Sewickley Valley Ymca Child Care

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an Epi-Pen in the emergency bag at the pool from the Learning Lab classroom labeled for use by Child #1 that did not have written instructions from the individual who prescribed the medicine.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an Epi-Pen in the emergency bag at the pool from the Learning Lab classroom labeled for use by Child #1 that did not have written parental permission to administer the medication. There was pain reliever medication in the emergency bag at the pool for the 4-yr old class labeled for use by Child #2 that did not have written parental permission to administer the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1, a substitute lifeguard, does not include 2 complete written non-family references; the 2nd reference letter submitted does not include the name/signature of the individual who submitted the letter.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the emergency bag in the pool for the first observed group (Learning Lab) did not include gauze.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a sensory bottle in the Infant room containing water and glitter with an unsecured lid making the items accessible to children.

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: During nap the CR observed several cots in Friendship Circle, Learning Lab, and Creativity Corner, and cribs in the Wonder room that did not have 2 feet on 3 sides while children were using the cots and cribs.

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 by Creativity Corner, where children's lunches are stored, measured 68° Fahrenheit at the time of the inspection.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At 2:06 PM, a child was observed napping in Friendship Circle with their face covered by a blanket so that their face could not be seen by a staff member #1.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.131(a)/3270.181(c)

Description: Health information/Emergency info/agreement updated 6 mos

Noncompliance Area: The initial health assessment on file for child #3 is dated 8.19.25, more than 60 days after enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A 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)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The two most recent health reports on file for child #1, a preschool aged child. are dated 9.19.23 and 10.1.25, more than 12 months apart. The two most recent health assessments on file for child #2, a preschool aged child, are dated 8.22.23 and 10.10.25, more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A 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(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for Child #4, who is an older toddler, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #4 must be dismissed from care by close of business on 4.13.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. 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).

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an EpiPen in the Learning Lab room labeled for use by a specific child which did not have written instructions from the individual who prescribed the medicine. In the Right Attic preschool room there was an Albuterol inhaler labeled for use by a specific child that lacked a prescription showing the medication was prescribed for the child and instructions on how to administer.

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: 3270.133(5)

Description: Original label

Noncompliance Area: There was an EpiPen in the Learning Lab room labeled for use by a specific child that had expired on 3.31.26 and was therefore not in accordance with the manufacturer's original label.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was Tylenol in the Wonder Room labeled for use by a specific child which did not have written parental permission to administer. There was an EpiPen in the Learning Lab Room labeled for use by a specific child which did not have written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

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 2 most recent health assessments on file for Staff person #3 were dated 8.2.23 and 3.31.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 5.1.23 and 1.16.26, more than 24 months apart. The file for staff person #5 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #5 was dated 8.19.25. The file for staff person #6 does not include documentation of a health assessment and Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment and Tuberculosis screening on file for staff person #6 are dated 9.12.25. The 2 most recent health assessments on file for Staff person #7 were dated 6.4.23 and 1.16.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #9 were dated 10.4.23 and 1.16.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #10 were dated 4.29.22 and 1.22.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #11 were dated 2.8.24 and 3.31.26, more than 24 months apart. The 2 most recent health assessments on file for Staff person #12 were dated 12.18.22 and1.17.26, more than 24 months apart.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff person #5 does not indicate if the staff person was examined for communicable diseases and the results of that examination. The initial health assessment on file for Staff person #8 does not indicate if the staff person was examined for communicable diseases and the results of that examination.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At 9:15 AM in the Learning Lab room, the certification representative observed lunches that needed to be refrigerated still sitting out, not refrigerated. At 9:36 AM in the Friendship Circle room lunches that needed refrigerated were still sitting out on the counter until the second staff person arrived. Staff from both classrooms stated that lunches sometimes sit for one to two hours before being put away in the refrigerator.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The safety drop-off and pick-up procedure posting does not include the streets that are safe for pedestrians, safe for vehicles, and identified safe locations where children should be picked up.

