Greensburg Ymca Early Childhood Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a ripped brown couch with exposed foam in the preschool room. There was a cracked plastic bin in the pre-k room.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child # 2 lacked the telephone number of the individuals designated by the parent to whom the child may be released on the emergency contact form. The file for child #3 lacked the address number of the individuals designated by the parent to whom the child may be released on the emergency contact form.

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(b)(1)/3270.131(e)(3)

Description: Infant: updated health report every 6 months/Dismissal policy

Noncompliance Area: The file for child #1 an OT lacked a current health report. The previous health report was dated 10/27/25.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 1 must be dismissed from care by close of business 6/11/26 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for child #3 a preschooler contained a current health report dated 2/4/26. The report was obtained more than 12 months from the prior report dated 1/28/25.

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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 2 did not wash the child's hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Staff #2 kept a soiled diaper on the changing table until the staff was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff #1 contained a current fire safety training certificate dated 2/9/26.The training was obtained greater than one year past the prior training, obtained 1/9/26.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded garbage can that contains trash contaminated by human secretions in the bathroom located next to the gym.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint on the wall next to the bathroom door in the gym.

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: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 4/3/26 TO 5/4/26.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a broken TV entertainment table in room 5. There was a broken garbage can in the preschool room.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 2 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

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

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

Noncompliance Area: The files for children #1 and 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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(b)(2)/3270.131(e)(3)

Description: Toddler/preschool: updated health report every 12 months/Dismissal policy

Noncompliance Area: The file for child #4 lacked an updated health report.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child # 4 must be dismissed from care by close of business 12/16/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Staff #1 did not clean the diaper changing table after a dipper change in the toddler room.

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.

Regulation: 3270.182(5)

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

Noncompliance Area: The files for children # 1 and 3 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered electrical outlet in the toddler room accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a bottle of shaving cream in room 5 label " Keep out of reach of children" accessible to 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 2 damaged ceiling tiles in room 5 on the 4th floor. There were 3 exposed screws on the back wall in room 5. There was a sink faucet with a missing cap exposing a screw in the infant room. There was a hole on the back wall in room 5 exposing splinters. There was a broken thermometer box with exposed wires on the wall in room 5.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The facility was not displaying an Emergency Transportation Plan in a conspicuously location (in the gym) in every child care space or accompany a staff person who leaves on an excursion with children.

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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was a medication bottle without a name for whom the medication is intended. There was an EPI pen without the for whom the medication is intended and without an original box.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for facility person # 1 lacked a health assessment and TB test.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a lunch box out of the refrigerator that contained cheese, lunch meet and yogurt.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

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

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: The facility inspection summary was not posted in a conspicuous location used by parent in the gym area where the camp program operates.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for facility person #1 lacked and emergency training.

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.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted in the facility at a conspicuous location where the camp program operates.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.31(e)(4)(iv)

Description: Water safety

Noncompliance Area: The files for staff #2,3,4,5 and 6 lacked water safety training. Staff 2,3,4,5 and 6 were observed at the indoor pool with their groups during the swimming inspection conducted on 7/1/25.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

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

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

Noncompliance Area: The file for facility person # 1 lacked a Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 may not work in a child care position at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1 lacked the NSOR clearance.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a an equate sunscreen, an off-insect repellent, a ChapStick and a lotion sunscreen beach defiance label " Keep out of reach of children". In the children's backpacks on the gym floor accessible to 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Racquetball Room A and B lacked the Emergency Transportation Plan posted conspicuously in every childcare space.

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.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The facility lacked the emergency numbers posted by the telephone .

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 cracked clear bins and some foam blocks with teeth marks in room #4, the preschool room. There was a red circle table with loose legs, making the table wobble. There were two broken garbage cans in the boy's bathroom. The hands-free lids were not working. There were 3 broken stencils in room #2, the pre-k room.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the OT room there were 2 mats with children resting on them, that did not have at least 2 feet of space on three sides.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator located in room #3, the infant room, was not operable.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #4 contained an agreement form that lacked the operator's signature.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for child # 1,2 and 5 lacked child service reports to provide information to the family about the child's growth and development in the context of the services being provided.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #1 and 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child #4 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The SA program posting in the gym lacked the Emergency Transportation Plan.

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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children #1, 2 and 3 contained an agreement form that has not been reviewed within the last 6 months. The files for children #4 and 5 contained an agreement form and an emergency contact form that has not been reviewed within the last 6 months

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for child #1, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file for child #2, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file contained a current health report dated 1/31/25. The file for child #3, a preschooler, lacked an initial health report. The child has been in care longer than 60 days. The file contained an immunization record.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 must be dismissed from care by close of business (2/26/25) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for a nonprescription medication, Children's acetaminophen, for child # 6.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff #6 contained an initial health assessment dated 11/21/24 that lacked a TB test.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for infants and 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(c)

Description: Training regarding plan

Noncompliance Area: The files for staff #2,4, and 7 lacked documentations of the annual Emergency plan training. The file for staff#3 lacked an updated emergency plan training. The previous training on file is dated 3/9/23. The file for staff#5 lacked an updated emergency plan training. The previous training on file is dated 6/21/23.

