Wilkes-Barre Family YMCA Early Learning Center

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 does not have a valid tuberculosis screening on file that was dated with 12 months prior to hire. Staff #2 did not have a health assessment conducted until 12/27/23. Staff #3 did not have a health assessment or tuberculosis screening on file at the time of his inspection.”

Correction date in the state record: May 30, 2024

3270.32(a) Comply with CPSL

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 8 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 4/12/18. Staff # 8 completed the training on 9/8/23.”

Correction date in the state record: Oct 3, 2023

3270.31(f) Health and Safety Training

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.”

Correction date in the state record: Oct 3, 2023

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires staff to update their clearances every 60 months. The following staff did not update their clearances as appropriate to the CPSL: Staff # 2 had a state police clearance dated for 8/21/18 and this clearance was not updated until 8/25/23. Staff # 4 had a child abuse clearance dated for 6/28/18 and this clearance was not updated until 8/30/23. This staff also had an FBI clearance dated for 7/2/18 and this clearance was not updated until 8/31/23. Staff # 8 had a child abuse clearance dated for 3/15/18 and this clearance was not updated until 8/7/23. This staff also had an FBI clearance dated for 3/14/18 and this clearance was not updated until 8/8/23.”

Correction date in the state record: Oct 3, 2023

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires health assessments to be updated every 24 months. Staff # 5 had a health assessment dated 5/8/21 and this health assessment was not updated until 6/28/23. This staff did not update their health assessment every 24 months as required by regulation. Regulation requires staff to have a health assessment completed prior to working in childcare. Staff # 6 did not have a health assessment completed until 8/31/23. Staff # 9 did not have a health assessment completed until 9/12/23. Staff # 10 did not have a health assessment completed until 9/19/23. These health assessments were completed after these staff began working in a childcare position at the facility.”

Correction date in the state record: Oct 3, 2023

3270.151(c)(2)/3270.192(3) Mantoux TB/Health assessment, TB test

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires tuberculosis screening to be completed prior to staff working in a childcare position at the facility. Staff # 3 did not have a tuberculosis screening completed until 7/26/23. Staff # 6 did not have a tuberculosis screening completed until 8/31/23. Staff # 9 did not have a health assessment completed until 9/14/23. Staff # 10 did not have a health assessment completed until 9/22/23. These staff did not have a tuberculosis screening completed prior to working in a childcare position at the facility.”

Correction date in the state record: Oct 3, 2023

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of Staff # 5, # 7, # 9, 21 # 22, # 24, and # 25. Staff # 5 was working in child care and the file did not contain an NSOR clearance. Staff # 7 began working in child care before applying for an NSOR clearance. Staff # 7 did not receive an NSOR clearance until 2/14/22. Staff # 9 did not have an FBI clearance. Staff # 9 did not apply for an FBI clearance before working in child care. The file of Staff # 21 indicated they had lived out of state within the last 5 years. Those states clearances were not in the file at the time of the inspection. Staff # 22 did not have an FBI clearance. Staff # 22 did not apply for an FBI clearance before working in child care. Staff # 24 began working in child care before applying for an NSOR clearance. Staff # 24 did not receive an NSOR clearance until 1/31/22. Staff # 25 began working in child care before applying for a state police clearance. Staff # 25 did not receive a state police clearance until 9/15/22. The file of Staff # 25 also indicated that this staff had lived out of state within the last 5 years and the clearances of that state were not in the staff's file at the time of this inspection. An acceptable plan of correction was received on 10/20/22. An unannounced inspection occurred on 10/21/22. The file of Staff # 22 still did not contain an FBI clearance or proof that a clearance was applied for. Staff # 22 has worked in child care without having an FBI clearance on file. The file of Staff # 25 still did not contain out of state clearances. Staff # 25 was working unsupervised with children during this inspection.”

Correction date in the state record: Oct 21, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of Staff # 5, # 7, # 9, 21 # 22, # 24, and # 25. Staff # 5 was working in child care and the file did not contain an NSOR clearance. Staff # 7 began working in child care before applying for an NSOR clearance. Staff # 7 did not receive an NSOR clearance until 2/14/22. Staff # 9 did not have an FBI clearance. Staff # 9 did not apply for an FBI clearance before working in child care. The file of Staff # 21 indicated they had lived out of state within the last 5 years. Those states clearances were not in the file at the time of the inspection. Staff # 22 did not have an FBI clearance. Staff # 22 did not apply for an FBI clearance before working in child care. Staff # 24 began working in child care before applying for an NSOR clearance. Staff # 24 did not receive an NSOR clearance until 1/31/22. Staff # 25 began working in child care before applying for a state police clearance. Staff # 25 did not receive a state police clearance until 9/15/22. The file of Staff # 25 also indicated that this staff had lived out of state within the last 5 years and the clearances of that state were not in the staff's file at the time of this inspection. An acceptable plan of correction was received on 10/20/22. An unannounced inspection occurred on 10/21/22. The file of Staff # 22 still did not contain an FBI clearance or proof that a clearance was applied for. Staff # 22 has worked in child care without having an FBI clearance on file. The file of Staff # 25 still did not contain out of state clearances. Staff # 25 was working unsupervised with children during this inspection.”

