YMCA DAY CARE

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

On 4/13/26 an unannounced inspection occurred. A physical site and review of staff files conducted. Staff #1 was working in a child care role at the time of this inspection and the file indicated the need for this staff to have obtained out-of-state clearances. The CPSL requires staff to have obtained out-of-state clearances prior to working in a child care role at the facility. 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 #1may not work in a child care position with direct contact and routine interaction with children at the facility until all required clearances are obtained and on file at the facility. Correction: Staff #1 will be removed from direct and routine interaction with children. Staff #1 will apply for the needed clearances and will not return to a child care role until all clearances have been received and Staff #1 is cleared to work in a child care role. Staff #1 received the MSOR on 4/13/26 and the MCORI on 4/13/26. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Ounce Scale (child service report) dated 5/26/2025 on file for child #3 was not signed by the child's parent/guardian. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: Child #3 Ounce Scale Child Service Report dated 5/26/2025 form has been signed and placed in the child's file. The oversight occurred because the unsigned Ounce Scale report was not returned to the Floor manager after the initial review. All current Ounce reports have now been checked to ensure they contain the required parent/guardian signature Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The review indicated that the fire safety training in the following staff files had not been updated within the required 12-month timeframe. Staff person #6: Fire safety training certificates in file dated 8/2/2024 and 9/26/2025. Staff person #8: Fire safety training certificates in file dated 12/12/2023 and 1/3/2025. Staff person #11: Fire safety training certificates in file dated 1/14/2024 and 10/13/2025. 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: All staff (Staff #6, #8, and #11) have completed their Fire Safety Training, and updated certificates have been placed in their personnel files. The Director has verified that each file now contains the current documentation required by DHS. Fire Safety Training will now be scheduled for the same month every year. This ensures all staff are trained within the DHS-required 12-month window and reduces the risk of late renewals. New staff will not start until they have thier fire safety completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff person #3 has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum). Requirement: 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 has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff person #3 will be enrolled in a PQAS-approved Pediatric First Aid and CPR training by childcare Director The staff member will be supervised by a fully qualified AGS at all times until the PQAS-approved certification is completed. Proof of enrollment, attendance, and the new certificate will be placed in the staff file and sent to DHS rep Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff person #1: File for staff person #1 did not contain NSOR verification and had a Department of Education FBI clearance dated 8/28/2025, which is not acceptable. See LIS code sheet for date of hire. Staff person #3: Verification sheets on file for staff person #3 indicate that they have resided in Florida within the past 5 years and out-of-state clearances were not on file. Staff person #12: PSP clearances on file dated 9/13/2020 and 10/21/2025, which is past 60 months. Staff person #13: NSOR verifications on file dated 11/4/2020 and 11/5/2025, which is past 60 months; 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 person #1 may not work in a child care position at the facility until acceptable NSOR and DHS FBI clearances are on file. Staff person #3 may not work in a child care position at the facility until acceptable out-of-state clearances are on file. Correction: Staff persons #1 and #3 have been removed from all childcare duties. Both staff members have been instructed to complete the required NSOR, DHS FBI, and out-of-state clearances within 24--48 hours. Proof of submission will be printed and placed in each staff file, copies will be sent to DHS Rep Staff person #3 has received out of state clearance DHS rep reviewed give the ok for staff to return to work, Staff #1 has received FBI but is waiting on NSOR to return to work Staff persons #12 and #13 have already requested updated PSP and NSOR clearances. staff person #12 has received her PSP and it was placed in file. Staff person #13 has requested the clearances once received, document will be filed immediately, and sent to DHS rep Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bachelor's, 30 credits + 1 yrs (3270.35(b)(2))

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. File for staff person #4 contains a bachelor's degree; however, the degree does not list what it was for. There are no transcripts on file. Staff person #4 is listed as a group supervisor. Requirement: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Correction: Staff person #4 has already requested her official college transcripts. Once received, the transcripts will be placed in her personnel file and sent to DHS rep · The degree major · the required 30 ECE-related credit hours · eligibility for the Group Supervisor position. Until the documentation is received and reviewed to be deemed eligible for group supervisor, the employee will be utilized as an AGS. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

A renewal inspection was conducted on 11/18/2025. At that time, an uncovered electrical outlet was observed in the Pre-K 3 room. Outlet 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 uncovered electrical outlet in the Pre-K 3 room was immediately covered with a protective receptacle cover as soon as it was identified during inspection. The outlet is now fully compliant and safe for children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

