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Child Care Center ✓ Licensed

Ymca Of Greater Erie/glenwood Ymca Day Care Ctr

Erie, PA · Erie County
CORNER OF 38TH & CHERRY ST, Erie, PA 16508
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Quick Facts

Capacity
212 children
Languages
English, English, Spanish
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (814) 868-0867
CORNER OF 38TH & CHERRY ST
Erie, PA 16508
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✓ Licensed Child Care Center
Active License
License Number
CER-00246532
License Issued
Nov 20, 2025
Active Through
Nov 20, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 1

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About the Provider

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Welcome to the YMCA of Greater Erie’s Early Learning & School-Age Enrichment Center at Northwestern Elementary School. The Center, is located within Northwestern Elementary School, which makes transition seamless! Our location affords us school amenities such as the library and gym for educational and recreational activities.

Our program is a Keystone Star 4 program, which, much like a hotel rating system, holds centers and staff to the highest standards. A Keystone Star 4 is the highest rating awarded.

Hours of Operation

  • Monday6:30 AM - 6:00 PM
  • Tuesday6:30 AM - 6:00 PM
  • Wednesday6:30 AM - 6:00 PM
  • Thursday6:30 AM - 6:00 PM
  • Friday6:30 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
2025-09-12 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff statements, on 9/12/25, Staff person #1 was transitioning 12 young school age children from their classroom to the school bus when Child #1 was placed on the wrong school bus. Staff person #1 walked back into the building and staff person #2 realized that child #1 was put on the wrong bus. Staff person #1 called the bus company to let them know. The bus company said they would bring Child #1 right back to the childcare. Child #1 was on the wrong school bus for approximately 10 minutes before being brought back to the childcare.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff were immediately retrained in supervision. New procedures were put in place to separate school groups. Using the ID cards and counting children as the groups move to the bus then when outside standing on the colored circles to be recounted.
2025-09-12 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff statements, on 9/12/25, Staff person #1 was transitioning 12 young school age children from their classroom to the school bus when Child #1 was placed on the wrong school bus. Staff person #1 walked back into the building and staff person #2 realized that child #1 was put on the wrong bus. Staff person #1 called the bus company to let them know. The bus company said they would bring Child #1 right back to the childcare. Child #1 was on the wrong school bus for approximately 10 minutes before being brought back to the childcare.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff were retrained in supervision and additional procedures were put in place. Using child ID cards, counting children and when moving outside children will stand on colored circles and be recounted as they enter the bus. A bus roll call sheet has also been put in place.
2025-09-12 Complaints- Legal Location 3270.117(a) - Released only to parent or designee Compliant - Finalized

Regulation: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: Child #1 was put on the Montessori school bus instead of being put on the Millcreek school bus during the before school program.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Provider Response: (Contact the State Licensing Office for more information.)
Staff have been retrained in supervision and new procedures put in place. Children will be counted and use individual ID cards as children load the bus.
2025-08-27 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room #4 the school-age classroom a red plastic toy bin was observed to have a broken corner causing rough edges and sharp corners. In Room #6 a clear plastic toy bin was observed to be cracked creating pinch and crush points.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The toy bins were immediately discarded.
2025-08-27 Renewal 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

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

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

Noncompliance Area: The file for staff person #1 lacked an initial health assessment. The file for staff person #3 lacked a health assessment that was completed within the past 24 months. The health assessment in the file is dated 5/9/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 had a health assessment, it was not in the file. Staff person #5 is no longer working, should [staff person #5] return a health assessment shall be obtained.
2025-08-27 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #6 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file is dated 5/31/24 and 6/6/25.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #6 did have emergency plan training on 6/6/25.
2025-08-27 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Mandated Reporter Training and Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #5 completed the required mandated reporter and health and safety training as soon as it was known she was lacking the training.
2025-08-27 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a State Police Clearance. The file for staff person #5 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a Child Abuse Clearance.

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.

