Ymca Child Development Center

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a written evaluation of staff person #4 on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation being dated 2/27/2025, which exceeds 12 months. The director did not complete a written evaluation of staff person #5 on a regular basis, a minimum of one evaluation every 12 months. This is evidenced by the most recent staff evaluation being dated 2/24/2025, which exceeds 12 months.

Corrected by Jun 19, 2026

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3270.27(c) · 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.

The operator did not assure that each facility person received training regarding the emergency plan within 90 days of initial employment. This is evidence by staff person #10 (DOH see LIS code sheet) receiving training regarding the emergency plan on 5/11/2026.

Corrected by Jun 2, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The operator did not comply with the CPSL. This is evidenced by the NSOR verification for staff person #6 (DOH see LIS code sheet) being dated 2/9/2026. The operator did not comply with the CPSL. This is evidenced by the NSOR verification for staff person #8 (DOH see LIS code sheet) being dated 2/5/2025. The operator did not comply with the CPSL. This is evidenced by the NSOR verification for staff person #9 (DOH see LIS code sheet) being dated 9/3/2025. The operator did not comply with the CPSL. This is evidenced by out of state clearances being received after the start date for staff person #10 (DOH see LIS code sheet). The out of state sex offender registry is dated 1/14/2026, the out of state criminal history is dated 1/16/2026, and the out of state child abuse & neglect registry is dated 2/24/2026.

Corrected by Jun 2, 2026

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3270.103 · 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.

It was observed on 5/27/2026 in the Older Toddler room two (2) plastic bags are hanging from the hooks in the cubbies and are accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

Corrected by Jun 2, 2026

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3270.123(a)(3)/3270.124(f) · 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). The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

The operator did not complete and update a Child Service Report and provide a copy to the family of child #2 (admission date see LIS code sheet) once in a 6-month period. This is evidenced by the most recent Child Service Report being dated 5/23/2025. The operator did not complete a Child Service Report and provide a copy to the family of child #3 (admission date see LIS code sheet) once in a 6-month period nor did the operator have the parent update in writing emergency contact information once in a 6-month period. This is evidenced by the emergency contact information being dated 3/7/2025. The operator did not complete and update a Child Service Report and provide a copy to the family of child #5(admission date see LIS code sheet) once in a 6-month period nor did the operator have the parent update in writing emergency contact information once in a 6-month period. This is evidenced by the most recent Child Service Report being dated 5/12/2025 and emergency contact information being dated 1/1/2025.

Corrected by Jun 19, 2026

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement for child #4 does not specify the date of the child's admission.

Corrected by Jun 2, 2026

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for child #1 does not include the work address and telephone number of the enrolling parent.

Corrected by Jun 12, 2026

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3270.124(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.

Emergency contact information for child #1 does not include the address of the individual designated by the parent to whom the child may be released.

Corrected by Jun 12, 2026

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3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

It was observed on 5/27/2026 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is not displayed conspicuously in any of the child care spaces.

Corrected by Jun 12, 2026

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed on 5/27/2026 staff person #6 did not ensure a child's hands were washed after being diapered. (CORRECTED ON SITE)

Corrected by Jun 12, 2026

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed on 5/27/2026 the soiled, disposable diaper that was removed from a child whose diaper was being changed was placed on the diaper changing table and was not immediately discarded in hands-free covered can. (CORRECTED ON SITE)

Corrected by Jun 2, 2026

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3270.151(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 health assessment for staff person #1 was not updated in a timely manner. This is evidenced by health assessments dated 2/23/2024 and 5/4/2026, which exceeds 24 months. The health assessment for staff person #2 was not updated in a timely manner. This is evidenced by health assessments dated 1/11/2024 and 5/8/2026, which exceeds 24 months. The health assessment for staff person #3 was not updated in a timely manner. This is evidenced by health assessments dated 8/3/2022 and 1/5/2025, which exceeds 24 months. The health assessment for staff person #4 was not updated in a timely manner. This is evidenced by health assessments dated 7/25/2022 and 1/6/2025, which exceeds 24 months. The health assessment for staff person #7 was not updated in a timely manner. This is evidenced by health assessments dated 2/1/2024 and 4/4/2026, which exceeds 24 months.

Corrected by Jun 12, 2026

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The adult health assessment for staff person #3 does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Jul 10, 2026

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #10 (DOH see LIS code sheet) did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. This is evidenced by documentation of pediatric first aid and pediatric cardiopulmonary resuscitation dated 2/6/2026.