A renewal inspection was conducted on 11/18/2025. At that time, an unlabeled bottle containing cleaning agent was observed in the Pre-K 4 room. 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 bottle in the Pre-K 4 room was properly labeled with its contents. Staff were reminded that all cleaning agents must be in their original container or clearly labeled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

In child care spaces (3270.75(a))

A renewal inspection was conducted on 11/18/2025. At that time, there was not a first-aid kit in SA - 3rd Floor Room 4. Requirement: A first-aid kit shall be in a child care space. Correction: A complete first-aid kit was placed in SA 3rd Floor Room 4. The kit is always now fully stocked and accessible to staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces/No peeling paint or plaster (3270.76/3270.77(a))

A renewal inspection was conducted on 11/18/2025. At that time, peeling paint was observed in the older toddler room. Additionally, a hole in the wall was observed in the school-age 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The peeling paint in the older toddler room and the hole in the school-age room were immediately reported to the maintenance department. Maintenance repaired the damaged wall, patched the hole, and repainted the areas to ensure all surfaces are smooth, safe, and in good condition. The Director verified the repairs and confirmed that no additional hazards are present. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Fee agreements for child #4, child #5, child #6, child #7, and child #8 were not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: The Director reviewed the children's files immediately on 11/18/2025 and signed the fee agreements for child #4, child #5, child #6, child #7, and child #8 the same day the issue was identified during the DHS inspection. The lack of signatures occurred because the enrollment specialist did not provide the completed forms to the Director for final signature. All agreements are now fully signed and up to date, and copies have been placed in each child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Emergency contact form on file for child #2 did not contain mother's work telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The parent of child #2 has updated the emergency contact form to include the mother's telephone number. The corrected form has been placed in the child's file, and the information in the emergency binder has also been updated. The Floor Manger reviewed all other children's emergency contact forms to ensure they are complete and contain required addresses and phone numbers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. At that time, immunization summary on file for child #1 received 2 of 3 doses of Hepatitis B vaccine, 1 of 3 does of the Rotavirus, DTaP, Pneumococcal, and HIB vaccines, and 1 of 2 doses of the IPV vaccine. There was no exemption on file. Child #1 is a young toddler. See LIS code sheet for DOB. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 11/18/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: After the inspection, the parents submitted the updated immunization records. The child had already received all required immunizations, but the updated shot records had not been provided to the Floor Manager prior to inspection. The updated immunization record is now on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed/Adult Hygiene (3270.134(a)/3270.152)

A renewal inspection was conducted on 11/18/2025. At that time, staff in both the infant and older toddler rooms were observed to diaper a child and not wash their own or the child's hands afterwards. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: Following the observation, staff completed a refresher on diapering and handwashing expectations. They acknowledged the requirement to wash their hands and the child's hands after every diaper change. Supervisors will monitor the diapering process to ensure the correction is being followed. Step-by-step instructions was posted at each diapering station to support compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The following staff health assessments were not updated within 24 months. Staff person #5: Health assessments on file are dated 6/7/2023 and 7/30/2025. Staff person #9: Health assessments on file are dated 6/28/2023 and 7/15/2025. Staff person #10: Health assessments on file are dated 9/15/2023 and 10/29/2025. Staff person #11: Health assessments on file are dated 3/14/2023 and 10/15/2025. Staff person #13: Health assessments on file are dated 11/29/2022 and 10/16/2025. 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: During the renewal inspection on 11/18/2025, it was identified that several staff health assessments were not updated within the required 24-month timeframe: · Staff #5: 6/7/2023 7/30/2025 · Staff #9: 6/28/2023 7/15/2025 · Staff #10: 9/15/2023 10/29/2025 · Staff #11: 3/14/2023 10/15/2025 · Staff #13: 11/29/2022 10/16/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Physician/CRNP assessment (3270.151(c)(3)/3270.151(c)(5))

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Health assessment on file for staff person #3 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff person #3 will obtain a new health assessment using the DHS-recommended Adult Health Assessment form, which includes the required examination for communicable diseases and the physician/CRNP's determination of suitability to work in child care. Once completed, the updated form confirming the individual is free of communicable diseases and suitable to provide carewill be placed in the staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

