Eastside Ymca Day Care Center
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About the Provider
Hours of Operation
- Monday6:00 AM - 6:00 PM
- Tuesday6:00 AM - 6:00 PM
- Wednesday6:00 AM - 6:00 PM
- Thursday6:00 AM - 6:00 PM
- Friday6:00 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2026-05-20 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Needs Verification |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Video observation showed Staff Person #1 pulling Child #1 abruptly by the hand causing the child to go into, and then onto, the table. Staff Person #1 confirmed that this occurred after they asked Child #1 to hand them a banana that Child #1 and another child had been play tug of war with. Staff Person #1 confirmed that they did not wait for Child #1 to let go of the banana prior to pulling it resulting in the incident occurring. Correction Required: Tier 1 A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan will have an immediate correction date. Tier 2 The legal entity shall ensure that the director, an appointed representative of the executive leadership team, and all staff persons review the following podcast: Episode #6: Preventing Child Behaviors that Challenge Us and Resources Available to Providers Each staff person shall submit a written list of three things learned from the podcast. The written list shall be maintained in the staff member's file. The facility shall submit a roster to OCDEL that includes each staff member's name, the date the podcast was completed, and the staff member's signature verifying completion. Training shall be completed within thirty (30) days of acceptance of the Plan of Correction. Documentation of training completion shall be submitted to OCDEL within five (5) business days of completion. The operator shall provide a date by which this portion of the Plan of Correction will be completed. Tier 3 The legal entity shall ensure that the director, an appointed representative of the executive leadership team, and all staff persons complete the following Better Kid Care trainings: · Interactions Matter: Positive Teacher Child Interaction Strategies · Big Emotions and Self-Regulation for Adults and Children Completion of these trainings may count toward the annual twelve (12) clock-hour training requirement, as applicable. Training shall be completed within sixty (60) days of acceptance of the Plan of Correction. Documentation of training completion shall be submitted to OCDEL within five (5) business days of completion. The operator shall provide a date by which this portion of the Plan of Correction will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) Tier 1: Staff member 1 was removed from the classroom after the incident occurred. The staff member was suspended until the completion of an investigation of Child Care Directors and Supervisors. After the investigation was conducted and completed, the staff member was given an Improvement Plan on 5/13/2026. Staff person was told the regulation "A facility person may not use any form of physical punishment, including spanking a child" on 7/16/2026. Tier 2: The Child Care Director, the SACC Assistant Director, the Academy Assistant Director, a Supervisor on the Executive Leadership team, and all current staff members will complete Episode 6 of Preventing Child Behaviors that Challenge Us and the Resources Available to Providers. As the people listed above are reviewing the podcast they will write three things they learned from the podcast, the date they completed, and signed at the bottom that they completed it. The Director of Child Care will then copy it and put a copy in the staff members' files and a separate folder. There will be a digital copy sent to OCDEL of a roster of the staff member's name, the date the podcast was completed, and the staff member's signature verifying completion. The podcast will be completed by all listed above within 30 days, August 18, 2026, of the acceptance of the Plan of Correction and documentation of the staff completed podcast will be sent within 5 days, August 23, 2026, of completion of the podcast. Tier 3: The Child Care Director, the SACC Assistant Director, the Academy assistant Director, a Supervisor on the Executive Leadership team, and all current and future staff members will complete Interactions Matter: Positive Teacher Child Interaction Strategies and Big Emotions and Self-Regulation for Adults and Children trainings. The Director of Child Care will then copy their certificates and put a copy in the staff members' files and a separate folder. There will be a digital copy sent to OCDEL of a roster of the staff member's name and the dates the trainings were completed. The trainings will be completed by all listed above within 60 days, September 17, 2026, of the acceptance of the Plan of Correction and documentation of the staff completed podcast will be sent within 5 days, September 22, 2026, of completion of the training. |
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| 2026-02-04 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed in School Age Gym 2 a broken wooden musical shaker with a sharp edge. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Shaker was thrown away immediately after being found. |
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| 2026-02-04 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The files for child #1 and child #2 contain current child assessments that were conducted greater than 6 months after the previous child assessment. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) The child assessments were found and put into their files, with signed parent-teacher conference forms. |
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| 2026-02-04 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #2 is lacking an initial health report conducted within 60 days of the first day of attendance. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #2's initial health report was in the back of the file. It has been moved to the main part of the file. |
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| 2026-02-04 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(d)(7) Description: Free from contagious/communicable disease Noncompliance Area: The file for child #1 contains a current health report that is lacking physician statements regarding communicable disease and the child's suitability to participate in child care. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Heath report for child #1 was given to directors by the parents and is now in child's file. |
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| 2026-02-04 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for staff person #8 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments conducted 6/6/2022 and 11/9/2025. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #8 had health assessment completed, out of compliance, and is in the file. Staff person will get a health assessment before expiration to meet compliance in the future. |
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| 2026-02-04 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for facility person #11 is lacking 2 written non-family reference letters. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Two nonfamily references have been received by staff person #11 and have been put in the file. |
