Ymca Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Broken magnatiles were observed to be accessible in the Toddler Room, Preschool Room, and School Age Room, which could be harmful to children. A broken corner on a yellow bin with rough edges was observed in the Preschool Room, which could cause injury to children. In the School Age Room, peeling vinyl was observed on the green chair and was not in good repair.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of inspection, the facility lacked a policy regarding the transfer of care between the child care facility and the child's school. The policy shall be a written agreement which includes the parent's signature providing consent and placed in the child's file.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement form on file for Child #4 lacked arrival and departure times.

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 financial agreement form on file for Child #6 lacked persons whom the child may be released to.

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

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, Child #3, Child #4, Child #5, and Child #6 contained the original financial agreement when the parent is to receive the original agreement.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #5 and Child #6 lacked complete addresses for all listed release persons.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Gym lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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 two most recent parent reviews and signatures for the emergency contact form on file for Child #5 are dated 8/22/25 & 4/14/26, more than 6 months prior and beyond 6 months apart.

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)

Description: Health information

Noncompliance Area: The file for Child #5 (School Age) contained an initial health assessment and immunization record dated 1/14/26, more than 60 days beyond Child #5's date of enrollment.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The two most recent health assessments on file for Child #2 (Younger Toddler) are dated 1/23/25 & 5/12/26, more than 6 months apart.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record for Child #1 (Infant) lacked the following immunizations: 2 doses of Hepatitis B, 2 doses of Rotavirus, and 2 doses of Pneumococcal without a Letter of Exemption in the file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 6/24/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Multiple lunchboxes containing potentially hazardous foods from home were observed near the cubbies in the Preschool Room and were not refrigerated.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of inspection, the facility's annual traffic letter lacked details regarding the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The facility's most recent annual review of the emergency plan is dated 7/19/24, more than 12 months prior.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings on file for Staff #2 are dated 1/23/25 and 5/19/26, more than 12 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contains a Child Abuse clearance dated 3/9/26, after Staff #1's date of hire (SEE IS CODE SHEET).

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 files for Staff #1 (3/4/26), Staff #3 (3/23/26), and Staff #5 (3/21/26) contained a disclosure statement lacking a witness signature, making it invalid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for Staff #6 is dated 5/21/24, more than 12 months prior.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #4, classified as an Assistant Group Supervisor, contained documentation of a high school diploma or general education development certificate but lacked 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Preschool Room, a wood corner of a cabinet was observed to be broken with exposed and rough edges and was not in good repair.

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: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: Based on staff statements, Child #1 was left to cry for approximately 45 minutes while in the care of Staff #1. Child #1 was not provided stimulation by being held, rocked, talked to, played with, or carried.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff #1 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1, Staff #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

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

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, Staff #1 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff available to supervise Staff #1, Staff #1 may not work in a child-care position at the facility.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #2 who has been enrolled for more than 60 days was lacking an initial child heath 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(b)(2)

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

Noncompliance Area: The file for Child #1 who is a preschool age child contained a child health report that was obtained more than 12 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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for Child #3 contained a child health report that was lacking a 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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff #3 contained an initial TB screening that was conducted more than 12 months prior to the staff's start date at the facility and did not indicate the results of the screening.

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: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #2 contained Pediatric First Aid/CPR dated 5.9.24 which was more than 90 days after their hire date.(see LIS code sheet)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #3 contained a Child Abuse Clearance dated 5.12.2020 which is more than 60months old. The file for Staff #4 contained an NSOR clearance that was dated 12.19.24 which is more than 45 days after the staff's start date. (See LIS code sheet) The file for Staff #5 was lacking a state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #5 -- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file for Staff #1 was lacking proof of a high school diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the infant room the child lock on the cupboard under the sink was broken making liquid tide accessible to the children in the room.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toilets in the boys restroom in the Preschool room were lacking handwashing signs above the toilets.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:25 PM Facility Persons #1, #2 and #3 were supervising a total of 12 preschoolers in the preschool space. When asked to identify which children they were each responsible for supervising, Facility Person #1 indicated they were not assigned specific children for supervision purposes. Facility Person #2 claimed responsibility for five specific children, and then Facility Person #3 claimed responsibility for six specific children, including two children claimed by Facility Person #2. Two children were identified by both staff, and three other children were not identified by any staff as their responsibility to supervise.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drill logs at the facility indicate that fire drills were conducted on 12/19/24, then again on 2/26/24, 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 last date listed on the documentation of the facility's smoke detector testing indicates that smoke detectors were tested on 12/31/25. Subsequent documentation of testing does not provide the date, only the calendar month and staff initials. Act 62 require smoke detectors to be tested, and testing documented, at least every 30 days.

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(d)

Description: No harsh language

Noncompliance Area: Based on interviews, there were multiple occasions where staff #1 raised her voice in a harsh tone towards the children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Observed prescription medication for child #1. Written instructions from the individual who prescribed the medication were not on file..

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed Children's Ibuprofen which lacked the name of the child for whom the medication 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: 3270.151(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 #4, lacks a health assessment within 12 months prior to providing initial service in a child care setting.