A renewal inspection was conducted 11/18/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #4: Signed parental consent for minor first-aid. Child #5 Signed parental consent for minor first-aid and emergency medical care. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: The parents of Child #4 and Child #5 were contacted on 11/18/2025, and child #5 completed and signed the required parental consent sections for minor first-aid and emergency medical care. Child #4 parent will sign on 12.11.25. The updated emergency contact form was placed in child's #5 files and will be sent to the DHS rep. Child #4 form will be put the child's file and sent to DHS rep as soon a parent fills and signs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/28/2025. Documentation of updated Pediatric first aid and CPR training is not on file. 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. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: The staff member successfully completed her Pediatric First Aid and CPR certification on February 28, 2025. However, the Childcare Director unintentionally overlooked placing the updated certification into the staff file. The certificate has now been added to the file to ensure full compliance with DHS requirements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The review indicated that the emergency plan training in the following staff files had not been updated within the required 12-month timeframe. Staff person #7: Emergency plan training certificates on file dated 6/10/2024 and 7/1/2025. Staff person #14: Emergency plan training certificates on file dated 2/20/2024 and 9/23/2025. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: · A mandatory training session will be scheduled within next 30 business days to review the center's Emergency Operations Plan, including evacuation, shelter-in-place, lockdown, fire, medical emergencies, and communication procedures. · All staff signatures, dates, and training verification forms will be collected and placed in each employee's personnel file and in the facility's Emergency Training Binder. · Any staff who are absent on the training date will receive one-on-one training before their next scheduled shift. · The Emergency Plan Training Log will be completed in full and maintained in the office. All childcare staff will receive Emergency Plan Training on the same designated date each year. Having one unified annual training date eliminates confusion, prevents staff from missing the training, and ensures that everyone receives the same information at the same time. This approach also makes it easier for the Director to track attendance, identify anyone who still needs the training, and maintain accurate documentation for DHS compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

A swim inspection was conducted on 7/18/2025. At that time, emergency contact forms were missing the following information: Child #1: Signed parental consent for emergency medical care and signed parental consent for minor first-aid. Child #2: Signed parental consent for minor first-aid. Child #3: Signed parental consent for emergency medical care and signed parental consent for minor first-aid. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: As of 7.21.25, parents /Guardians of the children have been contacted directly via phone, email, or in person to be notified of the missing consents. All completed forms with the necessary signed consents were collected by 7.21.25 and filed in each child's record. On 7.18.25, an audit of all active children's emergency contact forms was conducted to ensure no additional forms were missing consents. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

A swim inspection was conducted on 7/18/2025. At that time, an emergency contact form for child #4 was not present in the pool area while this child was swimming. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: On 7.18.25, missing emergency contact form was placed in the group's emergency bag during inspection. All staff were reminded that emergency contact forms must accompany children when they are not in the main classroom area. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conducted 11/20/2024, the following staff health assessments were not completed within 24 months: Staff person #1: Most recent health assessment on file is dated 3/31/2022. Staff person #2: Health assessments on file are dated 8/3/2021 and 10/5/2023. Staff person #3: Health assessments on file are dated 7/30/2021 and 10/5/2023. Staff person #5: Health assessments on file are dated 8/15/2022 and 11/5/2024. Staff person #6: Most recent health assessment on file is dated 7/20/2022. 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: Health assessments for staff person #1 and staff person #6 will be updated. Director will set up a an excel spreadsheet and maintain detailed information containing columns for staff name, health assessment initial dates and expiration dates. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information (3270.131(a))

During renewal inspection conducted 11/20/2024, initial health assessment was not on file for child #1. Child #1 has been attending for over 60 days (see LIS code sheet for date of admission). 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: Child's #1 initial health assessment was on site marked old file in filing cabinet. Initial health assessment was retrieved from old file and placed in current file. Child #1's initial health assessment was viewed by DHS rep on 11/20/24 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director ID (3270.24(f))

During renewal inspection conducted 11/20/2024, director's photo identification expired on 8/15/2024. Requirement: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection. Correction: Director will renew photo ID by 12/31/24. Copy of valid photo ID will be placed in director's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Information re: medical problems (3270.151(c)(3)/3270.151(c)(4))

During renewal inspection conducted on 11/20/2024, health assessment on file for staff person #4 does not include an examination for communicable diseases and the results of that examination or a statement that this person is able to provide adequate care to children. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Correction: Director had staff notify doctor about missing information on health assessment form, on 11/22/24 staff person #4 notified doctor about missing information on form. On 12/3/24 staff person #4 picked up filled in health assessment, director put staff #4's health assessment in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).