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| 2026-02-04 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for facility person #11, serving as the facility bus driver, hire date (see IS code sheet) is lacking documentation of initial training regarding the facility emergency plan. The file for staff person #10, hire date (see IS code sheet) is lacking documentation of initial training regarding the facility emergency plan. The files for staff persons #2 and #6 are lacking documentation of current training regarding the facility emergency plan. 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 and kept on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility people and staff either received emergency plan training in January or received it in early February. New Facility people and staff will receive emergency plan training on their start date and annually before expiration date. |
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| 2026-02-04 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff person #8 contains current PFA/CPR certification that was completed after the previous certification expired as evidenced by trainings dated 8/4/2022 and 1/7/2025. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #8 will PFA/CPR was completed late on 1/7/2025. Staff person #8 will complete PFA/CPR before expiration annually. |
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| 2026-02-04 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The files for staff persons #1,3,5,6,7,8 and 9, hire dates (see IS code sheet) are lacking documentation of fire safety training completed during the previous 12-month period. Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person will finish fire safety training for 2026 by 2/13/26 and will continue to complete fire safety training annually before expiration. |
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| 2026-02-04 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for staff person #2 contains only 4 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #3 contains only 4.5 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #6 contains only 7 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #7 contains only 7 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2, 3, 6 and 7 completed 12 hours of annual training. The report has now been placed in the staff file. |
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| 2026-02-04 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file for staff person #4, hire date (see IS code sheet) contains valid health and safety training that was completed greater than 90 days after hire. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #4 completed health and safety training completed health and safety training out of the 90 days but completed it on 7/11/2025. Staff person will complete requirements before expiration. |
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| 2026-02-04 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The files for staff persons #2 and #7 contain current mandated reporter training that was completed greater than 60 months after the previous training. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #2 and #7 completed mandated reporter training after the expiration of training. Staff persons will complete required trainings before expiration to keep compliance. |
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| 2026-02-04 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #5, hire date (see IS code sheet) contains a current state police clearance that was obtained greater than 60 months after the previous state police clearance as evidenced by clearances dated 9/10/2020 and 9/12/2025. The file for staff person #8, hire date (see IS code sheet) contains a current NSOR verification however is lacking an NSOR verification at the time of initial hire as required under CPSL. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff persons completed the clearance requirements after expiration. Staff persons will complete clearances and trainings within the required time frame to meet compliance. |
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| 2026-02-04 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.33(a)/3270.192(2)(ii) Description: Each staff person meets quals/Exp, educ., training prior to facility Noncompliance Area: The file for staff person #4, serving as an assistant group supervisor, is lacking documentation of experience to qualify as an assistant group supervisor. Staff person #4 may serve as an aide. Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #4 will provide education or verification hours will be completed to be included with current credit hours currently in the file. |
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| 2026-02-04 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The files for staff persons #1,3,5,7 and 9 are lacking current written evaluations conducted during the previous 12-month period. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons #1,3,5,7, and 9 will have their evaluations conducted by 2/12/26. The evaluations will be conducted before the expiration of the 12-month period. |
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| 2026-02-04 | Renewal | 3270.37(c) - Aides supervised all times | Compliant - Finalized |
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Regulation: 3270.37(c) Description: Aides supervised all times Noncompliance Area: Observed staff person #4, qualified as an aide, alone and supervising a group of 3 older toddlers and 1 preschooler. Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person will gather and provide paperwork that qualifies as assistant group supervisor. Staff person will not be alone in a classroom until documentation is received. |
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| 2026-02-04 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed an area of damaged drywall on the wall in the back corner in the play space in the Academy building. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will contact maintenance and discuss fixing drywall in play space. Maintenance will fix drywall in play space. |
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| 2025-10-21 | Self-Reported Non Compliance | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: It was self-reported and verified by interviews that on 10/13/2025 during a walking excursion to the Rolling Ridge Elementary School playground, four older school aged children found a vape and used the vape while at the school playground and again when back in the field play space at the child care facility. Staff persons #1, #2 and #3 who were responsible for supervision of the children were not aware that the children had found and used the vape until it was reported at the end of the day by another child. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will separate the large group into small groups, and each staff will be responsible for their own small group. They will also spread themselves out among the large group instead of having staff in front and in the back of the large group. Staff will always have zoning cards on them and will meet the expectations of the zoning cards. Staff were given a coaching on active supervision on an excursions to ensure they are always supervising all children. |
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| 2025-10-21 | Self-Reported Non Compliance | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: It was self-reported and verified by interviews that on 10/13/2025 during a walking excursion to the Rolling Ridge Elementary School playground, four older school aged children found a vape and used the vape while at the school playground and again when back in the field play space at the child care facility. Staff persons #1, #2 and #3 who were responsible for supervision of the children were not aware that the children had found and used the vape until it was reported at the end of the day by another child. Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will separate the large group into small groups, and each staff will be responsible for their own small group. They will focus on the supervision of their own small group instead of the group as a whole. Staff will always have zoning cards on them and will meet the expectations of the zoning cards. Staff were given a coaching on child card accountability and active supervision to ensure they are always supervising all children. |
