Ymca Of Greater Pgh/sampson Family Ymca Cdc

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Two containers of Nystatin, which lacked written parental consent for administration, were observed in the young toddler room. The medications were labeled for child #1 and #2.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the young toddler room, after being diapered, Staff #3 was observed allowing a child to return to an activity without washing their hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the young toddler room, Staff #3 was observed placing a soiled diaper directly on the changing table before placing the diaper into the trash.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child records in the preschool and young toddler rooms were not stored in locked cabinets. The files were stored in cabinets equipped with child proof devices, but not locked with a key.

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

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

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

Noncompliance Area: The file for staff #1 contained fire safety training documentation dated more than 12 months apart; 6/11/24 and 7/03/25. Current training is now on file.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 contained a child abuse clearance which was not renewed within 60 months. The previous clearance was dated 6/18/20 and was renewed on 6/20/25.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An ant bait station was observed to be accessible to children on the floor in the vestibule leading to the outdoor toddler play space.

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: A handwashing sign was not posted at a sink in the young toddler room.

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

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Torn seams, which exposed the inner foam filling, were observed on 6 nap mats; 4 in the PS room, 1 in the OT room, and 1 in the YT 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The hands-free can in the OT restroom was not functional. The pedal did not work and the main exterior lid was stuck in the open position. Smeared feces was observed on the inner lid. Soiled pullups were observed in the can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained an incomplete state police clearance. The clearance did not include the dissemination date.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Six electrical outlets on a power strip in the preschool room lacked protective covers. The power strip was plugged in at the time of the observation and was accessible to children 5 years of age or younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A spray bottle labeled disinfectant was accessible to children in a changing table in the PS restroom. The appliance lock used to limit access to the cupboard was broken. Three Swiffer Wet-Jet mops, with the solution canisters still attached, were accessible to children in the PS, OT, and YT rooms. In the OT room, the canister was leaking which left a puddle of cleaning solution on the floor near the sink.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A divider wall in the PS restroom was observed to be loose creating pinch points. A thorned weed was observed in the sandbox in the outdoor play space.

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: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Spilt or torn seams, which exposed the inner foam filling, were observed on 8 nap mats in the OT room and 1 in the YT 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #2 was not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreements for children #1 and #4 did not specify the amount of the fee to be charged.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #2 did not include a complete work address for the enrolling parent and lacked the enrolling parent's work phone number.

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 for child #3 did not include the phone numbers for 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.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: Diaper cream, which was not in the original container, was observed in the infant room. The cream was labeled for child #5.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: An unopened box of Children's Zrytec, which was not labeled with the name of the child it was intended for, was observed in the infant room.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Two containers of yogurt were observed in a lunch box sitting on top of the cubbies in the preschool room.

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

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

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

Noncompliance Area: Staff #5 did not update mandated reporter training within 60 months. This is evidenced by the previous training being dated 4/16/19 and the most recent training being dated 4/19/24.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2, hired provisionally, contained NSOR results dated more than 45 days after their start date. The file lacked documentation that the staff person was suspended after 45 days.

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 files for staff #1, #3, and #4 contained annual evaluations dated more than 12 months apart. Each staff person was evaluated in July 2023 and again in August 2024. Current evaluations are now on file for all 3 staff.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: Two cans on shaving foam, labeled keep out of reach of children, were observed under the sink in the PS room. Based on statements made by staff, the shaving foam is used with children during art projects.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Multiple stained ceiling tiles were observed including 4 in the hall, 3 in the PS room and 1 in the YT room. In the outdoor toddler playground, two sharp metal corners were observed on the trim on the facility wall, 1 near the door and 1 near the storage area for push toys. In the large fenced outdoor play area, branches with thorn were observed protruding through the fence into the play space and were accessible to children. Two broken hinges were observed on lower cabinets in the OT room. One broken hinge was observed on a lower cabinet in the infant room.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Based on the facility's fire drill log, names of participating facility persons have not been recorded with each drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the facility's log of the 30 day tests of the fire alarm system, consecutive tests dated 6/18/24 and 7/24/24 were conducted 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: 3270.132(c)

Description: Document emergency treatment

Noncompliance Area: The operator documented the manner in which emergency treatment was sought and obtained for a child that was transported to the hospital on 2-7-24. The documentation did not include the following required information as referenced at 3270.20(c): the address of the facility, the child's birthdate, the address of the child and the child's parent, and the address of the place where the treatment was received.

