Ymca Day Care

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 #1may not work in a child care position with direct contact and routine interaction with children at the facility until all required clearances are obtained and on file at the facility.

On 4/13/26 an unannounced inspection occurred. A physical site and review of staff files conducted. Staff #1 was working in a child care role at the time of this inspection and the file indicated the need for this staff to have obtained out-of-state clearances. The CPSL requires staff to have obtained out-of-state clearances prior to working in a child care role at the facility.

Corrected by Apr 1, 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.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The review indicated that the emergency plan training in the following staff files had not been updated within the required 12-month timeframe. Staff person #7: Emergency plan training certificates on file dated 6/10/2024 and 7/1/2025. Staff person #14: Emergency plan training certificates on file dated 2/20/2024 and 9/23/2025.

Corrected by Dec 31, 2025

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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. 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-care position at the facility.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff 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 2/28/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected by Nov 19, 2025

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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.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The review indicated that the fire safety training in the following staff files had not been updated within the required 12-month timeframe. Staff person #6: Fire safety training certificates in file dated 8/2/2024 and 9/26/2025. Staff person #8: Fire safety training certificates in file dated 12/12/2023 and 1/3/2025. Staff person #11: Fire safety training certificates in file dated 1/14/2024 and 10/13/2025.

Corrected by Nov 18, 2025

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3270.31(f) · 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 person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff person #3 has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Corrected by Jan 9, 2026

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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). 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 person #1 may not work in a child care position at the facility until acceptable NSOR and DHS FBI clearances are on file. Staff person #3 may not work in a child care position at the facility until acceptable out-of-state clearances are on file.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Staff person #1: File for staff person #1 did not contain NSOR verification and had a Department of Education FBI clearance dated 8/28/2025, which is not acceptable. See LIS code sheet for date of hire. Staff person #3: Verification sheets on file for staff person #3 indicate that they have resided in Florida within the past 5 years and out-of-state clearances were not on file. Staff person #12: PSP clearances on file dated 9/13/2020 and 10/21/2025, which is past 60 months. Staff person #13: NSOR verifications on file dated 11/4/2020 and 11/5/2025, which is past 60 months;

Corrected by Jan 9, 2026

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3270.35(b)(2) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. File for staff person #4 contains a bachelor's degree; however, the degree does not list what it was for. There are no transcripts on file. Staff person #4 is listed as a group supervisor.

Corrected by Dec 31, 2025

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

A renewal inspection was conducted on 11/18/2025. At that time, an uncovered electrical outlet was observed in the Pre-K 3 room. Outlet was accessible to children 5 years of age or younger.

Corrected by Nov 18, 2025

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A renewal inspection was conducted on 11/18/2025. At that time, an unlabeled bottle containing cleaning agent was observed in the Pre-K 4 room.

Corrected by Nov 18, 2025

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

A renewal inspection was conducted on 11/18/2025. At that time, there was not a first-aid kit in SA - 3rd Floor Room 4.

Corrected by Nov 21, 2025

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3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

A renewal inspection was conducted on 11/18/2025. At that time, peeling paint was observed in the older toddler room. Additionally, a hole in the wall was observed in the school-age room.

Corrected by Dec 4, 2025

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

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Fee agreements for child #4, child #5, child #6, child #7, and child #8 were not signed by the operator.

Corrected by Nov 18, 2025

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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).

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Ounce Scale (child service report) dated 5/26/2025 on file for child #3 was not signed by the child's parent/guardian.

Corrected by Nov 18, 2025

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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.

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. Emergency contact form on file for child #2 did not contain mother's work telephone number.

Corrected by Nov 19, 2025

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3270.131(d)(5)/3270.131(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 11/18/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 11/18/2025. At that time, a sample of children's files were reviewed. At that time, immunization summary on file for child #1 received 2 of 3 doses of Hepatitis B vaccine, 1 of 3 does of the Rotavirus, DTaP, Pneumococcal, and HIB vaccines, and 1 of 2 doses of the IPV vaccine. There was no exemption on file. Child #1 is a young toddler. See LIS code sheet for DOB.

