YMCA CHILD CARE

Supervised at all times (3270.113(a))

A sleeping child was left unattended in the director's office which is unmeasured space. Requirement: 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. Correction: All staff were required to take a supervision training course. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: special needs (3270.124(b)(5))

The emergency contact form on file for Child #1, Child #3 and Child #4 was observed not to have documentation on the child's special needs as specified by the child's parent, physician, physicians' assistant or CRNP, which is needed in an emergency situation. Requirement: 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. Correction: Parents completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The emergency contact on file for Child #2 was observed not to have documentation of the name, address and telephone number of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Parent corrected Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services considered extra (3270.123(a)(7))

The agreement on file for Child #3 was observed not to have documentation to specify the services which are to be considered as extra. Requirement: An agreement shall specify the services which are to be considered as extra. Correction: Breakfast, lunch and PM snack provided added to agreement Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The agreement on file for Child #5 was observed not to have documentation of whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Corrected with *see emergency contract* Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

The agreement form on file for Child #3, Child #4 and Child #5 was observed not to have documentation of the child's arrival time. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Corrected with open and closing time of center (620-6) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In the toddler room it was observed that rest mats were showing signs of tearing on the folds of the rest mats. Requirement: 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. Correction: Replacement mats sent, other mats fixed/replaced Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the Kid Zone, it was observed a torn netting on the gym equipment and foam blocks with bite marks. In the preschool room it was observed a wooden toy bed was cracked and splintered. Requirement: 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. Correction: Kidzone replacement piece netting ordered Bitten toys thrown out Wooden doll house thrown out while DHS on site Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

In the preschool bathroom, it was observed that a hand-washing sign was not posted at the toilet and sink. Requirement: 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. Correction: All signs placed in bathroom of preschool (blue bathroom) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In the Kid Zone room, it was observed cleaners marked "Keep out of Reach of Children" in an unlocked cupboard accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: A white safety lock was added to the cupboard. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The file for staff #1, staff #3, staff #6, staff #7, staff #9, staff #10, staff #12, staff #13, staff #14, staff #15, staff #17 did not complete pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Requirement: 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. Correction: The facility had a delay in scheduling a PQAS trainer and completed the certification on 2/6/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The State Police clearance and Child Abuse clearance on file for staff #14 was over 60 months. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Facility Person #14 may not work in a child care position at the facility. Correction: The Clearances for Staff # 14 were done and placed in the electronic file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The file for staff #1, staff # 3, staff #6, staff #7, staff #9, staff #10, staff #12, staff # 13, staff #14, staff #15, staff #16 and staff #17 showed e documentation of a written evaluation being done more than a 12-month period. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: The staff performance reviews have been completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

It was observed in the preschool room and the Kids Zone that a protective receptacle covers were not placed in the electrical outlets on the day of inspection. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective receptacles were replaced on the day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the preschool room, it was observed cracked magnetic blocks. Requirement: 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. Correction: Magnetic blocks were thrown away during time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The file for Child #2 was observed not to contain the emergency contacts home telephone number of enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contact telephone number was added to the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

It was observed in the infant room a diaper cream that did not identify the name of the child for whom it was intended. Requirement: 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. Correction: The name was added to the diaper cream to identify what child it was to be used for. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

It was observed in the young toddler room an expired bottle of Tylenol in the locked medicine cupboard. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Teachers gave the expired Tylenol to the parent at the end of the day. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3270.192(2)(ii))

The file for Staff #8 did not have documentation of education. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Proof of education was given to facility for Staff #8. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health assessment, TB test (3270.192(3))

The file for Staff #1 and Staff #3 did not have documentation of updated health assessments. Requirement: 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. Correction: Staff # 3 had a Health Assessment done on 1/29/25. Staff #1 had a health assessment done on 4/22/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Exemption documentation from health professional (3270.131(e)(2)(i)/3270.131(e)(2)(ii))

A written, signed, and dated exemption from immunization for religious belief or strong personal objection equated to a religious belief was observed not to be in the file of Child #1 Requirement: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record. Correction: The facility obtained the exemption letter from the parent on 3/7/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).