Ywca Of York Day Care Center

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Staff Person #1 left Child #1 alone in the Sharks room without supervision.

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. 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: 3270.107

Description: Refrigerator

Noncompliance Area: In the SACC room, Cert Rep observed a brown, sticky substance inside the refrigerator, on the top shelf of the door and also a purple stain on the bottom shelf of the refrigerator itself.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Cert Rep observed that the EC forms, in the 2023 Toyota Sienna transport van, for Children #'s 1 and 2 did not contain documentation indicating they have been updated every 6 months, as required. Child #1's EC form was last updated 7/23/24 and Child #2's EC form was last updated 7/31/24.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #7 contained a prior health assessment that expired 2/26/22 and a current health assessment that was completed 2/26/26. The current health assessment was not completed in a timely manner. The file for Staff #8 contained a prior health assessment that expired 11/15/23 and a current health assessment that was completed 12/21/25. The current health assessment was not completed in a timely manner. The file for Staff #9 contained a prior health assessment that expired 10/30/23 and a current health assessment that was completed 12/10/25. The current health assessment was not completed in a timely manner.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The staff file for Staff #6 contained an incomplete Health Assessment that did not include answers for question #2 which asks if the individual has any communicable diseases, or question #3, which asks, is this individual suitable to provide childcare?

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #10 did not contain any 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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the outdoor play space, Cert Rep observed that the wooden jungle gym's log bridge had a gap several inches wide that created a tripping hazard for children. Also in the outdoor play space, Cert Rep observed that a green handle on the wooden jungle gym, located at the top left of the ladder next to the log bridge, was loose and created a hazard for children.

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: In the file for Staff #2 the Cert Rep determined that the current first aid training certificate is incomplete as it does not contain a QR code.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #3 contains documentation indicating that the prior Fire Safety certificate expired 10/31/24 and that the current Fire Safety training certificate was completed 3/2/26. The current Fire Safety training was completed late.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff # 1 indicated that the prior State Police clearance expired 1/23/26 and the current clearance is effective 2/16/26. The prior Child Abuse clearance expired 2/4/26 and the current clearance is effective 2/19/26. The prior DHS FBI clearance expired 2/12/21 and the current clearance is effective 3/2/26. The prior NSOR clearance expired 1/28/26 and the current clearance is effective 2/23/26. All four clearances were updated late. The file for Staff #4 contained a Disclosure Statement without a signature date. (This was corrected on site.) The file for Staff #5 did not include a rap sheet for this staff member's criminal record. The file for Staff #10 contained an incomplete Disclosure Statement that was not signed by a witness. (Corrected 4/21/26)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play area, Cert Rep observed several gaps in the playground surface that created a tripping hazard for children.

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)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a container with pretend phones was broke and the bottom of the brown chair was ripped in classroom 3. Both of these were corrected during the inspection. A bin with plastic animals was cracked in classroom 4. This was corrected during the inspection. There was a cracked piece of equipment on the playground. This was corrected during the inspection. A basket was broke in classroom 7. This was corrected during the inspection.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the time of inspection, it was observed that the daily schedule was not posted in classroom 12 and classroom 13. This was corrected during the inspection.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Documentation of the emergency contact information on file for child 1, did not include the complete address for the individuals designated by the parent to whom the child may be released. This was corrected during the inspection.

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: During the time of inspection, it was observed that the emergency transportation plan was not posted in classroom 10. This was corrected during the inspection.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the time of inspection, it was observed that a sippy cup was not labeled with a child's name in the infant classroom. This was corrected during the inspection.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Documentation of a letter signed by a representative of the experiential, educational or training entity was not on file for staff member 1. This was corrected during the inspection.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the time of inspection, it was observed that an infant was sleeping with a pacifier attached to a clip causing a choking hazard. This was corrected during the inspection. An infant had a wipe in their mouth causing a choking hazard. This was corrected during the inspection.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the state police clearance and child abuse clearance on file for staff member 1 were both volunteer clearances and staff member 1 is working as an aide and in ratio with children.

