Valley Points Family Ymca After School Child Care

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

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

Noncompliance Area: Facility person #1 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 4/24/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #1 will have to complete the mandated reporter training. Until such time as the required training has been completed, facility person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #1, facility person #1 may not work in a child-care position at the facility.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Staff lacked children's emergency contact information while supervising a group of children in the gym.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

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 most recent health assessment for Staff #1 was dated 3/5/24 which is more than 24 months from the previous health assessment on file dated 6/11/21.

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: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: A written injury report was not provided to the parents on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's emergency plan lacked a method to contact parents when an emergency situation arises and a method to contact parents with information on how to safely reunite with their child(ren).

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #3 lacked documentation of emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: The file for Staff #2 (See LIS Code sheet) contained a first aid and CPR training dated 4/26/25; however, it is not an approved PQAS pediatric first aid and CPR curriculum; Staff #2 lacked an approved PQAS pediatric first aid and CPR training within 90 days of hire.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 lacked a PA State Criminal clearance.

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. Staff #3 may not work in a child care position at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Used napkins and paper towels were discarded in open receptacles in the girls' restroom and in the hallway.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a hole through the wall of the boys' restroom above the trash can and next to the paper towel dispenser; There is broken dispenser on the stall in the girls' restroom with sharp metal pieces protruding from it.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The most recent fee agreements in the files for Child #1, 2, 3 and 4 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.131(a)(4)/3270.182(1)

Description: Initial health report for school age; accordance with school attendance/Initial and subsequent health reports

Noncompliance Area: The timeliness of the initial health report in the file for Child #3 cannot be assessed because the report is missing the date.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

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 initial health assessments in the files for Staff Person #1 and #2 were conducted after the staff person's first day working in child care (See LIS Code Sheet). The most recent health assessments in the files for Staff Person #5 and #6 exceeded 24 months between assessments.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pick-up and drop-off procedures were not posted at the facility.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency contact form and fee agreement in the file for Child #2 exceeded 6 months between updates. August 2023 - June 2024.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child or administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent documented emergency drills exceeded 12 months between drills: 3/10/23 - 6/2/24.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan training in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day in child care (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.

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

Description: Age and Training

Noncompliance Area: The most recent Pediatric CPR/First Aid Certificates in the files for Staff Person #4 and #7 were dated after the previous certificates had expired.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff Person #6 did not have documentation of annual fire safety training conducted within the past 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training (see LIS code sheet):

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #6 will have until 7/4/24 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 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, a rehire, did not include a current disclosure statement.

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 most recent written evaluations in the file for Staff Person #4 exceeded 12 months between evaluations.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed two damaged ceiling tiles in the Art Room.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire system check log did not have documentation of thirty-day fire system tests from 4/3/23 through 6/10/24.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **3rd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

Correction Required: **The legal entity must create a written active supervision policy statement that includes the following regulations: 3270.4 (definition of supervision), 3270.113 (Supervision of children). The policy must be submitted to DHS. Each staff must review and sign the supervision policy and a copy of the policy shall be included in the child and staff handbooks.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: 2nd CITATION: Based on staff interviews the facility has not had a director since November 2023. PREVIOUSLY CITED ON 3/7/24.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms were not present for children receiving care in the Classroom. Staff Person #2 reported that the emergency forms are kept in the office down the hallway.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: THIRD CITATION Upon arrival to the Facility with Staff Person #2, school age children were observed to enter the room with Staff Person #1 while Staff Person #2 waited in the hallway for a child using the restroom. Staff Person #1 was also observed to leave the classroom to take a child to the restroom across the hallway. Staff Person #1 does not have mandated reporter training on file that would allow them to be unsupervised with children. FACILITY PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: One of the two exits from the classroom to the hallway was observed to be obstructed by a large white board.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

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: **2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

Correction Required: **The legal entity must create a written active supervision policy statement that includes the following regulations: 3270.4 (definition of supervision), 3270.113 (Supervision of children). The policy must be submitted to DHS. Each staff must review and sign the supervision policy and a copy of the policy shall be included in the child and staff handbooks.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: 2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway. No staff person was physically present with the child. PREVIOUSLY CITED ON 12/13/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #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 person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: 2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

