Titusville YMCA After School Program

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The immunization record for Child #6 (PSA) lacked the following immunizations: 4 doses of DTAP, 4 doses of HiB, 3 doses of Polio, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file.”

Correction date in the state record: May 22, 2026

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The file for Child #2, enrolled more than 60 days, lacked an initial health report. (See LIS Code Sheet). The file for Child #8 contained an initial health assessment dated 2/12/26, more than 60 days beyond enrollment (SEE IS CODE SHEET).”

Correction date in the state record: May 22, 2026

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The two most recent parent reviews and signatures for the emergency contact forms on file for Child #4 (5/26/25 & 1/12/26) and Child #7 (4/28/25 & 12/2/25) are dated more than 6 months apart.”

Correction date in the state record: May 23, 2026

3270.27(c) Training regarding plan

“The most recent emergency plan trainings on file for Facility Person #8 and Facility Person #9 are dated 3/24/25, more than 12 months prior.”

Correction date in the state record: Jun 1, 2026

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The fire alarm 30-day test log includes test dates 1/9/26-2/9/26, more than 30 days apart.”

Correction date in the state record: May 22, 2026

3270.27(a)(5) Emergency plan

“The facility's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.”

Correction date in the state record: Jul 3, 2026

3270.192(5) Two written references

“The file for Staff #3 contained 1 of 2 written nonfamily reference letters attesting to the staff person's suitability to work in child care.”

Correction date in the state record: May 22, 2026

3270.181(c) Emergency info/agreement updated 6 mos

“The two most recent parent reviews and signatures for the financial agreement forms on file for Child #4 (1/10/25 & 1/12/26) and Child #7 (4/28/25 & 12/2/25) are dated more than 6 months apart.”

Correction date in the state record: May 22, 2026

3270.151(a) 12 months prior to service and every 24 months thereafter

“The two most recent health assessments on file for Staff #2 (3/8/24 & 4/24/26) and Staff #7 (6/14/23 & 5/4/26) are dated more than 24 months apart.”

Correction date in the state record: May 22, 2026

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility's Continuity of Operations policy in the emergency plan lacked procedures on backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.”

Correction date in the state record: Jul 3, 2026

3270.131(d)(7) Free from contagious/communicable disease

“The health assessment on file for Child #3, dated 10/1/25, does not indicate if the child is free from contagious disease and may participate in child care.”

Correction date in the state record: Jun 30, 2026

3270.31(e)(4)(i)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“The two most recent Pediatric First Aid/CPR trainings on file for Staff #4 are dated 11/18/23 & 2/18/26, more than 24 months apart.”

Correction date in the state record: May 23, 2026

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The two most recent Pennsylvania State Police clearances (2/4/21 & 4/30/26) and Child Abuse clearances (6/2/20 & 5/7/26) on file for Staff #5 are dated more than 60 months apart. The two most recent mandated reporter trainings on file for Staff #1 are dated 4/20/21 and 5/1/26, more than 60 months apart. The file for Staff #3 lacked a disclosure statement. The file for Staff #6 contained a disclosure statement dated 1/9/25, lacking a witness signature, making it invalid.”

Correction date in the state record: May 22, 2026

3270.124(b)(6) Insurance coverage information

“The emergency contact forms for Child #1 lacked the child's health insurance/MA coverage name and policy number for the child's health care benefits.”

Correction date in the state record: Jul 3, 2026

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #7 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: May 23, 2026

3270.123(a)(4) Arrival/departure times

“The financial agreement form on file for Child #8 lacked arrival and departure times.”

Correction date in the state record: May 22, 2026

3270.123(a)(3) Services proceeded

“The file for Child #8 lacked a child service report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Jul 3, 2026

3270.123(a) Signed

“The file for Child #5 lacked a financial agreement signed by the operator and the parent.”

Correction date in the state record: May 22, 2026

3270.111(b) Posted in group space

“At the time of inspection, the facility lacked a posting of the written plan of daily activities in the Green and Pink classrooms.”

Correction date in the state record: May 22, 2026

3270.102(a) Clean and good repair

“Broken magnatiles were observed in the Green room. In the Orange room, wood blocks were observed with broken and splintered edges, which could cause injury to children.”

Correction date in the state record: May 22, 2026

3270.66(a) Locked or inaccessible

“In the Orange classroom, multiple cans of sunscreen in a bag next to the door and cans of shaving cream in an unlocked cabinet labeled "Keep out of reach of children" were observed to be accessible. In the Purple Room, multiple cans of shaving cream labeled "Keep out of reach of children" were observed to be accessible in a fabric bin behind the teacher's desk.”

Correction date in the state record: May 22, 2026

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“Unlidded trash cans containing used tissues were observed in the Blue and Green classrooms.”