Corrected by Nov 18, 2025

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3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

A renewal inspection was conducted on 11/18/2025. At that time, staff in both the infant and older toddler rooms were observed to diaper a child and not wash their own or the child's hands afterwards.

Corrected by Nov 24, 2025

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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.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. The following staff health assessments were not updated within 24 months. Staff person #5: Health assessments on file are dated 6/7/2023 and 7/30/2025. Staff person #9: Health assessments on file are dated 6/28/2023 and 7/15/2025. Staff person #10: Health assessments on file are dated 9/15/2023 and 10/29/2025. Staff person #11: Health assessments on file are dated 3/14/2023 and 10/15/2025. Staff person #13: Health assessments on file are dated 11/29/2022 and 10/16/2025.

Corrected by Nov 18, 2025

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

A renewal inspection was conducted on 11/18/2025. At that time, staff files were reviewed. Health assessment on file for staff person #3 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Dec 31, 2025

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

A renewal inspection was conducted 11/18/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #4: Signed parental consent for minor first-aid. Child #5 Signed parental consent for minor first-aid and emergency medical care.

Corrected by Dec 31, 2025

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A swim inspection was conducted on 7/18/2025. At that time, an emergency contact form for child #4 was not present in the pool area while this child was swimming.

Corrected by Jul 18, 2025

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

A swim inspection was conducted on 7/18/2025. At that time, emergency contact forms were missing the following information: Child #1: Signed parental consent for emergency medical care and signed parental consent for minor first-aid. Child #2: Signed parental consent for minor first-aid. Child #3: Signed parental consent for emergency medical care and signed parental consent for minor first-aid.

Corrected by Jul 21, 2025

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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). 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 Person #7 may not work in a child care position at the facility until acceptable, updated FBI clearance is on file.

During renewal inspection, last FBI clearance on file for staff person #7 is dated 3/1/2019, which is past 60 months.

Corrected by Dec 6, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection conducted on 11/20/2024, peeling paint was observed in Room 2 (second floor) on the back wall.

Corrected by Nov 20, 2024

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3270.107 · 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.

During renewal inspection conducted 11/20/2024, shelves in the refrigerator in Room 2 were observed to be dirty.

Corrected by Nov 20, 2024

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

During renewal inspection conducted 11/20/2024, written plan of daily activities was not posted in Room 4 (third floor).

Corrected by Nov 21, 2024

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During renewal inspection conducted 11/20/2024, the following information was missing from children's emergency contact forms: Child #2: Release person's address. Child #3: Father's work address and work telephone number. Child #4: Father's home and work addresses and home and work telephone numbers. Mother's work address.

Corrected by Dec 31, 2024

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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.

During renewal inspection conducted 11/20/2024, the following information was missing from children's emergency contact forms: Child #3: Health insurance coverage and policy number.

Corrected by Dec 31, 2024

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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.

During renewal inspection conducted 11/20/2024, it was observed that a young toddler's hands were not washed with soap and water after being diapered.

Corrected by Nov 20, 2024

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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.

During renewal inspection conducted 11/20/2024, the following staff health assessments were not completed within 24 months: Staff person #1: Most recent health assessment on file is dated 3/31/2022. Staff person #2: Health assessments on file are dated 8/3/2021 and 10/5/2023. Staff person #3: Health assessments on file are dated 7/30/2021 and 10/5/2023. Staff person #5: Health assessments on file are dated 8/15/2022 and 11/5/2024. Staff person #6: Most recent health assessment on file is dated 7/20/2022.

Corrected by Dec 31, 2024

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3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During renewal inspection conducted on 11/20/2024, health assessment on file for staff person #4 does not include an examination for communicable diseases and the results of that examination or a statement that this person is able to provide adequate care to children.

Corrected by Dec 31, 2024

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3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

During renewal inspection conducted 11/20/2024, director's photo identification expired on 8/15/2024.

