YMCA OF CARBONDALE

Exp, educ., training prior to facility (3270.192(2)(ii))

On 4/29/26, an unannounced visit was conducted. Staff #2 & #3 were observed providing childcare. Staff #2's file did not contain verification of childcare experience. Staff 3's file did not contain proof of education. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: After the unannounced visit on 4/29/26 Cert Rep was sent staff #2 and staff #3 verification of childcare experience along with staff #3's proof of education by email on Thursday April 30, 2026. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 4/24/26, it was reported that a 1-year-old child eloped from the playground and was in the road. On 4/29/26, Cert Rep arrived at the facility. Through staff interviews it was found that staff #1-3 admitted that they were on all the playground and were unaware the child had eloped. Staff #1-3 stated that heard cars honking and looked over the fencing and saw the child in the middle of the road and the child was almost to the other side of the street. Staff reported that they were unable to get out of the playground gates due to them being both being locked. One was locked with a combination lock that staff could not open and the other was locked by a key. The director reported that the key to that lock was missing. Staff #1 ran inside the facility and out of the front doors and got the child from a person that had stopped their car and grabbed the child out of the road. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: Maintenance staff immediately changed both locks to the gates. In staff meeting 4-28-26 directors informed all staff about the change of locks along with where the keys will be kept. The double gate on the play yard & Gate that runs alongside the fence will be locked overnight. All locks will be open to both gates when the front desk staff opens the facility each day. The gates will remain unlocked during operating hours so if an emergency occurs the gates are open for all to exit. At the closing of the facility each night maintenance will relock the gates. All doors at both exits will remain unlocked at all times during operating hours. A staff meeting was held to inform early learning staff of the new locks and where the keys are on the premises. They were also informed that the doors will remain open at all operating hours. Inspection: Unannounced Monitoring. 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))

On 4/24/26, it was reported that a 1-year-old child eloped from the playground and was in the road. On 4/29/26, Cert Rep arrived at the facility. Through staff interviews it was found that staff #1-3 admitted that they were on all the playground and were unaware the child had eloped. Staff #1-3 stated that heard cars honking and looked over the fencing and saw the child in the middle of the road and the child was almost to the other side of the street. Staff reported that they were unable to get out of the playground gates due to them being locked and staff #1 ran inside the facility and out of the front doors and got the child from a person that had stopped their car and grabbed the child out of the road. 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. 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. For a period of 3 months, the facility shall have no occurrences of non-compliance related to supervision of children. The operator shall demonstrate compliance on unannounced visits over the next 3 months. (This portion of the plan shall be at a minimum of the next three months). 3. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 3 hours of PQAS-approved in-person training regarding supervision outside of child care hours. 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 shall be completed). Correction: While on facility premises and on excursions all staff will have their assigned children supervision cards in their lanyard pouches at all times. They will count and review cards to assure that all children are accounted for. White boards are used to keep supervision lists of all children to staff and numbers of children in all areas that children and staff engage. This is to maintain the whereabouts and names of the children assigned to their group. Staff will remain physically present with the children that are in their supervision group at all time in the facility or on a facility excursion. Staff will carry their supervision cards at all time and review them through out the day. Play yard Zoning maps were made for each classroom to ensure that all staff are assigned zones of supervision to keep staff accountable for specific areas of the play yard. The maps will be hung in the classrooms along with on the play yard. Strategic positioning will have staff spread out to eliminate blind spots, and to ensure all areas are in view through out the day. Staff will be actively engaged with children to guide behavior and support play. This will keep them engaged in learning and play to reduce risk-taking behavior. The procedure was set in place in the past and will continue to be enforced and reviewed will staff. Tier Lis- 1. 4/27/26: All staff are actively supervising all children at all times. Supervision cards- Staff will scan room/area to track all children to make sure all are accounted for & ratios will be maintained at all time. Staff scan, count, and name- to-face checks through out the day and transitions to ensure all children are supervised and accounted for. When arriving back to care on April 27, 2026 directors implemented a supervision check list to be performed in every classroom every ½ hr. All staff did 2 Better Kid Care supervision trainings, and directors held a man