Provider Response: (Contact the State Licensing Office for more information.)
As soon as it was known, the required clearance were obtained for staff person #1 and #5.
2025-08-27 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff person #2, #3, #4, and #6 lacked a staff evaluation that was completed 12 months from the previous staff evaluation. The staff evaluations in the file are dated 1/15/24 and 4/21/25.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Staff persons #2, #3, and #6 have evaluations in the file as dated 4/21/25.
2025-08-27 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Room #6 on top of the washer one jug of Purex laundry detergent and two jugs of Prime Source bleach labeled "Keep Out of Reach of Children" were accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
This room is not currently a used classroom, however a group of children did walk through this room to access the gym. The YMCAs main washer is waiting for a part. The custodial staff were using the washer and didn't close the barrier. The custodial staff were told to keep the barrier closed and the toxics inaccessible. The toxics were immediately moved and the barrier closed, a sign was also placed to notify staff.
2025-08-27 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Fun n Fit classroom in the restroom a hole was observed in the wall behind the door. The doorstop on the wall was pushed through the wall creating a hole.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The hole was repaired.
2025-05-30 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

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 lacked an initial health assessment.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 did have a health assessment prior to working with children, however it was saved in my Onedrive and not copied in the paper file. A copy has been made and is now in the file.
2025-05-30 Allocated Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #1 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.

Provider Response: (Contact the State Licensing Office for more information.)
Two written nonfamily references have been obtained and placed in staff person #1 file.
2025-05-30 Allocated Unannounced Monitoring 3270.36(b)(5) - HS/GED + 2 yrs Compliant - Finalized

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The files for staff persons #1 and #2 lacked high school diploma or a general educational development certificate. The files for staff persons #2 and #3 lacked 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Provider Response: (Contact the State Licensing Office for more information.)
I have obtained a high school transcript for staff #2 and am in the process of collecting the high school diploma from staff #1. I have obtained 2 years of documented experience for staff #1. Staff person #3 has 58 credits in Psychology and Special Education.
2024-11-20 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Youth Department classroom an unlocked cabinet under the sink was observed to contain a jug of Clorox and container of Comet both labeled "Keep Out of Reach of Children."

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
A lock was immediately placed on the cabinet.
2024-11-20 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the girls restroom two handwashing signs were observed to be missing in the toilet stalls. In the boys restroom one handwashing sign was observed to be missing in the toilet stall.

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

Provider Response: (Contact the State Licensing Office for more information.)
A handwashing sign was immediately placed above both bathroom stalls in the girls room and also above the boys toilet.
2024-08-27 Appeals - Unannounced Monitoring Appeals - Unannounced Monitoring Compliant - Finalized
2024-07-30 Appeals - Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room #6 a plastic toy bin was observed to be cracked causing rough edges, sharp corners, and pinch and crush points.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The bin was immediately removed and replaced with a new one.
2024-07-30 Swimming 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 lacked a health assessment that was completed within the past 24 months. The health assessment in the file was dated 6/9/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Facility person 1 obtained her physical copy from her doctor office on July 31.
2024-07-30 Swimming 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #1 lacked emergency plan training that was completed in the last 12 months. The emergency plan training in the file was dated 6/11/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 1 was immediately retrained in Emergency Procedures.
2024-06-26 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 6/26/24 staff interviews and written statements verified that child #1 was left inside the childcare unsupervised for approximately three minutes. Staff person #1 and staff person #2 took 15 preschool children outside after taking the children to the restroom. After the staff and children went out to the playground child #1 came out of the restroom and was found by facility person #3. Facility person #3 took child #1 downstairs to staff person #4. Staff person #4 took child #1 out to the playground to staff person #1 and staff person #2 who were responsible for supervising child #1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff were immediately suspended pending investigation. Staff were trained in the supervision policy. Supervisor modeled the expectation and more frequent checks were done.
2024-06-26 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the complaint investigation on 6/26/24 staff interviews and written statements verified that child #1 was left inside the childcare unsupervised for approximately three minutes. Staff person #1 and staff person #2 took 15 preschool children outside after taking the children to the restroom. After the staff and children went out to the playground child #1 came out of the restroom and was found by facility person #3. Facility person #3 took child #1 downstairs to staff person #4. Staff person #4 took child #1 out to the playground to staff person #1 and staff person #2 who were responsible for supervising child #1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff were immediately suspended pending investigation. Staff were trained in the supervision policy. Supervisor modeled the expectation and more frequent checks were done.
2024-06-26 Complaints- Legal Location 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 6/26/24 staff interviews and written statements verified that child #1 was left inside the childcare unsupervised for approximately three minutes. Staff person #1 and staff person #2 took 15 preschool children outside after taking the children to the restroom. After the staff and children went out to the playground child #1 came out of the restroom and was found by facility person #3. Facility person #3 took child #1 downstairs to staff person #4. Staff person #4 took child #1 out to the playground to staff person #1 and staff person #2 who were responsible for supervising child #1.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Staff were immediately suspended pending investigation. Staff were trained in the supervision policy. Supervisor modeled the expectation and more frequent checks were done.
2024-06-05 Appeals - Unannounced Monitoring Appeals - Unannounced Monitoring Compliant - Finalized
2024-05-21 NS- Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 1 and Room 4, resting mats were observed to be ripping 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.