Corrected by Jan 3, 2025

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3270.131(a) · 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.

During renewal inspection conducted 11/20/2024, initial health assessment was not on file for child #1. Child #1 has been attending for over 60 days (see LIS code sheet for date of admission).

Corrected by Nov 20, 2024

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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.

Complaint investigation conducted on 8/8/2024 verified that child #1 sustained a concussion after getting hit in the head with a bathroom stall door while on a field trip. Staff #1 was aware that the incident occurred and did not notify parent or complete an incident report.

Corrected by Aug 26, 2024

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3270.113(a)/3270.113(a)(1) · 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.

During unannounced monitoring, there were 17 preschool-aged children in Classroom 3. When asked to identify individual groups, staff person #1 and staff person #2 each identified the same child as being in their individual group. It was discovered that another child was not included in either group. Staff person #1 and staff person #2 were able to correctly identify their individual groups prior to rep leaving the classroom.

Corrected by Jul 2, 2024

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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. Until such time as the required pre-service trainings are completed, staff person #4 and staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4 and staff person #5, they may not work in a child-care position at the facility.

During unannounced monitoring, staff person #4 and staff person #5 were observed to be caring for children unsupervised together. Staff person #4 and staff person #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from PQAS instructor.

Corrected by Jul 2, 2024

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 and staff person #5 will have until August 6, 2024 to complete the required training. Until such time as the required training has been completed, staff person #3 and staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3 and staff person #5, they may not work in a child-care position at the facility.

During unannounced monitoring, staff person #3 and staff person #5 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 PQAS instructor.

Corrected by Jul 18, 2024

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3270.113(a)/3270.113(a)(1) · 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. The legal entity must arrange for staff person #1 and staff person #2 to complete four trainings entitled "Supervision: What's Required?" and "Supervision: Teamwork" through Better Kid Care.

During unannounced monitoring, there were 17 preschool-aged children in Classroom 3. When asked to identify individual groups, staff person #1 and staff person #2 each identified the same child as being in their individual group. It was discovered that another child was not included in either group. Staff person #1 and staff person #2 were able to correctly identify their individual groups prior to rep leaving the classroom.

Corrected by Aug 2, 2024

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During unannounced monitoring, an infant was asleep in a bouncer seat with a blanket over their head.

Corrected by Jul 2, 2024

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all infant staff to complete the training entitled "Safe Sleep Practices for Caregivers: Reduce the risk of SUID" through Better Kid Care or similar training that has been approved by the Northeast Regional Office.

During unannounced monitoring, an infant was asleep in a bouncer seat with a blanket over their head.

Corrected by Jul 31, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 3/21/24, staff #1 grabbed child #1 by the arm resulting in a fractured elbow.

Corrected by May 24, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS-approved in-person training, followed by technical assistance, regarding behavior management. This training must be completed as a live training or in-person. The training may count towards annual hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On 3/21/24, staff #1 grabbed child #1 by the arm resulting in a fractured elbow.

Corrected by Jul 15, 2024

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

As of the renewal inspection on 11/6/23, there was no documentation of an emergency drill in past 12 months.

Corrected by Nov 14, 2023

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3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

As of the renewal inspection on 11/6/23, the emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected by Dec 6, 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.

As of the renewal inspection on 11/6/23, there was no documentation of emergency plan training in the previous year for staff #2, #3, and #4. Staff #6 did not have emergency plan training.

Corrected by Nov 7, 2023

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3270.27(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.

As of the renewal inspection on 11/6/23, a letter had not been provided to the parent of each enrolled child explaining the emergency procedures.

Corrected by Nov 16, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 11/22/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

As of the renewal inspection on 11/6/23, staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR

Corrected by Nov 8, 2023

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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). 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 #6 may not work in a child care position at the facility.

As of the renewal inspection on 11/6/23, there was no NSOR for facility person #6 (see code sheet for start date).

Corrected by Dec 8, 2023

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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.

