Christian Youth Ministries

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: The facility owns two 12-passenger vans. The operator stated that they have been using the 12-passenger vans to transport school-aged children to and from school.

Correction Required: 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #1 does not include the work address of the enrolling parent. Emergency contact information for child #2 does not include the work address 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(a)

Description: Health information

Noncompliance Area: The operator did not require the parent of enrolled child #3 (date of admission see LIS code sheet) to provide an initial health report no later than 60 days following the first day of attendance at the facility. This is evidenced by the initial health report being dated 4/9/2025.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a written policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The record for staff person #2 contains health assessment forms dated 1/11/2022 and 4/3/2025, which exceeds 24 months. The record for staff person #5 contains health assessment forms dated 1/18/2023 and 2/18/2025, which exceeds 24 months.

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)

Description: Exam communicable disease

Noncompliance Area: The adult health assessment form for facility person #3 (DOH see LIS code sheet) indicates that facility person #3 has a communicable disease but does not include information describing the condition(s) and the risk it might pose to others exposed to this individual.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The operator did not assure that staff person #1 (DOH see LIS code sheet) received training regarding the emergency plan on an annual basis. This is evidenced by documentation of the date of the most recent training being held on 3/17/2025.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 (DOH see LIS code sheet) did not obtain an annual minimum of 12 clock hours of child care training. There is documentation that staff person #1 completed 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #1 (DOH see LIS code sheet) did not participate at least annually in fire safety training conducted by a fire protection professional. This is evidenced by the documentation of the most recent fire safety training staff person #1 participated in being dated 3/20/2025.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The operator did not comply with the CPSL as clearances were not updated in a timely manner. This is evidenced by the child abuse clearances for staff person #4 being dated 10/20/2020 and 1/5/2026 and FBI clearances dated 11/2/2020 and 1/12/2026, which exceeded 60 months. The operator did not comply with the CPSL as clearances were not updated in a timely manner. This is evidenced by the child abuse clearances for staff person #5 being dated 3/9/2021 (expired) and FBI clearances dated 11/6/2020 and 4/21/2026, which exceeds 60 months. The operator did not comply with the CPSL as clearances were not updated in a timely manner. This is evidenced by the child abuse clearances for staff person #6 being dated 10/25/2018 and 1/29/2025, which exceeds 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #5 may not work in a child care position with direct contact with children or routine interaction with children until the results of the child abuse clearance have been obtained and are on file at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter does not have proof of purchase of an interconnected fire detection system which is required to be kept with the facility's fire drill logs in accordance with act (62 P.S. § 1016(c)).

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 8/31/24..

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person # 1 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 # 1, staff person #-1 may not work in a child care position at the facility.

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 #1 did not include results of an exam as to communicable disease and an assessment that states an exam was done as to staff #1 suitability to provide care.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The health assessment on file for staff person #1 does not include information of staff person #1 ability to care for children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #1 did not have a written evaluation on file.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information form on file for child #2 did not include the health insurance coverage and policy number.

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: 3270.124(c)/3270.181(c)

Description: Each child care space/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information form and agreement for child #1 has not been updated since 10/24/23.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #1 does not have on file an initial health assessment and documentation of Mantoux test.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff #1 does not have on file verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 does not have on file documentation of Health and Safety Training with 90 days of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 does not have a DHS required FBI criminal clearance on file. Staff #2, #3 do not have on file copies for out of state criminal history clearances and child abuse clearances. Staff #2, #3 do not have on file copies of out of state criminal history clearances and child abuse clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, # 3 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, #2, #3 may not work in a child care position at the facility.

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

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

Noncompliance Area: Video footage observed during complaint investigation revealed, on 1/2/24, from 9:36 to 9:55 am 2 older toddlers (age 2 yrs.), 2 preschool age children (age 3 yrs.) and 1 older school age child were unsupervised in the child care space. The children were assigned to staff #1's care group and Staff #1 left the care area where the children were located. Staff #1 and staff #2 walked through the child care space and checked on the children approx. every 2-5 minutes.

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. 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: Video footage observed during complaint investigation revealed, on 1/2/24, from 9:36 to 9:55 am 2 older toddlers (age 2 yrs.), 2 preschool age children (age 3 yrs.) and 1 older school age child were unsupervised in the child care space. The children were assigned to staff #1's care group and Staff #1 left the care area where the children were located. Staff #1 and staff #2 walked through the child care space and checked on the children approx. every 2-5 minutes.

Correction Required: 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.

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

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

Noncompliance Area: Video footage observed during complaint investigation revealed, on 1/2/24, from 9:36 to 9:55 am 2 older toddlers (age 2 yrs.), 2 preschool age children (age 3 yrs.) and 1 older school age child were unsupervised in the child care space. The children were assigned to staff #1's care group and Staff #1 left the care area where the children were located. Staff #1 and staff #2 walked through the child care space and checked on the children approx. every 2-5 minutes.

Correction Required: Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. 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 three months after DHS approves the documentation format.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 1/17/24 at approximately 10:25 am, staff #1 was observed caring for 11 preschool age children.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #2 does not have on file an adult health assessment and a tuberculous screening results.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #2 did not have 2 references on 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)

Description: Age and Training

Noncompliance Area: Staff #1 had on file 8 clock hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 12/1/23, Staff #1 was observed caring for children. Staff #1 did not have on file a copy of a child abuse clearance or a copy of a request for a child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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 #--- may not work in a child care position at the facility.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: The lower wall to the far-right side of the door to the child care space was observed to have areas where dry wall could be seen but the area was not painted.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility did not test the fire detection system every 30 days as per the documentation on file.

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed in the infant classroom that the refrigerator had a temperature of 48 degrees.

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)

Description: Signed

Noncompliance Area: The agreement on file for Child #2 did not include a parent signature.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed in the School Age and Preschool classrooms that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessments on file for Child #1, #2, #3, #4, #5 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Facility Person #1 did not include a health assessment competed within 24 months of prior health assessment. The last health assessment on file was dated 11/18/2020. Facility Person #3 was observed working with children.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 hired 11/12/19 does not contain a completed child abuse, DHS required FBI clearance, NSOR verification, out of state clearances or a signed disclosure statement. The LE does not have an approved waiver to hire provisionally. The file does not contain copies of request(s) for the clearances/verification, and the disclosure statement required for provisional hiring under the CPSL.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility staff #2 -does not have a signed written evaluation on file. Facility staff #3 evaluation on file exceeded a minimum of 12 months. Facility person #3 does not have a signed written evaluation on file, Facility staff #4 does not have an evaluation on file. Facility staff #8 does not have on file a signed written evaluation.

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