Provider Response: (Contact the State Licensing Office for more information.)
The mats were repaired and fitted sheets were placed on all mats. The sheet will remain on the mat.
2024-04-30 Unannounced Monitoring 3270.173(a) - Ratios apply Compliant - Finalized

Regulation: 3270.173(a)

Description: Ratios apply

Noncompliance Area: On 4/30/24 at approximately 7:40am, 2 staff persons, 20 school age children, 1 young toddler, and 1 facility person were observed on the bus outside of the facility getting ready to transport the school age children to school. Staff person #2 identified 12 school age children and staff person #3 identified 8 school age children in their assigned groups. Facility person #1, who identified themselves as the bus driver and not a staff person, verified the young toddler was their daughter.

Correction Required: The staff-child ratios specified in §§3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported.

Provider Response: (Contact the State Licensing Office for more information.)
Toddler is not allowed on the bus.
2024-04-30 Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1, who is the bus driver for the day care facility, was observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance results in the file are dated 1/19/24. The file for facility person #1 was observed not to contain NSOR clearance results. The file for facility person #1 was observed not to contain a valid child abuse and neglect clearance from New York where the staff person resided in the 5 years prior to employment, within 45 days of hire (See IS CODE SHEET).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 may not work at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Bus driver was immediately pulled from driving. New York Clearances were ran.
2024-04-24 NS- Unannounced Monitoring NS- Unannounced Monitoring Compliant - Finalized
2024-03-06 NS- Unannounced Monitoring 3270.111(a) - Written plan Compliant - Finalized

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: A written plan of daily activities and routines was not posted in the Fun and Fit room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Provider Response: (Contact the State Licensing Office for more information.)
The daily schedule was immediately placed on the wall including free play time.
2024-03-06 NS- Unannounced Monitoring 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Fun and Fit room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency care and staff provisions in an event of an emergency were immediately placed back on the wall.
2024-03-06 NS- Unannounced Monitoring 3270.74 - Emergency Numbers Posted Compliant - Finalized

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency telephone numbers were not posted in the Fun and Fit room near the telephone in the room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency list with the phone numbers of hospital, police, fire, ambulance and poison was posted immediately by the phone.
2024-02-08 NS- Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Fun and Fit room, a plastic wall plate was observed to be cracked and 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.

Provider Response: (Contact the State Licensing Office for more information.)
A new plate was put on the wall and the cracked one was removed.
2024-01-24 NS- Unannounced Monitoring NS- Unannounced Monitoring Compliant - Finalized
2023-10-02 Self-Reported Non Compliance 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/20/23 at 7:15 AM, Child #1 was left alone in a stairwell without supervision for 15 minutes while the group continued to the School Age classroom and without Staff #1 being aware that the child was not within the group.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Children must be supervised at all times. Supervisors discussed proper supervision with the staff and reminded the staff the the children need to be in front of the staff when walking.
2023-10-02 Self-Reported Non Compliance 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 9/20/23 at 7:15 AM, Child #1 was left alone in a stairwell without supervision for 15 minutes while the group continued to the School Age classroom and without Staff #1 being aware that the child was not within the group.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will follow appropriate supervision. Supervisors are checking ratios throughout the day. Staff will stop at the top of stairwell and in transition times to do a head count using the badges as a name to face recognition. Staff will know the total number of children in the group and where the children are that they have badges for. If a staff switches groups or goes into a new group they will make sure to do the count and match the badges to the faces of the children.
2023-10-02 Unannounced Monitoring 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 9/22/21, after the expiration date of 9/22/23.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Tina is updated on First Aid and CPR currently.
2023-10-02 Self-Reported Non Compliance 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 9/20/23 at 7:15 AM, Child #1 was left alone in a stairwell without supervision for 15 minutes while the group continued to the School Age classroom and without Staff #1 being aware that the child was not within the group.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Staff to Child ratios will be maintained at all times.
2023-10-02 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire alarm 30-day test log includes test dates 5/1/23-6/1/23 and 8/1/23-9/1/23, more than 30 days apart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The fire alarm system will be tested every 30 days. We will make sure that on months that are 31 days that the test is done within the 30 days.
2023-08-01 Swimming 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the pool area where 15 school-age children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Provider Response: (Contact the State Licensing Office for more information.)
There will be a binder placed in the pool with all of the childrens emergency information.
2023-08-01 Complaints- Legal Location 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Compliant - Finalized

