Butler County Family Ymca/child Care Infant Ctr

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: There was Infants' Mylicon Gas Relief medication for child #1 that lacked written parental consent for administration of the medication.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for staff person #1 lacked 4 of the 12 required hours of annual child care training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: According to the fire drill log, the hypothetical location of the fire was the same for consecutive fire drills.

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.131(b)(1)/3280.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #1, an infant, lacked a current health assessment updated within the last 6 months.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The file for child #2 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

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: 3280.131(e)(1)/3280.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #2, a 6 month old enrolled more than 60 days at the facility, lacked documentation of the 1st & 2nd Hepatitis B, Rotavirus, HIB, and Pneumococcal vaccinations and the 2nd DTAP and Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business on 5-16-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: In the main room, there were four fabric climbers with multiple areas that had small pieces of fabric coming apart that were less than 1 inch in diameter and were accessible to the infants receiving care in the room who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the main room, there was one area of damaged paint/plaster on the front wall.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 had an initial health assessment that was dated over 60 days after the child's 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1, a 6 month old enrolled more than 60 days at the facility, lacked documentation of the 2nd Rotavirus, DTAP, HIB, Pneumococcal, & Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 5-24-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 7-21-23 to 8-24-23 and 8-24-23 to 10-18-23.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: On the play space, there were multiple pieces of mulch with a diameter of less than 1 inch that were on the surface of the play space and were accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for child #1 and #2 had an initial health assessment that was dated over 60 days after the child's 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #3, an 8 month old, had an immunization record that lacked documentation of the 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business on 5-10-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #1 had an immunization record that was dated over 60 days after the child's first day of attendance at the facility.

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.

Regulation: 3280.133(3)

Description: Name on bottle

Noncompliance Area: In the child care room, there was Parent's Choice Gripe Water for child #4 that was not labeled with the child's name.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: In the child care room, there was Parent's Choice Gripe Water for child #4 that lacked written parental consent for administration of the medication.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 12-12-22 to 1-19-23.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for child #1, #2, and #3 had initial health assessments that were dated over 60 days after the child's 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for staff person #3 had a health assessment that exceeded 24 months between assessments.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation on file of an emergency drill being conducted within the last year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #2 had the 6 hour health and safety training that was completed after 6-30-18 and therefore unacceptable according to DHS requirements and requires current health and safety training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3280.32(a)/3280.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The files for staff person #1 and #3 had mandated reporter training that exceeded 5 years between trainings.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The evacuation routes were not posted in the facility.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: According to the log, the fire detection system (interconnected smoke detectors) were not manually tested at least once every 30 days between 11-3-21 and 12-15-21.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: An infant was observed sleeping in a swing, which is not in the position recommended by the AAP. There was no documentation of a medical reason the child should be placed in this alternate position.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The agreements on file for children #3 and #4 did not include the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The agreement on file for child #3 did not include the admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The emergency contact form on file for child #4 did not include the health insurance policy number.

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.

Noncompliance Area: The emergency contact form on file for child #4 did not include the addresses of the release persons listed.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The immunization records on file for children #1 and #2 did not indicate the children had immunizations current in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The current health assessment on file for Facility Person # 1 was completed more than 24 months after the prior health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: There was no written feeding schedule on file for an enrolled infant, child #1.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The safe routes for pick-up and drop-off were not posted at the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: There was no signed parental consent for emergency medical care for the child on file for children #3 and #4.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #3.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: A copy of the regulations under which the facility is certified was not posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: There was an uncovered outlet on the wall, low enough to be in reach of children, in the kitchen area of the child care space, where infants are taken to be fed.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: There were hand sanitizing wipes labeled "keep out of reach of children" in an unlocked cabinet under the sink in the kitchen area of the child care space.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: There was a small area of damaged plaster on the wall to the left of the window in the kitchen area of the child care space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: There was a crib with a toy attached to the side.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: The agreement on file for child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The admission date was not specified on the agreement on file for child #1.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The emergency contact form on file for child #3 did not include the health insurance policy number.

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.

Noncompliance Area: The emergency contact form on file for child #3 did not include the release person's addresses.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The current health assessment on file for child #3, an infant, was completed more than 6 months after the prior health assessment on file.

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

Noncompliance Area: The health assessment on file for child #1 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.

Noncompliance Area: There was no current immunization record on file for children #3 and #4.

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.

Noncompliance Area: The immunization record on file for child #1, a 7 month old, documented no administration of the rotavirus vaccine.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: There was a VapoRub at the facility (labeled with a child's name) with no written parental consent for administration.

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

Noncompliance Area: There were four bottles that were not labeled with the children's names.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The pick-up and drop-off information was not posted.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: A copy of the regulations under which the facility was certified was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The criminal history clearance on file for Facility Person #1 was not valid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). : Facility Person #1 may not work in a child care position at the facility without a completed, valid criminal history clearance.

Noncompliance Area: There were no gloves in the first aid kit

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The record of fire drills did not specify the hypothetical locations of the fire.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: The agreement on file for child #1 did not specify the date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: There was no health assessment on file for child #2, enrolled at the facility since December 2017.

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.

Noncompliance Area: The current health assessment on file for child #3, an infant, was completed more than 6 months prior.

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

Noncompliance Area: The health assessment on file for Facility Person #1 did not include the date the TB test was read.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: There was a crib in use with less than 2 feet of space on 3 side.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: There was a bottle not labeled with a the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The sheets on the crib mattresses did not fit the mattresses snugly. Loose sheets on a crib mattress can be a suffocation hazard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: There was peeling paint/damaged plaster on a wall inside a storage closet where children's toys and equipment were kept.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The agreement on file for child #2 was the original.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The initial health assessment on file for child #1 was completed mroe than 60 days after the child's first day of attendance at the facility. There was no health assessment on file for child #2, who has been attendance for more than 60 days.

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.

Noncompliance Area: The most recent health assessment for chidl #3 was completed more than 6 months prior.

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

Noncompliance Area: The applicable regulations under which the facility is certified were not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The date of the initial emergency plan training was not documented and on file for Facility Person #1.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: There was record of completion of only 2 hours of child care training on file for Facility Person #2 in the most recent review year (between anniversary dates).

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: There was peeling paint in the following locations: on the wall above/behind the trash can in the changing area, on the wall under the desk near the changing area, and on the wall near the file holders above the desk. There was a small area of damaged plaster on the wall near the telephone above the desk area.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Fire drills were recorded as conducted in August 2015 and May 2017, with no fire drill recorded in between.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.