Ymca Of Greater Pgh/mcknight Elementary

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: An Auvi-Q epiphren injection for Child #3 was observed to not be in the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 and Child #2 contained a financial agreement and emergency contact information form that were not reviewed and signed by the parent at least once every 6 months; the reviews of the financial agreement and emergency contact information form were last reviewed and signed 8/27/25.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #2 contained a current Child Abuse clearance dated 3/2/26 which was not renewed within 60 months of the previously dated 2/26/21 Child Abuse clearance expiring.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1 lacked a written evaluation every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:35am Staff person #1 was observed coming out of the classroom and towards another empty classroom and approximately 3 seconds later Staff person #2 was observed walking out of the classroom and down the hallway while on the phone. After seeing this certification rep., Staff person #1 alerted Staff person #2 who then turned around and walked back into the classroom. This certification rep then entered the classroom and observed Staff person #2 and Staff person #3 with 22 young school age children inside the room. During the onset of supervision and ratio, when staff were asked to identify and name the children whom they were responsible for, Staff person #3 identified and named 12 young school age children, Staff person #2 identified and named 10 young school age children. Staff person #1 never returned to the classroom. When asked, Staff person #2 admitted that they were still the one responsible for their assigned group of children when Staff person #2 stepped out of the classroom on the phone. Therefore, it was determined that Staff person #2 was not physically present with their assigned group of children.

Correction Required: TIERED LIS: 1.) 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.) All staff, including the director(s) will attend onsite, in-person Active Supervision training to be conducted by the ELRC #5. This training will emphasize specific supervision challenges that arise with school-age in a school building facilities. This training can be counted towards annual training requirements, as long as proper documentation is obtained. The operator shall provide a date for when this training will be completed. 3.) Director will develop an assessment tool with which Director and/ or other YMCA Leadership staff will conduct a minimum of one weekly, unannounced check to ensure that staff can name all children for who they are responsible. The tool should be submitted to the Regional Office prior to use. The tool should collect names of staff, first names of children, ages of children, time and dates of the check, number of children each staff was responsible at the time of the check and the name of the person who conducted the check. The checks should be completed at different times of the program day. This tool can be combined with the tool used for ratio checks. Upon approval of the plans of correction, the completed tool will be submitted to the Regional office within 2 business days after the checks have occurred, for a period of four months. The facility may seek technical assistance from the ELRC #5 for creation of the tool, if desired. The correction date for this portion of the plan shall be at minimum four months from the date the WRO reviews the checklist.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement and the emergency contact form were dated 9/11/25 and 2/11/25. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement were dated 9/6/25 and 2/18/25 and the emergency contact form dated 9/11/25 and 2/18/25.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The annual emergency drill documentation for 2024, which has been previously viewed by the certification representative was observed to not be in the file at the of inspection. Therefore, it cannot be determined if this year's annual emergency drill dated 8/21/25 was done timely.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/31/24 and 9/5/25.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #2 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to have a Child Abuse and Neglect check from New York dated 3/3/25 and Sex Offender check from New York dated 3/12/25 both of which were obtained seven months after their start date working with children. The staff file for Staff person #3 lacked a valid disclosure statement; the disclosure statement in the file was from prior previous employment with the legal entity.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:35am Staff person #1 was observed coming out of the classroom and towards another empty classroom and approximately 3 seconds later Staff person #2 was observed walking out of the classroom and down the hallway while on the phone. After seeing this certification rep., Staff person #1 alerted Staff person #2 who then turned around and walked back into the classroom. This certification rep entered the classroom and observed Staff person #2 and Staff person #3 with 22 young school age children inside the room. Staff person #1 never returned to the classroom. When Staff person #2 was observed outside the hallway, Staff person #3 was left in the room with 22 young school age children inside the room therefore staff: child ratio was 1:22 young school age children.

Correction Required: TIERED LIS: 1.) When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. This portion of the plan shall have an immediate correction date. 2.) The facility will compose a specific policy for maintaining staff: child ratio, including for when staff need to leave a childcare space both with and without children. The policy should detail step-by-step actions staff need to take prior to leaving the childcare space. The policy should indicate acceptable vs. unacceptable reasons for staff leaving a childcare space. The policy will be submitted to the Regional Office for review. Once the policy is finalized, the staff handbook shall be updated. Currently employed staff will sign off that they have read and understand the policy. The facility may seek technical assistance for creation of the policy, if desired. The correction date for this part of the plan shall be within one month of acceptance of this plan of correction. 3.) Director will develop an assessment tool with which Director and/ or other YMCA Leadership staff will conduct a minimum of one weekly, unannounced check to document staff:child ratios The tool should be submitted to the Regional Office prior to use. The tool should collect names of staff, first names of children, ages of children, time and dates of the check, number of children each staff was responsible at the time of the check and the name of the person who conducted the check. The checks should be completed at different times of the program day. This tool can be combined with the tool used for supervision checks. Upon approval of the plans of correction, the completed tool will be submitted to the Regional office within 2 business days after the checks have occurred, for a period of four months. The facility may seek technical assistance from the ELRC #5 for creation of the tool, if desired. The correction date for this portion of the plan shall be at minimum four months from the date the WRO reviews the checklist.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:30am Staff person #1 and this certification rep entered the classroom together and observed Staff person #3 with 21 young school age inside the room. Staff person #2, and the child they were assisting out in the hallway, also returned to the room shortly thereafter. During the onset of supervision and ratio, when staff were asked to identify and name the children whom they were responsible for, Staff person #3 identified and named 11 young school age children, Staff person #2 identified and named 11 young school age children, and Staff person #1 did not claim a supervisory group. Therefore, it was determined that Staff person #2 was not physically present with all of the children in their assigned group during the time Staff person #2 was in the hallway assisting another child at their locker.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: Child #1 lacked signed parental consent for administration of an Auvi-Q EpiPen.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:30am Staff person #1 was observed walking down the hallway, away from the classroom, and Staff person #2 was observed in the hallway at that same time assisting one child at their locker. After seeing this certification rep., Staff person #1 turned around to walk back towards the classroom. Staff person #1 and this certification rep entered the classroom together and observed Staff person #3 with 21 young school age children inside the room therefore staff: child ratio was 1:21 young school age children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: Upon arrival at the facility, and throughout the duration of the unannounced inspection, none of the staff present at the facility were able to produce or obtain the fire drill log.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating 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.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During an incident investigation conducted on 3/28/25 it was determined that on 3/4/25 Child #1 received a laceration while outside on the playground, was taken to the emergency room for treatment, and the facility did not notify the western region office of the incident within 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.