Exp, educ., training prior to facility/Two written references (3270.192(2)(ii)/3270.192(5))

A renewal inspection was conducted 1/7/26-1/12/26. Staff #1 has one nonfamily reference on file. Staff #3, #7, #10, & #11, who are all listed as AGS's, staff files does not contain childcare experience. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff #1 updated their written reference on 1-8-26. A new non-family written reference was replaced on 1-8-26 and reviewed by DHS representee. All staff that are hired will be given an employment verification form for past employers to complete before they start working. Staff #3, #7, #10, & #11 will update their files with required childcare verification forms. Inspection: Renewal. 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))

A renewal inspection was conducted 1/7/26. The director acknowledged that a copy of accidents, injuries and illnesses reports are not kept in a facility file. 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 facility created a facility file for accident, illness, and injury forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

A renewal inspection was conducted 1/7/26-1/12/26. Staff person #10 does not have an initial health assessment on file and they did not receive their TB screening at initial hire. The TB screening on file is dated 11/24/25. The following staff did not update their health assessment every 24 months as required by regulation: Staff #8's current health assessment is dated 1/4/26 and previous is dated 3/27/23; Staff #12's current health assessment is dated 1/8/24 and previous is dated 6/2/19; & Staff #13's current health assessment is dated 1/3/25 and previous is dated 2/5/18. (See code sheet for DOH). 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. 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 completed a health assessment and document was added to staff file. All new staff will not be able to start their employment until we receive a current health assessment including tuberculosis screening. Directors will review staff health assessments and at monthly staff meetings will inform staff that are going to need updated health assessments. 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 1/7/26-1/12/26. Child #1's immunization record indicates the child has only three doses of DTAP vaccine and one dose of Hepatitis A vaccine and no exemption letter is in the child's file. This is not in accordance with the ACIP recommended schedule. 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 will be removed from care by close of business on 1/7/26 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter. Correction: Child number 1 was dismissed from care on 1-7-26. The child's parents took the child for required immunizations the morning of 1-8-26. Parents provided an updated immunization for the child's file with the required DTAP and Hepatitis A vaccine on 1-8-26. It was reviewed by DHS representee and child returned on 1-8-26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

A renewal inspection was conducted 1/7/26-1/12/26. Child #1 did not have a child service report completed every 6 months. This is evidenced by the child service report on file dated 10/22/24. 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: Staff will complete a child service report for child #1. Child reports will be completed for each child enrolled every 6 months on the DHS approved form. The information will be shared with the child's family at the time of conferences about their growth and development in the context of the services provided. A copy will be given to parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

A renewal inspection was conducted on 1/7/26. In the infant, ocean and train classrooms, Cert Rep observed during naptime that several children's cots, mats and cribs did not have 2 feet space on three sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: All classrooms will set up cot/cribs at rest time so there is at least 2 feet of space on all 3 sides while the rest equipment is in use. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Health and Safety Training (3270.31(e)(4)(i)/3270.31(f))

A renewal inspection was conducted 1/7/26-1/12/26. Staff person #4 has completed Pediatric first aid and CPR training within 90 days of hire, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. This is evidenced by the CPR on file, National CPR Foundation, dated 5/27/25. Staff #4 currently has an approved Pediatric first aid and CPR training on file dated 12/9/25. Staff person #2 did not complete 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 9/5/23 and the current is dated 10/14/25. 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. (PQAS) Pediatric first aid and CPR training. Correction: We hold our staff meeting the first Thursday of each month. At each monthly meeting we will review staff files to determine who is due to renew their CPR and First Aid certifications. Directors will ensure that staff complete the training before their current certification expires. All new hires we will ensure that they have PQAS approved Pediatric first aid and CPR within 90 days of hire. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