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on staff statements and documentation, an accident report for Child #1 was not provided to the parent on the day of the incident, 7/18/23. The incident report was provided to the parent through email on 7/19/23.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Provider Response: (Contact the State Licensing Office for more information.)
Parents will be given a report not just for injury but for incidents as well. The report will be given to the parent through the procare app at incident and will be signed by pickup person.
2023-05-02 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Mats used for rest equipment were observed to be ripped in Room 3. Two plastic bins that contained children's toys were observed to be cracked in Room 4. A sink handle to a children's kitchen playset was observed to have broken off in Room 5. These conditions expose the children in care to rough edges, sharp corners and were 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.

Provider Response: (Contact the State Licensing Office for more information.)
The mats were repaired on 5/2/2023 and the cracked bins were thrown away on 5/2/2023.
2023-05-02 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in Room 5 measured temperature at -5° F. Upon closer inspection, it was determined that that the thermometer was inoperable.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Provider Response: (Contact the State Licensing Office for more information.)
A new thermometer was placed in the fridge on 5/2/2023.
2023-05-02 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #2 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The training on file was observed to be dated 2/1/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2 completed the Health & Safety Training on 2/1/23 completing her preservice training requirements.
2023-05-02 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 #4 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #4 are dated 3/10/21 and 3/24/23. The file for staff person #5 was observed to have a health assessment that was not completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #5 has a date of 3/6/23. The file for staff person #7 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #4 has a current physical in her file as of 3/24/2023. Staff #5 has a current physical and TB test as of 3/6/2023. Staff #7 is no longer employed by the YMCA of Greater Erie.
2023-05-02 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for staff persons #1 and #5 lacked documentation of a tuberculosis screening at initial employment (See LIS CODE SHEET). The tuberculosis screening on file for staff person #1 has a date of 3/8/23 and staff person #5 has a date of 3/8/23. The file for staff person #7 was observed not to have 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 and #5 have current TB tests in their file. Staff #7 is no longer employed at the YMCA.
2023-05-02 Renewal 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #7 lacked verification of education and experience to qualify them for a position at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #7 is no longer employed at the YMCA.
2023-05-02 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #8 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #8 will have until 6/1/23 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #8 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 facility person #8, facility person #8 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #8 is no longer employed by the YMCA of Greater Erie.
2023-05-02 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 was observed to have documentation of Mandated Reporter training that was not renewed before the expiration date of the most current certification required under CPSL. The two most current trainings on file are dated 2/27/18 and 3/23/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 completed the approved mandated reporter training on 3/23/2023.
2023-05-02 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #6 lacked a written staff evaluation written by the Director within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #6 has a staff evaluation in her file currently.
2023-05-02 Renewal 3270.66(c) - Toxic use- no contamination Compliant - Finalized

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: In Room 3, a bottle of baby oil and hand sanitizer were observed in a storage cabinet on a shelf above children's food. The bottle of baby oil was observed to be leaking and dripping onto the shelves below where the food was observed.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Sanitizer and baby oil were removed from the shelf and the food was thrown away.
2023-05-02 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The soap dispenser in the bathroom in Room 4 was observed to be cracked 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.

Provider Response: (Contact the State Licensing Office for more information.)
The soap dispenser was thrown away and a new was placed in the bathroom on 5/2/2023.
2023-01-27 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #1, date of hire (see IS code sheet), is lacking verification of completing the Pennsylvania Health and Safety Update 2022 by 12/30/2022 as required.

