Ymca Child Care

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A sleeping child was left unattended in the director's office which is unmeasured space.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Kid Zone, it was observed a torn netting on the gym equipment and foam blocks with bite marks. In the preschool room it was observed a wooden toy bed was cracked and splintered.

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(a)

Description: Clean, age appropriate

Noncompliance Area: In the toddler room it was observed that rest mats were showing signs of tearing on the folds of the rest mats.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form on file for Child #3, Child #4 and Child #5 was observed not to have documentation of the child's arrival time.

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 agreement on file for Child #5 was observed not to have documentation of whom the child may be released.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The agreement on file for Child #3 was observed not to have documentation to specify the services which are to be considered as extra.

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 emergency contact on file for Child #2 was observed not to have documentation of the name, address and telephone number of the child's physician.

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)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form on file for Child #1, Child #3 and Child #4 was observed not to have documentation on the child's special needs as specified by the child's parent, physician, physicians' assistant or CRNP, which is needed in an emergency situation.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the preschool bathroom, it was observed that a hand-washing sign was not posted at the toilet and sink.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the preschool room, it was observed cracked magnetic blocks.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for Child #2 was observed not to contain the emergency contacts home telephone number of enrolling parent.

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

Regulation: 3270.131(e)(2)(i)/3270.131(e)(2)(ii)

Description: Exemption documentation from parent/guardian/Exemption documentation from health professional

Noncompliance Area: A written, signed, and dated exemption from immunization for religious belief or strong personal objection equated to a religious belief was observed not to be in the file of Child #1

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed in the infant room a diaper cream that did not identify the name of the child for whom it was intended.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: It was observed in the young toddler room an expired bottle of Tylenol in the locked medicine cupboard.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #8 did not have documentation of education.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for Staff #1 and Staff #3 did not have documentation of updated health assessments.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Age and Training

Noncompliance Area: The file for staff #1, staff #3, staff #6, staff #7, staff #9, staff #10, staff #12, staff #13, staff #14, staff #15, staff #17 did not complete pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The State Police clearance and Child Abuse clearance on file for staff #14 was over 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #14 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #14 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, staff # 3, staff #6, staff #7, staff #9, staff #10, staff #12, staff # 13, staff #14, staff #15, staff #16 and staff #17 showed e documentation of a written evaluation being done more than a 12-month period.

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: It was observed in the preschool room and the Kids Zone that a protective receptacle covers were not placed in the electrical outlets on the day of inspection.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Kid Zone room, it was observed cleaners marked "Keep out of Reach of Children" in an unlocked cupboard 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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator, in the Young School Age Room, used for childcare was lacking an operating 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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The Initial Child Health Report and Immunizations for Child #6 (INF), enrolled for more than 60 days, was lacking from the child file. (SEE LIS CODE SHEET)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The Initial Child Health Report for Child #2 (PS), enrolled for more than 60 days, lacked from the child file. (SEE LIS CODE SHEET)

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)(2)/3270.182(1)

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

Noncompliance Area: The file for Child #1, (Older Toddler) lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET)

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(e)/3270.131(e)(1)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: Immunization record in the file for Children #4 (INF), #5 (PS) and #6 (INF) were dated more than 60 days after initial enrollment. (SEE LIS CODE SHEET).

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. 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.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff #7 were dated more than 24-months apart. (See IS CODE SHEET)

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #4 and #6--- have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

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(2)(iii)

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

Noncompliance Area: The two most recent Mandated Reporter Trainings for staff #2 were dated 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 verification of childcare 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 NSOR certifications for Staff #1, Staff #3 and Staff #6 were dated after each staff person's Date of Hire. The NSOR certification for Staff Person #8 lacked from the staff file. (SEE LIS CODE SHEET). The file for Staff Person #8, who resided in Texas within the past 60 months lacked Out of State Clearances. (SEE LIS CODE SHEET). The PA State Police, Child Abuse and NSOR clearances for Staff Person #10 were dated more than 60 months apart. (SEE LIS 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff Persons #2, #5, #9, #11, #12 and #13 were completed more than one year apart. (SEE LIS CODE SHEET). Staff person #10 lacked an annual written evaluation that was conducted within the past 12 months. (SEE LIS CODE SHEET)

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: In the gym, on all walls, seven protective receptacle covers were missing which was 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the shelf in the Young Toddler Room, a clear, plastic bin with toys was cracked which posed a pinch point or cutting hazard.

