North Penn YMCA-Lansdale Branch

During the inspection on 7/24/25 staff person #3 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety training). Staff person #2--- does not have acceptable pediatric first aid/CPR training in an approved curriculum (Staff person #2 had Basic First Aid and CPR).

Staff persons #3,5,6,7,8,9,10,11,12, 13,18-- was observed to be caring for children unsupervised. Staff person #3,5,6,7,8,9,10,11,12, 13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Health & Safety Training). Staff persons 5,7,13, 18 #-- was observed to be caring for children unsupervised. Staff person #5,7,13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). Staff person #10--- does not have acceptable pediatric first aid/CPR training in an approved curriculum. Staff person #7,9,11, 18-- was observed to be caring for children unsupervised. Staff person #7,9,11,18-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training). Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety Training). The file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that appeared to be fraudulent.

During the inspection on 6/23/25 staff person#1 was observed providing direct child care and their file did not include a state police clearance and DHS FBI clearance. Staff person #13 was providing direct child care and their file did not include proof of fingerprinting or DHS FBI clearance and a disclosure statement. Staff person #18 was observed providing direct child care and their file did not include a state police, child abuse, DHS FBI clearance, and NSOR.

During the inspection on 6/23/25 staff person#5 was observed in Room #4 with 6 toddlers alone unsupervised. During the inspection on 6/26/25 staff person #3 was observed taking 6 children to the Girls bathroom at 10:33 am.

Ongoing non-compliance- On 2/26/25 the legal entity was required to arrange for all facility staff to receive a minimum of two hours of Better Kid training regarding supervision of children: Supervision: What is Required? & Supervision: Moving Children. Staff persons #1, 14,15,16 and 17 did not complete the required training. During the inspection on 6/23/25 at 9:49am staff persons# 6 and 10 were observed with 10 children outside of the bathroom. child #1 and 2 were observed in the bathroom alone unsupervised. Where staff persons #6 and 10 were positioned they could not direct, assist or see the children. At 1:30pm staff person#7 was observed in the stall with the door closed, while 4 children were in the bathroom alone unsupervised. During the inspection on 6/26/25 at approximately 9:40 am Staff person #19 was observed in the hallway with 6 children lined on the wall and 1 student in the bathroom unsupervised. Additionally at 10:33 am staff person #3 was observed taking children to the bathroom alone, 3 children were in the hallway and 3 students were in the bathroom alone unsupervised. Where staff persons # 3 and 19 were standing, they could only properly supervise the children…

During the inspection on 6/23/25 staff persons# 7 and 8 were observed in Room# 8 with 13 children, staff person #7 knew the names of 10 children, staff person #8 knew the names of 8 children. In Room #2 staff persons# 6 and 10 were observed with 12 children, staff persons #6 and 10 did not know any of the names of the children in their care. In Room #4 staff persons #5 and 16 were observed with 12 children. Staff person #16 knew the names of the 12 children., staff person# 5 did not know name of child #3. In Room #10 staff persons #12, and 18 were observed with 16 children, Staff person#12 knew the names of 9 children, staff person# 18 knew the names of 3 children. Additionally; Rooms # 2,4,8 and 10 staff did not have assignments of specific children. During the inspection on 6/26/25 in Rooms #2,4, and 10 the staff did not have specific assignment of supervision of children. In Room #10 staff persons #11 & 12 were observed with 19 children, staff person#11 knew the names of all 19 children, staff person#10 knew the knows of 5 of the 19 children,

During the inspection on 6/23/25 the file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that confirmed to be fraudulent. Review of PD registry report of staff person# 1 did not include a record of health and safety trainings on 5/18/22 or 4/19/23. Review of Better Kid Care Trainings completed courses did not include a record health and safety trainings on 5/18/22 or 4/19/23.

During the inspection on 6/26/25 the file record for staff person #19 did not include emergency plan training.

During the inspection on 6/23/2025 toxics (3 cans Clorox Disinfectant spray, pine sol cleaner, Resolve Urine destroyer spray, sun tan lotion) were observed in Room #3 in an open cabinet and hand sanitizer was on the table accessible to children. All toxics observed had a label that states "keep out of reach of children."

During the inspection on 6/23/25 Rooms# 1, 2 8 and 10 did not have a first aid kit.