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.

Provider Response: (Contact the State Licensing Office for more information.)
James completed the Health and Safety update on January 27th.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised. A roster of all staff and proof of attendance for the training will be submitted to the Regional Office.

Correction Required: **The Legal Entity shall require all staff persons at the facility to attend a minimum 2-hour in-person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department.

Provider Response: (Contact the State Licensing Office for more information.)
All staff will attend a 3 hour supervision training on Jan 16th or Jan 21st depending on weather. This will include bus driver and facility persons.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

Correction Required: ***The Director shall develop and implement a tangible hands-free system for identifying specific children for whom each staff person is responsible and for tracking children during transition periods. All staff will utilize the identification method appropriately at all times while on duty at the facility. When a new child enrolls at the facility, a supervision card will be present at the facility on the child's first day of attendance.

Provider Response: (Contact the State Licensing Office for more information.)
Card system has always been in place. Cards will be attached to staff's body for who they are responsible for. The cards will be for children that are present at that moment. Card system will be refined during ELRC training. School age children in the morning are grouped by school district that they attend. Staff supervising each school district will wear on person a lanyard or ring with the children they are responsible for. The picture card will be transitioned with the child as they leave the space and go on the bus. New children will have a picture card on first day of attendance. The AM staff will implement the same procedures as the PM staff. Also, the City group has been separated into a different room then the Millcreek group.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff responsible were given written corrective actions for this incident the day it happened. All staff know that children need to be supervised at all times.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ****Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

Correction Required: ****The Director shall develop and implement a reporting system for which all staff can report safety or environmental concerns regarding the facility premises. This is to include concerns in all childcare spaces and play spaces. The Outdoor play space used by the facility is considered part of the facility premises. The reporting system will be developed within 1 month of the approval of this plan of correction. The reporting system will be maintained on file at the facility for review by Certification Representative.

Provider Response: (Contact the State Licensing Office for more information.)
Health and safety checklist will be completed monthly instead of quarterly and maintenance requests will be posted in all classrooms. We changed the preschool playground to our cherry street side of the building that is attached to the building so that preschool children do not need to cross the street. On the 38th St playground we took out the gate closest to the parking lot. It is now a solid fence. We have ordered a new gate for the alley side of the playground and we moved the latch of the main door up high out of the reach of children.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *****Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

Correction Required: ***** The Director shall conduct monthly meetings for a period of 4 months. All staff persons at the facility will be in attendance. The director will discuss prior noncompliance and polices to ensure compliance with supervision. Staff meeting dates, agenda, and name of staff in attendance shall be documented. The documentation shall be maintained on file at the facility for review by Certification Representative.

Provider Response: (Contact the State Licensing Office for more information.)
Agenda, Meeting, Date, and Sign in will be available for staff meetings for 4 months. Documentation will be kept on file for certification rep to review. The supervision issues that have happened will be discussed and what is needed to maintain compliance. Supervision will be an agenda item and discussed at every staff meeting.
2022-11-16 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ******Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

Correction Required: ****** The Director shall monitor supervision in all child care spaces 3 times a week for a period of 4 months. The supervision checks will be documented. The documentation will include the date, time, room name, staff present in room, number of children present by age and an assessment of the staff ability to meet the definition of supervision per the regulations. The document shall be maintained on file at the facility for review by Certification Representative.

Provider Response: (Contact the State Licensing Office for more information.)
Director, Assistant Director, and Team Leader will use a form to document supervision in each class 3 times per week for 4 months. This form will be kept on file for review.
2022-11-16 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff has been talked to. We will make sure it never happens again. 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. Cards will be attached to staffs body for who they are responsible for. The cards will be for children that are present at that moment.
2022-11-16 Complaints- Legal Location 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Compliant - Finalized

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on conversation with staff and review of files, an incident involving child #1 being hit with a stick on the playground occurred on 7/27/22. This incident report was not given to the parent until 8/1/22.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Provider Response: (Contact the State Licensing Office for more information.)
Incident reports are sent via procare connect or emailed (if parent will not sign up for procare connect) immediately when incident occurs.
2022-11-16 Complaints- Legal Location 3270.183(b) - No information disclosed Compliant - Finalized

