MON VALLEY YMCA

2025

1. Medium risk7/15/2025

   General Health and Safety/Health and Safety Training (3270.21/3270.31(f))

   Staff #14 has Health and Safety training dated 2/23/25, which is more than 90 days after their date of hire (see LIS code sheet). Staff persons #10, #17, #19, #23, and #25 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #10, #17, #19, #23, and #25 will have until 8/25/25 to complete the required training. Until such time as the required training has been completed, staff persons, #10, #17, #19, #23, and #25 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 persons #10, #17, #19, #23, and #25, staff persons #10, #17, #19, #23, and #25 may not work in a child-care position at the facility. Correction: Provider will ensure staff complete trainings in the 90 day window. Staff persons needing the training will complete it by 10/6/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/6/2025
2. Medium-High risk7/15/2025

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

   Staff #2, #3, #11, #19, and #20 did not renew their certification in pediatric first aid and CPR on or before the expiration of the previous certification. Staff #2 had previous training 8/22 and current 10/1/24; Staff #3 had previous training 6/1/23 and current 6/5/25; Staff #11 had previous training 7/22 and current 10/1/24; Staff #19 had previous training 6/7/22 and current 10/1/24. Staff #20 had previous training 7/22 and 10/1/24. 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: Provider will ensure staff receive proper CPR training before their certification expires in the future. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/25/2025
3. Medium-High risk7/15/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   Staff #10 does not have annual fire safety training. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Correction: Staff #10 will complete annual fire safety training by 8/25/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/19/2025
4. Medium-High risk7/15/2025

   Comply with CPSL (3270.32(a))

   The current State Police clearance for staff #3 is dated 6/20/23, which is more than 60 months after the previous State Police clearance dated 4/12/18. The current Child Abuse clearance for staff #3 is dated 6/27/23, which is more than 60 months after the previous Child Abuse clearance dated 4/20/18. The current DHS FBI clearance for staff #3 is dated 3/8/24, which is more than 60 months after the previous DHS FBI clearance dated 11/19/18. The current NSOR clearance for staff #4 is dated 6/27/25, which is more than 60 months after the previous NSOR clearance dated 4/24/20. The current NSOR clearance for staff #5 is dated 7/1/25, which is more than 60 months after the previous NSOR clearance dated 3/24/20. The current NSOR for staff #7 is dated 6/27/25, which is more than 60 months after the previous NSOR clearance dated 4/3/20. The current NSOR for staff #8 is dated 6/28/25, which is more than 60 months after the previous NSOR clearance dated 4/3/20. The current Child Abuse Clearance for staff #11 is dated 2/23/25, which is more than 60 months after the previous Child Abuse clearance dated 9/5/19. The current DHS FBI clearance for staff #11 is dated 2/27/25, which is more than 60 months after the previous DHS FBI clearance dated 9/4/19. The current State Police clearance for staff #12 is dated 2/20/24, which is more than 60 months after the previous State Police clearance dated 2/15/29. The current DHS FBI clearance for staff #12 is dated 2/20/24, which is more than 60 months after the previous DHS FBI clearance dated 2/15/19. The NSOR clearance for staff #12 is dated 6/27/25, which is more than 60 months after the previous NSOR clearance dated 4/24/20. The current State Police clearance for staff #13 is dated 5/15/25, which is more than 60 months after the previous State Police clearance dated 4/25/20. The current NSOR clearance for staff #9 is dated 7/2/25, which is more than 60 months after the previous NSOR clearance dated 3/4/20. The current NSOR for staff #10 is dated 2/22/24, which is after their date of hire (see LIS code sheet). Staff person #6 has DHS FBI clearance dated 6/5/20, which is more than 60 months ago. The current mandated reporter training for staff #9 is dated 6/12/23, which is more than 60 months after the previous mandated reporter training dated 6/10/18. The current mandated reporter training for staff #22 is dated 3/27/25, which is more than 60 months after the previous mandated reporter training dated 3/26/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . Facility Person #6 may not work in a child care position at the facility. Correction: Staff #6 will complete and turn in the proper FBI clearance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/25/2025
5. Medium risk7/15/2025

   Staff evaluations (3270.34(a)(6))

   Annual evaluations were not present for staff #19 and #23. Staff #20 had one evaluation dated 10/2/23, which is more than 12 months ago. Staff #13 and #25 have current evaluations dated 10/1/24, which is more than 12 months after the previous evaluations dated 9/22/23. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Provider will complete annual evaluations for all staff that need one. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/25/2025
6. Medium risk7/15/2025

   Protective Outlet Covers 5 yrs. or less (3270.65)

   An outlet on the far wall of the gym lacked a protective receptacle cover. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Outlet cover was placed at the time of renewal inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/15/2025
7. Medium-High risk7/15/2025

   Original container (3270.66(b))

   An unlabeled spray bottle containing liquid was observed hanging from a shelf above the sink in the kitchen area of Room 5. 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: Staff labeled the bottle at the time of renewal inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/16/2025
8. Medium-High risk7/15/2025