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| 2025-08-13 | Renewal | 3270.106(a) - Clean, age appropriate | Compliant - Finalized |
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Regulation: 3270.106(a) Description: Clean, age appropriate Noncompliance Area: Observed 4 cribs in the infant room that were not labeled for the use of a specific child. Observed rest mats in the pre-k 5 room were numbered however there was no documentation identifying which child was assigned to which numbered mat. Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. |
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Provider Response: (Contact the State Licensing Office for more information.) All cribs and pack n plays have been labeled, there is a diagram where they will be set up in the room, cribs were moved so that they are 2 feet apart. |
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| 2025-08-13 | Renewal | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: Observed 2 cribs with sleeping infants that lacked 2 feet of open space on 3 sides. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Cribs have been moved and are now 2 feet on 3 sides. |
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| 2025-08-13 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for child #1 is lacking documentation of the child's growth and development as provided to the parent during the previous 6-month period. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff have completed the assessment for child #1. |
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| 2025-08-13 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for child #1 contains emergency contact and financial agreement that have not been updated by the parent during the previous 6-month period. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact information and financial agreement have been updated for child #1. |
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| 2025-08-13 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for staff person #2 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 3/29/23 and 5/6/25. The file for staff person #8 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 2/6/23 and 3/12/25. The file for staff person #10 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 5/23/23 and 6/2/25. The file for staff person #12 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 6/11/23 and 7/7/25. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff persons now have an updated health assessment, staff person #12 is no longer employed. |
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| 2025-08-13 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for staff person #1 is lacking documentation of a TB test and the results of the test. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 is getting tb test completed on Wednesday September 17th. |
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| 2025-08-13 | Renewal | 3270.151(c)(3) - Exam communicable disease | Compliant - Finalized |
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Regulation: 3270.151(c)(3) Description: Exam communicable disease Noncompliance Area: The file for staff person #5 contains a current health assessment that indicates the individual has a communicable disease however it lacks physician's documentation as to how this may affect the individuals work with children. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #5 does not have a communicable disease and it is getting documentation to prove that from the doctor. |
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| 2025-08-13 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The files for staff persons #5, #6 and #13 contain only one nonfamily reference. The second reference is from a relative. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff now have completed reference letters. |
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| 2025-08-13 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The files for staff persons #3 and 4 contain current PFA/CPR that was completed after the previous certification expired. The file for staff person #14 contains PFA/CPR certification that expired 5/2025 and is lacking documentation of updated PFA/CPR. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 an #4 have current CPR. Staff #14 no longer works at the facility. |
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| 2025-08-13 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The files for staff persons #2, 4, and 7 are lacking current fire safety training completed during the previous 12 month period. The file for staff person #5 contains current fire safety training that was completed greater than 12 months after the previous fire safety training. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff now have current fire safety. |
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| 2025-08-13 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for staff person #2 is lacking 12 annual training hours between 3/2024 and 3/2025. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff number 2 has completed the necessary training hours. |
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| 2025-08-13 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #6 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PFA/CPR with approved curriculum and trainer Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6-, staff person #6 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #6 did have the required documents it was not located at the time of the inspection, but was found at a later time. |
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| 2025-08-13 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #4, hire date (see IS code sheet), contains a criminal history clearance dated 7/20/2020 and is lacking an updated criminal history clearance received during the past 60 months. The file for staff person #6. hire date (see IS code sheet) contains a current child abuse clearance dated 4/27/2025 and a previous child abuse clearance dated 4/24/2020 which exceed 60 months between clearances. The clearance is now current. The file for staff person #9, hire date (see IS code sheet) contains a criminal history clearance dated 6/10/2020 and is lacking an updated clearance received during the previous 60-month period. The file for staff person #11, hire date (see IS code sheet) contains an NSOR verification dated 6/16/2025 which was after the initial start date in a child care position. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #4 and #9 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff now have updated clearances. |
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| 2025-08-13 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed the floors in the Pre-K 5 and Pre-K 3 classrooms to have a very heavy layer of dirt and grime indicating that it has been a significant amount of time since they were cleaned. Observed an area rug in the Pre-K 3 classroom to be dirty and stained. Observed the walls in the restrooms off of the child care lobby to be covered with dirt and grime. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) Prior director sent photos of the floors being cleaned. Walls were scrubbed in the restrooms. |
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| 2025-08-13 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: The fire drill log indicated that fire drills were conducted 4/19/2025 and 6/30/2025 exceeding 60 days between fire drills. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fire drill was completed 8/27/25 to ensure it was done within the 60 days. |
