YMCA Child Care Center

Child #1 was in their classroom unsupervised. The child was alone in the classroom for approx 15 minutes.

Documentation of tuberculosis screening on file for facility person #1 was completed more than one year prior of staff members hire date.

Facility Person #1 file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Previously cited on 4/25/25 and verified as not implemented during a visit on 5/29/25, the bear classroom had a ceiling tile that was showing visible water damage.

Previously cited on 4/25/25 and verified as not implemented during a visit on 5/29/25, the thermometer in the fox classroom refrigerator was 48° F.

During the time of inspection, in the wolf pup classroom, diapering wipes labeled "keep out of reach of children" were accessible to children. - Corrected on site

During the time of inspection, the first aid kit in the van was missing water and tweezers.

During the time of inspection, it was observed that the owl's classroom had visible dirt and was sticky under their changing pad on their changing table. - Corrected on site During the time of inspection, it was observed that in the fox classroom, there was visible dirt in toy bins and a broken toaster oven toy. During the time of inspection, the bear classroom had 2 ceiling tiles that were showing visible water damage.

During the time of inspection, the thermometer in the fox classroom refrigerator was 51° F. During the time of inspection, the thermometer in the bears classroom refrigerator was 52° F.

Facility person #2 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 3.15.23.

During the time of inspection, the owl's classroom had bottles that were not labeled. - Corrected on site

Documentation of vehicle insurance on file at the facility expired on 1.15.2025.

Documentation of comprehensive general liability insurance on file at the facility expired on 1.15.2025. - Corrected on site

Documentation of pediatric first aid/CPR on file for facility person #1 showed that the certification expired on 4.1.25.

Child #1 had "Located on Emergency Contact form" on the fee agreement under persons designated by a parent to whom the child may be released. Child #2 had "See Emergency Contact form" on the fee agreement under persons designated by a parent to whom the child may be released.

Facility person #2 was seen on video sleeping on and off in the school age classroom with 4 children present and facility person #2 was alone. Time range was from 1:18pm - 2:50pm. Total amount of time facility person #2 was seen asleep was 76 minutes.

Documentation of the clearances on file for facility person #1 indicated there was a record but the rap sheet was not submitted to the regional office for review before Facility person #1 began working with children.

Documentation of the facilities parent letter did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

During the time of inspection, a sanitizer bottle was on the windowsill in the Chipmunk classroom accessible to children. - Corrected on site.

During the time of inspection, three windows in the Chipmunk classroom were not modified or adapted to limit the opening to 6 or fewer inches. The classroom is located upstairs on the second floor of the building.

During the time of inspection, the Wolf pup's classroom was missing scissors in their first aid kit. - Corrected on site

During the time of inspection, the refrigerator in the Chipmunk classroom was at 46° F.

During the time of inspection, it was observed that the infant teacher used a wipe for the child's hands after diapering. The teacher then placed the child in a highchair for a meal.

During the time of inspection, Facility person #3 health assessment paperwork did not state they were suitable to work with children.

Facility persons #2 completed fire safety training on 1.2.24 and updated their fire safety training on 2.20.24.

Staff person #4 did not have documentation of the 10 hour health and safety training on file.

Child #2, #3, and #5 did not have documentation of completed child service reports on file.

Child #1 and child #4 did not have documentation of the child's date of admission on the fee agreement. - Corrected on site.

Child #3 did not have documentation of the release persons address on the emergency contact form. - Corrected on site

During the time of inspection, the Owl classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site. The Deer classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site. The Bears classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site

Facility person #2 and Facility Person #5 did not have documentation of 12 clock hours of annual childcare training.

Staff person #2 did not have documentation of the application for an NSOR clearance at time of hire.

Documentation shows that fire drills were not conducted every 60 days. 9/18/23 - 1/16/24

Facility person #1 has documentation of one reference written by a family member on file.

It was observed at the time of inspection the letter to parents of enrolled children explaining the emergency procedures did not contain the plan for a lockdown and accommodations for infants, toddlers and children with disabilities and chronic medical conditions.

It was observed at the time of inspection a bottle of bleach cleaner was in an open closet accessible to children in the school age classroom. Corrected at inspection.

It was observed at the time of inspection the first aid kit in the Pre-K classroom did not contain gloves. Corrected at inspection.

It was observed at the time of inspection the a sink being repaired by maintenance staff and was not working.

It was observed at the time of inspection the diaper pad in older toddler classroom was cracked and foam was exposed. Corrected at inspection.

It was observed at the time of inspection the refrigerator in the school-age classroom did not have a thermometer. Corrected at inspection.

It was observed at the time of inspection the last emergency drill was completed and documented more than one year ago.

It was observed at the time of inspection the last fire drill documented was on 9-8-23.

It was observed at the time of inspection that child #1 and Child #2 did not have health assessments in their files.

It was observed at the time of inspection child #2's record did not contain a financial agreement.

The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

It was observed at the time of inspection after diapering a young toddler the teacher took the child to the bathroom to wash their hands and her ability to supervise the remaining children was obstructed by a wall. When the young toddler teacher needed to access the refrigerator her ability to supervise the children was obstructed by a wall. Multiple pre-k children were hiding in two plastic storage cabinets, behind a closed door, in the outdoor play area.

