MILTON YMCA DAY CARE

Consent for administration of minor first-aid required prior to admission (3270.182(5))

During the renewal inspection, the file for Child #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Received signed release on 10/8/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

During the renewal inspection, the file for Child #2 did not contain signed parental consent for emergency medical care for the child. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: Received the signed releases on 10/8/2025. 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))

During the renewal inspection, Staff #1 was on the other side of the classroom, near the windows, leaving Child #1 alone in the bathroom unsupervised. 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. 1. Children must be supervised at all times. 2. The legal entity must arrange to review the facility's supervision policy for Staff #1 and their co-teachers. Documentation shall be placed in staff files. 3. 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 being required to attend 3 separate supervision trainings. These trainings will ensure that all staff understand supervision and the DHS requirements of being able to see, hear, assess and direct children at all times. #1 Children will be supervised at all times, Staff will be able to See, Hear, Access, and Direct children at all times. #2 All staff will be attending supervision training by the ELRC on either 10/24, or 10/29 or a make-up session if necessary. #3 All staff will know who is in their primary group at all times by using the whiteboards in each room. Staff will be present with their primary group at all times and be able to see, hear, access, and direct all of the children in their primary group at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection, the following trainings/clearances were not updated within 60 months as required under the CPSL: 1. Mandated reporter training for Staff #5, dated 3/28/20, was not updated until 7/3/25. State Police Clearance for Staff #5, dated 5/4/20, was not updated until 7/10/25. Child Abuse Clearance, dated 5/8/20, was not updated until 7/12/25. FBI Clearance, dated 5/14/20, was not updated until 7/8/25; NSOR, dated 5/8/20, was not updated until 7/22/25. 2. NSOR for Staff #3, dated 11/6/19, was not updated until 1/8/25. 3. Child Abuse Clearance, for Staff #4, dated 6/23/20 was not updated until 7/7/25. NSOR dated 11/8/19 was not updated until 7/2/25. Requirement: The legal entity must arrange for the director to attend Existing Provider Orientation on January 15, 2026. 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: Director will attend the January 15th Existing Provider Orientation on January 15, 2026. Staff #3 updated NSOR on 1/8/25. Staff #4 updated child abuse clearance on 7/7/25, and NSOR on 7/2/25 Staff #5 updated mandated reporter on 7/3/25, state police clearance on 7/10/25, child abuse clearance on 7/12/25, and FBI clearance on 7/8/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection, the pediatric first aid/CPR expired on 7/6/25 and had not been renewed for Staff #2 and Staff #6. 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: Staff #2 and #6 received CPR first aid training on 10/10/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

During the investigation, it was verified that Staff #1 inappropriately disciplined Child #1 by forcibly lifting Child #1 and moving child to another location away from the classroom door. Requirement: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding managing caregiver stress and two hours of training on properly discipling children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Correction: All staff will take a training on managing big emotions through better kid care. Staff will demonstrate comprehension of the training by completing a worksheet. We created a behavior plan of action that is being distributed to all staff, they must sign that they received and understand the plan. Inspection: Complaints- Legal Location. 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))

During the investigation, it was verified through interviews and video footage that children were in the gym playing roughly for three minutes with no intervention or supervision by Staff #1 and Staff #2. This rough playing led to bruises on Child #1. 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. 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training by the ELRC regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. 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 will take two BKC trainings defining and thoroughly explaining adequate supervision. This will require that they hand in worksheets that outline best practices. All staff will also attend a live training on either 10/24 or 10/29. #1 Children will be supervised at all times, Staff will be able to See, Hear, Access, and Direct children at all times. #2 All staff will be attending supervision training by the ELRC on either 10/24, or 10/29 or a make-up session if necessary. #3 All staff will know who is in their primary group at all times by using the whiteboards in each room. Staff will be present with their primary group at all times and be able to see, hear, access, and direct all of the children in their primary group at all times Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection, the file for Child #1, Child #2 and Child #3 contained an emergency contact form, developed by the operator, that did not include the physician's address. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Physician's addresses were added to all emergency forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection, the mandated reporter training, for Staff #2, dated 2/20/19 was not updated until 7/8/24 which was not within 60 months as required under the CPSL. The state police clearance on file for Staff #3, was in "request still pending" status. 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: Staff member #2 completed her mandated reporter training 7/8/24. Staff #3 submitted her state police clearance again. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

During the renewal inspection, Staff #1 had not completed the following pre-service training within 90 days of hire: Pediatric First Aid and CPR. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff # 1 will have until 11/9/24 to complete the required training. Until such time as the required training is completed, Staff #1 must be supervised when interacting with children by an AGS or GS who has completed the required training related to this citation. Correction: Staff #1 completed her CPR/ 1st aid certification. It was submitted after the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).