Rcymca At Lvhn Westgate

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

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

Noncompliance Area: A complaint inspection was conducted 6/8/26. During the investigation, it was discovered that on 5/28/26 Child #2 was left on the playground. Video footage showed that Child #2 was left on the playground from 11:53-11:57am with another staff and group of children before being brought back to their classroom by another staff. Child #2 was in the primary care group of Staff Person #2. Staff Person #2 was terminated from employment at the facility on 6/1/26. Through staff interviews, it was discovered, that a lapse of supervision occurred on 6/19/26. Video footage showed Child #2 and Child #3, both young toddlers, attempting to open the gate to the playground fencing and eventually succeeding. The children then began walking down the sidewalk outside the playground. This incident was unnoticed by Staff Person #3. The children were outside of the playground fence for less than a minute before being discovered.

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. Children must be supervised at all times. 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 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. Children must be supervised at all times. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when the training and follow up with Quality Coach will be completed. 3. The facility will demonstrate compliance with 3270.113(a) and 3270.113(a)(1) for a period of three months. There may be no instances of noncompliance during this time period during unannounced inspections. The operator shall provide a correction date that is 3 months from the date of plan submission.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection was conducted 6/8/26. During the investigation, video footage of Room 17 was reviewed from 6/4/26 at 2:47pm. At that time, Child #1 is seen banging a book on a shelf. Staff Person #1 leans over the shelf and roughly jerks the child up and then back down to the floor before blocking the view of the camera. Staff interviews discovered that while blocking the camera, Staff Person #1 had pushed the child down again, grabbing the child by the wrist and then scolding the child, Staff Person #1 is heard in the video saying "All done, no thank you. Your friend is sleeping. You are not being nice. No" Child #1 crawls away toward another shelf. Staff Person #1 walks toward Child #1 and leaning over the next shelf and pushes the child roughly by their head. Staff Person #1 was terminated from employment at the facility on 6/5/26.

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: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, plastic bags were observed in a floor level cubby and diapers in plastic packaging were observed in the unlocked drawers next to the changing table of Room 17, where they were accessible to the mobile infants receiving care at that time.

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

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

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. Through interviews, it was found that Staff Person #1 was discovered sleeping in Room 1 by Staff Person #2, who had to nudge and call the staff's name to wake them. Staff Person #2 stated that at least five of the nine young toddlers in the room were awake at that time. This occurred on 4/29/26. Staff Person #1 was immediately terminated from employment on 4/29/26.

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. Children must be supervised at all times. 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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection was conducted 5/6/26 - 5/8/26. On 5/8/26, Staff Person #6 was observed grabbing a toy from the hands of Child #5 and tossing it aside while saying "Okay, you're done!" Staff Person #6 then roughly placed Child #5 in a chair. Staff Person #6 then picked up Child #6 and roughly placed that child into a chair, pushing the chair up to the table roughly enough that the child's head bounced back.

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 legal entity must arrange for Staff Person #6 to complete the training entitled "Big Emotions and Self-Regulation for Adults and Children" through Better Kid Care. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, the child files were reviewed. The emergency contact forms for Child #1 and Child #2 did not include the phone numbers of the children's physicians.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, the child files were reviewed. The emergency contact form for Child #4 did not include the work phone number of the mother.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, the child files were reviewed. The emergency contact form for Child #2 did not include the health insurance policy number. The emergency contact form for Child #3 did not include the health insurance coverage information or policy number.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, two unlabeled bottles were observed in the refrigerator of Room 4.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/8/26, the staff files were reviewed. The file for Staff Person #3, Staff Person #4, and Staff Person #5 included emergency plan trainings for the staff showing that the plan had not been reviewed within twelve months of the previous training. This was evidenced by the emergency plan training dates of 7/31/24 and 2/16/26 for Staff Person #3; 9/5/24 and 2/16/26 for Staff Person #4; and 9/5/24 and 2/16/26 for Staff Person #5.

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: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/8/26, the staff files were reviewed. The file for Staff Person #3, Staff Person #4, and Staff Person #5 included fire safety trainings for the staff showing that the trainings had not been completed within twelve months of the previous training. This was evidenced by the fire safety training dates of 7/25/24 and 2/16/26 for Staff Person #3; 6/19/24 and 2/16/26 for Staff Person #4; and 9/16/24 and 2/16/26 for Staff Person #5.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/8/26, the staff files were reviewed. The file for Staff Person #4 contained a PA Child Abuse Clearance and FBI Clearance that were not updated within 60 months. This is evidenced by the PA Child Abuse Clearances on file dated 1/29/20 and 2/14/25 and the FBI Clearances on file dated 1/22/20 and 3/3/25.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, Pipette sunscreen was observed in an open diaper bag of a floor level cubby in Room 1, the young toddler room. The sunscreen was 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: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, the first aid kit in Room 7 did not include bandages and the first aid kit in Room 4 did not include tweezers.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 5/6/26 and 5/8/26. On 5/6/26, the bathroom area of Room 1 was observed to have toys scattered all over the floor, blocking access to the sink used for handwashing after the young toddlers are diapered.