Correction date in the state record: May 22, 2026

3270.76 Building Surfaces

“A protruding screw, which could be harmful to children, was observed to be accessible to children under the white board in the Blue room. In the Gross Motor space, exposed bolts were observed on the fence and were accessible to children.”

Correction date in the state record: Jul 3, 2026

3270.77(a) No peeling paint or plaster

“Peeling paint and plaster was observed near the AC unit in the Brown room, next to the couch in the Pink room, to the right of the closet in the Pink room, on the door frame entrance area of the Pink room, on the window sill in the Orange room, and under the sink in the Boys Bathroom. Damaged plaster resulting in a small hole in the wall was observed under the white board in the Blue room.”

Correction date in the state record: Jul 3, 2026

3270.82(h) Handwashing signs

“The Girls Bathroom lacked handwashing signs in six bathroom stalls.”

Correction date in the state record: May 22, 2026

3270.151(c)(5) Physician/CRNP assessment

“The health assessment on file for Staff #2 and Staff #3 does not include the physician or health care professional's assessment of the person's suitability to provide child care.”

Correction date in the state record: Jul 30, 2025

3270.192(5) Two written references

“The file for Staff #7 contained 2 written letters of reference, but one letter was written by a family member making it unacceptable. The file for Facility Person #14 lacked 2 nonfamily written reference letters.”

Correction date in the state record: Jun 30, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The mandated reporter trainings on file for Staff #4 (dated 1/8/25) and Staff #5 (dated 8/18/21) are not approved trainings, making them invalid.”

Correction date in the state record: Jun 30, 2025

3270.131(a)(4)/3270.182(1) Initial health report for school age; accordance with school attendance/Initial and subsequent health reports

“The initial health assessment and immunization record on file for Child #5 are dated 4/11/25, more than 60 days beyond the child's date of enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Jun 9, 2025

3270.82(h) Handwashing signs

“In the bathroom located in the Blue Room lacked a handwashing sign at every sink and toilet.”

Correction date in the state record: Jun 30, 2025

3270.31(f) Health and Safety Training

“Staff #2 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): Mandated Reporter Training. The training was completed on 2/12/25. Staff #6 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): Get Started with Center-Based Care Revised-2022. The training was completed on 12/13/24.”

Correction date in the state record: Feb 12, 2025

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The most recent 6 month review signature for the emergency contact form on file for Child #1 is dated 1/16/25, more than 6 months beyond the child's date of enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Jan 16, 2025

3270.124(b)(7) Name/address/phone release person

“The emergency contact form on file for Child #4 lacked complete addresses for all listed release persons.”

Correction date in the state record: Jun 9, 2025

3270.124(b)(3) Parent home/work address, phone

“The emergency contact form on file for Child #2 and Child #4 lacked a complete address and telephone number for the enrolling parent.”

Correction date in the state record: Jun 30, 2025

3270.27(e) Letter to parents

“The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Jun 30, 2025

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The two most recent fire safety trainings on file for Staff #8, Staff #9, Staff #10, Staff #11, Staff #12 are dated 6/20/23 and 4/30/25, more than 12 months apart.”

Correction date in the state record: Apr 30, 2025

3270.131(d)(5)/3270.131(e)(1) Immunization record/Exemption documentation from parent/guardian

“The immunization record for Child #2 (Preschool Age) lacked the following immunizations: 1 dose of Pneumococcal without a Letter of Exemption in the file. Child #2 must be dismissed from care by close of business on 5/22/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.”

Correction date in the state record: May 22, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The FBI clearances on file for Staff #4 (dated 8/21/23) and Staff #5 (dated 11/11/22) were issued by the Department of Education and are unacceptable for child care. Staff #4 (dated 4/25/25) and Staff #5 (dated 4/23/25) have updated and acceptable FBI clearances on file at the time of the renewal inspection.”

Correction date in the state record: Apr 25, 2025

3270.27(c) Training regarding plan

“The file for Staff #6 contained initial emergency plan training dated 3/24/25, more than 90 days from the staff person's date of hire (SEE IS CODE SHEET). The file for Facility Person #13 lacked emergency plan training.”

Correction date in the state record: Jun 30, 2025

3270.27(a)(5) Emergency plan

“The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Jun 30, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Based on a conversation with the director, the facility is not testing the fire alarm system every 30 days and maintaining a log of the test dates, as required with the 12/19/20 Chapter 3270 regulation updates. The facility schedules annual fire system inspections, even though they are able and required to manually test the alarm every 30 days.”

Correction date in the state record: May 22, 2025

3270.72(d) Above ground window opening restricted to 6"

“Windows in the Green Room and Brown Room, located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.”

Correction date in the state record: Jun 30, 2025

3270.76 Building Surfaces

“Peeling paint and plaster was observed on the window sills in the Pink Room and Green Room.”