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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff #3 contained a current fire safety training certificate dated 1/13/25. The training was obtained greater than one year past the prior training, obtained 2/17/23 The file for staff # 5 contained a current fire safety training certificate dated 1/9/25. The training was obtained greater than one year past the prior training, obtained 1/24/23.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #5 (see LIS Code Sheet) lacked an evaluation completed within 12 months from the staff's date of hire. The file contained a current evaluation dated 1/9/25.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were 5 uncovered electrical outlets in the gym accessible to children 5 years of age or younger.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded garbage can that contained trash that has been contaminated by human secretions in the gym.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: The left side window screen in, Room #4, the preschool room, was damaged with 2 holes. The left side window screens in, Room #6, the back room, were damaged.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The left side window glass in room # 4, the preschool room, is cracked.

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: There was peeling paint on the left side window frame in room #4, the preschool room.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Pediatric CPRFA.

Correction Required: : A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #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 person(s) 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: *4th CITATION. The facility's 30-day fire detection system check was reviewed on 11/25/24. The last 30 day check on file of the fire detection system was not completed within the past 30 days. Last check is dated 10/24/24. PREVIOUSLY CITED ON 10/24/24, 6/13/24 & 4/29/24.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: .**4th CITATION. The facility's 30-day fire detection system check was reviewed on 11/25/24. The last 30 day check on file of the fire detection system was not completed within the past 30 days. Last check is dated 10/24/24. PREVIOUSLY CITED ON 10/24/24, 6/13/24 & 4/29/24.

Correction Required: **The legal entity must submit documentation of their written record of the fire detection system test. The test must occur at least once every 30 days. The written record of the fire detection system test must be maintained with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(1). A copy of the written record of the test must be submitted to the Department within one week of the test, and for a period of three months.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #1 did not contain emergency plan training upon hire. (SEE LIS CODE SHEET)

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked an NSOR clearance within 45 days of hire date. Staff Person #1 may not return to childcare until the clearance has been obtained.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: 2nd CITATION. On 10/24/24, the thermometer in the preschool room refrigerator was not operable. PREVIOUSLY CITED ON 6/13/24.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: 2nd CITATION. On 10/24/24, the file for child # 3 lacked a child service report, information to the family about the child's growth and development in the context of the services being provided. PREVIOUSLY CITED ON 6/13/24.

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)/3270.131(e)

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: 2nd CITATION. On 10/24/24, the file for child # 1 a toddler lacked a current health report the previous report was dated 6/15/23. The file for child # 3 a young toddler lacked a current health report the previous report was dated 10/4/23. PREVIOUSLY CITED ON 6/13/24.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 and 3 must be dismissed from care by close of business 10/24/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.131(b)(2)/3270.131(e)

Description: Toddler/preschool: updated health report every 12 months/ACIP recommended immunization record

Noncompliance Area: 2nd CITATION. On 10/24/24, the file for child # 2 a preschooler lacked a current health report. The previous repot was dated 4/18/23. PREVIOUSLY CITED ON 6/13/24.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #2 must be dismissed from care by close of business 10/24/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: 2nd CITATION. On 10/24/24, the operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility. PREVIOUSLY CITED ON 6/13/24.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: 2nd CITATION. On 10/24/24, the facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location. PREVIOUSLY CITED ON 6/13/24.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: 2nd CITATION on 10/24/24 the facility's current certificate of compliance was not posted in a conspicuous location used by parents of the early childhood program. PREVIOUSLY CITED ON 6/13/24.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: 2nd CITATION on 10/24/24, Inspection summary, SIN-00246364, that contained regulatory noncompliance items cited on the inspection summary and had not been verified corrected, was not posted in a conspicuous location used by parents. PREVIOUSLY CITED ON 6/13/24.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The facility's emergency plan was not posted in the facility at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 2nd CITATION. On 10/24/24, there were 2 damaged stair covers causing a tripping hazard and had exposed splintering wood on the stairs leading to the 4th floor. In the infant room #3, there was a ripped window blind. In room #6, there was a damaged door. PREVIOUSLY CITED ON 6/13/24.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility lacked a written record documenting the facility's fire drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: **3rd CITATION. The operator was not maintaining a written log for testing the fire detection system every 30 days. PREVIOUSLY CITED ON 6/13/24 & 4/29/24.