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: In the attic preschool room there were multiple push pins in the wall and on a small bulletin board that had sharp points that were accessible to children.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The 2 most recent emergency drills are documented to have occurred on 10.7.24 and 3.18.26, more than 1 year apart.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The two most recent documented trainings regarding the emergency plan on file for Staff person #7, #9, #10, #11, #12 are dated 6.12.23 and 9.9.25, more than 1 year apart.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff person #12 included documentation of fire safety training completed on 3.16.23 and 5.29.25, more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #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: The file for Staff person #12 includes criminal history clearances dated 12.30.20 & 1.14.26; child abuse clearances dated 12.30.20 & 1.21.26; FBI clearances dated 1.6.21 & 1.15.26, and NSOR certificates dated 1.5.21 & 1.16.26, all more than 60 months apart.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff person #7 are dated 9.25.24 and 12.5.25, more than 1 year apart.

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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The Middle Attic room lacked a first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: In the Left Attic school-age room the first aid kit was in a backpack on the floor, and it was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The climber in the outside fenced play area had bird feces on the surface. Animal feces were observed in the soccer field grass 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted on 4.10.25-6.12.25; 6.12.25-9.11.25; and 1.5.26-3.12.26, more than 60 days apart.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The last documented 30-day test for the fire detection system is dated 4.23.25 more than 30 days ago.

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: 3270.133(5)

Description: Original label

Noncompliance Area: There was an EpiPen in the emergency bag at the pool, labeled for use Child #1, that had an expiration date of 8.31.24.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an EpiPen in the emergency bag at the pool labeled for use by Child #2 which did not have written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1, #2, and #3 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

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

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

Description: Water safety/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #4, who was observed assisting in swimming activity, did not have proof of current water safety training.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. 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 Staff person #2 includes a State Police Criminal History clearance dated 7.1.20 and an FBI clearance dated 7.10.20, both more than 60 months ago.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were rainbow pebbles smaller than 1" in diameter in Exploration Station, which staff stated are used in sensory bins with shovels, etc. making them accessible to children. There was a sensory tube with a loose lid in Creativity Corner that contained beads smaller than 1" in diameter, making them accessible to children.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #7 lacked a current developmental assessment. The most recent developmental assessment was completed on 7.11.24.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted in a conspicuous location in the Friendship Circle classroom.

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 updates to the emergency contact and financial agreement forms for children #1, #2, #3, #4 and #5 and the financial agreement for Child #6 exceeded 6 months since their last review. The most recent dated review was 8.2023 for Child #1, 9.2024 for Children #3 and #6, and 3.2024 for Children #2, #4 and #5.

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)(3)/3270.182(1)

Description: Initial health report for older toddler/preschool no more than 1 year/Initial and subsequent health reports

Noncompliance Area: The initial health report on file for Child #7, an older toddler, was not completed within 12 months prior to the first day of attendance at the facility. The initial health report was completed 13 months prior to the child's first day of attendance.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #6 lacked an initial health report within 60 days of starting at the facility. The initial health report was not on file until 329 days after entering care at the facility.

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

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The updates to the health reports on file for Child #8, a young toddler, exceeded 6 months between reports dated 8.30.24 and 4.14.25.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The updates to the health reports on file for Child #1, a preschool age child, exceeded 12 months between examinations on 3.20.23 and 5.7.24. The files for Children #2 and #4, preschool age children, and Child #7, an older toddler, lacked a current health report that had been completed in the last 12 months. The most recent health report was dated 2.1.24 for Child #2, 8.10.23 for Child #4 and 8.7.23 for Child #7.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #7 lacked verification that the child had received their 12-15 month Pneumococcal, MMR and Varicella vaccinations. The file also lacked verification the child had received their 15-18 month DTAP and 12-23 Hepatitis A vaccinations. A written exemption was not on file at the time of the inspection. The parent was able to submit an updated immunization record prior to close of business on the day o inspection so the child does not need to be removed.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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).