It was observed at the time of inspection an electrical outlet in the pre-school classroom did not have a protective receptacle cover.

It was observed at the time of inspection the ceiling tiles were missing in the pre-school classroom, a soap dispenser was removed from the wall and holes were in the drywall where the screws held it to the wall of the pre-school classroom, three windows in the school-age classroom had multiple spider webs and dust, the ceiling tiles below the leaking HVAC unit were water stained and moldy. During the inspection the director stated that a child had attempted to climb into the opening of the drop ceiling where ceiling tiles were missing.

It was observed a the time of inspection the pre-k classroom was using the outside play area. The only play equipment was one plastic climber/slide in the outdoor play area for 6 pre-school aged children.

The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

It was observed during inspection children were climbing on tables, chairs, hitting each other and throwing toys in the older toddler and preschool classrooms.

Continued noncompliance from SIN-00222505: It was observed at the time of inspection outlet covers were not place on electrical outlets in the school-age classroom.

It was observed at the time of inspection the fence surrounding the outdoor play area had peeling paint.

Continued noncompliance from SIN-00222505: A shelf in a bench in the pre-school room was dirty with dust. Continued noncompliance from SIN-00219794: On 03/02/2023, observed a tricycle with a missing handle and a green plastic bat which was cracked.

It was observed at the time of inspection, on 6-23-23, a ceiling tile was missing, and a trashcan was below gathering water dripping from the air conditioner condensation. The outdoor play area had discarded play equipment that was cracked and broken.

It was observed at the time of inspection on 6-23-23 a ceiling tile was missing and a trashcan was below gathering water dripping from the air conditioner condensation.

It was observed at the time of inspection a closet in the young toddler classroom was unlocked and contained plastic bags on the bottom shelf.

Continued noncompliance from SIN-00222505: It was observed at the time of inspection the cots in the pre-K room did not have a chart identifying the numbered cots specific to each child.

Continued noncompliance from SIN: 00222505: The refrigerator in the pre-school and pre-K classrooms were dirty with dust and debris.

It was observed at the time of inspection staff #2 did not have a TB test.

It was observed at the time of inspection staff #1 and staff #2 did not have verification of their education in their files.

It was observed at the time of inspection an electrical outlet in the school age room did not have a protective receptacle cover.

It was observed at the time of inspection that lotion being stored on the diapering table in the infant room.

It was observed at the time of inspection a first-aid kit was in a drawer accessible to children in the Young Toddler room.

It was observed at the time of inspection a toilet in Room #1 was not working.

It was observed at the time of inspection a toy labeled for the ages 3-6 was on a shelf accessible to children in the Young Toddler Room/Room #2. Pre-school children were observed using play equipment for children ages 5-12.

It was observed at the time of inspection the vinyl block in the Young Toddler room was peeling and the foam was exposed. (Corrected at inspection) A vinyl bench seat was ripped and the foam was exposed (corrected at inspection). A sink in the pre-school room was not working. Two holes were observed in the wall in the pre-school room. A shelf in a bench in the pre-school room was dirty with dust. A tote with a long draw string that could be a strangulation hazard was observed accessible to children in the young toddler room. The hands-free paddle on the trashcan in the Pre-school room was not working.

It was observed at the time of inspection plastic gloves were on the changing tables in the infant and young toddler rooms.

It was observed at the time of inspection the cots in the pre-K room did not have a chart identifying the numbered cots specific to each child.

The refrigerator in the Pre-school room and older toddler room and the freezer in the pre-k room were dirty. The refrigerator in the school-age room did not have a thermometer.

It was observed at the time of inspection the emergency contact information in in child care spaces were not updated within the last six months. Child #1's financial agreement was last updated on 6-15-21. Child #2 did not have a financial agreement in their record.

It was observed at the time of inspection child allergy lists were posted without a cover in the pre-k classroom.

The file for staff person #2 did not include the results of the NSOR clearance within 45 days of hire (see LIS code sheet). Staff person #2 was observed working alone in the 3-year-old preschool classroom. The file for staff person #3 included an FBI and a PA State Police clearance which was not updated within 60 months. The most recent FBI clearance on file was dated 08/21/2017 and the PA State Police clearance was dated 08/17/2017. Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 02/02/2018.

On 02/23/2023, child #1 picked up cigarette butts found on the playground and placed them into their mouth.

On 03/02/2023, cigarette butts were observed on the ground along the fence inside the playground used by toddlers.

On 03/02/2023, Observed trash including cigarette butts, wrappers and a cracked plastic food container were found on the ground inside the playground used by toddlers. Several tires were on the playground with the edges filled with standing water.

On 03/02/2023, observed a tricycle with a missing handle and a green plastic bat which was cracked. Several tires were on the playground with the edges filled with standing water.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The last documented fire drill was on 11/11/2022.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the fire drill conducted on 02/10/2022 was documented on the fire drill log with 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.

