Ymca Child Care

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Room 5A contained a cracked bin holding blocks and a cracked Magna-tile. Cracked Magna-tiles were observed in the Pre-K room and the School-age 2 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: An infant was observed receiving care in the Infant room without their emergency contact form being in the classroom.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted in a conspicuous location in Room 5-A

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: 3270.133(5)

Description: Original label

Noncompliance Area: There was an EpiPen in the Young Toddler room labeled for use by a specific child that had expired on 1.31.26 and was therefore not in accordance with the manufacturer's original label.

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

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

Description: Age and Training

Noncompliance Area: Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification; the previously documented Pediatric first aid and CPR training on file expired 12.31.25.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 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 #1 & #2 did not include a signed Disclosure Statement. The file for Staff person #1 did not include a compete NSOR certificate, required for provisional hiring under the CPSL (See IS CODE SHEET). The file for staff person #2 did not contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #2 also did not contain documentation of application of an Ohio Child Abuse clearance and Ohio Sex Offender check prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; Staff person #2 currently resides in Ohio.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was an unlidded trashcan in the older toddler room that was observed to contain food remains from earlier meals/snacks.

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: The three windows facing Chestnut St in the Preschool room all had damaged plaster in the window wells.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed in the Young Toddler room in the Quiet area, on the green wall near the rear exit, and on the green wall under the US flag.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded waste receptacle in the bathroom in the School-Age 1 room

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 12.11.25-1.12.26 and 1.12.26-2.18.26, more than 30 days apart.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and Pediatric CPR training on or before expiration of the most current certification; the previously documented Pediatric first aid and Pediatric CPR training on file expiring 12.14.2023 lacked documentation of updated Pediatric first aid and Pediatric CPR training conducted.

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: The last two Mandated Reporter Trainings for staff #2 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).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the dramatic play area in Pre-K the kitchen set had a loose handle on the freezer, creating a pinch point. School-age A had a cracked Lego bin and a cracked small plastic lid. School-age B had a shelving unit that had a loose shelf that resulted in exposed screws that posed a potential injury 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no written daily activity schedule posted in School-age B classroom.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #7 does not include the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #3, and #4 does not include the address and telephone number for the child's pediatrician/source for medical care. The emergency contact form on file for Child #2 does not include the address for the child's pediatrician/source for medical care.

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 emergency contact form on file for Child #2, #4, #5, and #7 does not include the work address for the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 does not include a complete address for all listed release persons. .The emergency contact form on file for Child #4 does not include the address or telephone number for all listed release persons.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #61, who was a Young Toddler, are dated 11.5.24 and 7.28.25, more than 6 months apart. The most recent health assessment on file for Child #7, who is a young toddler, is dated 1.28.25, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an EpiPen in the YT room labeled for use by a specific child that did not include written parental permission to administer. There was an EpiPen in the School-age B classroom labeled for use by a specific child that did not include written parental permission to administer. There was an Albuterol inhaler in the School-age B classroom labeled for use by a specific child that did not include written parental permission to administer.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of 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)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 were dated 9.12.22 and 10.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 6.27.23 and 8.28.25, more than 24 months apart. The initial health assessment on file for Staff person #6 is not dated, making it invalid. The file for staff person #7 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment and TB test on file were dated 9.27.25. The file for staff person #12 does not include documentation of a health assessment or TB test being completed within 12 months prior to date of hire (See LIS 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff person #5 was not filled out or signed by a physician, physician's assistant or CRNP (see LIS Code sheet).

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. 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: 3270.21

Description: General Health and Safety

Noncompliance Area: There was a ladder propped against the wall in School-age A classroom that presented a potential hazard if it fell on someone or if a child tried to climb. There was a locker unit in School-age A classroom that was not anchored and posed an injury hazard if it fell.

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

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

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

Noncompliance Area: The file for Staff person #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training is dated 10.2.25. The two most recent documented trainings regarding the emergency plan on file for Staff person #11 are dated 1.25.24 and 10.2.25, more than 1 year apart. The most recent documented training regarding the emergency plan on file for Staff person #13 is dated 1.25.24, more than 1 year ago.