Correction date in the state record: Nov 30, 2022

3270.123(a)(6) Admission date

“A renewal inspection occurred at the facility. A review of children's files was conducted. Child file # 1 did not contain a date of admission.”

Correction date in the state record: Oct 4, 2022

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

“Staff person # 21 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR and health and safety topics. Staff person # 24 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff person # 12, and # 25 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff person # 12, # 21, # 24 and # 25 was observed to be caring for children unsupervised.”

Correction date in the state record: Oct 14, 2022

3270.27(c) Training regarding plan

“A renewal inspection occurred at the facility. Staff # 26 did not review the emergency plan within 90 days of their hire date. See the code sheet for the date of hire. Staff # 27 has not reviewed the emergency plan since 7/5/21. The emergency plan is required to be reviewed on an annual basis.”

Correction date in the state record: Oct 5, 2022

3270.119 Infant sleep position

“A renewal inspection occurred at the facility. A physical site review was conducted. Staff # 25 was working in the infant room and when asked the sleeping position of infants, this staff responded on their belly. The appropriate sleeping position per the American Academy of Pediatrics is on their backs.”

Correction date in the state record: Oct 4, 2022

3270.31(f) Health and Safety Training

“Staff person # 6, # 19, # 21, # 24 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 and health and safety topics. Staff person # 1, # 2, # 5, # 8, # 10, # 18, # 24, # 27 and # 29 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. Staff person # 25 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff person # 9 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.”

Correction date in the state record: Oct 14, 2022

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the listed staff. Staff # 8 did not have proof of education in their file. Staff # 8 has not been appropriately qualified before working in a child care role at the facility.”

Correction date in the state record: Oct 4, 2022

3270.124(b)(6) Insurance coverage information

“A renewal inspection was conducted at the facility. A review of children's files was conducted. Child file # 2 did not contain documentation of their health insurance coverage including the policy number.”

Correction date in the state record: Oct 4, 2022

3270.151(c)(3) Exam communicable disease

“A renewal inspection occurred at the facility. A review of staff files was conducted. The health assessment of Staff # 24 did not include an exam for communicable diseases and the results of that examination.”

Correction date in the state record: Oct 4, 2022

3270.161(d) Potentially hazardous food refrigerated

“A renewal inspection occurred at the facility. A physical site review was conducted. Lunchboxes were found on the third floor that contained dairy and meats. These lunchboxes required refrigeration but were not refrigerated.”

Correction date in the state record: Oct 4, 2022

3270.34(a)(6) Staff evaluations

“A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff evaluations did not occur on an annual basis but did have a current evaluation on file at the time of the inspection: Staff # 3, # 4, # 11, # 12, # 13, # 14, # 15, # 16, # 26, and # 27. The following staff did not have an annual evaluation completed at the time of this inspection: Staff # 8, # 17, and # 19.”

Correction date in the state record: Oct 4, 2022

3270.27(a)(6) Emergency plan

“A renewal inspection occurred at the facility. The facility's emergency drill log was requested and the facility did not provided the emergency drill log for review.”

Correction date in the state record: Oct 10, 2022

3270.119 Infant sleep position

“A renewal inspection occurred at the facility. A physical site review was conducted. Staff # 25 was working in the infant room and when asked the sleeping position of infants, this staff responded on their belly. The appropriate sleeping position per the American Academy of Pediatrics is on their backs.”

Correction date in the state record: Oct 4, 2022

3270.106(j) Prohibit items in crib

“A renewal inspection occurred at the facility. A physical site review was conducted. In the infant room, an infant was found sleeping. In the crib, with the sleeping infant, a pacifier was found that had a clip attached to it with a string hanging from the clip.”

Correction date in the state record: Oct 4, 2022

3270.76 Building Surfaces

“A renewal inspection occurred at the facility. A physical site review was conducted. In the toddler classroom of Staff # 2, the sink had a strong odor when run. The smell was overpowering and the door needed to be opened to circulate fresh air. This sink was brought to the attention of maintenance during this inspection.”

Correction date in the state record: Oct 4, 2022

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

“A renewal inspection occurred at the facility. At the time of the inspection, the facility was unable to provide the annual testing of the fire safety system that was conducted by a fire safety professional.”

Correction date in the state record: Oct 12, 2022

3270.31(g) Professional development certificate

“A renewal inspection occurred at the facility. Staff # 12 has health and safety topic training dated for 9/18/16. Per regulation, this training no longer meets the requirements for the health and safety topic training.”

Correction date in the state record: Oct 4, 2022

3270.192(5) Two written references

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of the following staff. Staff # 25 was missing 1 letter of written reference. This staff was working in child care without having a complete file.”

