Nottingham Country YMCA

The named site director personnel record was not available for review.

The documented training certificates provided for review did not include training on the following required topics in Health and Safety. 1. emergency preparedness 2. communicable diseases to include immunizations 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.

There were 36 school age children in care with 2 caregivers. The maximum group size is 35 children.

The documented training certificates provided for review did not include training on the following required topics in Health and Safety. 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing of hazardous materials.

The first aid kit lacked tweezer and a working thermometer.

The snack was passed out before the children washed their hands. The children began to open their snacks. This was corrected at the inspection when the caregiver had the children line up to wash their hands after it was brought to the caregivers attention.

The director's certificate for the named program director for this operation was not posted in the binder.

There is no designated site director at the operation.

There is no designated site director at the operation.

A caregiver responsible for a group of 29 children between the ages of 4yrs. and 11yrs. old did not know the number of children currently present. The caregiver stated there were 32 children currently present.

There is no designated site director at the operation.

The program director responsible for a group of children 7yrs. to 11 yrs. old was not aware of the ages of the children in care.

There were two children that were not signed in on the daily attendance log. There were also three children that were not signed out on the daily attendance log.

The program director responsible for a group of 22 children between the ages of 4yrs. and 11yrs. old did not know the number of children currently present.

A subject was observed at the operation and providing direct care to 51 children (ages 7yrs. to 11yrs. old) without an initial background check submitted for this operation. The subject was found under another operation with a pending background check status after a global search was conducted.

There is no designated site director at the operation.

There is no documentation at the operation stating the operation has current liability insurance. The liability insurance expired on 9/1/2022.

Four caregivers responsible for a group of 37 children between the ages of 7yrs. and 11yrs. old did not know the number of children currently present.

Two subjects were observed at the operation and providing direct care to 51 children between the ages of 7yrs. to 11yrs. old without an initial background check submitted.

A daily tracking system which displays all children signed in for today was not available during the inspection.

A caregiver in charge of a group of children 7yrs. to 11 yrs. old was not aware of the ages of the children in care.

A caregiver was observed to be out of ratio during today's visit.

A caregiver was unable to provide the names and ages of each child in care, at today's inspection