3270.32(a)/3270.192(4) · 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. Staff #1 may not work in a child care position at the facility.

The file for staff #1 contained an incomplete state police clearance. The clearance did not include the dissemination date.

Corrected Corrected by Jul 11, 2025

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Six electrical outlets on a power strip in the preschool room lacked protective covers. The power strip was plugged in at the time of the observation and was accessible to children 5 years of age or younger.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A spray bottle labeled disinfectant was accessible to children in a changing table in the PS restroom. The appliance lock used to limit access to the cupboard was broken. Three Swiffer Wet-Jet mops, with the solution canisters still attached, were accessible to children in the PS, OT, and YT rooms. In the OT room, the canister was leaking which left a puddle of cleaning solution on the floor near the sink.

Corrected Corrected by Jul 18, 2025

Category: physical safety. Marked corrected in the state record.

3270.76 · 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.

A divider wall in the PS restroom was observed to be loose creating pinch points. A thorned weed was observed in the sandbox in the outdoor play space.

Corrected Corrected by Jul 11, 2025

Category: physical safety. Marked corrected in the state record.

3270.102(a)/3270.103 · 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. 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.

Torn seams, which exposed the inner foam filling, were observed on 6 nap mats; 4 in the PS room, 1 in the OT room, and 1 in the YT room.

Corrected Corrected by Jul 11, 2025

Category: physical safety. Marked corrected in the state record.

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.

The hands-free can in the OT restroom was not functional. The pedal did not work and the main exterior lid was stuck in the open position. Smeared feces was observed on the inner lid. Soiled pullups were observed in the can.

Corrected Corrected by Jul 11, 2025

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · 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 file for staff #2, hired provisionally, contained NSOR results dated more than 45 days after their start date. The file lacked documentation that the staff person was suspended after 45 days.

Corrected Corrected by Nov 15, 2024

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(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.

Staff #5 did not update mandated reporter training within 60 months. This is evidenced by the previous training being dated 4/16/19 and the most recent training being dated 4/19/24.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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 files for staff #1, #3, and #4 contained annual evaluations dated more than 12 months apart. Each staff person was evaluated in July 2023 and again in August 2024. Current evaluations are now on file for all 3 staff.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

Two cans on shaving foam, labeled keep out of reach of children, were observed under the sink in the PS room. Based on statements made by staff, the shaving foam is used with children during art projects.

Corrected Corrected by Nov 22, 2024

Marked corrected in the state record.

3270.76 · 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.

Multiple stained ceiling tiles were observed including 4 in the hall, 3 in the PS room and 1 in the YT room. In the outdoor toddler playground, two sharp metal corners were observed on the trim on the facility wall, 1 near the door and 1 near the storage area for push toys. In the large fenced outdoor play area, branches with thorn were observed protruding through the fence into the play space and were accessible to children. Two broken hinges were observed on lower cabinets in the OT room. One broken hinge was observed on a lower cabinet in the infant room.

Corrected Corrected by Dec 6, 2024

Category: physical safety. Marked corrected in the state record.

3270.102(a)/3270.103 · 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. 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.

Spilt or torn seams, which exposed the inner foam filling, were observed on 8 nap mats in the OT room and 1 in the YT room.

Corrected Corrected by Dec 6, 2024

Category: physical safety. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement for child #2 was not signed by the operator.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreements for children #1 and #4 did not specify the amount of the fee to be charged.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #2 did not include a complete work address for the enrolling parent and lacked the enrolling parent's work phone number.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 form for child #3 did not include the phone numbers for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(1) · 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.

Diaper cream, which was not in the original container, was observed in the infant room. The cream was labeled for child #5.

Corrected Corrected by Nov 22, 2024

Category: health medication. Marked corrected in the state record.

3270.133(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.

An unopened box of Children's Zrytec, which was not labeled with the name of the child it was intended for, was observed in the infant room.

Corrected Corrected by Nov 22, 2024

Category: health medication. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Two containers of yogurt were observed in a lunch box sitting on top of the cubbies in the preschool room.

Corrected Corrected by Nov 22, 2024

Category: nutrition. Marked corrected in the state record.

3270.94(a)(9) · 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.

Based on the facility's fire drill log, names of participating facility persons have not been recorded with each drill.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Based on the facility's log of the 30 day tests of the fire alarm system, consecutive tests dated 6/18/24 and 7/24/24 were conducted more than 30 days apart.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The operator did not contact the Western Regional Office within 24 hours after a child in care was taken to the hospital on 2-7-24 for treatment.

Corrected Corrected by Mar 18, 2024

Category: physical safety. Marked corrected in the state record.

3270.132(c) · An operator shall document the manner in which emergency treatment was sought and obtained. File documentation shall include information referenced at §3270.20(c) (relating to reporting injury, death or fire).

The operator documented the manner in which emergency treatment was sought and obtained for a child that was transported to the hospital on 2-7-24. The documentation did not include the following required information as referenced at 3270.20(c): the address of the facility, the child's birthdate, the address of the child and the child's parent, and the address of the place where the treatment was received.

Corrected Corrected by Mar 18, 2024

Category: transportation. Marked corrected in the state record.

3270.182(7) · 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.

An incident report was not provided to the parent of a child in care at the facility and transported to the hospital on 2-7-24.

Corrected Corrected by Mar 18, 2024

Category: health medication. Marked corrected in the state record.