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

Regulation: 3270.27(e)

Description: Letter to parents

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

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

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

Description: Age and Training

Noncompliance Area: Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification; the previously documented Pediatric first aid and CPR training on file expiring 2.28.25 and documentation of updated PQAS-approved Pediatric first aid and CPR training conducted by a PQAS instructor is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #14 completed their current mandated reporter training on 10.13.25, more than 60 months after the previous training dated 4.23.20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #6 did not contain a sex offender search from Florida prior to date of hire (See IS CODE SHEET) required under the CPSL. The file for Staff person #9 includes criminal history clearances dated 1.17.20 & 2.13.25; FBI clearances dated 1.17.20 & 2.1.25, and NSOR certificates dated 4.9.20 & 9.25.25, all more than 60 months apart. The file for staff person #10 included criminal history and child abuse clearances which were obtained for volunteer purposes and are invalid for employment; and the NSOR clearance on file is dated after the first date working with children (See IS CODE SHEET). The file for Staff person #11 includes criminal history clearances dated 9.6.20 & 9.9.25; and child abuse clearances dated 9.11.20& 9.16.25, more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6, #10, may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for Staff person #6, #8, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an outlet in the dramatic play area in the preschool room that was missing an outlet cover and was accessible to children. There was an outlet in the boy's preschool bathroom that was missing an outlet cover.

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: The Arts & Crafts closet in the hallway, that was not locked, contained liquid nails, caulk, and liquid adhesive, labeled "keep out of reach of children", which were accessible to children. There was a spray bottle labeled to contain soap & water on a table in school-age B, which was 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: 3270.66(b)

Description: Original container

Noncompliance Area: There were unlabeled bottles of unidentified liquids, reported by staff to be cleaning products, located in the OT, Pre-K, preschool, and School-age B classrooms. There was a Swiffer cleaning mop, with the cleaning solution attached, in the hallway near the infant and toddler rooms, making the cleaning solution accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: There were several bottles of cleaning products sitting directly on top of the refrigerator in the kitchen, with no barrier to prevent spillage or leakage into the refrigerator where food is stored.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There were unlabeled bottles of various liquids, reportedly used for arts & crafts projects, in the Pre-K classroom. There was a shampoo bottle, labeled "keep out of reach of children" in the pre-K room, reportedly used for arts & crafts.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trashcan in the Pre-K room and food waste was observed in the trashcan.

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The baseboard heating unit in the Infant/YT room, which is accessible to children, measured 122° F. The heating unit in Pre-K measured 122° F. The heating unit in School-age A measured 111° F. There was an exposed heating pipe accessible to children that measure 164°F in School-age B.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: There were 3 windows in the preschool classroom which were all accessible to children and were not restricted to opening 6" or less.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the OT room did not include scissors. The first Aid kit in School Age B did not include gloves.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint and damaged plaster was observed around the far-left window in the infant/YT classroom. Peeling paint was observed by the closet, around the doorframe in the hallway by the preschool room. Peeling paint was observed beside the refrigerator in Pre-K. Peeling paint was observed in School-age B on the teal wall.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the 2nd toilet in the girl's preschool bathroom, or in the bathroom in School-age 2 at the sink or toilet.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The staff bathroom on the main childcare floor, by the Infant and 2-yr old room did not include a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The emergency exit to the stairwell in the OT room was blocked, with several items in the stairwell outside the door.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 10.20.24 & 12.2.24; 2.18.25 & 4.16.25; 6.12.25 & 7.23.25; and 7.23.25 & 9.19.25, all more than 30 days apart

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #1 includes a PA Child Abuse clearance obtained for volunteer purposes, making it invalid (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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no written daily activity schedule posted in the lower Child Watch room..

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #4 includes a child service report dated 6.3.24, more than 6 months after the child's date of admission, 11.13.23.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #5 does not include the address for the child's pediatrician/source for medical care. The emergency contact form on file for Child #4, #7, #8 does not include the address or telephone number for the child's pediatrician/source for medical care.

