Ymca Younger Days Pre-school Ctr

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Preschool 3 Room, a wooden barn toy with a red roof was observed in the rear of the room. The toy had a bolt near its base that was protruding/exposed. In the Preschool 4 Room, a black bin was observed to contain plastic light table toys. Three of these toys were observed to be cracked/broken, creating sharp edges.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 12:22pm on 6/22/2026, Certification Representative observed an infant in a crib in the Infant Room. The crib did not have two feet of space on three sides, as it was pushed up against a wall on one side and a shelf on another.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact forms for Child #1 and Child #3 did not include the work telephone numbers for the enrolling parents.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During inspection, the "go bag" containing emergency contacts for the children in care was absent from the Older Toddlers Room. After discussion with the staff in the room, it was determined that the bag had likely been left outside on the playground when they were last outside on 6/19/2026. Staff in the room were not able to provide any version of emergency contacts for the children in the room during inspection.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #2 lacked 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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Older Toddlers room in the cabinet above the sink, a tube of Fluticasone ointment and a bottle of Olly Kids Chillax supplements were observed. Neither of these medications were labeled with 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)

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

Noncompliance Area: The two most recent health assessment on file for Staff Person #6 were conducted more than 24 months apart (11/21/2022 - 1/16/2025).

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Preschool 3 Room, two pair of adult scissors were observed in a pen cup on the teacher's desk. The cup was well within reach of the children in the room.

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

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

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid/CPR Trainings for Staff Person #2 were dated more than 24 months apart (3/18/24-5/21/26).

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)(10)

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

Noncompliance Area: The file for Staff Person #5 includes a Pediatric First Aid/CPR certificate that was obtained on 5/21/2026, which is more than 90 days after the date of hire (SEE LIS CODE SHEET).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter training on file for Staff Person #3 is dated more than 60 months ago (9/9/2019). At the time of inspection on 6/22/2026, Staff Person #8 had not yet completed Mandated Reporter training (SEE LIS 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 two most recent NSOR clearances on file for Staff Person #1 were dated more than 60 months apart (1/9/2020 - 1/13/2025). The file for Staff Person #4 contains an NSOR clearance that was obtained on 3/5/2026, which was after the date of hire (SEE LIS CODE SHEET). The file for Staff Person #7 includes the following clearances which were obtained more than 60 months apart: State Police (10/29/19-1/9/25), Child Abuse (11/6/2019-1/15/2025), FBI (11/2/2019-1/11/2025), NSOR (1/9/2020-1/13/2025).

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: In the Infants Too room, a surge protector was observed to the left of the refrigerator. Two of the outlets on the surge protector were missing their protective covers.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the School Age room, the cabinet containing cleaning supplies was unlocked and 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(e)

Description: Arts and crafts non-toxic

Noncompliance Area: In the Older Toddlers room, two Dabbin Fever Bingo Daubers were observed in a white cabinet containing art supplies. The bottles were labeled "Keep Away From Children."

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the Infant Too room, a portable air conditioner unit was situated in front of the emergency exit, obstructing exit from 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Young Toddler Room, a bin of foam blocks was observed on a wooden shelf towards the back of the room. Some of the blocks were noted to not be in good repair; specifically, bite/teeth marks were observed on them. In the Pre-School 3 Room, a light green bin of foam blocks was observed on a shelf near the Christmas tree. Several of the blocks were observed to have teeth/bite marks on them.

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: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff Person #5 (SEE LIS CODE SHEET), hired more than 90 days ago, did not contain documentation of Pediatric First-Aid/CPR training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The following staff files contained Mandated Reporter trainings that were more than 60 months apart: Staff Person #1 (2/9/2017-11/10/2022), Staff Person #2 (1/19/2020-2/26/2025), Staff Person #3 (6/16/2015-7/16/2020) and Staff Person #4 (6/16/2015-7/7/2020). The file for Staff Person #5, hired more than 90 days ago, did not include documentation of Mandated Reporter Training. (SEE LIS CODE SHEET)

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: In the School Age room, two outlets on the rear wall (between the bookshelf and the orange chair) were missing one protective receptacle cover each.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Older Toddler Room, a container of hand sanitizer marked "keep out of reach of children" was left on the changing table within reach of children. In the Young Toddler Room, several packages of scented wax melts marked "keep out of reach of children" were stored in an unlocked drawer near the entrance to the room. The drawer and its contents were within 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Infant room, an area of damaged, flaking plaster was observed on the wall behind the rocker/glider. In the Young Toddler room, an area of peeling paint measuring approximately two inches was observed on the wall near the changing table.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Preschool Room Foam blocks with bite marks and frayed parts were observed. In the Toddler Room foam blocks with bite marks were observed.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a child sized couch in the Toddler Room that was observed to be cracking and peeling.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Infant Too, School Age and Preschool 4 group spaces were all lacking a posted written daily schedule.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for Child #3 contained an agreement that was lacking the fee amount to be charged.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for Child #1 and 2 were lacking the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for Child #4 contained an emergency contact form that was lacking the parent's work address and phone number. The file for Child #5 contained an emergency contact form that was lacking the parent's work address.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #3 and 7 both contain emergency contact forms that were lacking signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #8 contains an emergency contact form that was lacking the policy number of the child's medical insurance.