Correction date in the state record: Oct 5, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the listed staff's dates of hire. Staff # 1 did not receive a health assessment or TB screening until 3/17/22 and 3/19/22. Staff # 2 did not receive a health assessment or TB screening until 10/30/21 and 10/27/21. Staff # 5 did not have a health assessment or TB on file. Staff # 7 did not have a health assessment or TB on file. Staff # 8 did not have a TB screening completed until 2/19/21. Staff # 9 did not have a health assessment and TB screening completed until 3/12/22 and 3/11/22. Staff # 10 did not have a health assessment on file and did not receive a TB screening until 8/15/22. Staff # 17 had a health assessment dated for 8/24/19 and this health assessment was not updated until 9/22/22. Staff # 18 did not have a health assessment or TB screening completed until 9/21/21. Staff # 23 did not have a health assessment or TB screening on file. Staff # 24 did not have a health assessment or TB screening on file until 1/31/22. Staff # 26 did not have a health assessment or TB screening on file until 8/21/21. Staff # 28 had a health assessment completed on 8/4/20 and and updated health assessment has not yet been obtained. These staff have either not participated in a health assessment and TB prior to working in child care or have not updated their health assessments every 24 months as required by regulation. Staff have worked in child care without the proper documentation in their file.”

Correction date in the state record: Oct 7, 2022

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

“A renewal inspection occurred at the facility. A review of children's files was conducted. The emergency contact of Child # 1 has not been updated since 5/13/19. The emergency contact and agreement forms of Child # 2 were not updated every 6-month period. The documents were reviewed on 3/17/22 and again on 8/22/22. The emergency contact and agreement forms of Child # 8 were not updated every 6-month period. The documents were reviewed on 2/24/22 (emergency contact) and 9/6/22 and 9/23/22 (agreement). The agreement of Child # 9 was not updated every 6-month period. The document was reviewed on 5/28/21 and 9/22/22. The emergency contact and agreement forms of Child # 10 were not updated every 6-month period. The documents were reviewed on 7/13/20 and 9/26/22 (emergency contact) and 12/15/20 and 9/26/22 (agreement).”

Correction date in the state record: Oct 4, 2022

3270.151(c)(1)/3270.151(c)(2) Physical examination/Mantoux TB

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the listed staff's dates of hire. Staff # 1 did not receive a health assessment or TB screening until 3/17/22 and 3/19/22. Staff # 2 did not receive a health assessment or TB screening until 10/30/21 and 10/27/21. Staff # 5 did not have a health assessment or TB on file. Staff # 7 did not have a health assessment or TB on file. Staff # 8 did not have a TB screening completed until 2/19/21. Staff # 9 did not have a health assessment and TB screening completed until 3/12/22 and 3/11/22. Staff # 10 did not have a health assessment on file and did not receive a TB screening until 8/15/22. Staff # 17 had a health assessment dated for 8/24/19 and this health assessment was not updated until 9/22/22. Staff # 18 did not have a health assessment or TB screening completed until 9/21/21. Staff # 23 did not have a health assessment or TB screening on file. Staff # 24 did not have a health assessment or TB screening on file until 1/31/22. Staff # 26 did not have a health assessment or TB screening on file until 8/21/21. Staff # 28 had a health assessment completed on 8/4/20 and and updated health assessment has not yet been obtained. These staff have either not participated in a health assessment and TB prior to working in child care or have not updated their health assessments every 24 months as required by regulation. Staff have worked in child care without the proper documentation in their file.”

Correction date in the state record: Oct 7, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of Staff # 5, # 7, # 9, 21 # 22, # 24, and # 25. Staff # 5 was working in child care and the file did not contain an NSOR clearance. Staff # 7 began working in child care before applying for an NSOR clearance. Staff # 7 did not receive an NSOR clearance until 2/14/22. Staff # 9 did not have an FBI clearance. Staff # 9 did not apply for an FBI clearance before working in child care. The file of Staff # 21 indicated they had lived out of state within the last 5 years. Those states clearances were not in the file at the time of the inspection. Staff # 22 did not have an FBI clearance. Staff # 22 did not apply for an FBI clearance before working in child care. Staff # 24 began working in child care before applying for an NSOR clearance. Staff # 7 did not receive an NSOR clearance until 1/31/22. Staff # 25 began working in child care before applying for a state police clearance. Staff # 25 did not receive a state police clearance until 9/15/22. The file of Staff # 25 also indicated that this staff had lived out of state within the last 5 years and the clearances of that state were not in the staff's file at the time of this inspection.”

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

“A renewal inspection occurred at the facility. Staff # 13 has not participated in fire safety training since 8/17/21. Fire safety training is required on an annual basis. See the code sheet for the date of hire for Staff # 26 and # 27. Staff # 26 and # 27 have not yet participated in fire safety training.”

Correction date in the state record: Oct 5, 2022