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

The operator did not mail or deliver a written report to the Western Regional Office within 72 hours after a child in care was taken to the hospital on 2-7-24 for treatment.

Corrected Corrected by May 6, 2024

Category: physical safety. Marked corrected in the state record.

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.

According to staff, the interconnected fire detection system was not manually tested in the facility at least once every 30 days, including within the last 30 days as of 2-22-24.

Corrected Corrected by May 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 file for Staff #3 contained documentation of evaluations dated 3/2022 and 7/2023, which exceeded the 12-month requirement.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 contained documentation of Emergency Plan training on 8.5.22 and 9.1.23, which exceeded the annual requirement.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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 #2 and Staff #4 contained documentation of Fire Safety training on 7.31.22 and 8.9.23, which exceeded the annual requirement.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for Staff #5 (see IS Code Sheet), contained documentation of Pediatric First-Aid/CPR on 10.10.22, which exceeded the 90 days of hire requirement.

Corrected Corrected by Jan 2, 2024

Category: health medication. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Agreements, in the files for Child #1, Child #2, Child #3, and Child #4, did not specify the date on which the fee is to be paid.

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The file for staff #8 contained a Pediatric First Aid/CPR Training date which expired on 9-15-21 and received an updated training on 10-21-2021 which exceeded the 24 months to receive the training.

Corrected Corrected by Nov 21, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff #1 (See IS Code Sheet) contained a Pediatric First Aid/CPR Training date of 10-10-2022 which exceeded the mandatory ninety days to receive the training. The file for staff #9 (See IS Code Sheet) contained a Pediatric First Aid/CPR Training date of 10-21-2021 which exceeded the ninety days to receive the training.

Corrected Corrected by Nov 21, 2022

Category: health medication. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff #1 (See IS Code Sheet) contained a health and safety training date of 5-26-2022 which exceeded the mandatory ninety days to receive the training.

Corrected Corrected by Nov 21, 2022

Category: health medication. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff #2, staff#3, staff #4, and staff #6 contained a Pediatric First Aid/CPR Training which was completed on 10-10-2022 and exceeded the mandatory date of 4-29-2022 to receive the Pediatric First Aid/CPR Training with an approved curriculum and a PQAS instructor. The file for staff #5 contained a Pediatric First Aid/CPR Training which was completed on 10-22-2022 and exceeded the mandatory date of 4-29-2022 to receive the Pediatric First Aid/CPR Training with an approved curriculum and a PQAS instructor.

Corrected Corrected by Nov 21, 2022

Category: health medication. Marked corrected in the state record.

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

The file for staff #7 (See IS Code Sheet) contained a Mandated Reporter Training date of 4-30-2021 which exceeded the mandatory ninety days to receive the training.

Corrected Corrected by Nov 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Located in the front of the indoor gym, eleven outlets were not covered by protective receptacle covers and were accessible to children 5 years or younger.

Corrected Corrected by Nov 7, 2022

Category: physical safety. Marked corrected in the state record.

3270.76 · 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.

Located on the left side of the indoor gym, one blue foam protector which was mounted to the wall contained a visible hole in the material. Located on the left side of the gym, one blue foam protector which was mounted to the wall contained two visible tears in the material.

Corrected Corrected by Nov 7, 2022

Category: physical safety. Marked corrected in the state record.

3270.102(a) · 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.

Located in the outdoor playspace, the gray, wooden sand table contained five areas of wood which were sharp, splintered and could cause an injury to occur to a child.

Corrected Corrected by Nov 7, 2022

Category: physical safety. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #1 contained an emergency contact form which did not include the policy number of the health insurance coverage.

Corrected Corrected by Nov 8, 2022

Category: health medication. Marked corrected in the state record.

3270.131(e)(1)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #2 did not contain an Influenza immunization which was due by the mandatory date of October 26, 2022.

Corrected Corrected by Nov 11, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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 file for staff #2 contained a health assessment date 4-15-2019 and 9-3-2021 which exceeded the 24 months to receive an updated health assessment. The file for staff #9 contained a health assessment date of 8-31-2020 and 10-10-2022 which exceeded the 24 months to receive an updated health assessment.

Corrected Corrected by Nov 21, 2022

Category: ratio. Marked corrected in the state record.

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 first aid kit in the Infant Classroom was missing gloves.

Corrected Corrected by Dec 2, 2021

Category: health medication. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for Facility Person #2 lacked verification that they had completed Fire Safety Training within 12 months of starting.

Corrected Corrected by Dec 2, 2021

Category: recordkeeping. Marked corrected in the state record.

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 file for Facility Person #1 lacked a Staff evaluation within 12 months of starting at the facility.

Corrected Corrected by Dec 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

In the Infant Classroom the first aid kit was observed to be taken with the young toddlers to the gross motor gym. This left the classroom, where infants were receiving care, without a first aid kit present.

Corrected Corrected by Jan 3, 2022

Category: health medication. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The garbage cans in place in the men and women's restrooms outside of the gym were observed to be missing lids.

Corrected Corrected by Jan 3, 2022

Category: health medication. Marked corrected in the state record.

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

The agreement for Child #1 lacked the date of admission for the child.

Corrected Corrected by Nov 17, 2021

Category: recordkeeping. Marked corrected in the state record.

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 facility, located inside the YMCA, lacked proof of purchase of the interconnected fire system.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.