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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The Initial Child Health Report and Immunizations for Children #6, enrolled for more than 60 days, was lacking from the child file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record for Child #1 (YT), Child #2 (OT), Child #3 (OT), Child #4 (OT), Child #5, (Pre-S) and Child #6 (Pre-S) lacked a yearly Influenza shot with no Letter of Exemption in File.

Correction Required: 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff #1 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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 two most recent Health Assessments for Staff #5 were dated 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 and #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training (dated 0610/01/2021 and 11/28/2021, respectively). Staff person #2--- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR (dated 06/2019).

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(2)(iii)

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

Noncompliance Area: Staff person #7 had not completed mandated reporter training (07/12/2022) within 90 days of their date of hire (see LIS 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 verification of childcare experience, education and training following the outset of service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #4 lacked an annual written evaluation that was conducted within the past 12 months.

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: On the right, back and left walls of the gym, six protective receptacle covers were missing which were 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: 3270.75(c)

Description: Has all items

Noncompliance Area: The First Aid Kit in the Pre-School Room was lacking soap.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire extinguishers next to the restroom, near the main entrance and kitchen were expired as of January 2023.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 03/16/2020.

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 trainings are completed, staff person #1-- must be supervised, when interacting with children, by a (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1--, staff person #1-- may not work in a child care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire : Health and Safety.

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 09/01/2022 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 available to supervise staff person #2--, staff person #2-- may not work in a child-care position at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: When she was asked to name her supervision group, Staff #1 could only name eight of the nine children for whom she was responsible.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 2/22/22 observed peeling rest mat covers in the two year old room and the pre k counts room. Observed a loose back of a toy housekeeping appliance in the two year old 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 2/22/22 observed a less than 1 inch piece of rest mat covering accessible to children on the floor of the two year old room.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: On 2/22/22 observed child file #1, 2, 4, 5, and 6 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/22/22 observed the emergency contact information for child file #1, 3, and 4 did not contain the health insurance coverage and policy number. The emergency contact information for child file #6 did not contain the health insurance policy number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 2/22/22 observed the emergency/excursion bag in the one year old room did not contain the emergency transportation plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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

Description: Health information/Infant: updated health report every 6 months

Noncompliance Area: On 2/22/22 observed the initial health assessment for child #3 was dated more than 90 days after the first day of attendance at the facility. Observed the updated health report for child #2, a young toddler was dated more than 6 months after the previous valid health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3270.131(b)(2)

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

Noncompliance Area: On 2/22/22 observed child file #7, a preschool child, contained a most recent health assessment which was dated more than 14 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: On 2/22/22 observed child file # 3, 4, 6, and 7 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 and #2 did not contain written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered.

Correction Required: 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.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: On 2/22/22 observed an epi pen in the 1 year old room which did not have the written instructions are provided 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: 3270.151(a)

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

Noncompliance Area: On 3/2/22 observed staff file #1 and 5 contained updated health assessments which were dated more than 24 months after the previous valid health assessment. Observed the initial health assessment for staff file #4 did not contain the results of the TB test.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: On 2/22/22 observed the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: On 3/2/22 observed staff file #1, 2, 5, and 6 contained first aid and cpr certifications which were expired. Observed staff file #3, who is required to have pediatric first aid and pediatric cpr, did not contain documentation of completion of the training.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/2/22 observed staff file #2 contained updated criminal background clearance, child abuse clearance, FBI fingerprint clearance and Mandated reporter training which were all completed more than 60 months after the previous valid clearance and training. Observed staff file #3 contained the NSOR verification letter which was dated more than 45 days after starting in a child care position.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 3/2/22 observed staff file #2 contained a most recent evaluation which was dated more than 12 months after the previous valid 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(e)

Description: Arts and crafts non-toxic

Noncompliance Area: On 2/22/22 observed shaving cream and bingo daubers, both labeled keep out of the reach of children, in the arts and craft storage area of the preschool room.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.75(b)/3270.75(c)

Description: Inaccessible to children/Has all items

Noncompliance Area: On 2/22/22 observed the first aid kits were accessible to children in the school age room, pre k counts room, and in the preschool room. In the school age room the first aid kit was lacking tweezers. In the preschool room the first aid kit was lacking gauze. In the two year old room the first aid kit was lacking soap.

Correction Required: A first-aid kit must be inaccessible to children. 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: On 2/22/22 observed a leak stained ceiling tile over the are where the infants play. Observed a damaged cabinet door in the preschool room. Observed a spot of damaged drywall by the bathroom door in the hallway and another small hole in the drywall of the two year old 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: On 2/22/22 observed damaged paint in several spots in the kid zone area.

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