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| 2025-08-07 | Complaints- Legal Location | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Based on staff interviews, written statements and video it is verified that on 8.1.2025 while returning from a field trip, staff person #1 (a PA CDL approved driver) permitted staff persons #2, 3, 4, 5 and 6, all of whom do not hold CDL bus driver license, to drive the facility's full size school bus in a vacant parking lot near the child care center with 52 school aged children on board the bus. It was verified that at times, the bus was being driven at a rate of speed not safe for the parking lot or the circular pattern of driving by staff persons #2, 3, 4, 5 and 6. This was evidence by children being fearful during this experience and also sliding into one another when sharp turns were made. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. TIERED LIS: 1.Conditions at the facility may not pose a threat to the health or safety of the children. (This portion of the plan will have an immediate correction date.) 2. The Legal Entity will create a safety policy regarding all regulatory aspects of transportation and busing situations that minimally includes information about a CDL requirement and proper conduct by staff during outings that require transportation. All current staff members will sign an acknowledgement that they have received this policy and understand it's content. A list of current staff and proof of the acknowledgement will be submitted to the Regional office within one week of the completion date for this tier. (The operator will provide a separate correction date for this portion of the plan.) 3. The legal entity will ensure that all facility persons participate in a monthly staff meeting for 5 consecutive months. The staff meeting agenda will include a review and discussion of the safety policy developed in tier 2 regarding all regulatory aspects of transportation and busing situations that includes information about a CDL requirement. The meeting agenda topics and sign in sheet will be submitted to the Regional Office for review within 5 business days after the completion of each meeting. (The operator will provide a correction date for this portion of the plan that is within 5 days of the last meeting.) |
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Provider Response: (Contact the State Licensing Office for more information.) Tier 1: Conditions will not pose any risk to the health and safety of children in care as of 8/4/25. IMPLEMENTED 1/28/26 Tier 2: The legal entity will create a transportation safety policy. The legal entity will ensure that all current staff members attend the staff meeting which will occur 10/24/25. The staff meeting will cover the contents of the YMCA Child Care Transportation safety policy. All current staff members will sign an acknowledgment that they received the policy and fully understand it's contents. A list of current staff and proof of acknowledgement signed forms will be submitted to the reginal office by 10/31/25. IMPLEMENTED 10/30/2025 Step 1: Draft the Transportation Safety Policy -10/20/25 Step 2: Internal Review & Approval 10/22/25 Step 3: Staff Training & Policy Distribution - 10/24/25 Step 4: Acknowledgement Collection - 10/24/25 Step 5: Submission to Regional Office - 10/31/25 Tier 3: There will be ongoing staff engagement with the newly developed transportation safety policy by holding monthly staff meetings for five consecutive months. These meetings will occur on the third Thursday of every month. The final meeting will be held on 2/19/2026. Staff sign in sheet and agenda of the staff meeting will be sent to reginal office within 5 business days after each meeting (10/31/25). Internal calendars will be marked to show dates for meetings. IMPLEMENTED 2/19/2026 Step 1: Establish Monthly Meeting Schedule - Every 3rd Thursday of the month Step 2: Prepare Meeting Agendas - Recurring Monthly Step 3: Conduct Monthly Meetings (Months 1--5) First Meeting Start Date: [10/24/2025] Step 4: Submit Documentation to Regional Office - 1st meeting submit by 10/31/25 Step 5: Final Submission and Correction Date -- 02/19/2026 |
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| 2025-06-18 | Swimming | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for facility person #1, serving as the facility lifeguard, is lacking an initial health assessment and Tb test. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility guard will have a current health assessment and TB test. |
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| 2025-06-18 | Swimming | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for facility person #1 is lacking a TB test at the time of initial employment. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility guard now has a TB test. |
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| 2025-03-12 | Complaints- Legal Location | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: *Based on interviews with multiple staff persons, staff person #1 used a chair to pin a child between the chair and the wall. Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Tiered LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. 2. The legal entity will create a non-restraining policy and will review with each staff person. The policy must be sent to OCDEL for review prior to presenting it to staff. Staff will then have 5 days to read and sign off on the policy. 3. The operator will convene monthly staff meetings for at least 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last 6 months. An agenda will be prepared for each staff meeting and a log identifying the date and time, and a sign-in sheet for persons attending each meeting will be maintained. The staff meeting agendas, logs and sign-in sheets will be sent to OCDEL-DHS representatives within 5 days after the staff meeting. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 was terminated from employment. A non-restraining policy was created that will be reviewed with all staff. |
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| 2025-02-07 | Unannounced Monitoring | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Based on observation of facility video, staff person #1 used physical punishment when they pushed back forcefully on a child's forehead and pulled the child's hair. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. 2. All current staff and new hires for the next 6 months will read and sign-off on the facility discipline policy. 3. The facility discipline policy will be reviewed at monthly staff meetings for the months May through August. The meeting agenda identifying time for review and discussion of the facility discipline policy and staff sign-in sheet will be submitted to certification rep upon request. |
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Provider Response: (Contact the State Licensing Office for more information.) A facility person may not use any form of physical punishment, including spanking a child. Staff person #1 was terminated from the ymca due to a violation of regulation 3270.113 b. |
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| 2025-02-07 | Complaints- Legal Location | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: Based on staff interviews, written statements and facility video, staff person #1 restrained a child by placing her leg over the child during naptime to keep the child from moving on his/her cot. Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 was terminated from employment. |