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Based conversation with the director, and review of the file, when a parent requested a copy of Child's #1 file, they were given an incident report for child# 2.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will make sure that other childrens information is not given to another parent.
2022-11-16 Complaints- Legal Location 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on conversations with Director and staff, review of documents, and physical site review of the playground and alley behind the playground, the following event occurred: On September 14, 2022, between 9:00 AM -10:00 AM, Staff Person #1 and staff # 2 were supervising a group of 15 preschool children on the 38th Street Playground. Staff Person #1 was responsible for supervising 7 preschool children. Staff Person #2 was responsible for supervising 8 preschool children. During this time, Child #1, who was to be supervised by Staff Person #1, left the playground through an unlocked gate and walked down an alley behind the facility premises. The alley is located between two high traffic roads, 38th Street and Peach Street. Staff # 1 and Staff # 2 did not know Child #1 was missing until an unknown member of the YMCA came over to notify staff that Child#1 was splashing in a water puddle near a garage in the alley alone and unsupervised. Then Staff #2 left the playground to retrieve Child #1, leaving Staff #1 alone to supervise 14 Preschool children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Because a child was alone in the alley it was an emergency that the staff person left immediately to get the child. This was the best decision at the time so that the child was safe, however leaving the other staff out of ratio.
2022-11-16 Complaints- Legal Location 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On November 16, 2022, between 8:00 AM to 8:05 AM, Staff Person #1 and Staff Person #3 were observed supervising a mixed group of 18 School Age and 8 Preschool children in the Youth Department located on the first floor of the facility.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Provider Response: (Contact the State Licensing Office for more information.)
Preschool staff will stay downstairs if needed in ratio and kids will be distributed to other classes as needed to maintain ration and compliance. We also are adding two facility persons that can be used in case of an emergency. Staff will be trained in ratio and the use of the card system. Supervision and ratio will be discussed in length at staff meetings. Director/Assistant Director/Team Leader will be in rooms monitoring 3 times per week for 4 months.
2022-10-04 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/30/22 at approximately 3:30 PM, based on discussions with staff and observation of video footage: Staff Person #1 released Child #1 and stood in the classroom doorway, while supervising a group of children who were still in the classroom. Staff Person #1 watched Child #1 walk down the hall. When Child #1 turned the corner of the hall, Child #1 could not be seen by Staff Person #1. When Child #1 turned the corner of the hall, Child #1 could be seen by Staff Person #2, whose room is in the opposite hallway. Staff Person #2 also stood in the doorway while supervising a group of children who were still in the classroom. While supervising their own groups, Staff Person #1 and #2 could not adequately supervise Child #1. Subsequently, Child #1 walked down the stairs to be picked up by a family member on first floor. While walking down the steps, Child #1 could not be seen by either staff person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Children will not be send in the hallway by themselves. They will have an adult with them at all times.
2022-10-04 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 9/30/22 at approximately 3:30 PM, based on discussions with staff and observation of video footage: Staff Person #1 released Child #1 and stood in the classroom doorway, while supervising a group of children who were still in the classroom. Staff Person #1 watched Child #1 walk down the hall. When Child #1 turned the corner of the hall, Child #1 could not be seen by Staff Person #1. When Child #1 turned the corner of the hall, Child #1 could be seen by Staff Person #2, whose room is in the opposite hallway. Staff Person #2 also stood in the doorway while supervising a group of children who were still in the classroom. While supervising their own groups, Staff Person #1 and #2 could not adequately supervise Child #1. Subsequently, Child #1 walked down the stairs to be picked up by a family member on first floor. While walking down the steps, Child #1 could not be seen by either staff person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Children will not be send in the hallway by themselves. They will have an adult with them at all times.
2022-10-04 Complaints- Legal Location 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 9/30/22 at approximately 3:30 PM, based on discussions with staff and observation of video footage: Staff Person #1 released Child #1 and stood in the classroom doorway, while supervising a group of children who were still in the classroom. Staff Person #1 watched Child #1 walk down the hall. When Child #1 turned the corner of the hall, Child #1 could not be seen by Staff Person #1. When Child #1 turned the corner of the hall, Child #1 could be seen by Staff Person #2, whose room is in the opposite hallway. Staff Person #2 also stood in the doorway while supervising a group of children who were still in the classroom. While supervising their own groups, Staff Person #1 and #2 could not adequately supervise Child #1. Subsequently, Child #1 walked down the stairs to be picked up by a family member on first floor. While walking down the steps, Child #1 could not be seen by either staff person.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Children will not be send in the hallway by themselves. They will have an adult with them at all times.
2022-09-01 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for Child #2 lacked the health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Health insurance policy and number was placed on child #2 application.
2022-09-01 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #3 lacked the address for one of the release persons.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The address for emergency pickup #3 was placed on application.
2022-09-01 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #4 was conducted more than 60 days after the child's start date.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Health assessment for child #4 is in file.
2022-09-01 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