Correction date in the state record: Jun 30, 2025

3270.102(a) Clean and good repair

“In the Orange Room, Blue Room, and Pink Room, foam blocks were observed with teeth mark and not in good repair.”

Correction date in the state record: May 22, 2025

3270.123(a)(3) Services proceeded

“The most recent child service report on file for Child #3 is dated 4/21/25, more than 6 months beyond the child's date of enrollment (SEE IS CODE SHEET).”

Correction date in the state record: Apr 21, 2025

3270.151(c)(3) Exam communicable disease

“The health assessment on file for Staff #2 does not indicate that the staff person was examined for communicable diseases.”

Correction date in the state record: Jul 30, 2025

3270.151(c)(2) Mantoux TB

“The tuberculosis test on file for Staff #6 dated 8/6/23 lacked results of the screening which is due at time of hire (SEE IS CODE SHEET).”

Correction date in the state record: Jul 30, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The initial tuberculosis test on file for Staff #1 (dated 1/14/25) and Staff #2 (dated 11/31/24) are dated after the staff person's date of hire. The initial health assessment on file for Staff #4 (dated 11/18/24) and Staff #5 (dated 10/14/24) are dated beyond the staff person's date of hire (SEE IS CODE SHEET). The initial health assessment and tuberculosis test on file for Staff #6 are dated 8/6/23, which is more than 1 year prior to the staff person's date of hire (SEE IS CODE SHEET).”

Correction date in the state record: Jul 30, 2025

3270.76 Building Surfaces

“In the Blue Room, a metal piece of the heater was detached from the heating system and could be hazardous to children. A clean out pipe was observed protruding from a wall in a bathroom stall on the basement level with exposure to the interior wall, was not clean and in good repair, and was accessible to children.”

Correction date in the state record: Jun 30, 2025

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.”

Correction date in the state record: Jun 30, 2025

3270.124(b)(2) Physician name, address, phone

“The emergency contact form on file for Child #2 and Child #3 lacked a complete address and telephone number for the child's physician or source of medical care.”

Correction date in the state record: Jun 9, 2025

3270.66(a) Locked or inaccessible

“Multiple canisters containing small amounts of Joico Lightening Powder, labeled "Keep out of the reach of children", were observed on shelves in the Orange Room and were accessible to children. Toxic cleaners and cans of paint were observed in the Boiler Room, which was unlocked and accessible to children. Toxic cleaners were observed in an unlocked closet next to the cafeteria and were accessible to children.”

Correction date in the state record: Jun 30, 2025

3270.65 Protective Outlet Covers 5 yrs. or less

“In the Purple Room, a power strip lacked protective outlet coverings in every outlet.”

Correction date in the state record: Jun 30, 2025

3270.36(b)(5)/3270.192(2)(iii) HS/GED + 2 yrs/Exp, educ., training at facility

“The file for Staff #9, classified as an assistant group supervisor, lacked documentation of 2 years of experience with children.”

Correction date in the state record: Jun 30, 2025

3270.192(5) Two written references

“The files for facility persons #4 and 5 lack two written nonfamily references from individuals attesting to the persons suitability to serve as a facility person.”

Correction date in the state record: Aug 16, 2024

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility. SEE IS CODE SHEET. There is now a health report on file and dated 12/11/23.”

Correction date in the state record: Jun 24, 2024

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“There was more than six months between reviews/updates of the emergency contact and financial agreement information on file for child #2. This is evidenced by the dates of 3/1/23 and then 2/20/24.”

Correction date in the state record: Jun 24, 2024

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“There was more than 24 months between the previous and most current and updated health reports on file for staff #1 and 2. There are now current health reports on file. The files for facility persons #4 and 5 lack a health report which has been completed within the past 24 months.”

Correction date in the state record: Aug 16, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“There was more than 60 months between the PSP, Child Abuse and DHS FBI clearances on file for staff #1. There are now current clearances on file. Dates are as follows: PSP - 1/22/19 and 4/30/24, Child Abuse- 1/26/19 and 5/6/24 and FBI- 8/27/18 and 5/1/24. The file for staff #3 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 2/12/24. The file for facility person #4 lacks a disclosure statement. The file for facility person #5 lacks an NSOR and a disclosure statement.”

Correction date in the state record: Jun 24, 2024

3270.32(a) Comply with CPSL

“Facility persons #4 and 5 have not completed the mandated reporter training within 90 days of their date of hire (see IS code sheet).”

3270.31(f) Health and Safety 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. 10 hour health and safety training.”

3270.27(e) Letter to parents

“The parent letter explaining the emergency plan procedures and updates lacked an explanation of lockdown, a method to contact parents to notify them that there is an emergency and a method to inform parents that the emergency has ended and how they can be safely reunited with their children and accommodations for children with disabilities and children with chronic medical conditions.”

