Greater Scranton Ymca Day Care

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Director self-reported noncompliance following an incident on 8/6/26. Certification rep visited facility on 8/13/26 and reviewed video of the incident on 8/6/26. Certification rep observed staff # 1 pull a child by their arm. Staff # 1 was hit by the child and swatted the child on the top of their hand. Another staff was present in the classroom and their back was turned. This was an isolated incident involving staff # 1. Immediately following the incident, staff # 1 was terminated.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a complaint investigation on 3/30/26, certification rep observed video surveillance of an incident that occurred on 3/23/26 during naptime. Children # 1 and # 2 were behind the back of staff person # 1 while staff # 1 was working at a table with a small group of children that don't nap. Child # 1 alleged that child # 2 exposed themself. Child # 2 admitted they did and staff # 1 did not see what happened behind their back.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate date of correction. 2. The operator shall modify the facility's supervision policy to include nap time supervision. The update shall specifically address how supervision will be maintained when some children are not napping. The operator will submit the updated supervision policy to the certification rep for approval. Upon approval, all staff shall sign to acknowledgement receipt and understanding of the updates to the supervision policy. This portion of the plan shall have a date by which this will be completed.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep observed there were no labels on the cots for individual use in T1A.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: During a renewal inspection on 1/20/26, there was no written plan of daily activities available in the T2B classroom.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep reviewed the emergency contact form for child # 2. There was no address provided for the listed 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.

Regulation: 3270.131(d)(3)/3270.131(d)(4)

Description: Current medication and reason/Acute or chronic health problem

Noncompliance Area: During a health assessment on 1/20/26, certification rep observed the health assessment for child # 1. The physician did not indicate if there are any medications or an assessment of health problems.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep observed the health report on file for child # 1 did include a statement that the child was clear to participate in childcare and free from communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep observed diaper creams stored on top of the diaper changing table in the T2B and T21 classroom.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep observed expires diaper creams in the T2B classroom.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 1/20/26, certification rep observed stained ceiling tiles in the T2B and PS1 classrooms. There was also a broken ceiling tile observed in the PS1 classroom.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 1/20/26, certification rep observed footage of an incident that occurred at the facility on 1/9/26 in which staff # 1 was observed to put child # 1 back onto their cot in an aggressive manner. This incident was self-reported to the regional office and staff # 1 was terminated.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The operator will update the facility supervision policy to include a section that includes how staff will handle situations when they are dealing with challenging behaviors and how administration will step in to support staff if/when needed. The operator will submit the updated policy to the regional office for approval. Upon approval, the facility director will review the supervision policy with all staff and have them sign off on acceptance of the policy.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 1/20/26, staff disclosed that on 1/9/26, staff # 1 was heard saying "you're being ridiculous" and "why are you acting so crazy" to child # 1. This incident was self-reported to the regional office and staff # 1 was terminated.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 1/20/26, certification rep reviewed footage of an incident that occurred on 1/9/26, in which staff # 1 was observed to be laying on their side across child # 1. This restricted the ability of child # 1 to get up from their cot. This incident was self-reported to the regional office and staff # 1 was terminated.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 2. Staff person # 1 completed the PA Required Health and Safety for Centers-Group Child Care Part 2 on 10/13/25. Staff person # 2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person # 2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person # 2, staff person # 2 may not work in a child-care position at the facility

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation on 6/17/25, staff admitted that on 5/20/25, staff # 1 was responsible for child # 1 and child # 1 was left unsupervised in the hallway when walking from the bathroom to the classroom. It was also determined that on 6/11/25, child # 2 was alone in the classroom by staff # 1 from 2:54 PM to 3:09 PM. Staff # 1 entered the classroom twice during that time for approximately 1 minute each, and neither time acknowledged the child laying on the floor.

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. 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. TIERED LIS: 1: Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The correction date for this portion of the plan shall be a date for when the training is completed. 3: The legal entity must submit an update to the facility's supervision policy, which outlines in detail how transitions between classrooms and bathrooms will be managed. Upon DHS approval of the supervision policy, all staff will be re-trained in the policy. Proof of this training will be submitted to DHS. The correction date for this portion of the plan shall be a date in the future that allows time for the policy to be created, approved, and implemented.