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| 2024-12-26 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: ***Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside. Correction Required: ***During the next 2 monthly staff meetings, LE will review the facility staff handbook policies regarding Behavior Management / Discipline as well as inspection violations regarding 3270.113(b) from the previous 12-month period. LE will submit to DHS cert rep the meeting agendas and staff sign-in sheets as verification of completion. |
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Provider Response: (Contact the State Licensing Office for more information.) During our next 2 staff meetings, supervisors will review the staff handbook in regards to discipline, and we will review inspection violations from the previous 12 month period. |
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| 2024-12-26 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: **Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside. Correction Required: **Staff person #1 will complete the Better Kid Care training module titled "Interactions Matter: Positive Teacher -Child Interaction Strategies" or "Big Emotions and Self-regulation for Adults and Children" within 30 days of the acceptance of this plan of correction. Upon completion LE will submit the training certificate to DHS cert rep. Training hours may count toward annual training requirement. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will complete a training on how to properly interaction with children. |
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| 2024-12-26 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: *Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside. Correction Required: *A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will not use any type of physical punishment, including grabbing a child by 1 arm. |
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| 2024-12-26 | Unannounced Monitoring | 3270.61(h) - Exceeding Capacity | Compliant - Finalized |
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Regulation: 3270.61(h) Description: Exceeding Capacity Noncompliance Area: On 12/26/2024 at ~12:00pm observed 20 children receiving care in the PreK-2 room. The capacity of the PreK-2 room is 18. Correction Required: The capacity established for an indoor space may not be exceeded. |
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Provider Response: (Contact the State Licensing Office for more information.) Classrooms will not exceed the classroom capacity. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for staff person #1, re-hire date (see IS code sheet) serving as an AGS, is lacking a current health assessment completed during the previous 12 month period at the time of hire. The file for staff person #5, hire date (see IS code sheet) serving as a GS, is lacking a current health assessment conducted during the previous 24 month period. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 and staff person #5 will have current health assessments completed. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(3)/3270.151(c)(5) Description: Exam communicable disease/Physician/CRNP assessment Noncompliance Area: The file for staff person #2 contains an initial health assessment that is lacking physician statements regarding an exam for communicable disease and suitability to provide child care. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 last day of work will be on Friday December 6th. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff person #3 contains a current PFA/PCPR certification that was completed after the previous certification expired evidenced by trainings dated 8/22/22 and 10/8/24. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 has completed the CPR certification at this time. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file for staff person #6, hire date (see IS code sheet) contains Health & Safety training that was completed greater than 90 days after their start date evidenced with a training certificate dated 6/17/24. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #6 has completed their health and safety training at this time. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for staff person #7 contains a current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training evidenced by trainings dated 10/9/19 and 10/14/24. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #7 has completed the necessary mandated reporter training. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #3, hire date (see IS code sheet) contains a state police clearance that is in 'under review' status which is not valid for employment in a child care facility. The file for staff person #4, hire date (see IS code sheet) contains an NSOR verification which expired 1/18/2024 and is lacking a current NSOR verification which is required for employment in a child care facility. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Persons #3 and #4 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 now has a current state police clearance that does not state "under view" and staff person #4 now has a current NSOR clearance. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Observed in the Pre-K 4 (Young School Age) room, where children aged 5 and under receive care, an electrical outlet lacking protective covers. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Protective receptacle covers were placed in the outlets at the time of the inspection to ensure that the outlets are not accessible to children 5 years of age or younger. |
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| 2024-11-19 | Allocated Unannounced Monitoring | 3270.66(a)/3270.66(d) - Locked or inaccessible/Toxic plants not permitted | Compliant - Finalized |
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Regulation: 3270.66(a)/3270.66(d) Description: Locked or inaccessible/Toxic plants not permitted Noncompliance Area: Observed in the Pre-K 3 room a snake plant sitting on a low shelf. Snake plants are toxic to humans. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) The snake plant has been removed from the prek 3 classroom. |
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| 2024-07-18 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The fire detection system was not tested at least once every 30 days during the time period between 6/12 to 7/15/2024. 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) The director and property manager updated the calendar to ensure that the fire detection system will be tested once every 30 days. |
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| 2024-07-17 | Swimming | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for facility person #1, hire date (see IS code sheet), serving as the facility lifeguard, is lacking a current mandated reporter training. The training on file expired 7/29/2023. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) The staff completed the required mandated reporter training. |
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| 2024-06-12 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: During staff interviews on 6/12/24 it was verified that staff person #1 kicked a child twice because the child kicked a peer. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person was suspended during the investigation, once the investigation was confirmed the employee was terminated from the childcare setting. |
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| 2024-05-21 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: A piece of plastic on a cabinet door to a children's play kitchen set was observed to be broken with rough edges and not in good repair in the PreK-2 room. Resting mats in the PreK-5 room were observed to be ripping on the edges and not in good repair. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The piece of plastic on a cabinet on the play kitchen set was repaired. The resting mats in prek 5 that were ripped were removed and replaced with ones in good repair. |