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(b)(2)

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

Noncompliance Area: The file for Child #4, who is a preschool aged child contained two health assessments that were more than 12 months apart.

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 #6 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: 3270.133(7)(ii)

Description: Name of child receiving medication

Noncompliance Area: In the Infant Too Room there were two medication logs for Motrin and Mylicon that did not have the name of the child receiving the medication on the log.

Correction Required: A medication log shall include the name of the child receiving the medication.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #2 and #4 both contained two health assessments that were more than 24 months apart.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for Child #3 and 7 contain emergency contact forms that are lacking signed parental consent for the administration of minor first-aid procedures by facility staff.

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

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

Description: Age and Training

Noncompliance Area: The file for Staff #6 contained a Pediatric First Aid/CPR that had expired.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #3, whose start date was more than 90 days ago(see LIS code sheet) was lacking the required 2 part Health and Safety training. The file for Staff #7 contained Health and Safety training that was obtained more than 90 days after their start date.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for staff #5 and #7 contained Pediatric first aid/CPR that was obtained more than 90 days after their start 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#1 and #4 both contained two NSOR clearances that were more than 60 months apart.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: * On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

Correction Required: * When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ** On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

Correction Required: ** The required staff:child ratios must be maintained at all times. The legal entity will be responsible for writing a policy that addresses how ratio requirements will be maintained to ensure regulatory staff to child ratio during staff breaks, including staff restroom breaks. The policy will be added to the staff handbook and all existing staff will be required to sign off that they reviewed the policy. The sign off sheet will be submitted to the Regional Office.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At nap time on 9/9/2-24, staff #1 was observed caring for 14 preschool age children. Staff #1 named 12 of the 14 children and was unable to name two of the children in staff #1's 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The most current emergency contact information on file for child #6 lacks the phone number of the child's physician or source of 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 most current emergency contact information on file for child #1 lacks the enrolling parents work address. The most current emergency contact information on file for children #2, 6 and 7 lack the enrolling parents work address and work phone. The most current emergency contact information on file for child #4 lacks the enrolling parents work phone.

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

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 health reports on file for child #1, who is of preschool age. This is evidenced by health report dates of 1/9/23 and 6/26/24.

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)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The most current immunization record on file for child #3 contains 2 of 4 Pneumococcal immunizations for the age of the child as in accordance with the recommendations of the ACIP.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The most current health reports on file for children #1 and 8 lack the 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(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 #7 and 9. This is evidenced by the health assessment dates of- Staff #7 - 9/17/21 and 10/30/23 and Staff #9 - 6/10/21 and 10/30/23.

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)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #13, who was a rehire, lacks a TB within the past 12 months of rehire date. SEE IS CODE SHEET.

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 health assessment on file for staff #2 lacks an assessment of the person's suitability to provide child care and an examination for communicable diseases.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed 5 infant bottles which lacked a label with the child's name.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The most current parent letter explaining emergency procedures including updates to the plan, lacked an explanation of lockdown and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff #7 lacks 5 hours of child care training from 12/2022 - 12/2023.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 12 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): 10 hour 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 person #12 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person # 12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #12-, staff person #12 may not work in a child-care position at the facility

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #3, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/9/24 and pediatric CPR/FA training date of 3/18/24. The file for staff #4 lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training on file date of 6/11/24. The file for staff #5, lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 6/11/24. The file for staff #8, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/19/24 and pediatric CPR/FA training date of 3/18/24.

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 files for staff 3 and 4 lacked mandated reporter training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the mandated reporter training date of - Staff #3- 2/7/24 and Staff #4 - 6/10/24.

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 #6 and 10 lack the full disclosure statement. Not all pages were in the file. The file for staff #11, who was a provisional hire, lacked FBI fingerprint receipt on or before initial start date in a child care position. FBI fingerprint date is 6/17/24. SEE IS CODE SHEET. There is now an FBI on file and dated 6/17/24. The file for staff #13 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 6/17/24. The file for staff #14, who was a provisional hire, lacked a DHS FBI fingerprint receipt on or before initial start date in a child care position. SEE IS CODE SHEET. FBI fingerprint date is 6/13/24. The FBI clearance on file dated 9/1/22 is from DOE and not DHS as required by the CPSL and NSOR on file was not provided on or before initial start date in a child care position. There is now an NSOR on file and dated 6/10/24. There is no DHS FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 14 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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 #3, who holds the title of AGS, lacks verification of a high school diploma or GED. The file for staff #4, who holds the title of AGS, lacks 2500 hours of child care experience. The file for staff #8, who holds the title of AGS, lacks verification of a high school diploma or GED. the file for staff #13, who holds the title of AGS, lacks 335 hours of 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff #1 lacks a staff evaluation within the past 12 months. This is evidenced by the current staff evaluation on file dated 12/20/22.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/20/24, observed staff #9 alone in the OT room with 8 OT and 1 PS. Eight of the children were on rest mats. Based on staff interviews, the 9th child was sitting in a chair because the child was not going to nap and was waiting for their parent to pick them up. Therefore, nap ratio does not apply.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the PS 4 room. observed an electrical outlet near a child's easel which lacked a protective receptacle 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)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: Observed a toxic Golden Pothos plant in the PS 4 room which was in reach of children. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the PS 3 room lacked tweezers.