Regulation: 3270.21/3270.113(b)

Description: General Health and Safety/No physical punishment

Noncompliance Area: During a complaint investigation on 5/28/25, certification rep reviewed video footage from 5/20/25 in which staff # 1 used one hand to pick up child # 1. Child # 1 sustained an injury - nurse maid elbow - as a result of being picked up by one hand. The incident appeared accidental despite the child's injury.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1. A facility person may not use any form of physical punishment. This portion of the plan shall have an immediate correction date. 2. The director will arrange for staff # 1 to take a training, in person or online regarding appropriate discipline and redirection techniques for young children. The director will seek DHS approval for the training prior to staff # 1 completing it. The operatory shall provide a date for when this training will be completed.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During a complaint investigation on 5/20/25, it was determined that a child received treatment at the emergency room on 5/12/25 and this was not reported to the regional office until 5/14/25.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There were nap mats observed in the Pre K 1 and T2B classroom with torn edges and exposed foam stuffing rendering them unable to be properly sanitized.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: More than 6 months passed between child service reports for child # 1 as evidenced by the child service reports dated 8/10/24 and 1/7/2025.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child # 1 is a young toddler (see code sheet for DOB). More than 6 months passed between the initial health assessment dated 10/22/23 and the updated health assessment dated June, 2024.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff # 1 was hired to be an assistant group supervisor. There is no verification of child care experience prior to service at the facility to qualify them for this position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 1/21/25, cert rep observed unlocked cabinets which contained diaper creams labeled "keep out of reach of children" accessible to children in the T2A and T2B classrooms.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There were open trash cans with trash contaminated by human secretions observed in the PS2, PS1, Y4, Y3, and bathroom 2.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were water stained ceiling tiles observed in the Pre K 2 and the Y3 classrooms.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the blue room, peeling paint was observed on the wall straight across from the entrance.

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

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: During a complaint investigation is was verified that an incident occurred between 2 school aged children in which one pushed another. Operator disclosed the incident report was not provided to the parent on the date of the incident.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First aid and 10 Hour 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 # 1 will have until 8/8/2024 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: More than 30 days passed between fire alarm tests as evidenced by the logs since the last inspection dated 1/15/24, 2/15/24, 3/5/24, 4/5/24, 5/8/24, 6/14/24, 7/3/24, and 7/14/24.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that the young toddler room's thermometer was missing from the refrigerator where children's perishable food items were stored.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that staff #6 and staff #11 did not have a health assessment on file since hire (See LIS Code Sheet for 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.

Regulation: 3270.31(e)(2)(i)/3270.31(f)

Description: Child or staff health/Health and Safety Training

Noncompliance Area: Staff persons # 1, #4, and #15 did not complete the required pre-service training within 90 days of their date of hire (see LIS Code Sheet): pediatric first aid/CPR training.

Correction Required: Child or staff health is an acceptable training topic. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff persons #1, #4, and #15 will have until 2/22/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #4, #15 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 persons #1, #4, and #15, staff persons #1, #4, and #15 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #4, #5, #7, #8, #9, #10, #12, #13, and #14 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that staff #14 had initially had a Pa Child Abuse clearance on 12/18/18 and did not update this until 1/4/24. The CPSL requires all clearances to be updated every 60 months. Staff #14 was required to have this clearance before 12/18/23.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that the Monday/Wednesday/Friday room was missing a bar of soap from the rooms first aid kit.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that the young toddler room had some chipped paint that was accessible to children in care.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection that began on 1/17/24 the inspector observed that the required every thirty days of manual fire safety system testing was not being conducted. The facility documented manual testing dates of 1/9/23 to 2/15/23, 2/15/23 to 3/17, 4/10/23 to 5/19/23, 5/19/23 to 6/23/23. 7/5/23 to 8/10/23, 9/1/23 to 10/2/23, 10/2/23 to 11/17/23 and 11/17/23 to 12/28/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 12/5/23 the inspector observed two new staff files (#1and #2) and found that staff #1 was missing two of the necessary out of state clearances since their hire on 7/10/23. Staff #2 was hired on 9/6/23 and was also missing one of the two necessary out of state clearances. Upon the first day of working in direct childcare a facility person's record shall include a copy of requests for the PA State Police Record check, DHS FBI fingerprint submission, Pa Child Abuse Registry clearance information, the NSOR, a copy of the disclosure statement and any out of state clearances if the facility person resided out of PA in the last five years. Also acceptable are copies of the less than 60 months old, completed clearance information required under the CPSL and mentioned above.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #2 may not work in a childcare position at the facility.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed several child files and found that child file #4 and #6 did not have health assessments within 60 days following the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file #2 and found that it was missing signature by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(d)(2)/3270.131(d)(3)