During the inspection on 6/23/25 the first-aid kit in Room#4 was missing gloves and in Room#5 the first aid kit was missing tweezers. During the inspection on 6/26/125 the first aid kit Room#2 was missing soap, in Room #4 the first aid kit was missing gloves, in Room #5 was missing tweezers, in Room #6 the first aid kit was missing soap and tape, in Room #8 the first aid kit was missing tweezers and gloves and in Room #10 the first aid kit was tweezers.

During the inspection on 6/23/25 Room #1 was observed having 2 cracked tiles, and soiled ceiling tiles. Room #2 was observed having a wall that had a dried substance/liquid was visible on the wall.

During the inspection on 6/23/25 Room#1 was observed having areas of peeling paint.

During the inspection on 6/23/25 the boy's bathroom did not have a handwashing sign near the sink.

During the inspection on 6/23/25 an unopened box with a toy/equipment was observed stored in a hallway near Room#3.

During the inspection on 6/23/25 Rooms # 1,2, 8, and 10 did not have any play equipment and materials appropriate to the developmental needs, individual interests and ages of the children. Rooms # 1,2,8 and 10 were observed having only tables and chairs and other furniture (shelves/ cubbies).

During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for dramatic role playing.

During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for auditory development.

During the inspection on 6/26/25 Rooms # 1,2 and 10 did not include play equipment and materials for large muscle development.

During the inspection on 6/23/25 the refrigerator in the Room#6 did not have a thermometer. The refrigerator in Room#3 was observed having dark red/brown stains and other stains.

During the inspection on 6/23/25 the medication for child # 6 was observed on top of a cubby unit accessible to children.

During the inspection on 6/23/25 an expired EPIpen (dated: EXP:8/24) was observed accessible to children in room #3 for child #6.

During the inspection on 6/23/25 the file for staff person#4 did not include an initial health assessment and Tb test results. Staff persons# 2 and 18 were observed providing direct child care and their file did not include an initial health assessment and Tb test results. During the inspection on 6/26/25 staff person#19 was observed providing direct child care and their file did not include an updated health assessment (the health assessment observed dated: 5/6/22).

During the inspection on 6/27/25 staff person #20 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

During the inspection on 6/23/2025 four bottles for child #4 in the Room#6 were observed not labeled.

During the inspection on 6/23/25 the file for staff person#4 identified as a facility lifeguard did not include completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

During the inspection on 6/26/25 the file records for staff persons # 19 and 20 did not include a written evaluation.

During the inspection on 6/23/25 the file records for staff person #7 did not include verification of child care experience, education and training prior to service at the facility. The file record for staff person #8 did not include verification of childcare experience.

During the inspection on 6/23/2025 the file records for staff person #2, 3,9,10, 11, 12 did not include verification of child care experience prior to service at the facility. The file records for staff persons #6, and 7 did not include verification of child care experience, and education prior to service at the facility. During the electronic inspection on 6/24/25 the file record for staff person #18 did not include verification of child care experience, and education prior to service at the facility.

During the inspection on 6/23/25 the file record for staff person #5 did not include verification of child care experience, and education prior to service at the facility.

During the inspection on 6/23/25 Rooms # 1,2,8 and 10 did not have a daily schedule posted.

During the electronic inspection on 6/24/25 the file records for child #4,5, 8 and 9 did not include a financial agreement form signed by the operator and parent.

During the electronic inspection on 6/24/25 the files for child #4,5,7,8 and 9 did not include the services to be provided to the family and the child

During the electronic inspection on 6/24/25 the file record for child # 4 did not include an agreement that specified the child's arrival and departure times.

During the electronic inspection on 6/24/25 the file record for child # 7,8, and 9 did not include an agreement that specified the persons designated by a parent to whom the child may be released. The file records for child # 4,5,7,8 and 9 did not include an agreement that specified the date of the child's admission.

During the electronic inspection on 6/24/25 the file records for child #4 did not include work address and work telephone number of the enrolling parent on the emergency contact form. The file records for child # 4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

During the inspection on 6/23/2025 Rooms #2, 4 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces. During the inspection on 6/26/25 Rooms 1,2,3 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces.