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There were 2 bottles of Infant Tylenol in the Exploration Station classroom labeled for use by a specific child that had expired at the end of December 2024 and at the end of March 2025, and not in accordance with the manufacturer's original label. There was an EpiPen in the Learning Lab classroom labeled for use by a specific child that expired at the end of 8.2024 and a bottle of Zyrtec for the same child that expired at the end of 3.2025.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was a prescription Nystatin in Creativity Corner labeled for use by a specific child which did not have written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: When asked to describe the diaper changing process in Exploration Station, which includes young toddlers who are able-bodied, the staff member indicated they wipe the children's hands with a wipe, rather than having them walk to the sink to wash their hands.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There were adult scissors in an unlatched cabinet in the Learning Lab classroom which were accessible to children.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At approximately 1:30pm Staff person #10 was observed to be caring for children unsupervised in the Learning Lab Classroom. Staff person #10 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2.28.25. At approximately 1:37pm Staff person #16 was observed to be caring for children unsupervised in the Exploration Station Classroom. Staff person #16 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2.28.25.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #10, #16 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #10, #16, staff person #10, #16 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: The files for Staff Persons #4, #5, #6 lacked a current staff health report that had been completed within the last 24 months. The most recent health report on file was dated 10.7.22 for Staff Person #4, 11.9.22 for Staff Person #5 and 2.18.23 for Staff Person #6.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There was an infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The child files were observed to be contained in two unlocked drawers in a filing cabinet in the child care office.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

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

Description: Age and Training

Noncompliance Area: The Current Pediatric First Aid and CPR trainings on file for Staff Person #1 and #4 were not completed prior to the expiration of the prior certification. This is evidenced by trainings dated 12.21.22-12.2024 and 2.10.25-2.2027 for Staff Person #1 and 2.1.23-2.2025 and 4.1.25-2027 for Staff Person #4. The files for Staff Persons #10, #15 and #16 lacked current Pediatric First Aid and CPR training. The training on file for Staff Persons #10 and #16 expired 2.28.2025 and the training on file for Staff Person #15 expired 3.31.2025.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person 10, #15, #16 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #10, #15, #16, staff person ##10, #15, #16 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The reviewed files for Staff Persons #1, #4, #5, #6 and #7 lacked verification that they had completed annual fire safety training within the last 12 months. Based on a review of the Staff Worksheets provided by the Director, and conversations to verify the information, the files for Staff Persons #2, #3, #8, #9, #10, #11, #13, #15, #16, #18, #19, #20 and #21 lacked annual fire safety training that had been completed within the last 12 months. The trainings on file for #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #13, #15, #16, #18, #19, #20 and #21 were reported to have occurred in 2023. The updates to the annual fire safety training on file for Staff Person #23 exceeded 12 months between trainings on 9.27.23 and 2.12.25.

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

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

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

Noncompliance Area: The file for Staff Person #1 lacked 9 of their 12 hours of annual training assessed during 12.2023 and 12.2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #17, #22 and #24 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. The training for Staff Person #17 was completed 101 days after starting and the training for Staff Person #22 was completed 108 days after starting. Staff persons #12 and #14 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): required Health and Safety training. The training for Staff Person #12 was completed 317 days after starting.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #24, #14 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #24, #14, staff person #24, #14 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to the Mandated Reporter Trainings on file for Staff Person #5 exceeded 60 months between trainings completed on 2.2.20 and 2.17.25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #5 lacked a current PA Child Abuse Clearance that had been completed within the last 60 months. The most recent PA Child Abuse Clearance on file expired on 2.10.25. The FBI Clearances on file for Staff Person #5 also exceeded 60 months between updates. This is evidenced by FBI Clearances being dated 2.1.20 and 3.31.25.

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. Facility Person #5 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for Staff Persons #4 and #6 lacked verification that their degrees on file qualified them for the position of Group Supervisor they were identified to be performing. The degree on file for Staff Person #4 lacked information related to the field of study and the file for Staff Person #6 lacked verification of 30 acceptable credits to qualify them as Group Supervisors. Without the verification, the Staff qualify as Assistant Group Supervisors. The file for Staff Person #14 lacked verification that their education had been evaluated by a NACES or AICE certified evaluator.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff evaluation on file for Staff Person #7 were not completed within 12 months of starting at the facility (refer to LIS code sheet). The written evaluation for Staff Person #7 was completed 15 months after starting. The file for Staff Person #6 lacked a current staff evaluation. The most recent evaluation was completed on 2.27.24.

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 was an outlet by the CD player in the Learning Lab classroom that was missing an outlet cover and was accessible to children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Creativity Corner did not include bandages.

