HOLLIDAYSBURG AREA YMCA EARLY LEARNING CENTER

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

The file of staff #1 had health assessments more than 24 months apart due to the fact they were dated: 8-31-25 and 3-16-23. 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 #1 will be reminded that health assessments are required every two years and are due on or before the date of current Health assessment on file. The supervisors have been given the task to review the staff data sheet that was given to each room and remind staff of any up coming paper work that may need updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file of child #1 lacked an emergency contact form with the complete work address of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The street number was written on the child's file immediately by the customer service manager when made aware of it and moving forward the files will be reviewed a couple of times to make sure all information is filled in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed sanitizing wipes labeled keep out of the reach of children on the bottom shelf of an unlocked cabinet located in the hall outside room 305. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: A lock was placed on the cabinet immediately after being told about the wipes and how a child can pull them out of container. The lock was place on the cabinet door during the inspection. The inspector check on the lock before she left. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/Exp, educ., training at facility (3270.32(a)/3270.192(2)(iii))

The file of staff #2 completed Mandated Reporter training more than 60 months apart due to the fact they were dated: 8-28-25 and 5-2-20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff will be reminded that all paper work must be turned in before the due day. Staff #2 will be reminded to update her Mandated Reporter training on or before the due date. The supervisor has been given the task of reviewing the staff data sheet given to the rooms and remind staff when they have paperwork due. 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 of staff #1 had Child Abuse clearances more than 60 months apart due to the fact they were dated: 8-27-25 and 8-24-20. The file of staff #2 had PA State Police clearances more than 60 months apart due to the fact they were dated: 1-15-26 and 10-9-20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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 will be reminded to keep their clearances up-to-date and turned in on or before the due date. Supervisors will be given the task to review the staff data sheet given to the rooms periodically and send a reminder to the staff when they have paperwork due. 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 of staff #1 lacked an acceptable PSP clearance due to the fact the one in the file was for volunteer rather than employment. The file of staff #2 had PSP clearances more than 60 months apart due to the fact they were dated 8-3-23 and 7-30-18. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #1 may not work in a child care position at the facility. Correction: Obtained the correct clearance for staff #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Transcript, diploma and letters (3270.36(b)(5)/3270.192(2)(iv))

The file of staff #3, an Assistant Group Supervisor, lacked proof of education to support the position. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Obtained education transcript. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.133(1))

Observed homeopathic topical medication in a jar for child #1. The homeopathic medication was reported to be used when the child breaks out in hives and/or to prevent such event. The medication was not in its original container. 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: Medication was returned to the parent of child #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training at facility (3270.192(2)(iii))

The file of staff #4 completed mandated reporter training more than 60 months apart due to the fact they were dated 8-28-25 and 5-2-20. Requirement: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: In the future, will make sure training is completed in timely manner and will continue to tell staff when it's due. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/30/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). 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 are position at the facility. Correction: Staff #2 is no longer with the Early Learning Center at this time but she had completed the training on the evening of March 12, 2025 the day of the unannounced inspection of the incident. The training was completed and placed in the staff #2 file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/Exp, educ., training at facility (3270.32(a)/3270.192(2)(iii))

The file of staff #3 had documentation of completing Mandated Reporter training more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff # 3 did not have her mandated reported completed within 60 months. Staff #3 completed her training on 03/12/2025 and certificate was placed in her file. On 3/14/2025 a copy of staff #3 certificate was given to the cert. rep. when she was at the center to finish up paper work for our renewal to show that the correction was made. Moving forward Director will set time aside to make sure staff have and opportunity to complete their trainings in a timely manner. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Observed in room 310 a clear plastic bin with cracked edges. Observed in the outdoor play space the middle space fencing that is adjacent to the third space had splintering wood and exposed screws at the interior gate and to the left of the gate. Observed in the middle play space a bench storage bin crack on the ends of the front panel. 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: The cracked bin was removed immediately and replaced with another bin later that day by the director and placed back into room 310 on 3/12/2025. The cert rep was back in the building on Friday 03/14/2025 and the director showed her that the cracked bin had been replaced. 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))

The files of staff #1, #2, and #4 had documentation of health assessments more than 24 months apart. 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 #1, #2, & #4 have updated Health Assessments in their files which are past 60 days. Moving forward the director will have supervisor remind staff that their Health Assessments are due and set a date that they can leave to get it done. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Hypothetical locations (3270.94(a)(4))

Based on the fire drill log, the hypothetical location was the same on 12-17-24 and 1-16-25. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: The Director will review fire drill log to make sure that the location of the fire is rotated through the building. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