As of the renewal inspection on 11/6/23, there was no written evaluation for staff #3 in the previous 12 months.

Corrected by Nov 10, 2023

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3270.131(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.

As of the renewal inspection on 11/6/23, Child #1 had 3 of 4 recommended doses of DTAP, 1 of 2 doses of Hepatitis A, no MMR, no Varicella, and no influenza. The most recent influenza vaccine for child #2 was 12/8/21; for child #3 it was 1/7/21. There were no exemption letters on file. Child #1, #2, and #3 must be removed from care until proper documentation is on file.

Corrected by Dec 6, 2023

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3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

As of the renewal inspection on 11/6/23, the health assessment of staff #5 did not include the doctor's statement of an exam for communicable disease or the staff person's suitability to provide care to children.

Corrected by Nov 10, 2023

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3270.131(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.

Child #1, #3, #4 and #5 are missing the third Hib vaccine. Child #2 is missing the fourth DTaP vaccine. Child #6 is missing the second Hep B vaccine. There are no exemption letters on file for these missing vaccines. Child #1, #2, #3, #4, #5 and #6 must be removed from care until proper documentation is on file.

Corrected by Oct 13, 2023

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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.

As of the renewal inspection on 11/16/22, the most recent written evaluation for staff #1 was dated 8/18/21.

Corrected by Nov 21, 2022

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

As of the renewal inspection on 11/16/22, the agreement did not specify the fee amount for child #1.

Corrected by Nov 21, 2022

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3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. 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.

As of the renewal inspection on 11/16/22, neither the agreement nor the emergency contact for child #5 included the persons designated by the parent to whom the child may be released.

Corrected by Nov 21, 2022

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

As of the renewal inspection on 11/16/22, the emergency contact information for child #5 did not reference who shall be contacted in an emergency.

Corrected by Nov 21, 2022

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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.

As of the renewal inspection on 11/16/22, the emergency contact information for child #2 did not include the health insurance policy number.

Corrected by Nov 21, 2022

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3270.124(f)/3270.181(c) · 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. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

As of the renewal inspection on 11/16/22, the most recent update to the emergency contact information and fee agreement for child #3 was 5/3/22.

Corrected by Nov 21, 2022

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

As of the renewal inspection on 11/16/22, the most recent health assessment on file for child #6 was dated 9/29/21.

Corrected by Nov 21, 2022

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

As of the renewal inspection on 11/16/22, the Albuterol in the classroom for child #4 expired 4/2022.

Corrected by Nov 21, 2022

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

As of the renewal inspection on 11/16/22, there was only 1 written, nonfamily reference on file for staff #2.

Corrected by Nov 21, 2022

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

On 11/16/21 during the renewal inspection, staff #1, hired 8/30/21, did not have a disclosure statement on file.

Corrected by Nov 16, 2021

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3270.35(b)(3) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

On 11/16/21 during the renewal inspection, staff #6 was identified as a Group Supervisor but did not have documentation on file to verify qualifying for the position.

Corrected by Nov 22, 2021

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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.

On 11/16/21 during the renewal inspection, a ceiling tile in the girl's bathroom in the basement had a hole in it.

Corrected by Nov 22, 2021

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

On 11/16/21 during the renewal inspection, there was no documentation of influenza vaccine or exemption letter for child #1. The most recent influenza vaccine for child #2 was dated 11/26/19.

Corrected by Dec 16, 2021

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

On 11/16/21 during the renewal inspection, there was only one reference on file for staff #2.

Corrected by Nov 17, 2021

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3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

On 11/16/21 during the renewal inspection the required health and safety training for staff #3, #4, and #5 was completed on 9/29/16, 9/7/16 and 9/9/16 respectively. All prior to 9/30/16 and no longer acceptable to satisfy the requirement.

Corrected by Nov 22, 2021

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3270.27(f) · 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.

On 11/16/21 during the renewal inspection, the emergency plan had not been submitted to the local municipality or the county.

Corrected by Nov 17, 2021

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