Description: Child's allergies/Current medication and reason

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file # 2 and noted that it was missing information on child allergies as well as current medication and reasons for medications.

Correction Required: A health report shall include a list of the child's allergies. A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file # 2 and noted that it was missing an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning..

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file # 1, #3. #4, and #6 either had no documentation of an Influenza vaccine or overdue Influenza immunizations.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file # 2 and noted that it was missing a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed child file # 1 last had an update to the emergency form on 4/18/22

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed that the facility did not send the emergency plan to the county EMA only to the local.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #2, #3,#4, #7, #8, #11,#12, #14, #15, #16, #17, #18, and #19, all have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g) (10) within 90 days of hire. Staff persons # 1, #2, #3, #4, #7, #8, #11, #12, #14, #15, #16, #17, #18, and #19 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons # 1, #2, #3, #4, #7, #8, #11, #12, #14, #15, #16, #17, #18, and #19 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 persons #1, #2, #3, #4, #7, #8, #11, #12, #14, #15, #16, #17, #18, and #19 , staff persons #1, #2, #3, #4, #7, #8, #11, #12, #14, #15, #16, #17, #18, and #19 may not work in a child-care position at the facility.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: While at the facility unannounced for the renewal inspection the inspector observed that the facility did not have emergency phone numbers posted in each childcare space as is required.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: While at the facility unannounced on 11/29/22 for the complaint investigation the inspector observed a video showing staff #1 grab a toddler aged child by both arms and push the child onto the nap mat and shortly after pick the child up again repeat the pattern.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the emergency plan and noted that it was missing the necessary accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the emergency plan and noted that it was missing the necessary accommodations for infants, toddlers.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the emergency plan and noted that there was no proof to substantiate that the emergency plan was sent to local municipality and to the county emergency management agency as is required.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the staff files and found that staff #1 began working in child care on 3/5/21 and did not obtain Health and Safety training until 1/6/22, staff#3 began working in child care on 12/10/20 and did not obtain Health and Safety training until 8/23/21, staff #5 began working in child care on 4/26/21 and did not obtain Health and Safety training until 1/6/22, staff #6 began working in child care on 9/10/18 and did not obtain Health and Safety training until 8/22/21, staff #7 began working in child care on 6/3/19 and did not obtain Health and Safety training until 1/10/22.

Correction Required: Staff persons shall complete professional development (Health and Safety) in the necessary topics within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the staff files and found that staff #1 began working in child care on 3/5/21 and did not obtain Pa Mandated Reporter Training until 7/23/21. This training is required within 90 days of hire.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. This clearance is required within the 45 day provisional hire period for staff. During the renewal process that began on 1/28/22 the inspector reviewed the staff files and found that staff #5 began direct child care on 4/26/21 and did not have a NSOR completed until 11/1/21. Staff #7 began direct care with children on 6/3/19 and did not have a NSOR completed until 7/23/21.

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.

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the staff files and found that staff #4 began direct care with children on 11/8/21 as a aide and has no proof of at least an 8th grade education in the staff file.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal process that began on 1/28/22 the inspector reviewed the fire drill log and noted that there was a fire drill on 7/14/21 and not another until 12/30/21.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: While at the facility unannounced on 10/20/21 the inspector found a diaper changing mat, on the changing table, in the toddler room, to be ripped and the foam exposed rendering it unable to be cleaned or sanitized.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.