Correction Required: An operator shall document the manner in which emergency treatment was sought and obtained. File documentation shall include information referenced at §3270.20(c) (relating to reporting injury, death or fire).

Regulation: 3270.182(7)

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

Noncompliance Area: An incident report was not provided to the parent of a child in care at the facility and transported to the hospital on 2-7-24.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: The operator did not contact the Western Regional Office within 24 hours after a child in care was taken to the hospital on 2-7-24 for 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: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: The operator did not mail or deliver a written report to the Western Regional Office within 72 hours after a child in care was taken to the hospital on 2-7-24 for treatment.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to staff, the interconnected fire detection system was not manually tested in the facility at least once every 30 days, including within the last 30 days as of 2-22-24.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreements, in the files for Child #1, Child #2, Child #3, and Child #4, did not specify 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.

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

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

Noncompliance Area: The file for Staff #1 contained documentation of Emergency Plan training on 8.5.22 and 9.1.23, which exceeded the annual requirement.

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

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

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

Noncompliance Area: The files for Staff #2 and Staff #4 contained documentation of Fire Safety training on 7.31.22 and 8.9.23, which exceeded the annual requirement.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #5 (see IS Code Sheet), contained documentation of Pediatric First-Aid/CPR on 10.10.22, which exceeded the 90 days of hire requirement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #3 contained documentation of evaluations dated 3/2022 and 7/2023, which exceeded the 12-month requirement.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Located in the outdoor playspace, the gray, wooden sand table contained five areas of wood which were sharp, splintered and could cause an injury to occur to a child.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 contained an emergency contact form which did not include the policy number of the health insurance coverage.

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(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The file for child #2 did not contain an Influenza immunization which was due by the mandatory date of October 26, 2022.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff #2 contained a health assessment date 4-15-2019 and 9-3-2021 which exceeded the 24 months to receive an updated health assessment. The file for staff #9 contained a health assessment date of 8-31-2020 and 10-10-2022 which exceeded the 24 months to receive an updated health assessment.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff #8 contained a Pediatric First Aid/CPR Training date which expired on 9-15-21 and received an updated training on 10-21-2021 which exceeded the 24 months to receive the training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #1 (See IS Code Sheet) contained a Pediatric First Aid/CPR Training date of 10-10-2022 which exceeded the mandatory ninety days to receive the training. The file for staff #9 (See IS Code Sheet) contained a Pediatric First Aid/CPR Training date of 10-21-2021 which exceeded the ninety days to receive the training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #1 (See IS Code Sheet) contained a health and safety training date of 5-26-2022 which exceeded the mandatory ninety days to receive the training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #2, staff#3, staff #4, and staff #6 contained a Pediatric First Aid/CPR Training which was completed on 10-10-2022 and exceeded the mandatory date of 4-29-2022 to receive the Pediatric First Aid/CPR Training with an approved curriculum and a PQAS instructor. The file for staff #5 contained a Pediatric First Aid/CPR Training which was completed on 10-22-2022 and exceeded the mandatory date of 4-29-2022 to receive the Pediatric First Aid/CPR Training with an approved curriculum and a PQAS instructor.

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 #7 (See IS Code Sheet) contained a Mandated Reporter Training date of 4-30-2021 which exceeded the mandatory ninety days to receive the training.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Located in the front of the indoor gym, eleven outlets were not covered by protective receptacle covers and were accessible to children 5 years or younger.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Located on the left side of the indoor gym, one blue foam protector which was mounted to the wall contained a visible hole in the material. Located on the left side of the gym, one blue foam protector which was mounted to the wall contained two visible tears in the material.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #1 lacked the date of admission for the child.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Facility Person #2 lacked verification that they had completed Fire Safety Training within 12 months of starting.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Facility Person #1 lacked a Staff evaluation within 12 months of starting at the facility.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: In the Infant Classroom the first aid kit was observed to be taken with the young toddlers to the gross motor gym. This left the classroom, where infants were receiving care, without a first aid kit present.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Infant Classroom was missing 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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The garbage cans in place in the men and women's restrooms outside of the gym were observed to be missing lids.

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 facility, located inside the YMCA, lacked proof of purchase of the interconnected fire system.

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.