CATHOLIC YOUTH CENTER DAY CARE

General Health and Safety (3270.21)

On 03/26/26, a facility vehicle driven by facility person #1 was involved in an accident while transporting children. Facility person #1 was issued traffic citations for the accident after failing to stop at a stop sign and/or failing to yield to a vehicle after stopping at a stop sign. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Staff #1 resigned from their position immediately. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant/Toddler Stimulation/Supervised at all times (3270.112/3270.113(a))

On 3/9/26, the facility self-reported that, on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Child #1 was observed on the video fighting with a peer over a toy with no intervention by staff #1. It was further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 returned to her phone and did not attend to child #1. Staff #1 was brought to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance. Requirement: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. 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: Staff #1 was terminated immediately on 3/9/26. The CYC has a zero-tolerance policy with no deviations related to the supervision and care of children in childcare. Parents were notified. The director conducted one-on-one trainings with all current staff on how to supervise and handle all children with care. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

On 3/9/26, the facility self-reported that on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 was brough to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Staff #1 was terminated immediately on 3/9/26. The CYC has a zero-tolerance policy with no deviations related to the supervision and care of children in childcare. Parents were notified. The director conducted one-on-one trainings with all current staff on how to supervise and handle all children with care. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

The inspector observed a child in the infant room in a Bumbo baby seat that was not strapped in as is required. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: The child was immediately strapped in. Furniture will be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Indoor pool inaccessible (3270.115(a)(4))

On 1/6/26 the inspector observed a door to the pool to be propped open with pool noodle and accessible to children. Requirement: An indoor swimming pool which is not in use shall be made inaccessible to children. TIEREDLIS: 1. An indoor swimming pool which is not in use shall be made inaccessible to children. This portion of the plan must have an immediate correction date. 2. The director must develop and implement a detailed plan that will ensure that the pool is made inaccessible to children at all times. The plan should outline actions the facility will take against staff who violate this plan. This plan must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once it is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons review the plan and sign off on the plan as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the plan. Correction: 1. When the indoor swimming pool is not in use will be made inaccessible to children. 1/6/26. 2.The director will develop and implement a detailed plan that will ensure that the pool is made inaccessible to children at all times. The plan will outline actions the facility will take against staff who violate this plan. This plan will be submitted to the DHS Northeast Regional Office prior to implementation for approval and will ensure all staff and facility persons review the plan and sign off on the plan as well as all new hires moving forward. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety/Building Surfaces (3270.21/3270.76)

On 1/6/26 the inspector observed the ceiling on the third floor to have a leak as evidenced by drip marks and an 18-gallon tote filled with water collected from the leak accessible to children. The inspector was informed that the tote was placed under the ceiling leak to catch the water. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. 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 leak to the roof was repaired on 12/16/25 with a water diverter installed in the rafters. Water is directed into a container in the storage room. The invoice confirms the installation of the diverter is attached to this report. The plastic container was inadvertently left in the hallway when emptying. The staff was instructed to never leave the container in the hallway. It must be brought to the first floor, emptied, and returned to the storage room. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 1/6/26 a supervision check was conducted in the toddler room (Tiny Tots) the inspector observed eleven older toddlers with staff #1 and #2. When asked to name the children they were responsible for staff #1 named and pointed to four toddlers. Staff #2 was also asked and pointed to and named three toddlers leaving four older toddlers unaccounted for. 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. TIERED LIS: 1.Children must be supervised at all times. The correction date for this must be immediate. 2. The facility director shall make a revision to the existing child supervision policy to include a tangible means to ensure that children remain assigned to staff. This tangible means of ensuring supervision must be able to be portable, easy to part out, either in total or individually to other staff. This revision will ensure that all children are accounted for and supervised by staff at all times. This revision must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this revision is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons are trained and sign off on the revision as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the revision as well as time to train staff on the revision. Correction: 1. Children will be supervised at all times. Correction 1/6/26. 2. The director will revise the current existing child supervision policy. Director will make portable name cards with each child's information and picture. This will be transferred to staff members during all transitions. Correction date 2/15/26. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

During the course of the unannounced complaint investigation, it was determined that the facility did not provide an accident report to the parent of child #1 on 9/17/25, the date of the accident or afterwards. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: The original report shall be given to the parent on the day of the incident. Parents shall sign the form which will be then placed in the Child Care Director's mailbox with a copy provided to the Executive Director. If a parent refuses to sign the form, it will be noted on the form prior to being given to the Child Care Director. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #3, and #5, and found that all three staff have had direct contact with children and were missing the required Health and Safety training. Staff #11 completed the required pre-service training (see LIS Code Sheet), Health and Safety training over the 90 daytime frame allotted since hire. Staff #6, #7, #8, #9, #10, and #11 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Requirement: 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff persons #2. #3, and #5 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff persons #2 #3 and #5, staff persons #2, #3, and #5 may not work in childcare positions at the facility. Correction: Staff #2, #3, and #5 will take the PA required Health and Safety for Center-group childcare part 1 and part 2 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the course of the unannounced renewal inspection the inspector observed the files for staff #1, #2, #3, #5 and none had proof of having had fire safety training. Staff #11 did not update their fire safety training annually with the previous fire safety training having been dated 3/16/24 and the most current dated 4/7/25. Requirement: 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. Correction: Staff #1, #2 #3, have completed the required PA Fire safety training as of 10/01/25. Staff #11 will keep their fire safety current. The fire safety was not turned in for staff #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #4, and #5 and noted that all three did not have any proof of having any Pediatric 1st Aid and CPR and have direct care with children. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1). Until such time as the required training has been completed, staff persons #2, #4, and #5 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 #2, #4 and #5, staff persons #2, #4 and #5may not work in a child-care position at the facility. Correction: Staff #2, #4, and #5 will take the required PA Pediatric 1st aid and CPR or face suspension. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