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 emergency contact form on file for Child #1, #4 does not include the work address for the enrolling parent. The emergency contact form on file for Child #5, #7 does not include the work address or telephone number for the enrolling parent.

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 current emergency contact form on file for Child #1, #6, #7, #8 does not indicate if the child has any special medical needs, 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #2 does not include the child's health insurance coverage and policy number for the child's health care benefits. The emergency contact form on file for Child #3 does not include the policy number for the child's health care benefits.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #7, with an enrollment date of 8/28/24, which is more than 60 days ago, does not include an 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #4, who is 20 months old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; and 3 of 4 HIB vaccines recommended by the ACIP for a child this age. The file for Child #6 indicates the child has not received the following vaccines: Hepatitis B, Hepatitis A, Polio, MMR, Varicella, or DTAP, and there is no personal or medical exemption or documentation of the child currently following a make-up schedule for immunizations. The file for Child #7, with an enrollment date of8/28/24, more than 60 days ago, does not include the child's immunization record.

Correction Required: ·Child #4, #6 must be dismissed from care by close of business on 11/25/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 file for staff person #2 does not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for staff person #3 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #5 were dated 6/15/21 and 7/14/23, more than 24 months apart.

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

Regulation: 3270.166(4)

Description: Bottles labeled

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

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

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

Noncompliance Area: The file for Staff person #1 included verification of 5 of the required 12 hours of annual training between 12.19.22-12.19.23.

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

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

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

Noncompliance Area: The file for Staff person #4, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #2, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Young Toddler room did not include gloves.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were holes in the wall with exposed plaster/drywall behind the shelf on the green wall in the Young Toddler classroom. The cover for the radiator on the far wall in the After-School classroom had pulled away from the wall and was falling off, causing pinch points and rough edges on the cover.

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 was peeling paint on the far wall across from the door in the After-School classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was not a handwashing sign at every sink and toilet in the bathrooms in the School-Age 1 & 2 bathroom.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 3.14.24-4.17.24, 5.1.24-6.7.24, and 6.7.24-7.8.24, all more than 30 days apart.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 does not include a valid NSOR certificate within 45 days of hire (See IS CODE SHEET).

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. The children ran to the street, into a parking lot and towards Diamond Park about 15-20 yards away. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited.

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: On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited. On 5/1/2024, while assessing supervision and ratio in the infant/toddler classroom, staff #5 identified 5 young toddlers in their primary supervisory group. On the other side of the gate, staff #3 identified 3 infants in their supervisory group. Staff #4 struggled with the names of some of the children in their group and stated they were covering the break of a staff person. Staff #4 identified 2 of the children, staff #3 assisted with identifying 1 child and after about 4 attempts, was able to identify the last 2 children in their primary supervisory 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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 4/22/2024, staff #1 and #2 took their classroom of 14 to 15 children, between 3 and 4 years of age, on a walk around the block of the facility. While walking by the Marquette Bank, 3 or 4 of the children let go of the rope and ran off in different directions, including towards Diamond Park. The children ran about 15-20 yards away from their group. Staff #1 ran after and called the facility via walkie talkie and 3 additional staff came out to assist. The children ran to the street, into a parking lot and towards Diamond Park about 15-20 yards away. Based on conversation with a staff, it took approximately 10 minutes to have the group reunited.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest cots in the young toddler room are numbered but lack a coordinating list to identify which child is assigned to each cot.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for child #1, #4,#5,#6 and #7 contain the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The older toddler room, young toddler room, preschool room, pre-k room, Gym, upstairs school age room, SA 1 and SA 2 rooms are all lacking an emergency medical transportation posting in a conspicuous location.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 contains emergency contact information and financial agreement that have not been reviewed and updated during the previous 6-month period.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #7, school age, is lacking a health report and has been in attendance for greater than 60 days.

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)

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

Noncompliance Area: The file for child #3, older toddler, contains a health report that is lacking a date and therefore cannot be determined if the report was obtained timely.