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. Facility Person #1--- may not work in a child care position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: During the time of inspection, it was observed that there was an unlabeled spray bottle in the infant classroom. This was corrected during the inspection.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that a ceiling tile in the infant classroom had a water mark on it which could indicate a leak. This was corrected during the inspection. The rubber playground surfacing had large holes in it causing a tripping hazard. This was corrected during the inspection.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that paint was peeling by the closet and the main door in the infant classroom. This was corrected during the inspection. Paint was peeling by the play kitchen in classroom number 3.

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

Regulation: 3270.82(d)

Description: Training chair - sanitized

Noncompliance Area: During the time of inspection, it was observed that a training chair was located in the bathroom in classroom 4 that contained the sanitized solution. This was corrected during the inspection.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During an unannounced monitoring visit, it was observed that the staff did not wash their hands prior to serving snack and the children didn't wash their hands before eating snack.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During an unannounced monitoring visit, it was observed that a large knife with the cover on it was accessible to children. The knife was approximately fourteen inches from the handle to the tip of the knife.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a basket containing puppets, a basketball and blanket in classroom number 3 was broken. The basket was removed during the inspection.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the time of inspection, it was observed that the cots in classroom 2 were not labeled for the use of a specific child. This was corrected during the inspection.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the time of inspection, it was observed that a written plan of daily activities was not posted in the infant classroom. This was corrected during the inspection. The space used by the school age program did not include a written plan of daily activities for the before school program.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During the time of inspection, it was observed that a child was alone and unsupervised in the fitness center while the rest of the children and staff were in the yoga room. Director escorted the child to the room where the rest of the group was.

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. Children must be supervised at all times. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During the time of inspection, it was observed that a child was alone and unsupervised in the fitness center while the rest of the children and staff were in the yoga room. Director escorted the child to the room where the rest of the group was.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During the time of inspection, it was observed that a child was alone and unsupervised in the fitness center while the rest of the children and staff were in the yoga room. Director escorted the child to the room where the rest of the group was.

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. Children must be supervised at all times. DIRECTED PLAN OF CORRECTION: Provider agrees to periodic unannounced visits by DHS representative for a period of three months in order to monitor supervision and regulatory compliance. 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(e)

Description: Written emergency plan posted

Noncompliance Area: During the time of inspection, it was observed that the emergency transportation plan was not posted in the fitness center. This was corrected during the inspection.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During the time of inspection, it was observed that the trashcan located next to the diaper changing area in classroom 2 was broken and not hands free. This was corrected during the inspection.

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: 3270.161(a)

Description: Wholesome

Noncompliance Area: During the time of inspection, it was observed that there was a bottle of cool whip that expired on 11/05/24 in the refrigerator in classroom 3. The cool whip was thrown away during the inspection.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: During the time of inspection, it was observed that the insurance information in the van used to transport children expired on December 1, 2024.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation on file for staff member 1, did not include an updated mandated reporter training. The mandated reporter training on file expired on 10/14/24

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the time of inspection, it was observed that staff member 2 was alone with 15 young/ old school age children until staff member 3 arrived with an additional 6 young/old school age children.

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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that gloves were missing in the first aid kits in classroom 10 and classroom 12. Tweezers were missing in the first aid kit in the infant classroom. All items were added to each first aid kit and corrected during the inspection.

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: 3270.75(d)/3270.178

Description: On excursions/Transportation First Aid Kit

Noncompliance Area: During the time of inspection, it was observed that the first aid kit in the van used to transport children did not include soap, tweezers and a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the floors under the cabinets in classroom 3 were visibly dirty. The upper window next to the counter in the infant classroom was cracked.

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: 3270.81

Description: Glass

Noncompliance Area: During the time of inspection, it was observed that visual identification was missing on the glass window next to the classroom door in classroom number 3. This was corrected during the inspection.

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.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Video footage provided by the facility showed staff member 1 and a parent in a verbal altercation while children were in care.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Video footage provided by the facility showed staff member 1 and a parent in a verbal altercation while children were in care.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During an unannounced swimming visit at camp , it was observed that children were playing close to the road while the staff member was sitting on the ground with their back turned to the children working on a bracelet. Children were observed to be outside of the art hut unsupervised and staff members weren't present.