A renewal inspection was conducted 1/7/26-1/12/26. The following staff did not receive emergency plan training within 90 days of initial hire: Staff #4, 5, 6, 9, 10, 11, 14 & 15. 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: All staff will be trained and renew the Emergency Plan Training on 2-5-26 at our monthly staff meeting. Annually, every February we will train all staff in our Emergency Plan and at time of hire. 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 1/8/25-1/13/25. Staff person #3 did not update their health assessment every 24 months as required by regulation: Staff #3's current health assessment is dated 01/21/23; previous is dated 05/29/19. 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 # 3 has an updated health assessment and will maintain a new health assessment prior to the current one expiring. Staff # 3 handed in their health assessment in on 1-14-2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Availability of certificate of compliance and applicable regulations (3270.25(a))

A renewal inspection was conducted on 1/8/25-1/13/25 .The facility did not provide the parent of each child enrolled with instructions for contacting the Northeast Regional Child Care Office Requirement: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Correction: We posted in each classroom the phone numbers to The Northeast Reginal Childcare Office. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not provide information for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: The YMCA Emergency Plan has been updated to inform families of accommodations that are provided for infant, toddlers, and children with disabilities and chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable nursers or parents/Bottles labeled (3270.166(3)/3270.166(4))

A renewal inspection was conducted on 1/8/25-1/13/25. In the infant classroom, staff reported that the infant bottles are washed and reused each day for infant feedings. The facility does have a commercial dishwasher, however staff indicated they are not using the commercial dishwasher. Cert rep observed several infant baby bottles that were not labeled with the children's names. Requirement: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name. Correction: Infant bottles are sent home daily and will be returned cleaned and sanitized by families daily. All bottles will be labeled with children's names. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

A renewal inspection was conducted on 1/8/25-1/13/25. Child #1's fee agreement did specify the arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Child #1's file was reviewed arrival and departure times were added at the time it was brought to the directors attention. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

A renewal inspection was conducted on 1/8/25-1/13/25. Cert rep observed pothos plants, that are toxic to children, in the Early Head Start and Ocean classrooms. Requirement: Toxic plants are not permitted in a child care space. Correction: Plants were removed immediately as soon as we were made aware from the classrooms and disposed of. Directors realize that there is an app to scan plants to make sure they are safe and remain in the classroom. 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 1/8/25-1/13/25. Staff person #9 did not have a valid PSP clearance on file. The PSP clearance on file indicated that the request is still pending and did not include a dissemination date. All other clearances are on file. Cert rep observed staff person #9 providing childcare at the facility. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 #9 may not be present in a childcare position at the facility. Correction: Staff number 9 submitted a current PSP clearance with a dissemination date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person #8 did not complete mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter trainings on file dated 05/19/19 and 11/21/24. This training was not updated every 60 months as required by the CPSL. 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. The CPSL requires all clearances and mandated reporter training to be updated every 60 months. Correction: All staff will complete all required trainings/clearances before or on the expiration date of the previous trainings/clearances. All disclosure statements are signed at the time of hire and remain in the staffs file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises/Contact when ended (3270.27(a)(3)/3270.27(a)(4))

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not provide a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility's emergency plan does not provide a method for facility persons to inform parents that the emergency has ended and did not provide instruction as to how parents can safely be reunited with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: Information on how families will be provided instruction then reunited safely with their child will be added to our current YMCA Emergency Plan/Family Handbook. Families will be contacted through the See-Saw App along with local news stations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person(s) #1-8 has completed the health and safety Getting Started with Center Based Care: Building Blocks for Quality but did not complete the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training by 12/30/22. Staff #1 completed the health & safety 1 hour update on 10/01/23, staff #2: 9/25/23, staff #3: 10/10/23, staff #4: 10/09/23, staff #5: 10/04/23, staff #6: 8/03/23, staff #7: 9/25/23, and staff #8: 8/04/23. 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 person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10): center-based health and safety 1 hour update training by 12/30/22. Correction: Directors will ensure that all staff trainings are complete by the appropriate date/time frame. We will also keep current on all OCDEL announcements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not address continuity of operations. 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. Correction: Continuity of operations will be added to the YMCA's emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).