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| 2024-05-21 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact form and the parent agreement in the file for child #1 has not been reviewed or updated by the parent within the last 6 months. The most recent update was on 10/18/23. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergence contact form and parent agreement 6 month update has been signed. |
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| 2024-05-21 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 files for staff persons #6 and #12 had documentation health assessments that were not renewed before the expiration date of the most current assessment on file. Staff person #6: 6/19/21 and 7/8/23. Staff person #12: 9/13/21 and 12/1/23. The file for staff person #13 had documentation of a health assessment on file dated 12/16/23, but was not at initial employment (See LIS Code Sheet). The file for staff person #14 had documentation of a health assessment on file dated 4/7/24, but was not at initial employment (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. |
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Provider Response: (Contact the State Licensing Office for more information.) The files for staff persons #6 and #12 now have current health assessments. The file for staff #13 and #14 now has current documentation of a health assessment. |
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| 2024-05-21 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff person #4 had documentation of a TB screening dated 11/29/21 but was not at initial employment. The file for staff person #14 had documentation of a TB screening dated 4/11/24 but was not at initial employment. Correction Required: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The files for staff #4 and staff #14 now have current TB screenings. |
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| 2024-05-21 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff person #13 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff #13 now contains two written, non-family references attesting to their suitability to serve as a facility person. |
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| 2024-05-21 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The files for staff persons #2, #11, and #12 had documentation of Pediatric First Aid /CPR training was not renewed before the expiration date of the most current certification. Staff person #2: 10/28/21 and 11/21/23. Staff person #11: 10/29/20 and 2/17/23. Staff person #12: 1/6/21 and 2/17/23. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) The files for staff persons #2, #11, and #12 now have current pediatric first aid/cpr training. |
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| 2024-05-21 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The two most recent fire safety trainings in the file for staff person #10 exceeded 12 months between trainings. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff #10 has current fire safety training. |
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| 2024-05-21 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file for staff person #1 had documentation of Pediatric First Aid/CPR dated 12/13/23 but was not completed within 90 days of hire (See LIS Code Sheet). The file for staff person #14 had documentation of Pediatric First Aid/CPR dated 5/10/24 but was not completed within 90 days of hire (See LIS Code Sheet). Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff person #1 has documentation of pediatric first aid/cpr training. The file for staff person #14 has documentation of current pediatric first aid/cpr training. |
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| 2024-05-21 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #5 had documentation of FBI clearance results that was not renewed before the expiration date of the most current certification: 4/1/19 and 4/5/24. The file for staff person #7 had documentation of PA Child Abuse clearance results dated after the staff persons date of hire (See LIS Code Sheet): 12/8/23. The file for staff person #8 had documentation of FBI clearance results that was not renewed before the expiration date of the most current certification: 1/7/19 and 1/25/24. The file for staff person #9 had documentation of NSOR clearance results dated after the staff persons date of hire (See LIS Code Sheet): 1/5/24. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff person #5 now has current documentation of FBI clearance results. The file for staff person #7 has the proper child abuse clearance results. The file for staff #8 has documentation of current FBI clearance results. The file for staff #9 has documentation of current NSOR clearance results. |
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| 2024-05-21 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #1 lacked PA Child Abuse clearance results. The document on file is for volunteer purposes. The file for staff person #3 lacked clearance results for the state of North Carolina where the staff person resided in the 5 years prior to employment. The file for staff person #13 lacked FBI clearance results. The FBI clearance results that were on file were through the Department of Education. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1, #3 and #13 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff person #1 now has the correct child abuse clearance results. Staff #3 was removed from childcare setting until the appropriate clearances are obtained. Staff #3 was removed from the childcare setting until the appropriate FBI clearance is obtained. |
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| 2024-04-30 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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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): Pediatric first aid/CPR. Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/20/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 shall complete the professional development no later than 5/20/24. |
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| 2023-05-09 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: The embedded climbing structure outside in the Preschool play space was surrounded by mulch measured less than 6 inches which is less than the recommendation of the USCPSC. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) Displaced mulch was raked to ensure all fall surfaces have a minimum of 6 inches of mulch in all areas. |
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| 2023-05-09 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file for child #1 lacked an updated health report conducted within 12 months of previous health report. The most current health report on file for child #1 was observed to be dated 5/3/22. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) The most recent health assessment was completed 5/3/23 and is documented in child #1s file. |
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| 2023-05-09 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The two most recent health assessments on file for child #2, who is a preschool child are dated more than 12 months apart: 6/22/21 and 10/27/22. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The most recent health assessments on file for child #2, is up to date. |
