YMCA at Windsor Farm Elementary School

13A.16.10.01A(3)(c)

“Fire drills have not been done.”

13A.16.07.06B

“LS discussed the black top area next to the cafeteria doors has a driveway for teachers to leave and it's not safe for children to play on.”

13A.16.07.06A

“LS found staff here that are not on our paperwork.”

13A.16.03.03B(4)

“LS did not see a fire and disaster drills”

13A.16.08.03C(2)

“Specialist observed 53 children present with 3 staff members present at the time of the inspection. 53 children necessitates at least 4 staff members present. Specialist reviewed attendance records and spoke with Director. There have been more than 45 children present on a regular basis on most Tuesdays and several times on the other days of the week. Director states that there are 4 staff members present on Tuesdays and Thursdays most of the time and sometimes on the other days of the week as well. Facility shall ensure that there are procedures in place to ensure that additional staff are available to meet ratio requirements when regular staff cannot attend. Facility shall submit a plan of action to meet ratio requirements on an ongoing basis.”

13A.16.06.04A(2)

“Specialist observed that one staff member's medical evaluation did not include verification that the staff member has that capability to perform the duties of the staff member's position because the medical evaluation does not indicate the age groups that the staff member is approved to work with. Facility shall ensure that the medical professional updates the medical evaluation or completes a new medical evaluation and submit the medical evaluation.”

13A.16.06.04A(1)

“Specialist observed one staff member did not have a medical evaluation that was on a form supplied by the office. Facility shall obtain a medical evaluation on a form supplied by the office for the staff member, add it to the staff file, and submit a letter of corrections.”

13A.16.06.02

“Specialist observed no evidence of a staff orientation for one staff member. Facility shall ensure that the staff member completes a staff orientation and submit a copy.”

13A.16.03.05C

“Specialist observed that criminal background check results were not maintained in each staff file as required. Facility shall obtain criminal background check results for each staff member, add them to each staff member's file, and submit a letter of correction.”

13A.16.03.05A

“Specialist requested a Personnel List on January 31, 2024, due no later than February 14, 2024. Specialist did not receive a Personnel List as required. Facility shall submit an updated Personnel List.”

13A.16.03.04E

“Specialist observed at least one child's file missing an appropriate lead screening as required and or an appropriate lead test at 12 months and or 24 months as required. Facility shall review all children's files for an appropriate lead screening if required and an appropriate lead test at 12 months and 24 months if required. Obtain missing records and submit a letter of corrections.”

13A.16.03.04D(1-2)

“Specialist observed at least one child's parental statement of the child's health status, Health Inventory Part 1, incomplete, missing the parent's signature. Facility shall review all Health Inventory Part 1 forms for completeness, obtain missing information, and submit a letter of corrections.”

13A.16.03.04C

“Specialist observed at least one emergency form missing information as required , and or was missing the annual update as required. Facility shall review all children's emergency forms for completeness and annual update, obtain missing information, and submit a letter of corrections.”