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(a)/3270.113(a)(1)

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

Noncompliance Area: A complaint inspection was conducted on 3/23/26. During the inspection, it was determined through staff interviews that a lapse of supervision occurred on 3/2/26 when Staff Person #1 was diapering Child #1 in the bathroom area of the classroom. Staff Person #1 could not see the children in the classroom. During this time, Child #2 left their cot and pulled down the pants of Child #3.

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. Children must be supervised at all times. 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 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. Children must be supervised at all times. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The Supervision policy that must include provisions to maintain supervision at naptime. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: A complaint inspection was conducted on 3/23/26. During the inspection, it was determined through staff interviews that Preschool Room 4 room is frequently out of ratio during naptime from 12:30-2:30 when approximately 3 out of 18 preschool children nap and many children are up and off their cots. During naptime on 3/2/26, Staff Person #1 was alone with 18 preschool children during naptime but many children were up and off of their cots during that time.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS 1. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. The posting must also include ratio requirements during naptime. The posting should include: When one or more children are up and not on their mats/sleep equipment, napping ratios no longer apply. The exception is when a child is up solely to use the bathroom and returns to his/her mat afterwards. The operator shall provide a correction date for when the ratios will be posted in each classroom.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A complaint inspection was conducted on 8/6/25. At that time, the center director disclosed that a yogurt requiring refrigeration was discovered in the cupboard when staff were preparing for afternoon snack on 7/31/25. Staff stated that the yogurt was not served to the child.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 5/2/25. At that time, diapers in plastic sleeves were observed in the purple cabinet next to the changing table in Room 17. The cabinet is not equipped with a child lock. The plastic packaging was accessible to the mobile infants in the room.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 5/2/25. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the health insurance policy number.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection was conducted 5/2/25. At that time, Up and Up diaper cream was observed in the purple cabinet next to the changing table in Room 17. The cabinet is not equipped with a child lock. The diaper cream was labeled "keep out of reach of children" and was accessible to the mobile infants in the room.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted 5/2/25. At that time, the staff files were reviewed. The physical on file for Staff Person #1 did not include whether the staff was free from communicable diseases and suitable 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted 5/2/25. At that time, peeling paint was observed on the purple cabinet next to the changing table in Room 17.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection was conducted 1/17/25. At that time, the fire drill log was reviewed. The fire drills had not been conducted for 92 days, The dates of the fire drills were 10/1/24 and not again until 12/31/24

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

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

Noncompliance Area: An inspection was conducted at the facility on 1/17/25 as a result of self-reported noncompliance by the child care center. On 1/15/25, Staff Person #1 left the classroom at 4:19:41 with a group of children, leaving Child #1 behind in the classroom. Child #1 was behind a shelf where Staff Person #1 could not see them. Child #1 left the classroom at 4:21:45 after realizing they were alone in the room. At 4:22:35, Child #1 was found in the hallway by Staff Person #2.

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. Children must be supervised at all times. 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. The legal entity must arrange for Staff Person #1 to complete training regarding Supervision of Children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: An inspection was conducted at the facility on 1/17/25 as a result of self-reported noncompliance by the child care center. On 1/15/25, Staff Person #1 left the classroom at 4:19:41 with a group of children, leaving Child #1 behind in the classroom. Child #1 was behind a shelf where Staff Person #1 could not see them. Child #1 left the classroom at 4:21:45 after realizing they were alone in the room. At 4:22:35, Child #1 was found in the hallway by Staff Person #2.

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. Children must be supervised at all times. 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 11/15/24. At that time, plastic bags were observed in an unlocked drawer approximately 30" high in Room 1 and Room 15 where they were accessible to the young toddlers and older infants in the rooms.

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: 3270.133(5)

Description: Original label

Noncompliance Area: A renewal inspection was conducted 11/15/24. At that time, children's liquid allergy medicine with an expiration date of 10/24 was observed in Room 5.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A renewal inspection was conducted 11/15/24. At that time, a ham and cheese sandwich was observed in a lunch box in a cubby in Room 7.

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