During the inspection on 6/23/2025 the files for child #4,5,7,8 and 9 were not available.

During the electronic inspection on 6/24/2025 the file record for staff person #18 did not include the name, address and telephone number of the facility person. The file record for staff person #18 did not include verification of age.

During the inspection on 6/23/2025 the file records for staff persons #2 and 4 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person. During the electronic inspection on 6/24/2025 the file records for staff person#18 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

During the inspection 6/26/25 the file record for staff person # 19 did not include annual minimum of 12 clock hours of child care training.

As a result of the complaint investigation on 2/26/25 staff person # 1 admitted that the facility was out of ratio on 2/18/25.

Continued Non-Compliance: On (2/10/25) a complaint investigation was conducted at the facility. Staff person #1-- was observed to be caring for children unsupervised. Staff person #1-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid &CPR). The facility's acceptable plan of correction indicated the correction would be implemented by 2/25/25. On 2/18/25 it was reported that Staff person #1-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). The complaint investigation was conducted on 2/26/25.

During the inspection on 2/26/25 staff person #2 was observed leaving four children alone unsupervised in Room #5 at 8:22 am to open the front door.

Ongoing noncompliance- During the inspection on 2/10/25 the file record for staff person #1 did not include a NSOR. Per staff statements staff person #1 continued to provide direct child care after 1/23/25 inspection and POC indicated staff person #1 would not provide direct child care until all required clearances was obtained.

Continued Non-Compliance: On 1/23/25 an unannounced monitoring was conducted at the facility. Staff person #2-- was observed to be caring for children unsupervised. Staff persons #1 and 2-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR training) The facility's acceptable plan of correction indicated the correction would be implemented by 2/7/25. On 2/10/25 an unannounced inspection was conducted. Staff persons #1 and 2-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR).

Ongoing non-compliance- During the inspection on 2/10/25 the file for staff person #2 did not include an acceptable initial health assessment.

Ongoing noncompliance - During the inspection on 2/10/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency. Per staff statements staff #1 continued to work with children after 1/23/25.

Staff person # 2-- was observed to be caring for children unsupervised. Staff person #1 and 2-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training, pediatric first aid/CPR and Health and safety).

During the inspection on 1/23/25 the file for staff person #1 did not include a child abuse clearance, and NSOR clearance, mandated reporter training. Staff person #2 was observed direct child care and their file did not include out of state clearances for Connecticut, and mandated reporter training.

During the inspection on 1/23/25 the file record for staff persons #1 and 2 did not include emergency plan training.

During the inspection on 1/23/2025 toxics (Lysol wipes) were observed accessible to children in Kid's Corner.

During the inspection on 1/23/25 Room #5 & 6 did not have first-aid kit.

During the inspection on 1/23/25 Room #6 and the bathroom in Room #5 did not have a handwashing sign near the sink.

During the inspection on 1/23/2025 the file for staff persons #1 and 2 did not include an acceptable initial health assessment.

During the inspection on 1/23/2025 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

During the inspection on 1/23/2025 the file records for staff person #2 did not include verification of child care experience, education and training prior to service at the facility.

During the inspection on 1/23/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency.

During the inspection on 1/23/2025 the file records for staff person# 1 and 2 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

During the inspection on 11/25/24 the file record for staff person #1 did not include a signed disclosure statement.

As a result of the complaint investigation on 11/25/24 it was determined that the facility has evidence of infestation.

During the inspection on 11/25/24 the file record for staff person #1 did not include emergency plan training.

During the inspection on 11/25/24 a playpen in Room#2 was observed not having at least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the inspection on 11/25/24 the file record for staff person #1 did not include the name, address and telephone number of the facility person and verification of age.

During the inspection on 11/25/24 the file record for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the inspection on 11/4/24 the file record for staff person #3 did not include emergency plan training.

During the inspection on 11/4/24 the file records for staff person #1 did not include a health assessment.

During the inspection on 11/4/2024 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

During the inspection on 11/4/2024 the file records for child # 1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

During the inspection on 11/4/2024 the file records for staff person# 1 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

During the inspection 11/4/24 the file record for staff persons # 2 and 3 did not include annual minimum of 12 clock hours of child care training.

During renewal inspection on January 10, 2024, certification representative observed stained ceiling tiles in the hallway.