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: There was a hole in the wall with exposed plaster/drywall in the Hunter gym in the far-right corner.

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: Peeling paint was present in the Wonder room, on the light blue wall left of the door and above the baseboard in the corner with the soft climber, and in Creativity Corner on the light blue wall.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: * At approximately 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *** At approximately 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

Correction Required: *** The Director will complete a minimum of 4 weekly checks in each classroom to ensure that all staff are utilizing the face to name identification tags. The Director will assess that each staff person is able to identify the children for whom they are assigned responsibility using the face to name identification tags. The Director will maintain documentation of the weekly checks on file at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: ** At approximately 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

Correction Required: ** The facility will utilize hands-free face to name identification tags for all children in the facility. Operator will assure that an identification tag is in place for each child receiving care in the child care space. Staff will be able to identify the children in their assigned groups utilizing the face to name identification tags in place.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ** The facility self-reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

Correction Required: ** Classroom modifications will be taken to prevent children from leaving the classroom unsupervised.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour health and safety training. The completed training was not on file until 558 days after starting at the facility.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet. The mandated reporter training was not completed until 558 days after starting at the facility.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a sensory tube containing yarn pompoms less than 1 inch in diameter that had an unsecured lid, making the items accessible to children still placing things in their mouths in the Creativity Corner 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The Learning Lab classroom contained rest equipment that was not labeled for the use by a specific child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and #3 does not include a complete address for all listed release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #1, #3, #4, #6, and #7 is dated more than 6 months after the previous 6-month review signature.

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)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health assessments on file for Child #2, who was a Young Toddler, are dated 3/6/23 and 3/5/24, more than 6 months apart.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 6/14/22 and 12/14/23, more than 12 months apart. The two most recent health assessments on file for Child #6, who is a preschool age child, are dated 3/20/23 and 5/7/24, more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was a bottle of cough syrup in the Friendship Circle classroom, labeled for use by a specific child that had expired in 2/2023 and was therefore not in accordance with the manufacturer's original label.

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

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 2 most recent health assessments on file for Staff person #1 were dated 6.15.22 and 8.27.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 are dated 6.14.21and 7.13.23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #10 are dated 10.5.21and 2.8.24, more than 24 months apart.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: Child #8 and #9, who are both under 12 months of age, did not have a written feeding plan on file submitted by the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2, #9 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

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: There were adult scissors in an unlatched cabinet in the Learning Lab classroom, making them accessible to children.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The two most recent documented emergency drills on file at the facility are dated 8.12.22 and 10.19.23, more than 1 year apart.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The most recent fire safety training on file for Staff person #7 is dated 2.20.23, more than 1 year ago. The most recent fire safety training on file for Staff person #8 is dated 7.24.23, more than 1 year ago.

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

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

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

Noncompliance Area: The file for Staff person #7 included verification of 11 of the required 12 hours of annual training from 3.2023-3.2024, the most recently completed anniversary year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #9 will have until 9.28.24 to complete the required training. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2.19.19. Staff person #-9 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file for Staff person #11 includes Mandated Reporter training dated 2.18.19 and 8.21.24, more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7, #9 will have until 9.28.24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7, #9 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 #7, #9, staff person #7, #9 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: The file for staff person #8 does not contain documentation of a complete criminal history clearance or a sex offender registry search from Arizona, where she lived in the 5 years prior to hire (See IS CODE SHEET).

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 #8 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 does not contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR certificate is dated 11.30.23.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #2, #4, #9, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff person #6, #7, #8, #10, who were hired more than 1 year ago, does not include a staff evaluation.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The Learning Lab classroom had an unlocked cabinet that contained sunscreen and hand sanitizer, labeled "Keep out of reach of children," making these items 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the following locations: Attic Middle by the door; Attic left by the rear exit door; Creativity Corner on the blue wall by the door and by the puzzles; Learning Lab by the cots; by the elevators on the 2nd floor.

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: The facility does not have a fire alarm 30-day test log, as required in Announcement C-23-02.

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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a swimming inspection, a review of paperwork indicated that Child #1 did not have written permission for the child to go swimming.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Exploration room did not have an operable thermometer.

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(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the Adventure Attic-Left room.

Correction Required: The written plan of daily activities shall be posted in the group space.