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 file for Child #1, a Preschool Child, did not contain an updated health report conducted within the past 12 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Health Assessment for child #1 is in file.
2022-09-01 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 most recent updated health assessments in the files for Staff Person #1, #2, #4, #5 and #7 exceeded 24 months between assessments.

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

Provider Response: (Contact the State Licensing Office for more information.)
Physicals for staff people #1, #2, #4, #5, #7 are in their file.
2022-09-01 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form in the file for Child #3, who has been enrolled for more than 6 months, has not been updated by the parent.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
Application for child #3 has been updated.
2022-09-01 Renewal 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The current Pediatric First Aid/CPR Training in the file for Staff Person #1 was conducted after the previous certification had expired.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Current CPR/FA Certification is in the file for Staff Person #1.
2022-09-01 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #9 will have until 11/15/22 to complete the required training. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #9 will obtain the Health & Safety Orientation Training before he will be allowed to come back for seasonal help.
2022-09-01 Renewal 3270.31(f)(10)/3270.192(2)(iii) - Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The Pediatric First Aid/CPR trainings in the file for Staff Person #8 was conducted more than 90 days after the staff person's date of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Current First Aid training is in the file for staff person #8.
2022-09-01 Renewal 3270.31(f)/3270.192(2)(iii) - Health and Safety Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The initial Health and Safety Trainings in the files for Staff Person #7 and #11 were conducted prior to September 30, 2016. The approved Health and Safety Trainings in the files for Staff Person #7 and #11 were conducted on 5/11/22 and 5/10/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Heath & Safety is in the file of staff person # 7 & #11.
2022-09-01 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the file for Staff Person #4 exceeded 60 months between trainings: 1/3/17-2/2/22.

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

Provider Response: (Contact the State Licensing Office for more information.)
Mandated Reporter Training is in the file for staff person #4.
2022-09-01 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The clearances in the file for Staff Person #1 exceeded 60 months between clearances. State Police: 8/26/15-3/5/21. Child Abuse: 11/24/15-3/2/21. FBI: 10/10/15-3/3/21. The NSOR certificate in the file for Staff Person #1 was after the 6/30/20 deadline required by the CPSL (3/4/21). The NSOR certificate in the file for Staff Person #2 was after the 6/30/20 deadline required by the CPSL (1/20/21). The current FBI clearance in the file for Staff Person #3 was conducted after Housebill 360 deadline of 12/30/20 (2/16/21). The FBI clearances in the file for Staff Person #6 exceeded 60 months between clearances: 11/17/16-11/18/21. The receipt for fingerprinting in the file for Staff Person #8 was dated after the staff person's first day working in child care. The NSOR application in the file for Facility Person #12 was conducted after the facility person's first day working with children. The file for Facility Person #12 did not include an NSOR certificate.

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 #12 may not work at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Clearances are in the file for staff person #1, #2, #3, #6, and #12.
2022-09-01 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed glass cleaner in an unlocked cabinet in the Fun and Fit 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.

Provider Response: (Contact the State Licensing Office for more information.)
Glass Cleaner was placed in a locked cabinet.
2022-09-01 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The 1st aid kit in the S/A room lacked gloves.

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

Provider Response: (Contact the State Licensing Office for more information.)
Gloves were placed in the first aid kit.
2022-09-01 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed damaged ceiling tiles in the following areas: Entrance of the Fun and Fit Room. S/A Room-by the clock and in the corner facing the playground. In the Penguin Room midway through room. Observed weeds and debris along the rear fence and trash in various places in the 38th street playground. Racquetball court #4 was missing a baseboard, which created rough edges

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.