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. Children must be supervised at all times.

Regulation: 3270.111(c)/3270.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch. Child 1 was visibly upset and was not spoken to or comforted by a staff member for the remainder of time the footage was available.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. DIRECTED PLAN OF CORRECTION: Early Childhood Director will be required to observe teachers interactions at different times throughout the day in each of the early childhood classrooms on a daily basis. This will be documented on a form approved by DHS. Management observations will be conducted and documented for 3 months and will be sent to DHS for review each week.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: While reviewing two minutes of camera footage, it was observed that staff member 1 was on their smart watch multiple times and not properly supervising children in care. Proper supervision of children is being able to see, hear, direct and assess the activities of the children at all times.

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. Children must be supervised at all times.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. DIRECTED PLAN OF CORRECTION: All staff members are required to take an in-person, DHS approved training about handling difficult behaviors.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: While reviewing two minutes of camera footage, it was observed that staff member 1 aggressively placed a child in a chair. In the same video clip, it was observed that staff member 1 then picked up child 1, by his left arm, causing his feet to leave the ground. While in the air, staff member 1 grabbed the child's other arm and placed him on a couch. Administrative staff, who are mandated reporters, did not report this situation after observing the camera footage.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). DIRECTED PLAN OF CORRECTION: Director of ECE program and Chief Program Officer are required to attend Existing Provider Orientation on Thursday July 18, 2024. The facility must arrange a DHS approved, in person mandated reporter training for all staff members.

Regulation: 3270.133(7)(v)/3270.133(7)(vi)

Description: Date of administration/Time of administration

Noncompliance Area: Documentation of the medication log on file for child 1 did not include the date of administration and time of administration. The date of administration and time of administration were added to the medication log during the correction verification visit.

Correction Required: A medication log shall include the date of administration. A medication log shall include the time of administration.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Continued Non-Compliance: On 1/26/24 a renewal inspection was conducted at the facility. Staff person 1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 2/27/24 On 3/21/24 an unannounced inspection was conducted. Staff person 1still has not completed the following required pre-service training: Pediatric First Aid/CPR

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. DIRECTED PLAN: Staff member 1 will have until 4/10/24 to complete the required training. Until such time as the required training has been completed, staff member 10 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 member 1, staff member 1 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that baskets containing toys that children play with were broken in the sea otters, sharks, star fish, ducklings and cuddly cubs classrooms. The baskets in all of the classrooms were removed during the inspection.

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: 3270.133(2)/3270.133(3)

Description: Written instructions/Name on bottle

Noncompliance Area: Medication for child 1 did not include a label with the name of the medication and the name of the child for whom the medication is intended or the written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Documentation of a medication log was not on file for child 2, child 3 and child 4.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Documentation of the Health and Safety Basics training on file for staff member 8 and staff member 10 were completed after staff members first 90 days of employment.

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.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: During the time of inspection, it was observed that multiple half galloons of whole milk were expired in the refrigerator in the turtles classroom. All milk was discarded during the inspection.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: During the time of inspection, it was observed that the facility did not have the manufacturers' instructions for the use of safety restraints in the vehicle.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 8, included one reference letter. Documentation of the reference letters on file for staff member 5 do not attest to the person's suitability to serve as a facility person.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During the time of inspection, it was observed that previous inspections summaries that the certification representative didn't verify that the corrections have been made were not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff member 10 has not completed the following 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. DIRECTED PLAN: Staff member 10 will have until 2/27/24 to complete the required training. Until such time as the required training has been completed, staff member 10 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 member 10, staff member 10 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: Documentation of the disclosure statements on file for staff member 1, staff member 2, staff member 9 and staff member 10 were signed online and not in person. Documentation of the disclosure statements on file for staff member 3, staff member 4 and staff member 7 were signed by the staff member and the witness on two different dates. Documentation of the state police clearance on file for staff member 6 indicated there was a record but the rap sheet was not on file. Documentation of the state police clearance, child abuse clearance and FBI clearance on file for staff member 11 was updated after the 60 month time frame. The state police clearance expired on 10/3/23 and was updated on 11/28/23. The child abuse clearance expired on 11/8/23 and was updated on 12/11/23. The FBI clearance expired on 10/10/23 and was updated on 12/11/23.

