Inspection · 2025-10-22

Repeat Violation
The most recent inspection documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
The most recent Inspection Summary and Violation Notice, for the monitoring inspection conducted on 06/16/2025, was not posted.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
3 children in care, child 2, 3 and 4, lacked documentation of all required immunizations.

Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.
3 children in care, child 2, 3 and 4, lacked documentation of a physical exam. All 3 children have been enrolled for more than 30 days.

Acceptable forms of documentation of tuberculosis screening shall include the date the test was given and results of the test and be signed by a physician, physician's designee or an official of the local health department.
The TB screening for staff 1 lacked documentation of the results of the screening nor was it signed by a physician or an official of the local health department.

When staff are supervising children, they shall always ensure their care and protection.
1. Staff were not aware that 2 children ran out of the cafeteria, through an open door, into an unidentified vehicle. When questioned, staff could not identify the 2 children who had departed nor the vehicle they entered.
2. The door from outside was left open and unsupervised allowing access into the cafeteria. Staff stated they were not aware the door had been left open nor did they see the 2 children leaving the cafeteria.

Staff may not allow a child to leave the center unsupervised.
Staff did not supervise 2 children when they walked through an open door leading to outside and entered an unidentified vehicle with an unidentified adult.

The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by these standards.
The facility did not follow YMCA policy for departure when the door to the cafeteria was left open and unsupervised by staff. The YMCA policy requires the entry door to remain closed and locked unless actively supervised by staff during parent pick-up.

Medication shall be labeled with the child's name.
A bottle of non-prescription medication, intended for child 5, was not labeled with child 5's name.

The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all required documentation.
7 of 17 injury reports reviewed lacked written documentation of the time the parent was notified of the injury.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information:
1. There was no enrollment record for child 1. Child 1 was in care during the inspection.
2. The enrollment record for child 2, who was in care, lacked the following required information:
a. Name, home address, and home phone number of each parent;
b. Work phone number and place of employment of each parent.

Repeat Violation
The following staff records shall be kept for each staff person which shall contain all required elements.
The name, address, and telephone number of a person to be notified in an emergency was not kept at the center for staff 1. Staff 1 was working in the licensed program during the inspection.

A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all required elements.
There was no signed parent agreement on file for child 1. Child 1 was in care during the inspection.