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: The area rug in the PS 4 room, which is beige with black spots, had two areas which were fraying causing a tripping hazard.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The Young Toddler exit door which leads to the outside was blocked by a garbage can and 3 floor cleaning devices. The back door of the preschool 3 room, which leads to the back hallway was obstructed by a child's table and rest equipment and the other side of said door was blocked by toys and cardboard boxes.

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: There was more than 30 days between testing of the fire detection system which were completed as follows: 9/12/23 and 10/17/23, 11/8/23 and 12/29/23 and 2/12/24 and 3/22/24.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the school-age classroom a lego was observed to be broken creating rough edges and sharp corners. In Preschool 4 a bin with wooden blocks in it was observed to be broken causing rough edges and sharp corners. In Preschool 4 a bin with legos in it was observed to be broken causing rough edges, sharp corners, and pinch and crush points.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #1 lacked emergency contact information that included the address and telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacked emergency contact information that included the work addresses and work telephone numbers of the enrolling parent.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #2 lacked a child health report that was updated 12 months from the previous child health report. The child health reports in the file are dated 8/31/21 and 3/14/23.

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.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: In the older toddler room an albuterol inhaler was observed not to be in an original container.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #2 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/24/23.The file for staff person #5 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/27/23. The file for staff person #7 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training. The file for staff person #9 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 1/11/23.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/24/20 and 11/21/22. The file for staff person #7 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/2/20 and 11/11/22.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. There was one nonfamily reference letter in the file.

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(e)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #4 lacked an annual minimum of 12 clock hours of child care training. There were 6 child care training hours in the file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked an FBI Clearance that was completed 60 months from the previous FBI Clearance. The FBI Clearances in the file are dated 3/19/18 and 5/25/23. The file for staff person #8, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked a valid FBI Clearance. The FBI Clearance in the file was completed through the Public Department of Education instead of the Department of Human Services as required.

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 file for staff person #4 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/7/21 and 12/20/22. The file for staff person #7 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/17/21 and 12/20/22.

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)/3270.192(2)(ii)

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

Noncompliance Area: The file for staff person #6 lacked 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Preschool 4 it was observed that a protective receptacle cover was missing in the outlet near the kitchen play area.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the restroom it was observed that a handwashing sign was not posted above the toilet in the middle stall.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Preschool 3 room wooden toy blocks were observed that were splintered causing rough edges.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children #1, #2, and #3 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 file for child #4 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: 3270.133(5)

Description: Original label

Noncompliance Area: In the Preschool 3 room Motrin and an Epi pen was observed to be expired. In the Older Toddler room a Tylenol was observed to be expired.

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

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: The file for staff person #1 lacks valid training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f). The training in the file is dated 8/29/16. The file for staff person #2 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) within 90 days of hire (See LIS CODE SHEET). The training in the file is dated 5/31/22.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left alone on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed that the smoke detection system was checked more than 30 days in between the following dates 3/14/22 and 4/22/22.

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.

Noncompliance Area: In the Young Toddler room, observed a child sleeping on a cot which was not labeled with the child's name.

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.

Noncompliance Area: The file for child #1, who is an older toddler, lacks an updated health assessment within the past 12 months. Health assessment was due in file prior to 3/6/20 (Regulatory Suspensions).

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.

Noncompliance Area: The files for children #1 and 2, lack verification of ongoing vaccines 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 in between the previous and most current and updated health assessments on file for staff #3 and 9,

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 #10 lacked verification of an examination for communicable diseases and the results of that examination 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: In the infant room, observed 2 infant bottles which lacked a label with the child's name.

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

Noncompliance Area: The file for staff #2, lacked one written, nonfamily reference.

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

Noncompliance Area: In the Preschool 4 room, observed a pair of sharp adult scissors sitting on a table and in reach of children. This poses a threat to the safety of the children.

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

Noncompliance Area: There was more than 12 months between the previous and most current emergency plan trainings on file for staff #3, 4, 7, 8, 9, and 10. Emergency plan trainings on file for staff #3, 4, 7, 8, 9, and 10 were conducted on 4/3/19 and then on 5/13/19.

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.