Butler County Family Ymca/Child Care Infant Ctr

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for staff person #1 lacked 4 of the 12 required hours of annual child care training.

Corrected by May 20, 2026

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3280.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was Infants' Mylicon Gas Relief medication for child #1 that lacked written parental consent for administration of the medication.

Corrected by May 20, 2026

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3280.94(a)(4) · 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.

According to the fire drill log, the hypothetical location of the fire was the same for consecutive fire drills.

Corrected by May 20, 2026

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3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The file for child #1, an infant, lacked a current health assessment updated within the last 6 months.

Corrected by May 28, 2025

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3280.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #2 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected by Jun 20, 2025

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3280.131(e)(1)/3280.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by 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 #2 must be dismissed from care by close of business on 5-16-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #2, a 6 month old enrolled more than 60 days at the facility, lacked documentation of the 1st & 2nd Hepatitis B, Rotavirus, HIB, and Pneumococcal vaccinations and the 2nd DTAP and Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected by May 16, 2025

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the main room, there was one area of damaged paint/plaster on the front wall.

Corrected by Oct 29, 2024

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3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the main room, there were four fabric climbers with multiple areas that had small pieces of fabric coming apart that were less than 1 inch in diameter and were accessible to the infants receiving care in the room who are still placing objects in their mouths.

Corrected by Oct 29, 2024

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3280.24(a) · 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.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected by Oct 29, 2024

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3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

Corrected by Jun 24, 2024

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3280.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected by Jun 24, 2024

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3280.131(d)(5)/3280.131(e)(3) · 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 on 5-24-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1, a 6 month old enrolled more than 60 days at the facility, lacked documentation of the 2nd Rotavirus, DTAP, HIB, Pneumococcal, & Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected by May 24, 2024

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3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 7-21-23 to 8-24-23 and 8-24-23 to 10-18-23.

Corrected by Jun 24, 2024

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3280.131(a)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

The file for child #2 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected by Jun 24, 2024

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3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On the play space, there were multiple pieces of mulch with a diameter of less than 1 inch that were on the surface of the play space and were accessible to children who are still placing objects in their mouths.

Corrected by May 12, 2023

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3280.131(d)(5)/3280.131(e)(3) · 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 #3 must be dismissed from care by close of business on 5-10-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #3, an 8 month old, had an immunization record that lacked documentation of the 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected by May 10, 2023

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3280.131(e) · 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.

The file for child #1 had an immunization record that was dated over 60 days after the child's first day of attendance at the facility.

Corrected by May 10, 2023

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3280.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the child care room, there was Parent's Choice Gripe Water for child #4 that was not labeled with the child's name.

Corrected by May 10, 2023

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3280.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In the child care room, there was Parent's Choice Gripe Water for child #4 that lacked written parental consent for administration of the medication.

Corrected by May 10, 2023

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3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 12-12-22 to 1-19-23.

Corrected by May 10, 2023

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3280.131(a)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

The files for child #1 and #2 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected by May 10, 2023

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3280.32(a)/3280.192(2)(iii) · 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.

The files for staff person #1 and #3 had mandated reporter training that exceeded 5 years between trainings.

Corrected by Jun 28, 2022

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3280.151(a) · 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.

The file for staff person #3 had a health assessment that exceeded 24 months between assessments.

Corrected by Jun 29, 2022

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected by May 27, 2022

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3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted in the facility.

Corrected by May 27, 2022

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3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

According to the log, the fire detection system (interconnected smoke detectors) were not manually tested at least once every 30 days between 11-3-21 and 12-15-21.

Corrected by Jun 26, 2022

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3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

The file for staff person #2 had the 6 hour health and safety training that was completed after 6-30-18 and therefore unacceptable according to DHS requirements and requires current health and safety training.

Corrected by Jun 30, 2022

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3280.131(a)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

The files for child #1, #2, and #3 had initial health assessments that were dated over 60 days after the child's first day of attendance at the facility.

Corrected by Jul 1, 2022

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