During unannounced inspection on October 30, 2023, Certification representative observed stained ceiling tiles in the hallways outside of rooms 6 and 8.

During unannounced inspection on October 30, 2023, Certification representative observed room 10 empty and not set up for child care, without sufficient materials.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #3 in room 4 with a total of 13 young school age children at approximately 1:38 pm, and observed staff #4 in room 2 with a total of 14 young school age children at approximately 1:55 pm.

During unannounced follow-up inspection on August 24, 2023, certification representative observed areas of peeled/missing molding in the gym. Continued non-compliance.

During unannounced follow-up inspection on August 24, 2023, the record of facility person #1 contained a health assessment dated 10-25-21 and the health assessment of staff #5 was dated 5-9-22. At the time of inspections on 7-31-23, and 8-7-23, the provider indicated and confirmed their start dates as 6-19-23 which allowed them provisional periods for other trainings and CPSL requirements. Based on the start date of 6-19-23, the health assessments provided were not completed within 12 months of initial care. Continued non-compliance.

During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #1 and #2 in the gym with 24 young school age children. The record of staff #1 did not contain an acceptable mandated reporter training, and the record of staff #2 did not contain the completed Health and Safety training. Continued non-compliance.

During unannounced inspection on August 7, 2023, the record of staff #10 did not contain the NSOR verification, or receipt for submission. The records of staff #6 did not contain documentation of mandated reporter training and was observed working with children unsupervised.

During unannounced inspection on August 7, 2023, certification representative observed 2 outlets without protective receptacle covers in room 1.

During unannounced inspection on July 31, 2023, the first-aid kit in room 8 did not contain tweezers or tape.

During unannounced inspection on August 7, 2023, cert rep observed staff #1 and 2 working together in room 10, observed staff #3, 4, 5 and 6 combined with their groups outside at 12:30 pm and then later observed #3, 4, and 5 separated and therefore alone in their classrooms with their groups. Staff #1, 2, 3, 4, 5 and 6 did not have documentation of completed pre-service trainings prior to working alone with children.

During unannounced inspection on August 7, 2023, the emergency contact information in room 6 did not contain emergency contact information for child #1, the emergency contact information in room 4 did not include information for child #2, and the emergency contact information for room 2 did not include information for children #3, 4, 5 or 6.

During unannounced inspection on August 7, 2023, the provider did not have files on site for staff #4 and #7.

During unannounced inspection on July 31, 2023, the water safety instruction completed by all staff was not from a certified lifeguard (online training from Redwoods institute).

During unannounced inspection on July 31, 2023, the record of staff #3 did not contain a DHS FBI clearance (contained a DOE FBI clearance) or an NSOR verification, and the record of staff #10 did not contain a Child Abuse clearance within 60 months (dated 1-14-18). Receipts of submission were not on file for staff #3 or #10. The records of staff #2 and #8 did not contain documentation of mandated reporter training and were observed working with children unsupervised. Continued non-compliance.

During unannounced inspection on July 31, 2023, cert rep observed staff #7, 9, 11, and 12 in the pool area with a total of 24 school age children. When asked to identify their supervision groups, the staff named a total of 22 children, leaving 2 children unaccounted for.

During unannounced inspection on July 31, 2023, cert rep observed the Big Kids group in the pool area, and the first-aid kit was missing scissors and tape. The first-aid kit in room 2 was missing scissors, tape and gauze. The first aid kit in room 3 was missing tweezers, the first aid kit in room 4 was missing scissors, tape, gloves and band aids, and the first-aid kit in room 6 was missing scissors and tape.

During unannounced inspection on July 31, 2023, certification representative observed missing ceiling tiles in the hallway outside of room 8, with building materials on the floor accessible to children.

During unannounced inspection on July 31, 2023, certification representative observed an area of damaged plaster on the bottom of the wall in room 10.

During unannounced inspection on July 31, 2023, there was not a sufficient amount and variety of materials in room 9 to preclude long waits for use for up to 20 children, the expected measured capacity of room 9. Continued non-compliance.

During unannounced inspection on July 31, 2023, the rest equipment in room 3 was labeled with numbers but the child sleeping on the cot did not match the name that corresponds with the number on the list.