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(d)(5)

Description: Immunization record

Noncompliance Area: The file for child #7 is lacking an immunization report.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #2 contains a current health report that is lacking a physician's statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #2, preschool age, is lacking verification of a flu shot received during the previous year. The file for child #3, older toddler, is lacking updated DTAP/DTP/TD, Pneumoccal, flu, MMR and varicella immunizations.

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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child(ren) #2 and #3 must be dismissed from care by close of business 12/5/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #1, #2 and #4 are lacking verification of completion of the Health & Safety Update 2022 which was required to be completed by 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)/3270.192(3)

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

Noncompliance Area: The file for facility person #6, serving as the cook, is lacking a health report at the time of hire. The file does contain a current health report.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for facility person #6, serving as the cook, contains a TB test that was conducted greater than 12 months prior to hire and is therefore not valid.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for facility persons #3 and #5 are lacking two written, nonfamily references.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3, provisional hire date (see LIS code sheet), is lacking documentation of request for NSOR and verification of FBI fingerprinting and does not contain a completed FBI clearance and NSOR. The file for staff person #7, hire date (see LIS code sheet) contains a disclosure statement lacking a witness signature.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, & #7 may not work in a child care facility.

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

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

Noncompliance Area: The file for staff person #3, serving as an aide, is lacking documentation of education and experience to serve as a staff person.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the basement School Age Room 1 damaged cracked and crumbling ceiling boards. Observed peeling paint / drywall on the wall by the sink in the infant / young toddler room. Observed damaged ceiling tile boards over the diapering area in the older toddlers room. Observed in the preschool room a green rug visibly soiled and stained. Staff did not know the last time it was cleaned.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the School Age Room 1 is lacking handwashing signs by 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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The preschool Room is lacking a lidded waste can by the classroom sink. The School Age Room 1 bathroom is lacking a lidded waste can.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The PA Health and Safety Update 2022 training on file for Staff #2 is dated 9/29/23 and Staff #4 is dated 9/25/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff #3 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.

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: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: The facility did not notify the regional office within 24 hours of an incident where a child in care received emergency room treatment.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

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

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

Noncompliance Area: The file for Staff person #5 includes verification of First Aid/CPR training dated 9/28/23, after the expiration date of 5/17/23.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 12/16/23-2/15/23, 3/13/23-5/30/23, and 7/27/23-9/26/23, more than 60 days apart.

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: The fire alarm 30-day test log includes test dates 12/16/22-1/20/23, 4/10/23-5/12/23, 5/12/23-6/14/23, and 7/10/23-8/11/23, more than 30 days apart.

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(e)

Description: Restraints prohibited

Noncompliance Area: **On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

Correction Required: ** Provider will develop a policy regarding the use of the 'sound sponge' in the child care facility. The policy should ensure that children will not be restrained, and children will be supervised at all times. The policy should be included in the parent handbook.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: *On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

Correction Required: *A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: ****On 10/24/2022 at approximately 11:30am, observed staff person #9 restraining a preschool aged child by enclosing the child in a confined space created by encircling the child with a 4'x10' 'sound sponge'.

Correction Required: ***All current and new hired staff will be trained and sign-off on the policy regarding the use of the 'sound sponge'.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #3,4,5,6 and 7 contain current emergency contact and financial agreements that were updated more than 6 months after the previous update. The files are now current. The file for child #2 is lacking financial agreement and emergency contact info updated during the previous 6-month period.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for child #5 and child #7 are lacking initial health reports within 60 days of attendance at the facility. The files are now current.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #3, young toddler, contains a current health report that was conducted greater than 6 months after the previous health report. The file is now current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #7 contains a current health report that is lacking physician's statement regarding suitability for child care and communicable disease status.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The files for child #5 and child #7, preschool age, are lacking immunization reports and have been attending for greater than 60 days.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff persons #1, #2, #6 and #8 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files are now current. The file for staff person #7 is lacking a health assessment conducted during the previous 24-month period.

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.