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)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #4, lacks a TB screening by the Mantoux method within 12 months prior to providing initial service in a child care setting.

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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #2, lacks one written, nonfamily reference. The file for staff #4 lacks 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #3 and 4- have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #3 and 4 - Pediatric CPR/FA and Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10),within 90 days of hire. Staff persons #3 and 4 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff persons #3 and 4 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 persons #3 and 4-, staff persons #3 and 4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 has not completed the mandated reporter training 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 Child Protective Services). Staff person #4 will have until 15 days from POC requested date) to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 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 files for staff #1 and 3, lack the most current disclosure statement required by the CPSL. The file for staff #2, lacks a DHS FBI clearance and the most current disclosure statement required by the CPSL. The file for staff #4, who was a provisional hire, lacks an NSOR 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). Facility Person #2 and 4 -- 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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #3, who holds the title of assistant group supervisor, lacks verification of a high school diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the preschool room, observed a bottle of soapy water which lacked a label that specifies the content.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last fire drill on file was not within the last 60 days. This is evidenced by the most current fire drill on file with date of 10/15/24.

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

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

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

Noncompliance Area: There was more than 12 months between updated health reports on file for children #1 and 4. This is evidenced by dates of Child #1- 5/15/23 and 6/3/24 and Child #4 - 8/22/22 and 11/1/23.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The most current health reports on file for children #3, 4 and 5 lack a review of the child's immunized status.

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 health reports on file for children #3, 4 and 5 lack a 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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: There was more than 24 months between health assessments on file for staff #5 and 10. This is evidenced by health assessment dates on file of - Staff #5 - 9/16/21 and 12/5/23 and Staff #10 - 4/27/22 and 5/15/24. The files for staff #7 and 11 lack an initial health assessment within 12 months prior to providing initial service in a child care setting. SEE IS CODE SHEZET. There is now a health assessment on file for staff #7 and dated 7/5/23.

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)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: The file for staff #9, whose record contains a positive TB skin test, lacks the results of a chest x-ray and evaluation for chemoprophylaxis within 12 months of providing service in a child care setting.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #7 lacks a TB screening by the Mantoux method within 12 months prior to providing service in a child care setting. SEE IS CODE SHEET. There is now a TB screening on file and dated 7/5/23. The file for staff #11 lacks a TB screening by the Mantoux method within 12 months prior to providing service in a child care setting.

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

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The most current health assessment on file for staff #3 lacks an examination for communicable disease and the results of that examination and the staff's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #2 lacks a review of the fee agreement within the past six months. This is evidenced by the last review dated 12/11/23.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining emergency procedures did not address lockdown and accommodations for infants, 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility file lacks documentation that the operator sent the most recent update of the emergency plan to the local municipality and 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(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #7 lacks health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated 5/14/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff #4, lacked mandated reporter training within 90 days of hire. SEE IS CODE SHEET. This is evidenced by the mandated reporter training date on file of 5/15/24. There was more than 60 months between mandated reporter trainings on file for staff #5. This is evidenced by mandated reporter training dates on file of 9/25/18 and 10/27/23.

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: There was more than 60 months between FBI clearances on file for staff #1. This is evidenced by FBI clearance dates on file of 1/28/19 and 2/26/24. There was more than 60 months between PA State Police clearances on file for staff #2. This is evidenced by PA State Police clearance dates on file of 6/27/18 and 3/18/24. The file for #3 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 5/21/24. There was more than 60 months between PA State Police and FBI clearances on file for staff #5. This is evidenced by PA State Police and FBI clearance dates of - State Police - 8/27/18 and 9/1/23 and FBI- 8/20/18 and 11/27/23. The file for staff #6 lacks a PA State Police, Arizona criminal history and sex offender, and Virginia and Texas required clearances under the CPSL and lacked an NSOR prior to start date in a child care position. SEE IS CODE SHEET. There is an NSOR on file and dated 5/24/24. There was more than 60 months between FBI clearances on file for staff #8. This is evidenced by FBI clearance dates on file of 10/23/18 and 12/11/23. The file for staff #11 lacks the Child Abuse clearance required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 6 and 11 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

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

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

Noncompliance Area: The file for staff #7, who holds the title of assistant group supervisor, lacks 2500 hours of verified child care experience.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the preschool room a toy yellow hard hat was observed to be broken causing rough edges and sharp corners.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 lacked an influenza vaccination according to recommendations of the ACIP. Child #1 was not dismissed 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).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 7/10/20 and 10/14/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked an NSOR verification certificate within 45 days of hire and was not removed from the childcare. The NSOR verification certificate in the file is date 2/16/23.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the preschool room Expo White Board Cleaner spray was on the teacher's desk accessible to the children. The spray was labeled "Keep Out of Reach of Children".

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the school-age classroom it was observed that handwashing signs were not posted above the 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 lacked emergency contact information that included the work address and work telephone number of 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 files for children #2 and #3 lacked emergency contact information that included 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.

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: 3270.131(d)(2)

Description: Child's allergies

Noncompliance Area: The file for child #1 lacked a health report that the doctor completed a list of the child's allergies.