Staff person #1, #2, #3, #4, #5, #6, and #7 who completed the previous health and safety pre-service training modules prior to October 4, 2022, did not complete the 1-hour Pennsylvania Health and Safety Update 2022 by December 30, 2022.

The windows in the 2nd floor childcare space were observed to have missing stop plates and windows located in the follow locations were able to open more than 6 inches: Infant room by the refrigerator, Room 5 (foxes) 1st one on the left, Gross motor room the last window on the left, The middle window by the wooden climber in the preschool room, Second window on the left in the toddler room, In Room 1 the first, third, fourth on the right.

Facility staff person #1 was observed not to have a health assessment including a TB test on file.

Facility person #1 did not have on file documentation that mandated reporting was completed.

Facility staff person #1 is designated as an AGS. Facility staff person #1 does not have on file, childcare experience to support the position of an AGS.

Facility staff person #1 did not have documentation of education on file.

Facility Staff person #1 was observed not have documentation that pediatric first aid and CPR were completed.

Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training. Staff person #2 has not completed the following pre-service training: Pediatric First Aid and CPR.

It was observed that a child in the infant room, was sleeping in the crib while wearing a bib, creating a potential choking hazard (corrected during inspection).

It was observed in Room 5 (Pre-K) that the layout of the shelving and furniture obstructed staff's view which prevented them from being able to actively supervise all children during naptime.

It was observed in the Infant room (Rm 6) that there were two bottle warmers containing hot water, plugged in and accessible to children, on a bookshelf (corrected during inspection).

The facility's emergency plan does not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when it has ended to provide instructions as to how parents can safely be reunited with their children.

The emergency plan was not posted in the facility at a conspicuous location.

The letter to the parents explaining the emergency procedures does not contain lock-down emergency procedures, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed in the Infant room (Room 6) that two tubes of diaper cream were accessible to children in the cabinet under the changing table (corrected during inspection).

It was observed that the first-aid kit in Room 4 (older toddlers) did not contain tweezers (corrected during inspection).

It was observed in the downstairs SACC room, on the wall to the right, that the entire electrical box (with outlets) was not secured to the wall. In this same room, children have access to a child care space which is now being used for storage only. Also in this downstairs SAC room, there were 3 ceiling tiles (close to Men's room) that were significantly water stained and bulging downward. In room 3 (OT), there were two holes (1 inch diameter) on the wall (right side of room) under the window (corrected during inspection). It was observed, in Room 2 (YT) in the girls' bathroom, that a light cover was missing and a ceiling tile was broken (corrected during inspection). In Room 4 (pre-school) a ceiling tile containing a sprinkler head was cracked (corrected during inspection). It was observed, in the outside toddler play area (with black mats) that there was a long unsecured hose accessible to children and 3 metal hardware plates anchored into the mats, which created a potential tripping hazard. It was observed that children have access to the facility's kitchen (corrected during inspection).

It was observed in Room 3 (OT) that there was a one inch tear in the diaper changing pad (corrected during inspection).

It was observed in Room 2 (YT) that the rest equipment was not labeled for the use of specific children (corrected during inspection).

It was observed, in the Infant room (room 6), that there was not two feet on three sides of a crib that an infant was sleeping in (corrected during inspection). It was observed in Room 5 (pre-K) that not all rest mats had at least 2 feet of space on three sides (corrected during inspection).

It was observed in Room 4 (preschool) that the refrigerator used to store food and drinks for the children had a temperature of 48 degrees F (corrected during inspection).

Children #1, #2, and #3's records do not contain updated health reports.

Child #3's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child #3's health report did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Child #1 and #5 have no record of receiving the Influenza vaccination. Child #3's most recent Influenza vaccination was 11/2/20.

It was observed in the Infant room (Room 6) that there was no hands-free trash can accessible near the diaper changing area (corrected during inspection).

Staff person #1 had a time between health assessments which exceeded the permitted 24 month time period (9/10/18, 10/5/20)

It was observed that parents of the infants Room 6 have not provided a written statement giving the formula and feeding schedule for their children.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Six of the booster seats used for transporting children to and from the facility are labeled not to be used after 2010 or 2011.

The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The conducted annual emergency drills have not been documented and placed on file at the facility.

The fire detection system inspection and testing report indicated that some smoke detectors at this facility needed to be replaced. Proof that they were replaced and are functioning properly (from a fire safety official) is not on file at the facility.

The facility does not have an emergency plan that provides for accommodations for shelter of children during a lock-down emergency situation.

Copies of the emergency plan have not been sent to the local municipality.

The facility has not been notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Child #5's agreement was not signed by the operator.

The agreements of child #1, #3, #4, and #5 did not specify the date of the child's admission.

The parents of child #1 through #5 did not receive the original agreements. They received copies and the originals were retained in the children's files.

Child #1, #2, and #3's emergency contact information did not include the enrolling parent's work address. Child #1 and #2's emergency contact information did not include the enrolling parent's work phone numbers. Child #2's emergency contact information did not include the enrolling parent's home address and home telephone number.

Child #2 and #3's emergency contact information was not reviewed and updated at least once in a 6 month period.