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| 2023-05-09 | Renewal | 3270.133(6) - Written consent | Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: The medication log for a child's Epinephrine Injection medication, Benadryl, and an inhaler was observed to lack parental written consent for administration of medication. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) Parental consent was obtained for the medication log for a child's Epinephrine Injection medication, Benadryl, and an inhaler. |
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| 2023-05-09 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The files for facility persons #3, #5, #6, and #7 were observed to lack completion of the following pre-service training by 12/30/22: Pennsylvania Health and Safety Update 2022. The files for facility persons #3, #5, #6, and #7 are now current. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) The files for facility persons #3, #5, #6, and #7 have documentation of completion of all pre-service training . |
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| 2023-05-09 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 for facility person #4 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification on file: 3/3/20 and 3/11/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for facility person #4 contains a valid health assessment completed on 3/11/22. |
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| 2023-05-09 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: In Room A9, a loose crib sheet was observed on a crib in which an infant was sleeping. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Loose crib sheets were immediately replaced with tight sheets. |
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| 2023-05-09 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for facility person #9 had documentation of pediatric first aid/CPR training was not renewed before the expiration date of the most current certification on file: 1/17/20 and 12/15/22. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for facility person #9 has documentation of pediatric first aid/CPR training that is current. |
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| 2023-05-09 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Facility person #1 did not complete the following required pre-service training within 90 days of their date of hire (See LIS CODE SHEET): Health and Safety training. Facility person #1 has a completion date of 5/1/23. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 has documentation of completion of Health and Safety training. |
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| 2023-05-09 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for facility person #1 lacked PA Child Abuse clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The PA Child Abuse clearance results in the file for facility person #1 were observed to be for "volunteer" purposes. The file for facility person #1 was observed not to contain a valid NSOR clearance within 45 days of hire (See LIS CODE SHEET). The file for facility person #2 was observed to have documentation of FBI Clearance results that were not renewed before the expiration date of the most current certification: 5/21/17 and 12/8/22. The file for facility person #6 was observed not to contain documentation of application of PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The PA Criminal History clearance results on file are dated 7/15/22. The file for facility person #6 was observed not to contain valid FBI clearance results within 45 days of hire (See IS CODE SHEET). The file for facility person #8 was observed to have documentation of FBI Clearance results that were not renewed before the expiration date of the most current certification: 10/9/17 and 10/19/22. The file for facility person #10 was observed not to contain valid NSOR clearance results within 45 days of hire (See LIS CODE SHEET). Facility person #10 has NSOR clearance results that are dated 4/14/23. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 shall be removed from care effective close of business day on 5/9/23 until the PA Child Abuse and NSOR clearance results are received. Facility person #6 shall be removed from care effective close of business day on 5/9/23 until the FBI clearance results are received. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for facility person #1 has a current PA Child Abuse clearance, the duplicate clearance that is marked for volunteer purposes was removed. Facility person #1 will obtain the corrected NSOR report with the dating error fixed. Facility person #1 was removed from care until NSOR clearance results are submitted. Facility person #2 has a current FBI clearance on file. Facility person #6 had an email confirmation of clearance acceptance added to her file. Facility person #8 has current FBI Clearance results on file Facility person #10 has current NSOR results on file |
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| 2023-05-09 | Renewal | 3270.63 - Unsafe Areas in Outdoor Space | Compliant - Finalized |
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Regulation: 3270.63 Description: Unsafe Areas in Outdoor Space Noncompliance Area: Based on facility statements, infants and toddlers located in the Academy Building use the outside grass area surrounding the playground structure as play space. The outside play space is next to a parking lot and is not enclosed in with a fence or natural barrier making it an unsafe area for children. Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Children will not play in the grassy area until a fence is installed. |
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| 2023-05-09 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Four bottles of Gillette shaving cream that states "keep out of reach of children" were observed to be accessible to children in the PreK-3 room. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Shaving cream was discarded |
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| 2023-05-09 | Renewal | 3270.66(c) - Toxic use- no contamination | Compliant - Finalized |
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Regulation: 3270.66(c) Description: Toxic use- no contamination Noncompliance Area: A container of Clorox disinfectant wipes and a bottle of glue that state "keep out of reach of children" were observed in a storage cabinet next to food in Room A11. Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. |
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Provider Response: (Contact the State Licensing Office for more information.) A container of Clorox disinfectant wipes and a bottle of glue that state "keep out of reach of children" were moved from the storage area. |
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| 2023-05-09 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Regulation: 3270.67(d) Description: Contaminated trash in closed plastic-lined receptacle Noncompliance Area: The trash receptacle in the hallway outside of Room A12 contained trash that was contaminated by human secretions was plastic-lined but did not have a closed lid to the receptacle. Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. |
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Provider Response: (Contact the State Licensing Office for more information.) A lidded trashcan was used to replace the can with the missing lid. |
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| 2023-05-09 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: The wall that separates the PreK-5 room and PreK-4 room was observed to be ripped and fraying and was not in good repair. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) The wall was repaired. A new wall will be installed. |
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| 2023-05-09 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The facility's documentation of testing the fire detection system exceeded 30 days from 1/6/23 and 2/15/23. 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) Up to date documentation of testing of the fire detection system is current. |
