YWCA CHILD DEVELOPMENT CENTER

Emergency plan (3270.27(a)(5))

The facilities emergency plan did not include accommodations for 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 emergency plan has been iupdated to include accommodations for children with disabilities and chronic medical conditions. The update includes things like personalized "go-kits" with necessary medications and supplies, as well as assigned staff assistance during the evacuations and accessible routes that are ADA compliant. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's health history (3270.131(d)(1))

The health report of child #2 did not include their health history. Requirement: A health report shall include a review of the child's health history. Correction: Child #2's health history has been added to their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

It was observed that the emergency contact form for child #1 did not include the health insurance coverage nor policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Child #1's parent will be providing the health insurance information and policy number to be added to the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

It was observed that the base of the toilets in the Seahorse and Starfish classrooms had an excessive buildup of dirt around the. In the Whales' classroom it was observed that the sink on the right was clogged and not draining. In the Jellyfish classroom it was observed that there was chipping plaster on the corner of the wall. In the Jellyfish classroom it was observed the trash can in the classroom had an excessive buildup of dirt on the inside of the lid. (Corrected on site.) On the playground it was observed that there was a crack in the plastic doorway of the house causing a pinch point and the oven door in the house with the slide was broken causing sharp edges. (Both were corrected on site.) 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: Cleaning behind the toilets and the trash cans will be added to the monthly cleaning checklist so these spots will not be missed. Any maintenance issues such as chipping paint, clogged sink, or issues causing pinch points will be documented and a maintenance request will be submitted for these to be fixed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

It was observed that in the Seahorses' bathroom there was Swiffer mopping solution in reach of the children. (Corrected on site.) 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 cleaning products have been removed from the classroom and areas that are within the children's reach, and have been locked in a secure cabinet Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

It was observed that the staff evaluations for staff persons #1, #2, and #3 did not occur every 12 months. 5/31/25 and 11/19/25 (18 months) Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: The director will maintain a calendar showing when staff start, complete the probation period, and when their evaluation is due. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

It was observed that the child abuse clearance for staff person #1 was updated every 60 months. 10/14/20- 10/1720 (3-day lapse) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: All staff files will be reviewed quarterly to check for upcoming or expiring clearances. All staff requiring an update will be notified and supported in acquiring the needed clearance/ clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Upon inspection of the facility emergency plan, it was found that the plan did not address the continuity of operations for the facility in event of an emergency. 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: YWCA Greater Harrisburg has prepared a reserved of funds that are to use in the event of an operational emergency. The funds allow for the building to be able maintained and staff salaries are continued to be paid. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #8 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): " 1.24.25 [151d] and 1.25.25.[152d]. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Upon hire a staff member will be given the assignment of completing the preservice training during the 30 days of hire. This allows time for the training to be rescheduled if needed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written record (3270.94(a)(9))

Upon inspection of the facility fire safety records, it was found that names of the facility persons were missing who participated in the fire 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: .All staff members who participated in a fire drill will have their names recorded in the fire drill log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Hypothetical locations (3270.94(a)(4))

Upon inspection of the facility fire safety records, it was found that the hypothetical locations were incorrectly marked as administration. 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: .Meeting will be scheduled with key staff to discuss changing the hypothetical location of each fire drill. We will include various locations on the fire drill log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

ACIP recommended immunization record (3270.131(e))

Upon inspection of the children's files, it was found that for Child #5, the health assessment dates exceeded the allowable 60-day time frame receipt of administered immunizations from the first day of attendance. Requirement: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Correction: We will require that parents provide health assessments before the 60-day timeframe is passed. All immunizations will be monitored carefully. If immunizations are refused the family will need to provide written proof of reason for refusal of immunization by the doctor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

Upon inspection of the children's files, it was found that for child # 8 and child #9, the agreement forms dated 1.8.25 ( child #8) and 1.24.25 (child #9) did not include the child's date of admission.- Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: .Moving forward agreements will specify date of admission, application and withdraw. All files were updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

It was observed that the operating temperature of the refrigerator in the Whales room was 50 degrees. (CORRECTED ON SITE) Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: .Refrigerator was replaced with a new fridge and thermometer that is capable of maintaining a 45° or below climate. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Facility person #1 and facility person #3 contained a NSOR clearance dated 1/20/2020 and there is no current NSOR on file on or before 60-months. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and Facility person #3 may not work in a childcare position at the facility until clearances are returned. Correction: That NSOR clearances for Staff # 1 and Staff # 3 were received on 03-04-2025. Staff # 1 and staff # 3 were removed from a childcare position and not working with children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Facility 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 1/10/25. 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/facility person/volunteer #2 may not work in a childcare position at the facility. Correction: That Pediatric First Aid & CPR Training for Staff # 2 was completed on 03-04-2025. Staff person was being supervised by Yohamma Serrano & Briyana Wilkerson until the First Aid & CPR Training was completed. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).