At the time of reviewing the Emergency Plan, there was not documentation the plan was sent to the local municipality and to the county emergency management agency. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: The copy of the Emergency plan was sent to the local municipality and to the county emergency management agency on 03/12/2025. The Director received an email from both places that the plan was received and reviewed. The Director shared the email with cert rep. on Friday, 3/14/2025 when she returned to finish the annual inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

Based on interviews, Staff #1, #2, and #3 took 12 children including 10 older toddlers and 2 preschoolers outside at 10:30 AM. At approximately 11:00 AM Staff #1 began the process of bringing 4 to 5 children at a time inside for diapering. At approximately 11:20 AM a toddler was dropped off by the parents while Staff #2 and #3 were on the play space with the children. At approximately 11:30 AM Staff #1 brought the last 4 children inside for diapering. At approximately 11:45 AM Staff #2 and #3 brought 8 children inside. At approximately 11:53 AM Child #1 was observed by Staff #4, Staff #5, and Staff #6 to be alone in the Toddler Play Space. Staff #4 and #6 reported that the gate leading to the parking lot and side entrance to the facility was open. Requirement: 1) When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 2) The facility director will conduct random assessments in each classroom and the facility's outdoor play area as applicable. The director will ask each staff member to point out each child in their assigned group and identify them by name. The director will record all assessments in a log that shall include the date, time, child care space, the staff person's name and qualification, as well as the number of children and their ages. The log shall also identify whether the staff could name the children in the group and will include a place for notes. The director shall submit the proposed log to the Department for approval prior to implementation. The monitoring shall be done for a period of 3 months, and the log shall be made available to the Department's representative upon request. Correction: All staff members involved in the lapse of supervision protocol at the time of this incident were terminated. 1) The facility will maintain ratio requirements at all times 3/11/25. Implemented 8/4/25. 2) The directors will create and utilize a supervision assessment log to record random supervision checks. This assessment log will adhere to all DHS specifications outlined in the required correction plan. The director will begin using this log when approved by DHS for 3 months. All log records will be submitted to the state upon request. 8/13/25. Implemented on 8/25/25. 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))

Based on interviews, Staff #1, #2, and #3 took 12 children including 10 older toddlers and 2 preschoolers outside at 10:30 AM. At approximately 11:00 AM Staff #1 began the process of bringing 4 to 5 children at a time inside for diapering. At approximately 11:20 AM a toddler was dropped off by the parents while Staff #2 and #3 were on the play space with the children. At approximately 11:30 AM Staff #1 brought the last 4 children inside for diapering. At approximately 11:45 AM Staff #2 and #3 brought 8 children inside. At approximately 11:53 AM Child #1 was observed by Staff #4, Staff #5, and Staff #6 to be alone in the Toddler Play Space. Staff #4 and #6 reported that the gate leading to the parking lot and side entrance to the facility was open. 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. 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 training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3) The legal entity will conduct mandatory staff meetings at least once per month for a period of 4 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance relating to supervision and ratio. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request. Correction: Staff members involved in the lapse of supervision protocol at the time of this incident were terminated. 1.) All staff members will be able to see, hear, direct, and assess all children within their group at all times. 3/11/25 Implemented on 8/4/25. 2.) The legal entity will select and conduct a DHS approved supervision training for all staff members. 7/9/25 Implemented on 7/22/25. 3.) The legal entity will continue to hold monthly supervisor meetings for 4 months in which a portion of the meeting will be dedicated to DHS regulatory supervision and ratio review. The logs of these meetings will be submitted the DHS each month. 9/13/25. Implemented on 8/25/25. 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)

Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. 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 #4 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2. Correction: Staff Person #4 has completed the 10 hour Health and Safety Revised and is on file. Staff #4 was a summer camp counselor and was not employed at the Early Learning center during the time the update was needed. She became employed with the Early Learning Center in August of 2024 and the update was not available so we just had her do the 10 Hour Get Started Center based Care Revised 2022. She did not get it completed with the 90 days but it is now completed and in her file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff persons #1and #3 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff persons #1 and #3 only completed the online portion of Pediatric first aid/CPR. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #5 has documentation of completing Health and Safety Training on 8/27/16. 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 persons #1, #3, and #5 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 persons #1#3, and #5, staff persons #1, #3, and #5 may not work in a child-care position at the facility. Correction: Director will monitor the staff and do spot checks on their paper work to make sure that they are completing their trainings on time and that they understand the importance of the training and that it must be completed within the 90 days. Staff #1 and #3 have a completed face to face CPR/Pediatric First Aid in their file. Staff #5 now has the corrected Health and Safety training on file. That was just and honest oversight on the directors and staff part. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).