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| 2023-03-08 | Complaints- Legal Location | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: Based on staff statements and video recording, staff person #1 was sitting in a chair with child #1 between the staff person's legs. Staff person #1 was restraining the child by having both arms around the child's body to restrict movement while the child was screaming "Let me go! Let me go!" Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1 was terminated. |
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| 2023-03-08 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2022-05-17 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: In the GE room, it was observed to have two broken toy bins that were not in good repair. In the PreK-3 room, it was observed to have one broken plastic toy bin was not in good repair. In the PreK-4 room, it was observed to have a small trampoline with netting that was ripped covering around the trampoline and was not in good repair. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Items in need of repair were removed from childcare space. |
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| 2022-05-17 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: In the SA Playground, it was observed not to have a minimum of 9 inches of mulch under the swing set, the tire swings and the blue climbing structure. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) Mulch was added to meet the 9 inch minimum requirement. |
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| 2022-05-17 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The file for child #7 lacked documentation of the child's arrival and departure times on the agreement form. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated fee agreement with the child's arrival and departure time was completed. |
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| 2022-05-17 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: The file for child #7 lacked documentation on the child's special needs. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation will be obtained and kept in the child's file. |
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| 2022-05-17 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The file for child #2 and #6 lacked the name, address and telephone number of the individuals 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child files #2 and #6 will be updated to include the name, address and telephone number of the individuals designated by the parent to whom the child may be released. |
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| 2022-05-17 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #1 lacked documentation of an initial health report within 60 days following the 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 shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) A current health assessment is on file. |
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| 2022-05-17 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file for child #7 lacked an updated health report conducted within 12 months of previous health report. Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. |
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Provider Response: (Contact the State Licensing Office for more information.) An updated health report is currently on file for child #7 |
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| 2022-05-17 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The file for child #2, #3, #5 and #7 lacked documentation of the yearly Influenza shot with no letter of exemption in file. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Flu Shot exemption letters, or a record of vaccination will be obtained to children #2, #,3, #5, and #7. |
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| 2022-05-17 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: In room A-14, it was observed to have Aquaphor cream that expired 4/2022. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) The cream was removed. |
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| 2022-05-17 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Staff person #5, #15, #16 and #17 were observed to be caring for children unsupervised. Staff person #5, #15, #16 and #17 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR, from a PQAS-approved trainer and a PQAS-approved curriculum. Staff person #16 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics #1 through #9, as required by regulation 31f. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #5, #15, #16 and #17 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, #15, #16 and #17, staff person #5, #15, #16 and #17 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #5, #15, #16 and #17 have completed the pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR, from a PQAS-approved trainer and a PQAS-approved curriculum. Staff person #16 has now completed the following pre-service training required prior to caring for children unsupervised: health and safety topics #1 through #9, as required by regulation 31f. |
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| 2022-05-17 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #10 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #10 was dated 4/19/21. The file for staff person #1, #4, #5, #7 and #9 was observed to have documentation of a health assessment dated more than 24 months apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #10 is no longer employed at the facility. Current health assessments are on file for staff persons #1, #4, #5, #7, and #9. |
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| 2022-05-17 | Renewal | 3270.151(c)(2) - Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(c)(2) Description: Mantoux TB Noncompliance Area: The file for staff person #10 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #10 is no longer employed at the facility. |
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| 2022-05-17 | Renewal | 3270.192(2)(ii) - Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.192(2)(ii) Description: Exp, educ., training prior to facility Noncompliance Area: Staff person #3, functioning as a group supervisor, was observed to lack documentation in the staff file of childcare experience. Staff person #11, functioning as an assistant group supervisor, was observed to lack documentation in the staff file of childcare experience. Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 is no longer employed by the facility. Staff person #11 has documentation in the staff file of childcare experience. |
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| 2022-05-17 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: The file for staff #3 and #11 lacked documentation of verification of education, transcript, diploma or a letter signed by a representative of the experiential, educational or training entity. (See LIS CODE SHEET). Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for staff #11 now has documentation of verification of education, transcript, diploma or a letter signed by a representative of the experiential, educational or training entity. Staff #3 is no loner employed at the facility. |
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| 2022-05-17 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff #3 lacked documentation of two written, nonfamily references. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 is no longer employed at the facility. |
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Providers in ZIP Code 16510
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