   Building Surfaces (3270.76)

   An exposed bolt was observed on the toilet in the bathroom in Room 2. 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: The exposed toilet bolt was covered at the time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/16/2025
9. Medium risk7/15/2025

   Handwashing signs (3270.82(h))

   Handwashing signs were not present in the following areas: The sink in the kitchen area of Room 5, the sink by the diapering area in the infant room, and toilet stalls 1 and 4 in the women's bathroom at the entrance of the facility. 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: Handwashing signs were placed in all spots that were lacking them. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/16/2025
10. Medium risk7/15/2025

    Stairs, exits, etc. unobstructed (3270.91(a))

    In the infant room (Room 6), a crib was blocking the farthest door on the right that exits into the hallway. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: Crib was moved so that it was no longer blocking exit at the time of renewal inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/16/2025
11. Medium-High risk7/15/2025

    Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

    The agreements for child #1 and child #6 did not include the date of admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Provider will have the parents of the children update their emergency contacts, with the correct information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
12. Medium-High risk7/15/2025

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

    The emergency contact information for child #3 does not include the name, address, or telephone number of the child's physician or source of medical care. The emergency contact information for child #4 does not include the address or phone number of the child's physician or source of medical care. The emergency contact information for child #6 does not include the telephone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Provider will have the parents of the children update their emergency contact form to include all required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
13. Medium-High risk7/15/2025

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

    The emergency contact information for child #2 and child #3 does not include the enrolling parent's work address or work phone number. The emergency contact information for child $4 does not include the enrolling parent's work address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Provider will have the parents of the children update their emergency contact information to include all required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
14. Medium-High risk7/15/2025

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

    The emergency contact information for child #3 does not include information on the child's special needs or disability. 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: Provider will have the parents of the children update their emergency contacts forms to include all required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
15. Medium-High risk7/15/2025

    Insurance coverage information (3270.124(b)(6))

    The emergency contact information for child #2 does not include the child's health insurance policy number. The emergency contact information for child #3 and child #6 does not include the health insurance coverage or policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Provider will have the parents of the children update their emergency contact forms to include all required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
16. Medium-High risk7/15/2025

    Name/address/phone release person (3270.124(b)(7))

    The emergency contact information for child #2 does not include the address for the release person. Requirement: 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. Correction: Provider will have the parents of the children update their emergency contact forms to include all required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
17. Medium-High risk7/15/2025

    Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

    The emergency contact information and fee agreements for child #2, child #3, child #4, and child #5 were not reviewed, updated, and signed once in a 6-month period. Requirement: 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. 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. Correction: Provide will have families review and update children's emergency contact form and fee agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
18. Medium-High risk7/15/2025

    Original label (3270.133(5))

    An Albuterol Sulfate inhaler belonging to child #7 and stored in the locked medication box in Room 1 was expired. The expiration date was 2/8/25. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Provider removed the expired inhaler from the room and returned it to the family. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/16/2025
19. Medium-High riskStandard 127/15/2025

    12 months prior to service and every 24 months thereafter (3270.151(a))

    The current health assessment for staff #1 is dated 6/17/23, which is more than 24 months ago. The current health assessment for staff #6 is dated 3/16/23, which is more than 24 months ago. The current health assessment for staff #15 is dated 6/22/23, which is more than 24 months ago. The health assessment for staff #14 is dated 3/5/25, which is after the date of hire (see LIS code sheet). The current health assessment for staff #18 is dated 4/28/25, which is more than 24 months after the previous health assessment dated 12/14/22. The current health assessment for staff #16 is dated 11/4/24, which is more than 24 months after the previous health assessment dated 6/10/22. The health assessment for staff #17 is dated 9/24/24, which is after the date they began providing initial service in a child care setting (see LIS code sheet). The health assessment for staff #10 is dated 12/21/23, which is after the date they began providing initial service in a child care setting (see LIS code sheet). Requirement: 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. Correction: Staff 1, 6, and 15 will complete and turn in their health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/6/2025
20. Medium-High risk7/15/2025

    Mantoux TB (3270.151(c)(2))

    The tuberculosis screening for staff #10 is dated 12/11/23, which is after the date of hire (see LIS code sheet). The tuberculosis screening for staff #14 is dated 3/5/25, which is after the date of hire (see LIS code sheet). 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. Correction: Staff #10 and #14 have documentation of negative tuberculosis tests on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
21. Medium-High risk7/15/2025

    Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

    Staff person #21 has pediatric first aid and CPR training dated 10/21/24, which is more than 90 days after their date of hire (see LIS code sheet). Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff person #21 has current CPR training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025
22. Medium risk7/15/2025

    Health information (3270.131(a))

    The initial health assessment for child #3 is dated 2/20/23, which is more than 60 days after the child's date of admission (see LIS code sheet). Requirement: 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. Correction: Provider will ensure that all children submit a health assessment within 60 days of enrollment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/25/2025