Provider Response: (Contact the State Licensing Office for more information.)
All ceiling tiles that were stained were fixed.
2022-09-01 Renewal 3270.81 - Glass Compliant - Finalized

Regulation: 3270.81

Description: Glass

Noncompliance Area: The window, which is at floor height, in the Fun and Fit Room lacked a visual strip/identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Provider Response: (Contact the State Licensing Office for more information.)
Window Cling was placed on the window.
2022-08-15 Swimming 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 initial health assessment in the file for facility person #1 was conducted after the facility person's first day working at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
This was corrected from a previous site in the summer.
2022-08-04 Allocated Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed peeling rubber coating on the bottom step of the sliding board set on the 38th Street side Playground.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The rubber will be removed off of the bottom step on 38th St playground. It will be repainted with a outdoor paint.
2022-08-04 Allocated Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Requirements for continuity of operations will be added to the emergency plan.
2022-08-04 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

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 did not include an initial health assessment/TB Screening. The health assessment/TB Screening in the file for Staff Person #2 was conducted after the staff person's first day working in child care. The TB Screenings in the files for Staff Person #3 and #4 were conducted after the staff persons' first day working in child care.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 will get the health assessment/TB test from the doctor. Staff Person 2, 3 and 4 health assessment/TB are current.
2022-08-04 Allocated Unannounced Monitoring 3270.31(f)(10)/3270.192(2)(iii) - Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The Pediatric First Aid/CPR training in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day working in child care.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Current Pediatric First Aid and CPR is on file for Staff Person #3.
2022-08-04 Allocated Unannounced Monitoring 3270.31(f)/3270.192(2)(iii) - Health and Safety Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The Health and Safety Trainings in the files for Staff Person #2 and #3 were conducted more than 90 days after the staff persons' first day working in child care.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Current Health and Safety training is on file for Staff Person #2 and #3.
2022-08-04 Allocated Unannounced Monitoring 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

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

Noncompliance Area: The Mandated Reporter Training in the file for Staff Person #4 was conducted more than 90 days after the staff person's first day working in child care.

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

Provider Response: (Contact the State Licensing Office for more information.)
Current Mandated Reporter Training is on file for Staff Person #4.
2022-08-04 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1, who is beyond 45 day provisional hire period, did not include an FBI Clearance.

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 #1 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff # 1 went to Indentigo to obtain his FBI clearance. Staff Person #1 will not work at facility until clearance is in.
2022-08-04 Allocated Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed flaking concrete and an exposed steel rod along the bottom of the building in the Cherry Street side Playground.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Cherry Street playground brick will be repaired and rod will be removed.
2022-08-04 Allocated Unannounced Monitoring 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed flaking paint along the white wall in the Cherry Street side playground.

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

Provider Response: (Contact the State Licensing Office for more information.)
The wall will be painted with outdoor paint.
2022-08-04 Allocated Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire system check log documented the following dates when fire system checks were conducted more than 30 days apart: 2/1-3/4, 3/4-4/4, 4/4-5/11, and 6/5-7/20.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Most recent fire system check is current.
2021-09-21 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the owl room the cupboard under the sink contained empty garbage bags that were accessible to the children.

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

Provider Response: (Contact the State Licensing Office for more information.)
Lock was placed on the cabinet on 9/21/21.
2021-09-21 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the owl room was lacking a thermometer to ensure that it was keeping a safe temperature for storing potentially hazardous foods.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Provider Response: (Contact the State Licensing Office for more information.)
Thermometer was placed in the refrisgerator on 9/21/21.
2021-09-21 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #2, 5 and 19 all contained a health assessments that were obtained after their start date.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff did get their physical in. Due to COVID they could not get in right at the 2 yr mark. They went as soon as their doctor could get them in.
2021-09-21 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for Staff #1 contained a health assessment form that stated that the staff was not free from communicable disease and did not give any explanation.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 called her doctor to have the form filled out correctly.
2021-09-21 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan for the facility was lacking accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency plan was updated to include required information.
2021-09-21 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 and #5 both were lacking initial emergency plan training within 7 days of start date. The file for Staff #3 contained two emergency plan trainings that were more than 12 months apart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I will make sure that the original emergency plan training is in each staffs file at hire.
2021-09-21 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff #3 contained a Pediatric First Aid Training Card that was expired.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 was trained in Pediatic First Aid on 9/24/2021.

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