Corrected by Jun 12, 2026

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3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Director or designated staff person who is responsible for compliance with this chapter does not have proof of purchase of an interconnected smoke detector system that is required to be kept with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(3).

Corrected by Jun 2, 2026

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3270.14/3270.21 · 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 #1Received Pediatric First Aid/CPR on 1/31/25, which exceeded 90 days of start date.

Corrected by Jun 12, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 received her National Sex Offender Registry Certificate (NSOR) on 2/12/25. Staff person #1 was allowed to work with children past 45 days with the missing clearance.

Corrected by Jun 12, 2025

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3270.36(b)(1)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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.

Staff person #1 is designated as an assistant Group Supervisor (AGS). Staff person #1 does not have on file a high school diploma or a general educational (GED) certificate on file.

Corrected by Jun 12, 2025

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The health assessment on file for staff person #1 which includes a tuberculin (TB) skin test was not obtained until 2/12/25, which was 7 months after staff person #1 began to work with children. Staff person #2 first day of working with children was 3/7/25. Staff person #3 does not have on file an health assessment including a TB test.

Corrected by Jun 12, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff # 3 and staff #4 have 9 clock hours of annual training on file.

Corrected by Jul 11, 2025

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Children #2, #3, #4, #5 did not have on file date of admission.

Corrected by Jun 12, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, #3 may not work in a child care position at the facility. 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 #2, #3 may not work in a child care position at the facility.

Staff #2 was hired 3/18/24. Staff #2 has not resided in Pennsylvania for 60 months and does not have on file clearances from Tennessee. Staff #2 does not have the National Sex Offender Registry Certificate (NSOR) on file. Staff #3 was hired on 3/15/24. Staff #3 does not have the National Sex Offender Registry Certificate (NSOR) on file.

Corrected by Jul 31, 2024

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3270.124(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 emergency contact information form on file for child #1,#2, #3 did not include the addresses of individuals designated by the parent whom the child could be released to.

Corrected by Jun 21, 2024

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3270.151(c)(2)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #1 does not have on file documentation of results of a TB test. Staff #4 Does not have on file a report of a completed health assessment.

Corrected by Jun 12, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff does not have the annual 12 hours of training on file.

Corrected by Jul 31, 2024

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #2, #3 agreements on file did not specify the child's arrival or departure times.

Corrected by May 24, 2023

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3270.14/3270.21 · 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.

Facility staff person #3 has been employed by the facility for more than 90 days. Staff member #3 does not have the required health and safety training on file.

Corrected by May 3, 2023

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3270.31(e)(4)(i)/3270.31(f)(10) · 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 in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Facility staff person #3 has been employed by the facility for more than 90 days. Facility staff person has not completed training in pediatric first aid and pediatric CPR.

Corrected by May 25, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Facility Staff #1 mandated reporter training certificate on file was dated 8/23/17, which exceeds the mandatory requirement of renewal prior to the 60-month expiration.

Corrected by May 4, 2023

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The nap cots in child care rooms for young toddlers, older toddler and preschool were observed not to be labeled with each child's name for their use.

Corrected by May 3, 2023

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3270.123(a)(3) · 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).

Child #1, #2 #3, #4, #5 did not have a on file a child service report completed within the last 6 months.

Corrected by Jul 21, 2023

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3270.123(a)(6)/3270.182(2) · 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.

Child #2, #3, #5 agreements that were on file did not specify the date of child's admission.

Corrected by May 24, 2023

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Facility staff #2 did not have on file a completed health assessment including the results of a Mantoux test.

Corrected by May 3, 2023

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3270.151(c)(2) · 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.

Facility staff #2 did not have on file a completed health assessment including the results of a Mantoux test.

Corrected by May 3, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill log on file did not documentation a fire drill was conducted between 6/20/22-9/20/22.

Corrected by May 24, 2023

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3270.27(c) · 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.

Staff 1 did not have documentation of emergency plan training on file at the time of inspection.

Corrected by Jun 16, 2022

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3270.31(e)(4)(i) · 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 1 and Staff 2 did not have pediatric 1st aide, CPR/AED training on file at the time of inspection.

Corrected by Jul 18, 2022

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3270.31(f) · Staff persons shall complete professional development in the topics outlined in 3270.31(f)(1)-(9) within 90 days of hire.

Staff #2 did not have training on file for the health and safety topics outlined in 270.31(f)(1)-(9).

Corrected by Jun 24, 2022

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Observed an un-lidded trashcan in the bathroom accessible to children in care.

Corrected by Jun 3, 2022

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The 1st aid kit in the Older Toddler child care space did not contain soap.

Corrected by Jun 3, 2022

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