YORK DAY NURSERY

Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

Documentation of the TB test on file for staff member 1 was dated 3/23/23, which is more than one year from their start date at the facility. Requirement: 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. Correction: Staff was sent for an updated TB test Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

During a correction verification visit, it was observed that the staff members in Toddler 2 classroom could not name the children assigned to them in their primary care groups. Staff members in the Pre K 2 classroom, were dividing their primary care groups when certification representative asked them to name their primary care groups. Requirement: 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. Correction: All staff are required to attend a mandatory primary care card training and sign off on our new care card policy for staff supervision. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

During the time of inspection, it was observed that the school age first aid kit was on the floor. This was corrected during the inspection. Requirement: A first-aid kit must be inaccessible to children. Correction: The first aid kit was picked up off the floor and placed out of the reach of students. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

During the time of inspection, it was observed that cleaning supplies were accesible to children in the cafeteria/school age child care space. Vaseline was accessible to children in an unlocked drawer in the pre k 1 classroom. This was corrected during the inspection. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Vaseline was removed from the unlocked draw and was no longer accessible to children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

During the time of inspection, it was observed that there was a unlabeled spray bottle by the sink in the Pre K 1 classroom. This was corrected during the inspection. Requirement: 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. Correction: The unlabeled spray bottle in Pre K 1 was properly labeled Soap and Water during the inspection Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the time of inspection, it was observed that the baseboard by the sink in the pre k 1 classroom wasn't fastened to the wall. The bottom of the door frame around the shed in the nature playground was rotting out and had sharp edges. Requirement: 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. Correction: Our maintenance person was contact to fix the baseboard by the sink in the Pre K 1 classroom and to replace the frame of the nature center playground shed on/before Friday 8/15/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the time of inspection, it was observed that paint was peeling in the kitchen area in the infant classroom. Plaster around the sink in the pre k 1 classroom was coming off. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The wall in the infant room kitchen area will be repainted and free of peeling paint on/before Friday August 15, 2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

During the time of inspection, it was observed that a basket with pretend people and a basket with baby clothes were broken in the young toddler classroom. A basket was broken with cut up paper in the two year old classroom. A basked was cracked with animals and a basket was broken with manipulatives in the pre k 2 classroom. All broken/bins were removed during the inspection. 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: All broken bins were removed out of all classrooms during the inspection Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Medication log (3270.133(6)/3270.133(7))

Documentation of a medication log was not on file for child 1. The medication was administered to the child in March 2025 and July 2025. Requirement: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: Parents was provided with a new medication log to fill out and sign Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes. 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. 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 communication while supervising 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. Correction: All staff members will take a 2-hour training regarding communicating and teamwork while supervising and implement the ideas/suggestions learned in the training while supervising children. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).