9/23 that lacked information regarding results of screening tests for vision, hearing or lead poisoning.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility's comprehensive general liability insurance coverage was observed to have expired as of 1/31/23.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The child file for Child #1 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The child file for Child #1 contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's certificate of compliance that was posted expired on 3/21/23.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1 contained current staff evaluation dated 5/24/23 which was not completed at least one every 12 months from the previous staff evaluation on file dated 4/21/22.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log, the following fire drills were observed to not be conducted at least once every 60 days: 11/30/22 - 8/29/23 (272 days) and 9/28/23 - 11/28/23 (61 days).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The child file for Child #2, and Child #3 [See IS CODE SHEET] lacked an initial 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.

Regulation: 3270.131(e)/3270.182(1)

Description: ACIP recommended immunization record /Initial and subsequent health reports

Noncompliance Area: The child file for Child #2, and Child #3 [See IS CODE SHEET] lacked a copy of their immunization record.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the date of the most recent updates for the financial agreement and the emergency contact information form was 3/32/22.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1, with a start date of 8-30-21, lacked an initial health assessment within 90 days of their start date and requires a current health assessment. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

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.