YMCA OF GREATER PGH/SAMPSON FAMILY YMCA CDC

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The file for staff #1 contained fire safety training documentation dated more than 12 months apart; 6/11/24 and 7/03/25. Current training is now on file. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Fire Safety was completed upon inspection but late. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff #2 contained a child abuse clearance which was not renewed within 60 months. The previous clearance was dated 6/18/20 and was renewed on 6/20/25. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Correction: Child Abuse Clearance was completed but late. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

An ant bait station was observed to be accessible to children on the floor in the vestibule leading to the outdoor toddler play space. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: This was corrected during the actual inspection. It was immediately discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

A handwashing sign was not posted at a sink in the young toddler room. 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: This was corrected during the inspection. A handwashing sign was posted immediately above the sink. I will send a picture as proof through email. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

Two containers of Nystatin, which lacked written parental consent for administration, were observed in the young toddler room. The medications were labeled for child #1 and #2. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: One container was sent home with the one child's parent. The other one, a signed consent was obtained. I will send a picture through email as proof. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

In the young toddler room, after being diapered, Staff #3 was observed allowing a child to return to an activity without washing their hands. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: We will review diaper and handwashing policy with all employees.The staff member read the diapering policy and was told the proper procedure.They completed it correctly the second time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked cabinet (3270.183(a))

Child records in the preschool and young toddler rooms were not stored in locked cabinets. The files were stored in cabinets equipped with child proof devices, but not locked with a key. Requirement: Child records are confidential and shall be stored in a locked cabinet. Correction: This was completed during inspection. The records were immediately relocated to a different cabinet that locks with a key, and they were locked in. A video was texted to the cert rep to show this correction. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

In the young toddler room, Staff #3 was observed placing a soiled diaper directly on the changing table before placing the diaper into the trash. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: This was corrected during the inspection. The staff member read the diapering policy and was told the proper procedure. They completed it correctly the second time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

The hands-free can in the OT restroom was not functional. The pedal did not work and the main exterior lid was stuck in the open position. Smeared feces was observed on the inner lid. Soiled pullups were observed in the can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: The diaper pail was immediately removed and thrown out. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

Six electrical outlets on a power strip in the preschool room lacked protective covers. The power strip was plugged in at the time of the observation and was accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: The power strip was removed and put away immediately. The television will be relocated to an area where it will not require a power strip. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

A spray bottle labeled disinfectant was accessible to children in a changing table in the PS restroom. The appliance lock used to limit access to the cupboard was broken. Three Swiffer Wet-Jet mops, with the solution canisters still attached, were accessible to children in the PS, OT, and YT rooms. In the OT room, the canister was leaking which left a puddle of cleaning solution on the floor near the sink. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: All items (swiffer wet jets and the spray bottle) were immediately removed from the classroom and locked way in the storage closet. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A divider wall in the PS restroom was observed to be loose creating pinch points. A thorned weed was observed in the sandbox in the outdoor play space. 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 thorned weed in the sandbox was immediately removed. The divider wall in the restroom was tightened, which eliminated the pinch point. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair/Small Toys and Objects (3270.102(a)/3270.103)

Torn seams, which exposed the inner foam filling, were observed on 6 nap mats; 4 in the PS room, 1 in the OT room, and 1 in the YT room. 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: All mats were immediately removed and replaced with mats that did not have any open seams. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff #1 contained an incomplete state police clearance. The clearance did not include the dissemination date. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Staff #1 may not work in a child care position at the facility. Correction: Director obtained and sent in a new copy of the clearance which showed the dissemination date. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arts and crafts non-toxic (3270.66(e))

Two cans on shaving foam, labeled keep out of reach of children, were observed under the sink in the PS room. Based on statements made by staff, the shaving foam is used with children during art projects. Requirement: Arts and crafts materials shall be nontoxic. Correction: The two cans of shaving cream were thrown away into the trash can. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Multiple stained ceiling tiles were observed including 4 in the hall, 3 in the PS room and 1 in the YT room. In the outdoor toddler playground, two sharp metal corners were observed on the trim on the facility wall, 1 near the door and 1 near the storage area for push toys. In the large fenced outdoor play area, branches with thorn were observed protruding through the fence into the play space and were accessible to children. Two broken hinges were observed on lower cabinets in the OT room. One broken hinge was observed on a lower cabinet in the infant room. 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 maintenance staff painted all of the stained ceiling tiles, trimmed back the thorn branches that were coming through the fence, filed down the sharp metal corners on the toddler playground trim, and adjusted and re-screwed in the cabinet doors in the classrooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The agreement for child #2 was not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: The agreement was signed by the operator. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The agreements for children #1 and #4 did not specify the amount of the fee to be charged. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The fee amounts were written in on the paperwork. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for child #2 did not include a complete work address for the enrolling parent and lacked the enrolling parent's work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The parent's work information was received from the parent and filled in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for child #3 did not include the phone numbers for the individuals designated by the parent to whom the child may be released. 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: The phone numbers were added to the form that were missing. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.133(1))

Diaper cream, which was not in the original container, was observed in the infant room. The cream was labeled for child #5. Requirement: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Correction: The cream was given back to the parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

An unopened box of Children's Zrytec, which was not labeled with the name of the child it was intended for, was observed in the infant room. 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 child's name was written on the box of Zyrtec before the inspector left the room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

Two containers of yogurt were observed in a lunch box sitting on top of the cubbies in the preschool room. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: The child in question, had just gotten dropped off, so the lunchbox was placed in the fridge after discovering that it was not dropped off in the fridge that day, like it typically was. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written record (3270.94(a)(9))

Based on the facility's fire drill log, names of participating facility persons have not been recorded with each drill. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Correction: The initials of the staff who were present for the last fire drill will be recorded, and going forward all staff initials will be written down in the log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

Based on the facility's log of the 30 day tests of the fire alarm system, consecutive tests dated 6/18/24 and 7/24/24 were conducted more than 30 days apart. Requirement: 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. Correction: Fire alarm drills have been done every 30 days (or before) since 7/24/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).