Correction date in the state record: Aug 16, 2024

3270.27(c)/3270.192(2)(iii) Training regarding plan/Exp, educ., training at facility

“The files for facility persons #4 and 5 lack verification of any emergency plan training.”

Correction date in the state record: Aug 16, 2024

3270.27(a)(3)/3270.27(a)(4) Contact when arises/Contact when ended

“The facilities emergency plan lacked a plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a 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.”

Correction date in the state record: Aug 16, 2024

3270.21 General Health and Safety

“In the PS 3 room, observed 3 pairs of adult scissors in an accessible drawer in the teacher's desk.”

Correction date in the state record: Jun 24, 2024

3270.65 Protective Outlet Covers 5 yrs. or less

“In the PS 1 room, observed an electrical outlet under a picture of a sunflower which lacked a protective receptacle cover.”

Correction date in the state record: Jun 24, 2024

3270.75(b) Inaccessible to children

“In the PS 2 room, observed that the first-aid kit was sitting on the chalk board and was accessible to the children in care.”

Correction date in the state record: Jun 24, 2024

3270.75(c) Has all items

“The first aid kit in the PS 1 room lacked soap.”

Correction date in the state record: Jun 24, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The emergency plan lacked a plan addressing continuity of operations for the aftermath of a disaster.”

Correction date in the state record: Aug 16, 2024

3270.77(a) No peeling paint or plaster

“The wall outside of the boy's bathroom which was blue and yellow, under the sinks in the boy's bathroom and outside of the stalls in the boy's bathroom had peeling paint.”

Correction date in the state record: Aug 23, 2024

3270.82(g) Clean and good repair

“The base of the faucet at the sink and wall beside the sink in the bathroom in the PS 3 Room were dirty.”

Correction date in the state record: Jun 24, 2024

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Mandated Reporter Training for staff #3 was dated more than 60 months ago.”

Correction date in the state record: Jul 3, 2023

3270.21 General Health and Safety

“In Room #1, four (4) pair of adult scissors, Room #2, four (4) pair of adult scissors and Room #3, three (3) pair of adult scissors were observed on the teacher's desks which were accessible to children.”

Correction date in the state record: Jul 3, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The files for Staff #1, #2, #3 and #4 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.”

Correction date in the state record: Jul 3, 2023

3270.131(d)(8) Age appropriate screenings complete

“The file for Child #1 did not include a physician's statement that all age appropriate screenings were completed as recommended by the American Academy of Pediatrics.”

Correction date in the state record: Aug 26, 2022

3270.75(a) In child care spaces

“A first-aid kit was not present in the Tiny Footsteps room.”

Correction date in the state record: May 31, 2022

3270.34(a)(6) Staff evaluations

“The files for Staff #2, #4, and #5 contained performance evaluations completed in the past year; however, the previous evaluations for each noted staff member were completed more than 12 months prior to the most recent evaluations.”

Correction date in the state record: May 31, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Although the file for Staff #3 contained documentation of the completion of mandated reporter training completed in the past 60 months, the previously completed mandated reporter training on file was dated more than 60 months prior to the most recent training.”

Correction date in the state record: May 31, 2022

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“Although the files for Staff #1, #3, #4, and #5 contained documentation of the completion of fire safety training that was completed over the past 12 months, the previously completed fire safety trainings for each staff were dated more that 12 months prior.”

Correction date in the state record: May 31, 2022

3270.27(c)/3270.192(2)(iii) Training regarding plan/Exp, educ., training at facility

“Although the files for Staff #3 and #4 contained documentation of the completion of emergency plan training completed in the past 12 months, each staff member previously completed emergency plan training more than 12 months prior to the most recent training.”

Correction date in the state record: Aug 17, 2022

3270.102(a) Clean and good repair

“Two approximately 12"x8"x8" plastic storage bins in areas accessible to children in care in the Tiny Footsteps 1 Room were observed to have cracked edges that could cause laceration and/or pinch point injuries. A dry erase board in an area accessible to children in care in the K4 Room was observed to have a sharply edged metal mounting brace that could cause laceration injuries.”

Correction date in the state record: May 31, 2022

3270.102(c) Outdoor equip.- protective surfacing

“The facility's outdoor equipment located in the outdoor play space was observed to be embedded, but lacked sufficient substrate as recommended by the United States Consumer Product Safety Commission.”

Correction date in the state record: Aug 26, 2022

3270.131(d)(7) Free from contagious/communicable disease

“The file for Child #1 contained a health assessment that did not include a physician's attestation that the child is able to participate in child care.”

Correction date in the state record: Aug 1, 2022