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

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

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

Noncompliance Area: Documentation of two years' experience working with children was not on file for staff member 5 and staff member 8.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that tape was missing in the first aid kit located in the butterflies classroom. Tape was added to the first aid kit during the inspection.

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: During the time of inspection, it was observed that ceiling tiles located in classroom number 5 and the butterflies classroom had water marks on them indicating a leak.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that paint was peeling by the window located in the butterflies classroom.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of the fire detection alarm testing on file showed that testing wasn't completed every 30 days. Testing was completed on 11/1/23, 12/6/23 which is 35 days.

Correction Required: 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(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During an unannounced monitoring visit, it was observed that staff member 1 and staff member 2 had 9 children total but only identified 7 children. Staff members weren't able to identify all of the children in their primary care groups.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During an unannounced monitoring visit, it was observed that staff member 1 did not wash their hands prior to serving breakfast. Staff member 2 did not wash their hands or the child's hands after a diaper change.

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

Regulation: 3270.23

Description: Parent Access & Participation

Noncompliance Area: A parent was denied access into the building to pick up her children from care.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During an unannounced monitoring visit, it was observed that staff member 1 and staff member 2 weren't able to identify the children in their primary care assigned 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. DIRECTED PLAN OF CORRECTION: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for completing daily supervision checks in each classroom. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of two months after DHS approves the documentation format.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Mold was observed in a lid of a child's sippy cup.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff member 1, staff member 2, staff member 3 and seven young and older toddler aged children were exiting the elevator on the second floor. The staff didn't realize that a child 1 was still on the elevator when the elevator door closed and immediately went to the first floor where staff member 4 was waiting to enter the elevator with two other young and older toddler aged children.

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. Children must be supervised at all times.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff member 1, staff member 2, staff member 3 and seven young and older toddler aged children were exiting the elevator on the second floor. The staff didn't realize that a child 1 was still on the elevator when the elevator door closed and immediately went to the first floor where staff member 4 was waiting to enter the elevator with two other young and older toddler aged children.

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During an unannounced monitoring visit, it was observed that the fire detection system was not being tested every thirty days. The alarm was tested on 6/8/23, 7/13/23; which is thirty-five days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.115(a)(5)

Description: Staff:child ratios while swimming

Noncompliance Area: When conducting an unannounced swimming monitoring visit, it was observed that staff member one was caring for eight young school-age children.

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8.

Regulation: 3270.31(e)(4)(iii)/3270.115(a)(6)

Description: Lifeguard/Lifeguard training/supervision

Noncompliance Area: Documentation of a complete lifeguard file for staff member two was not available to certification representative during the unannounced pool monitoring visit.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Regulation: 3270.31(e)(4)(iv)/3270.115(a)(8)

Description: Water safety/Included in ratio/annual training

Noncompliance Area: Documentation of water safety training was not on file for staff member 3, staff member 4, staff member 5 and staff member 6.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During this inspection, it was observed that the strollers that the infants use had old food/crumbs and dirty used tissues in them. The strollers were cleaned/vacuumed during the visit and the dirty/used tissues were thrown away and stroller was sanitized during the visit.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that the play structure on the playground had a bridge which was surrounded by a net that was torn on both sides. The shed that is located on the playground had a metal piece coming off of the lower left side of the structure that had sharp edges. A cushion that was located on a couch in the gazebo had a tear with the stuffing from the inside coming out. A wooden crate structure meant to hold the child's belongings had sharp staples protruding out of the wood. The wood crate structure was split in places that could cause splinters. The shed was taped at the bottom to cover the sharp edge during the time of inspection. The hole in the cushion was covered with tape during the inspection. The staples were hammered into the wooden crate structure during the time of inspection and all splintered pieces were removed.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the time of inspection, it was observed that there wasn't an operable thermometer in the refrigerator in the sea otter's classroom. The refrigerator also had carrots that were turning into liquid and sticky liquid was observed at the bottom of the pull out drawer on the left. A thermometer was placed in the refrigerator, the carrots were thrown away and the drawer was cleaned at the time of inspection.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(4)/3270.124(b)(3)

Description: Arrival/departure times/Parent home/work address, phone

Noncompliance Area: The financial agreement on file for child 6 didn't include a departure time. The emergency contact form on file for child 6 didn't include the enrolling parents phone number. The emergency contact form on file for child 8 didn't include the enrolling parents work address.

