Chambersburg Ymca At Hamilton Heights Elementary

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The facility was observed to lack a sign on which hand-washing requirements are written posted at each toilet, training chair, diapering area and sink in the facility.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 2/14/25 observed child file #1 and #2 did not contain the complete 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: 3270.151(a)

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

Noncompliance Area: On 2/10/25 observed staff file #1 contained an initial health assessment which was dated after staff #1 began providing initial service in a childcare setting.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 2/10/25 observed staff file #2 contained an invalid criminal background clearance which was 20 months old, and the clearance status was listed as request pending.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2- may not work in a childcare position at the facility until a valid criminal background clearance is obtained.

Regulation: 3270.34(b)(3)

Description: Associate's + 3 yrs

Noncompliance Area: On 2/10/25 observed staff file #3 did not contain documentation of an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 2/14/25 observed the documented fire drill log revealed that the most recent fire drill conducted and documented was performed more than 90 days after the previously completed fire drill.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file of child #2 lacked an emergency contact form with information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. The emergency contact form notated "inhaler as needed" by enrolling parent.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #2 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #2 lacked an emergency contact form with full 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files of children #1 and #3 had late initial health assessments.

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: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The file of staff #2 had an invalid TB test at the time of hire due to the fact it was dated more than 12 months prior to start date (see LIS code sheet).

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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #3 had a late health assessment due to the fact the assessment was dated 1-26-22 (see LIS code sheet).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days if hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked a valid FBI clearance due to the fact it was not requested through the Department of Human Services.

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. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.36(b)(3)/3270.192(2)(iv)

Description: HS/GED, 15 credits + 1 yr/Transcript, diploma and letters

Noncompliance Area: The file of staff #2, an assistant group supervisor lacked documentation to support the position due to the fact there were 1,032 hours of experience on file rather than 1,250 hours.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 2/16/22 observed a cracked white bucket containing connector toys creating rough edges in the wooden cabinet.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files of Children #2 and #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files of Children #1 and #3 lacked written consent signed by a parent for emergency medical care on the emergency contact form prior to admission. Child #1 had a start date of 9/14/21 with signed parental consent for emergency medical care dated 10/12/21. Child #3 had a start date of 8/30/21 with signed parental consent for emergency medical care dated 10/21/21.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and agreement for Child #4 were not updated by 1/6/22 when the regulation was reinstated. Child #4's emergency contact was signed on 7/9/21 with no review. Child #4's agreement was signed on 6/30/21 and then reviewed on 1/19/22.

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: 3270.182(5)

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

Noncompliance Area: The files of Children #1 and #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. Child #1 had a start date of 9/14/21 with signed parental consent for administration of minor first-aid procedures dated 10/12/21. Child #3 had a start date of 8/30/21 with signed parental consent for administration of minor first-aid procedures dated 10/21/21.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #2 lacked documentation of an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #1 lacked documentation of completing the health and safety training within 90 days of hire. Staff #1 had a start date of 5/10/21 with documentation of completing the health and safety training on 1/9/22.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff #1 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #1 had a hire date of 5/10/21 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 12/20/21.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 2/16/22 the Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills are conducted at least once every 60 days. The facility had documentation that fire drills were conducted on 3/12/21, 6/23/21, 7/28/21, 9/29/21, 10/29/21, and 12/15/21.

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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that 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. The operator provided documentation of the same hypothetical location for the fire on 6/23/21 and 7/28/21.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.