During unannounced inspection on July 31, 2023, the record of staff #4 and #7 did not contain health assessments. Continued non-compliance.

During unannounced inspection on July 31, 2023, staff #1, 2, 4, 6 and 8 were observed working with in child care spaces without documentation of completion of the required Pre-service trainings (Health and Safety, Pediatric First-aid and CPR, and Mandated reporter). Staff #1, 2, and 8 were observed working alone with children, and staff #4 and 8 were working together in room 8. Continued non-compliance.

During unannounced inspection on July 31, 2023, the emergency contact information in room 4 did not include information for child #1, and the emergency contact information in room 8 did not include information for child #2.

During unannounced inspection on July 31, 2023, provider did not have an individual record on site for staff #1, 2, 3, 5, 6, 8 and 9.

During unannounced inspection on July 31, 2023, the record of staff #7 and #10 did not include verification of experience. Continued non-compliance.

During unannounced inspection on July 31, 2023, the record of staff #4, 7 and 10 did not contain two written nonfamily references. Continued non-compliance.

During inspection on June 2, 2023, the records of staff #1, 2, 3, 4, 6 and 7 did not include documentation of completion of the Health and Safety update within the time frame prescribed by DHS. At the time of inspection, staff #2, 3, and 5 were observed working unsupervised in room 10 without having completed Pediatric First-aid and CPR, or the Health and Safety training/updates.

During inspection on June 2, 2023, the record of staff #5 did not contain documentation of submission for the NSOR verification, and did not include the receipts for submission or results of out of state clearances for the state of Georgia as required under the CPSL.

During inspection on June 2, 2023, the hot water in room 10 measured at 120°F.

During inspection on June 2, 2023, there was not a sufficient amount and variety of materials in room 9 to preclude long waits for use for up to 20 children, the expected measured capacity of room 9.

During inspection on June 2, 2023, the rest equipment in room 10 was labeled with numbers but did not have a list or description of the names of children that the numbers coincided with.

During inspection on June 2, 2023, the refrigerator in room 10 did not contain a thermometer, and the thermometer in the refrigerator in room 3 indicated a temperature of approximately 50°F.

During inspection on June 2, 2023, the records of staff #2 and #5 did not contain a health assessment at initial employment, and the health assessment of staff #3 did not include the medical documentation necessary to confirm freedom of communicable tuberculosis.

During inspection on June 2, 2023, the records of staff #3 and #4 did not include documentation of pediatric first-aid and pediatric CPR within 90 days of hire.

During inspection on June 2, 2023, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in rooms 3, 9 or 10.

During inspection on June 2, 2023, the record of staff #2 did not include documentation of education and the record of staff #3 did not contain documentation of education or experience.

During inspection on June 2, 2023, the record of staff #5 did not include two written, nonfamily references.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE RECORD OF STAFF #3 DID NOT INCLUDE A DHS DBI CLEARANCE CONDUCTED WITHIN 60 MONTHS OF PREVIOUS FBI CLEARANCE (DATED 6-14-17).

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE FACILITY EMERGENCY PLAN DID NOT INCLUDE A CONTINUITY OF OPERATIONS PLAN AS REQUIRED UNDER 45 CFR 98.41(a)(1)(vii).

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAINED AND MISSING CEILING TILES IN THE HALLWAY OUTSIDE OF ROOMS 4 AND 6 WITH A TUBE LEADING INTO A TRASH CAN OF STANDING WATER FROM LEAK IN ROOF, PER LEGAL ENTITY. CERTIFICATION ALSO OBSERVED SMALL HOLES IN THE WALL AND A BIN OF STANDING WATER IN THE GYM, AND MISSING/BROKEN FLOOR TILES NEAR THE WINDOW IN ROOM 6.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPPED PAINT IN ROOM 4 NEAR THE CUBBIES, DAMAGED PLASTER ON THE CORNER OF THE WALL NEAR RUG AREA IN ROOM 4, AND CHIPPED PAINT IN THE GYM.

DURING RENEWAL INSPECTION ON NOVEMBER 2, 2022, THE RECORDS OF STAFF #1, 2 AND 4 CONTAINED FIRST-AID AND CPR TRAINING THAT WAS NOT FROM AN ACCEPTED CURRICULUM.