During the course of the unannounced renewal inspection the inspector observed five bottles of Equate hand sanitizer in the first-grade classroom sitting out on a table and in reach of 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: Sanitizer will be kept out of reach of children at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

During the course of the unannounced renewal inspection the inspector observed mouse droppings on the floor in the and around the equipment in the kitchen area. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: Contacted our exterminator to increase efforts to control presence of rodents in the building. Met with staff to review daily cleaning requirements. Purchased a portable vacuum to use daily to remove any droppings. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Above ground window opening restricted to 6" (3270.72(d))

During the course of the unannounced renewal inspection the inspector observed the windows on the third floor (Preschool Prep) to be opened over six inches. Requirement: 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. Correction: All windows in rooms have screws set at exactly 6 inches above the top of the window preventing the window from opening past 6 inches. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

In child care spaces (3270.75(a))

During the course of the unannounced renewal inspection the inspector observed that the entire first aid kit in the concession area was missing. Requirement: A first-aid kit shall be in a child care space. Correction: A fully equipped first aid kit will be put in the concession area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

During the course of the unannounced renewal inspection the inspector observed the first aid kit in the red gym to be missing band aids and soap. Two of the vans used for transportation were missing water and soap. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: All first aid kits will have band aids, soap, water, and the required components inside of them. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The inspector observed two large holes in the wall in the preschool prep classroom, evidence of leaking in the kinder tots bathroom as well as missing ceiling tiles, ripped carpeting in the kindergarten classroom, the metal screen in the bathroom on the main floor to be sharp and peeling from the door. The inspector also observed exposed bolts and broken aluminum twist ties on the fencing for the outdoor play area as well as two broken benches and lifted and broken macadam in the fenced play area. 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: Leak repaired, ceiling tile replaced. Carpet will be repaired. Replaced metal screen on bathroom door on 9/16/25. Fence ties placed on exposed bolts and broken aluminum on fencing, done on 10/1/25. One broken bench will be removed. Others repaired with planks from the bench removed. Macadam repaired on 9/6/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the course of the unannounced renewal inspection the inspector observed chipped paint in the main hallway, 1st grade classroom bathroom, kindergarten classroom, kinder tot classroom bathroom and cubby area, preschool classroom and bathroom, preschool prep classroom, and lunchroom. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: All childcare rooms are being painted. As of 10/5. Third floor, basement, and lunchroom are completed. Second floor will be completed by 10/12. Any peeling paint has been removed and temporarily covered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

During the course of the unannounced renewal inspection the inspector observed the finger/pinch guards on the doors in the facility to be falling off and in disrepair. 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: Finger/pinched guards on doors in the facility will be replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

During the course of the unannounced renewal inspection the inspector observed torn cushions on a couch in the lunchroom as well as ripped folding chairs in the concession area. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Torn cushions on couch will be repaired. Ripped folding chairs are thrown away in the trash. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

During the course of the unannounced renewal inspection the inspector found that thermometers were missing from the kinder tots classroom and preschool prep classroom. Requirement: 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. Correction: Refrigerator thermometer was put in the refrigerator 9/17/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No styrofoam (3270.108(c))

During the course of the unannounced renewal inspection the inspector found that the facility was using Styrofoam for food service. Requirement: Styrofoam cups and plates may not be used. Correction: Styrofoam for food services will not be used anymore. Plastics will be ordered for food service. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the course of the unannounced renewal inspection supervision checks were conducted. The inspector asked staff # 12 to point to and name each child they were assigned to. Staff #12 could not identify the children they were responsible for during this time. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2.The legal entity must arrange for staff #12 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. The operator shall provide a date for when this training is completed. Correction: 1.Children will be supervised at all times. Correction date 9/17/25 2. Staff #12 will take 3 hours of supervision training on better kids care. Supervision: Teamwork, Supervision: Counting kids, Supervision: What's required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

During the course of the unannounced renewal inspection the inspector observed the file for child #5 and found that a fee agreement was missing. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: Child #5 has a fee agreement in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the course of the unannounced renewal inspection the inspector observed the files for child #1 and #6 and found that there were both missing release persons designated on the agreement forms as are required. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Child #1 and child #6 will have released person designated on the agreement forms as are required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).