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 #2 will have until 3/26/24 to complete the required training. 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 person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Based on staff interviews the facility has not had a director since November 2023.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: *2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: **2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

Correction Required: **The facility is required to develop and maintain a system of visual cues to be present in all childcare spaces regarding supervision and ratio. The system must alert staff not to leave children alone in a space or let children leave a space alone. The system must also alert children not to leave a space without an adult. This system must be posted at all entrances/ exits of all childcare spaces. (postings)

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves without being supervised by any staff person.

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)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves. No staff person was physically present with the child.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff person #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 person(s) available to supervise Staff person #2, Staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a complaint investigation conducted on 12/13/23, Staff person #1 and Staff person #2 self-disclosed that they have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

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 Staff person #2 will have until 3/2/24 to complete the required training. Until such time as the required training has been completed, Staff person #1 and 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 #1 and Staff person #2, Staff person #1 and Staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a complaint investigation conducted on 12/13/23, staff disclosed that over the past two months, on multiple occasions, they have exceeded ratio by one or more young school age children for approximately 15 to 20 minutes while getting the children off of the school bus in the afternoon. Once those 13 or 14 young school age children are off of the bus, a staff person would walk those children from the bus stop back down to the facility thus resulting in the staff: child ratio being 1:13 or 1:14 depending on the number of children who get off the first school bus. Also, during the complaint investigation, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves with no staff person present resulting in the staff: child ratio being 0:1.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: The small room lacked play equipment and materials appropriate to the developmental needs, individual interests and ages of the children.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked blue bin holding Legos in the big room. There was a cracked pencil box holding crayons in the big room.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The furniture in the small room was not child sizes appropriate. The room had adult rolling chairs available to children.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The small and the large rooms both lacked daily activities scheduled posted.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The files for children #1,3,4,5 and 6 lacked the operator's signature on the agreement form. The files for children # 4 lacked the parent's signature on the agreement form.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for child #4 lacked the amount of the fee to be charged per day or per week. on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #4 lacked the date on which the fee is to be paid on the agreement form.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files for child #1and 4 lacked the arrival and departure times on the agreement form.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for children #1,2,3,4,5 and 6 lacked the date of the child's date of admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The file for child # 4 lacked services which are to be considered as extra on the agreement form.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child # 2 lacked the name of the child's physician or source of medical care on the emergency contact form. The files for child # 1,2 and 4 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

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: The files for children # 1,4 and 6 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children # 1,2 and 4 lacked the health insurance policy number on the emergency contact form.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #1 and 2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for an Albuterol Sulfate Inhalation Aerosol medication for child #6.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff # 6 and 8 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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: 3270.151(a)

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

Noncompliance Area: The file for staff # 1 contained a current health assessment dated 4/7/22. It was not obtained within 24 months of the previous assessment dated 1/24/20. The file for staff # 3 contained a current health assessment dated 1/15/22. It was not obtained within 24 months of the previous assessment dated 5/15/19. The file for staff # 4 lacked an updated health assessment, the prior report was obtained more than 24 following the date of signature. The prior report was dated 2/29/21. The file for staff # 5 contained a current health assessment dated 1/3/23. It was not obtained within 24 months of the previous assessment dated 12/22/20. The file for staff # 6 contained a current health assessment dated 2/10/23. It was not obtained within 24 months of the previous assessment dated 3/12/20. The file for staff # 7 contained a current health assessment dated 9/14/22. It was not obtained within 24 months of the previous assessment dated 7/9/19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There were 4 different lunchboxes out of the refrigerator that contained cheese and lunch meat.

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

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The child files were stored at the staff desk in the big room. The files were not in a locked cabinet.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff # 1 lacked an annual emergency plan training. The prior training was dated. 6/1/22. The file for staff # 2 lacked an annual emergency plan training. The prior training was dated. 6/9/22. The files for staff # 3 and 4 lacked an annual emergency plan training. The prior training was dated. 7/1/21.

