Moshannon Ymca Child Care

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

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

Noncompliance Area: On 6-24-26 Child #1 was left unsupervised for approximately 12 minutes as she went to the restroom and staff #1 and #2 failed to account for her after she was escorted to the building to use restroom. Child #1 was not assigned to a primary caregiver; there were 6 total pre-school children in group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. DIRECTED PLAN OF CORRECTION 1. Children must be supervised at all times. 2.The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children during transitions is followed at all times and must include a staff member completing a supervision check of the area that they are transitioning from to ensure all children are accounted for. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 3. The legal entity must submit documentation of staff meeting agendas and attendance records. The staff meeting agenda must include supervision as a topic of discussion. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months. 4. Facility agrees to unannounced visits by DHS representative for a period of three months in order to monitor supervision and regulatory compliance. 5. All staff will attend Supervision training by a PQAS trainer on Supervision techniques specific and unique to the program.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the school age room, a black cube shelf made of fiberboard was observed to be chipping, leaving exposed edges.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff #2 was observed to be looking at his phone while in charge of supervising a center on multiple occasions.

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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Agreement form for child #1, #2, #3, and #4 did not list persons to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #1, #2, and #4 were missing a health assessment on file.

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

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: Staff person #2 did not have health and safety training completed within 90 days.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under § 3270.31(f). Staff person #2 must be supervised by a qualified staff (AGS or higher) who has completed all preservice trainings. If there is no staff available to supervise staff #2, then staff #2 may not work in a child care position until the training is complete and on file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1, #2 and #3 did not have an NSOR clearance on file. Staff #1, #2, and #3 may not work in a child care position until NSOR is obtained and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, #2, and #3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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, #2, and #3 may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the young preschool room, a spot in the drywall was observed to have peeling paint near the paint center and carpet area.

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: Staff #1 was observed shoving a child to the ground.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Young Preschool room, flowing building toys were observed to be less than an inch in diameter and accessible to older toddlers int he classroom.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 did not have out of state clearances on file. Staff #1 may not work in a child care position until clearance is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #2 did not have a health assessment or TB screening on file. Staff #7 had a health assessment dated 3/16/23 and did not have an updated health assessment on file.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: File for staff #1 was missing verification of previous childcare experience. File for staff #2 was missing verification of education and experience for the staff. File for staff #3 was missing verification of experience. File for staff #4 was missing verification of experience. File for staff #5 was missing verification of experience. File for staff #6 was missing verification of education and experience.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: File for staff #6 was missing two written, nonfamily references attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the young preschool room, 3 bags of pills were observed to be in an unsecured drawer in a teacher desk. The bags contained green, tan and yellow/white pills. It was determined that the pills were vitamins and were made inaccessible as soon as it was brought to the attention of the teacher. Corrected on site.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #4 did not have completed health and safety training on file. Staff #1 and #4 must be supervised by a qualified staff (AGS or higher) until all preservice training requirements are completed and on file.

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: Staff #1 did not have a valid disclosure statement on file and was missing the FBI clearance. Staff #1 may not work in a child care position until all clearances are up to date and on file. Staff #2 was missing a completed FBI clearance, NSOR clearance, and a disclosure statement with a witness signature and date. Staff #2 may not work in a child care position until all clearances and disclosure are up to date and on file. Staff #3 did not have mandated reporter training on file. Staff #3 must be supervised by a qualified staff (AGS or higher) until mandated reporter training is complete. Staff #4 did not have an NSOR clearance on file. Staff #4 may not work in a child care position until all clearances are up to date and on file. Staff #6 was observed to be missing a state police clearance and completed disclosure statement. Staff #6 may not work in a child care position until all clearances are up to date and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 2, 4, and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, 2, 4, and 6 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the young preschool room and prek room a hand sanitizer dispenser was observed on the wall accessible to children. Both dispensers were observed to be filled with hand sanitizer, making it accessible to children in both classes.

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: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Staff person #1 and #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric CPR/First Aid

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 and 2 will have until 6/12/24 to complete the required training. Until such time as the required training has been completed, staff person #1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and 2, staff person #1 and 2 may not work in a child-care position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #3 did not have an NSOR clearance on file. Staff #3 may not be on the facility premises until NSOR clearance is received and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may be on facility premises until clearance is obtained.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Emergency medication for Child #1 was observed to be expired, with the date being given as 07/2022.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10/19/2022 during morning program, staff member #1 was rough with child #1, holding his wrists and physically moving him without his consent by lifting him around his middle(torso/waist).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Children's files were reivewed, child #2 did not have an updated health assessment on file.

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: 3270.133(2)

Description: Written instructions

Noncompliance Area: Children's files were reviewed child #1 did not have a written prescription for an Epi-pen on file.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff files were reviewed, staff #1 and #2 do not have written verification on file.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.