Correction Required: An agreement shall specify the child's arrival and departure times. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Documentation of immunization records on file for child 7 wasn't administered in accordance with the recommendations of the ACIP. An exemption letter for a strong personal belief against immunizations for the child was provided at the time of inspection.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: During the time of inspection, it was observed that a bottle of unlabeled diaper cream was located in the number four classroom. This was labeled during the inspection.

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: Documentation of health assessment on file for staff member 1, staff member 2, staff member 3 and staff member 6 were completed after their first day of caring for children. Documentation of the updated staff health assessment for staff member 7 and staff member 8 were completed after the 24 months of their initial health assessments.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Documentation of the TB test for staff member 1 was dated after her start date to care for children. Documentation of file for the TB test for staff member 6 was dated more than one year prior to her start date. Documentation of the TB test for staff member 4 was not on file.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Documentation of health assessment on file for staff member 2 didn't indicate an examination of communicable diseases. This was corrected on 12/28/2022. Documentation of health assessment on file for staff member 5 indicated that she had a communicable disease but did not include the conditions and the risk it might pose to others exposed. This was corrected on 12/28/2022.

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

Regulation: 3270.175(a)/3270.176(f)

Description: Age appropriate restraints/Prohibition using an 11-15 passenger vans

Noncompliance Area: During the time of inspection, it was observed that the program was using a 15-passenger van to transport a 7 year old child from school to the facility. During the time of inspection, it was observed that the 15-passenger van didn't have a booster seat for the child to be transported in from the school to the facility.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems). In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The child abuse clearance and FBI clearance for staff member 9, was updated after the 60 month timeframe. The child abuse clearance expired on 9/22/2022 and was updated on 9/30/2022. The FBI clearnace expired on 8/26/2022 and was updated on 10/032022.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Documentation of number of hours experience working with children was not on file for staff member 2. This was corrected on January 5, 2023

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(b)

Description: Original container

Noncompliance Area: At the time of inspection, a spray bottle that wasn't labeled was located in the refrigerator in the sea otter's classroom. This was labeled at the time of inspection.

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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During the time of inspection, it was observed that one window in the turtles room was able to be opened more than six inches. Both windows in the stingrays room were able to be opened more than six inches and both windows in the clownflish room were able to be opened more than six inches.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the fence surrounding the playground had multiple areas of broken and splintered wood pieces facing the inside of the playground area.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, peeling paint was observed in the penguins room, sea otters, and dolphin rooms. Staff member covered peeling paint in all classrooms during the inspection.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of inspection, it was observed that there was a unlidded waste receptacle located in the school age bathroom. A lidded trash can was placed in the bathroom at the time of inspection.

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(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the time of inspection, it was observed that the fire detection system wasn't be tested every thirty days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

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

Description: Age and Training

Noncompliance Area: Staff Person number 2 did not have Pediatric CPR/First Aide from an approved trainer on file. Staff Person number 3 did not have Pediatric CPR/First Aide on file. Until such time as the required trainings are completed, staff person #2 and 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2 and 3, staff person #2 and 3 may not work in a child care position at the facility.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required trainings are completed, staff person #2 and 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2 and 3, staff person #2 and 3 may not work in a child care position at the facility.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Staff person number 1 had health and safety training dated 9/9/16, which is not an approved 6 hour health and safety course. Until such time as the required trainings are completed, staff person #1must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Correction Required: All staff persons shall complete the professional development under subsection (f). Until such time as the required trainings are completed, staff person #1must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The napping cots in rooms 10, 11, 12, and 13 were not marked for individual use. This was corrected on site.

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.