Correction Required: A health report shall include a list of the child's allergies.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #2 lacked a health report that included a statement from the doctor 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed in the child restroom the 1st stall was missing a posted hand washing sign above the 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.

Noncompliance Area: In the preschool room, observed two round tables which wobbled when touched as the legs were starting to come loose.

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.

Noncompliance Area: The most current emergency contact information on file for child #2 lacks the address of all individuals designated by the parent to whom the child may be released.

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.

Noncompliance Area: The immunization records on file for children #1 and 2 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

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.

Noncompliance Area: There was more than 24 months between the previous and most current and updated health assessments on file for Staff # 3, and 5.

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.

Noncompliance Area: The most current health assessment on file for Staff #2 lacked verification of an examination for communicable diseases and the results of that examination.

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

Noncompliance Area: There was more than 60 months in between the previous and most current mandated reporter trainings on file for Staff #1 and 2. Dates are as follows; Staff #1 - 12/17/14 and then 1/14/2020, Staff #2 - 5/30/15 and then 7/1/2020.

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 child care experience, education and training prior to service at the facility.

Noncompliance Area: The files for Staff #3 and 6 lacked a National Sex Offender certificate by 7/1/2020. There are now NSOR's on file and dated as follows; Staff #3 - 7/14/2020 and Staff #6 - 7/15/2020.

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

Noncompliance Area: The file for Staff #4, who holds the title of assistant group supervisor, lacks verification of 2500 hours of child care experience. There is a high school diploma on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the Preschool Room, observed a blue toy bin which holds dress up clothing. This toy bin had a 3 inch crack down the middle of it causing a pinch point.

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.

Noncompliance Area: In the Toddler Room, observed Children's Ibuprofen which expired 5/2019 and Infant Acetaminophen which expired 9/2019 .

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

Noncompliance Area: The file for staff #2, lacks a tuberculosis screening by the Mantoux method at initial employment.

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.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.

Noncompliance Area: The file for staff #1, with hire date of 11/18/019, lacked documentation of emergency plan training within one week of hire.

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.

Noncompliance Area: The file for staff #1, with hire date of 11/18/2019, lacks a disclosure statement on or before initial date in a child care position. The file for staff #1, lacks the correct State Police Clearance required under the CPSL. The file for staff #2, with hire date of 10/4/2019, lacks a disclosure statement which contains a witness signature and date. The file for staff #2, lacked a National Sex Offender Registry certificate on or before initial date in a child care position. There is now a National Sex Offender Registry certificate on file and dated 11/6/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- 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.

Noncompliance Area: The file for staff # 1, who holds the title of group supervisor, lacks 2500 hours of child care experience. There is an associate's degree in early childhood education on file.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: There was more than six months in between the previous reviews and the most current review of the fee agreements and emergency contact information for children 2 through 5. Child #2's emergency contact was reviewed on 1-10-18 and then on 1-14-19 and fee agreement was on 1-10-18 and then on 1-10-19. Child #3's emergency contact and fee agreement was reviewed on 1-10-18 and then on 1-11-19. Child #4's emergency contact was reviewed on 1-11-18 and then on 1-11-19 and fee agreement was reviewed on 1-9-18 and then on 1-15-19. Child #5's emergency contact was reviewed on 1-9-18 and then on 1-10-19 and fee agreement was reviewed on 1-9-18 and then on 1-11-19.

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 informationA 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.

Noncompliance Area: In the preschool room, observed Rite Aid junior strength Ibuprofen for child #1 which lacked written consent for administration from the parent.

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

Noncompliance Area: There was more than 24 months between the previous and the most current and updated health assessment on file for staff #3, 4, 5, 6, 7 and 8.

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.

Noncompliance Area: The health assessment on file for staff #1 lacks an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for staff #2, who holds the title of assistant group supervisor, lacks two years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The entrance glass door to the child care area and the entrance glass door to the toddler room lacked a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: The fee agreement on file for child #1 lacked the date on which the fee is to be paid.

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

Noncompliance Area: The emergency contact information on file for child #1 lacked the address and telephone number of all of the individuals designated by the parent to whom the child may be released.

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.

Noncompliance Area: The most current and updated health assessment on file for staff #2 lacked an examination for communicable diseases and an assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The facility lacked a copy of the regulations under which the facility is certified and the instructions for contacting the appropriate regional day care office posted at a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The file for staff #3, with hire date of 11-11-2015, lacked Mandated Reporter training within 90 days of hire. There is current Mandated Reporter training on file and dated 03-20-2016. The file for staff #2, with hire date of 09-07-2015, lacked Mandated Reporter training within 90 days of hire. There is current Mandated Reporter training on file and dated 06-01-2016.

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 child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #2, with hire date of 09-07-2015, lacked the correct State Police Clearance form required under the CPSL and an FBI Clearance prior to hire date. There is an FBI Clearance on file and dated 10-02-2015. The file for staff #5, with hire date of 10-30-2017, lacked the correct State Police Clearance form required under the CPSL. The file for staff #1, with hire date of 06-08-2015, lacks the State Police Clearance required under the CPSL. There is a State Police Clearance on file for volunteer purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #5 -- 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.