Correction Required: **The legal entity must submit documentation of their written record of the fire detection system test. The test must occur at least once every 30 days. The written record of the fire detection system test must be maintained with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(1). A copy of the written record of the test must be submitted to the Department within one week of the test, and for a period of three months.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: *3rd CITATION. The operator was not maintaining a written log for testing the fire detection system every 30 days. PREVIOUSLY CITED ON 6/13/24 & 4/29/24.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 cracked blue bins in the toddler room. There was a playhouse with a hole on the left corner. There were 4 cracked cots in the preschool room. There were 2 ripped yoga mats in the Rocket ball room.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the gym used by the summer camp program lacked a thermometer. The thermometer in the preschool room refrigerator was not operable.

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: 3270.111(c)

Description: Promote development

Noncompliance Area: On 6/13/24 in the gym, school-age children were seated on the gym floor and bleachers for approximately one hour. During that time the children were not involved in any activities. The Certification Representative informed staff, 3 times throughout the hour, that they should continue with their scheduled routine and activities.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 6/13/24 at approximately 9:00 am in the gym, there were 7 staff and 57 school-aged children. After the staff identified the children in their supervisory group, there were 10 children not identified. The 10 children were assigned to staff #8, who was not in the gym at that time.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child # 3 lacked a child service report, information to the family about the child's growth and development in the context of the services being provided.

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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child # 1 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 4/26/24. The file for child # 2 contained an emergency contact form that was not renewed withing 6 months. The current review was dated 4/25/24. The file for child # 3 contained an emergency contact form that was not renewed withing 6 months. The current review was dated 4/25/24.

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

Regulation: 3270.131(b)(1)/3270.131(e)

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: The file for child # 1 a toddler lacked a current health report the previous report was dated 6/15/23. The file for child # 3 a young toddler lacked a current health report the previous report was dated 10/4/23.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 and 3 must be dismissed from care by close of business 6/14/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.131(b)(2)/3270.131(e)

Description: Toddler/preschool: updated health report every 12 months/ACIP recommended immunization record

Noncompliance Area: The file for child # 2 a preschooler lacked a current health report. The previous repot was dated 4/18/23. The child cannot return to care until the facility receiver a copy of the current health report and immunization record.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #2 must be dismissed from care by close of business 6/14/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was an Aquaphor lip repaid and an infant ibuprofen concentrated drops without the name of the child for whom the medication is intended in the infant room.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Albuterol Sulfate for child # 7 was expired. The medication expiration date was 11/23.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for prescriptions medication, Albuterol for child # 7.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #3 was observed caring for children unsupervised. Staff #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Pediatric CPR and Pediatric First Aid. On 6/13/24 at approximately 9:50am, staff #3 took 2 preschool aged children to the restroom. At approximately 4:00 pm, staff #3 was supervising 2 Toddlers in the Toddler room.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health reports on file for staff # 4, 5, and 6 lacked an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There were several lunchboxes in the gym that contained food that should be refrigerated; cheese, lunch meat, boil eggs and yogurt.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The facility lacked the pick-up and drop-off notification of safe routes posted by the operator at a conspicuous location in the summer program.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Per staff statements, the Albuterol Sulfate medication for child #6 was in a locked metal box, that could not be opened because the combination to the box was unknown. There were 3 cribs with loose sheets in the infant room. The loose sheets are a suffocation hazard.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents of the early childhood program. The facility's current certificate of compliance was not posted in a conspicuous location used by parents of the summer camp program.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: Inspection summary, SIN-00243623, that contained a regulatory noncompliance item cited on the inspection summary and had not been verified corrected, was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff # 2 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff # 2 contained current fire safety training dated 2/7/24, that was obtained greater than a year from the previous fire safety training, dated 7/19/20.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Per staff statements the facility has been out of ratio while combining mix age groups in the morning at opening and in the afternoon at the end of the day. There have been up to 10 children, including infants supervised by one staff.

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).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: *Per staff statements the facility has been out of ratio while combining mix age groups in the morning at opening and in the afternoon at the end of the day. There have been up to 10 children, including infants supervised by one staff.

Correction Required: * The Legal Entity shall require all staff person at the facility, including the school age director and the early childhood director, to attend a minimum, 2 hour in person training regarding staff:child ratio and the 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 annual training hours required by the Department.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Per staff statements, there have been multiple occasions that at least two facility persons have not been present in the facility when two or more children are in care. This has occurred at the beginning and end of the day.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Super glue and a wound care kit were accessible to children in the school age room #5. There was an Albuterol Sulfate, 2 bottles of sunscreen, and a deodorant in back packs accessible to children on the gym floor. All of the items were 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.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a bottle with liquid that was not labeled. Per staff statement it was soapy water.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: There was a ripped screen on the 1st window to the right in the preschool room.

Correction Required: Screens shall be in good repair.