Bethlehem Ymca Childcare

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: A complaint investigation was conducted 7/31/26. It was discovered that on 7/20/26, Child #1 did not have their diaper changed at least every 2 hours. Through staff interviews and a review of center diaper logs, it was found that Child #1 had their diaper changed at approximately 3:00pm. When the child's parent arrived at the facility sometime after 5:00pm, the child had a soiled diaper. The child had not been changed since 3:00pm. The sign out sheet indicated that the parent had picked up the child at 5:45pm.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An inspection was conducted on 6/24/26 regarding self-reported noncompliance at the child care center. On 6/18/26 at approximately 1:25pm, Staff Person #1 took a group of nine school age children to use the bathroom inside the men's locker room. Staff Person #1 exited the bathroom with a group of eight school age children and returned to the playground. Child #1 was forgotten in the men's locker room. Child #1 exited the locker room and was able to call a parent for help in order to be reunited with the other school age children. Staff Person #1 was terminated from employment at the facility. Their last date of employment was 6/18/26.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to complete an online training regarding Supervision that they have not previously completed through Better Kid Care. The legal entity must receive DHS approval of the training content prior to staff completing the training. The operator shall provide a correction date for when the trainings will be completed.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: An inspection was conducted on 6/24/26 regarding self-reported noncompliance at the child care center. On 6/19/26, at approximately 12:15pm, Staff Person #2 is seen approaching Child #2 as Child #2 starts to run from the staff. Staff Person #2 grabs the child roughly by the left arm, pulling the child toward them. Staff Person #2 then lifts the child under their armpits and takes the child to the lunch table. The view of the lunch table is obscured by a pole in the middle of the room. Ten seconds later, Staff Person #2 is seen carrying Child #2 by lifting them under their armpits to their cot, where the staff forcefully lays the child on the cot. Staff Person #2 is then seen holding the child down on the cot while Child #2 struggles beneath their hold. Staff Person #2 holds Child #2 down for approximately 45 seconds until it appears that Child #2 stops resisting. Staff Person #2 then covers Child #2 with a blanket. Child #2 stays on their cot after this, curled under their blanket. Staff Person #2 was terminated from employment at the facility on 6/19/26.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must address compliance with 3270.113b, 3270.113c, 3270.113d, and 3270.113e. The discipline policy must include procedures that staff should follow when they are feeling overwhelmed or frustrated. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the financial agreements for the following children did not include the child's date of admission: Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the child files were reviewed. The emergency contact forms for Child #1, Child #2, Child #4, and Child #8 did not include the business name, address, and phone number of the parents.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #8 did not include the address of the release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the emergency transportation plan was not posted in Room 12.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the staff files were reviewed. The health assessment for Staff Person #1 was not updated within 24 months. This is evidenced by the health assessments on file being dated 3/28/23 and 5/19/25.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the staff files were reviewed. The file for Staff Person #2 did not include the required preservice training: PA Required Health and Safety for Centers-Group Child Care Part 2. Staff Person #2 has been employed more than 90 days.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #2 must complete PA Required Health and Safety for Centers-Group Child Care Part 2.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, a power strip was observed on the floor in the PreK C room that was plugged into a wall outlet. Three of the outlets in the power strip were not equipped with protective covers. Children under the age of 5 were observed in the room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.75(c)/3270.75(d)

Description: Has all items/On excursions

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, the first aid kit in Room 13 did not include gauze or water. Staff indicated that this first aid kit is brought on the bus when transporting children.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, water stained ceiling tiles were observed in the Pre-K A Room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted 12/16/25. At that time, peeling paint was observed under the window in the Young Toddler Room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An unannounced inspection was conducted on 1/17/25. At approximately 10:45am, Staff Person #1 was observed walking out of a classroom followed by a group of school age children who were leaving for school following a two-hour delayed opening. Approximately two minutes later, Child #1 opened the door and asked the director for help packing his backpack. Child #1 was alone in the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.