Sewickley Ymca/osborne Elementary

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an AuviQ pen in the book bag labeled for use by a specific child which did not have written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the Book bag there was Children's Benadryl with an expiration date of 7/2024.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In the book bag there was Children's Benadryl and Albuterol HFA that did not have a log with written consent from a parent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff interviews, Child #1 was left unsupervised in the cafeteria for approximately 5-10 minutes when 2 staff left the cafeteria with 10 children to go to the gym. No staff person was present with Child #1.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff interviews, Child #1 was left unsupervised in the cafeteria for approximately 5-10 minutes when 2 staff left the cafeteria with 10 children to go to the gym. No staff person was physically present with Child #1, who was not being supervised for that period of time.

Correction Required: 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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #4 does not include the policy number for the medical insurance policy.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 and #4 does not include a complete address for all listed 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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #3, with an enrollment date of 8.20.25, which is more than 60 days ago, does not include an initial health report or immunization record.

Correction Required: Child #3 must be dismissed from care by close of business 2.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, who is 3 years old, included 0 of 1 MMR vaccines recommended by the ACIP for a child this age and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #1 must be dismissed from care by close of business on 2.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 were dated 10.4.23 and 1.5.26, more than 24 months apart.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff person #2 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent documentation of an emergency drill on file at the facility is dated 2.11.26, more than 1 year following the previous emergency drill, dated 1.8.25.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26. The file for Staff person #3 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26. The file for Staff person #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 2.16.25, after the expiration date of the previous training, 12.31.22.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & 2, Staff person #2 completed the training on 12.31.25. Staff person #4 completed the training on 1.12.26 & 1.13.26. Staff person #2, #4 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.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2, #4 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, #4, staff person #2, #4 may not work in a child-care position at the facility.