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)(i)

Description: Age and Training

Noncompliance Area: The file for staff # 4 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21. The file for staff # 5 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional.

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

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

Description: Water safety

Noncompliance Area: The file for staff # 1,2,3,4,5,6,7 and 8 lacked the completion of basic instruction in water safety training from a certified lifeguard.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff # 1 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 2 contained a current Health and Safety Updated training dated 5/8/23, that was not completed by the deadline of 12/30/22 The file for staff # 3 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 4 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 5 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 6 contained a current Health and Safety Updated training dated 2/9/23, that was not completed by the deadline of 12/30/22.

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: The file for staff #1 contained a current FBI clearance dated 2/8/23, that was not renewed within 60 months of the prior FBI clearance dated 6/5/17. The file for staff #4 contained a current FBI clearance dated 3/14/19, that was not renewed within 60 months of the prior FBI clearance dated 5/7/12. The file for staff # 5 contained a current mandated reporter training certificate dated 1/20/20 that was not obtained within 60 months of the previous certificate dated 1/9/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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 #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff # 1 lacked an evaluation within 12 months. The last evaluation is dated 6/1/22. The file for staff # 3 lacked an evaluation within 12 months. The last evaluation is dated 10/4/21. The file for staff # 4 lacked an evaluation within 12 months. The last evaluation is dated 3/10/21.

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 a multiplug with 3 uncovered electrical outlets by the staff desk in the big room accessible to children 5 years of age or younger. There were 2 uncovered electrical outlets on the wall under the window in the right-side of the big room accessible to children 5 years of age or younger.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was contaminated trash by human secretions in the uncovered garbage can in the big room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a hole on the wooden frame that contains the air conditioner in the small room at the second floor. The wooden frame around the air conditioner had chipped plaster exposing a sharp metal edge on the corner of the frame. There were two ceiling tiles falling off, one in the big room and one in the small room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There were chipped paint spots on the blue wall in the big room.. There was chipped plater on the white wall under the window in the big room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the Fire Drill Log the fire drill has not been conducted once every 60 days. The last fire drill was conducted on 4/3/23.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On the day of the inspection, the provider was unable to demonstrate the fire alarm system. The fire alarm system was not operable.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 4/3/23 to 6/12/23.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form was not present in the pool where the children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The main room lacked a written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff #4 refused to identify his group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for child #1,2 and 5 lacked the persons designated by a parent to whom the child may be released on the agreement form.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The files for child # 1 and 5 lacked the date of the child's admission on the agreement form.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #4 lacked the address of the child's physician on the emergency contact form.

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: The file for child #3 lacked the work address and telephone number of the enrolling parent on the emergency contact form.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child # 3 lacked the information on disabilities on the emergency contact form.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 lacked the child's health insurance coverage and policy number on the emergency contact form.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1,2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact form for child # 6 was not present in the Main room where the child was receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child # 5 lacked the initial health report.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility lacked a policy to identify and Prevent Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

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: 3270.151(a)

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

Noncompliance Area: The file for staff #1 contained a current health assessment that was renewed after 24 months dated 7/9/19-4/14/22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: There was a pink and purple lunchbox in the main room that contained lunch meat and cheese sandwich. The lunchbox was not in a refrigerator.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff # 2 lacked two written, nonfamily references from individuals 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The binder with that contained the certificate of compliance, the information on how to access the regulations and DHS information, was not in a conspicuous location accessible to the parents.

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

Regulation: 3270.27(d)

Description: Plan posted

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

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff #1 and #2 lacked the annual 12 clock hours of child care training certificates.

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

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

Description: Age and Training

Noncompliance Area: The file for staff #1 has a current pediatric first-aid and pediatric CPR certification dated 8/5/21-8/5/23. .The certification was not renewed prior to the expiration of the previous certification dated 8/21/17-8/21/19.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #1 lacked written evaluation for 2020.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At 9:00 am, Staff #3 and staff #4 were caring for 25 children with a mixed age level of PS to school age, in room #2. Staff #5, had left the room, to take 4 children to the restroom located in the hallway across from the room.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51