CHESTERBROOK ACADEMY

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

The facility's Shaken Baby/Abusive Head Trauma policy did not include strategies for coping with a crying, fussing, or distraught child, or prevention and identification of child maltreatment. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Policy has been updated to include strategies for coping with crying, fussing, or distraught child, and prevention and identification of child maltreatment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff Person #1 was observed working alone with children without a current NSOR clearance that had been updated within 60 months from the previous one dated: 1/25/21. Staff Person #3 did not have a Child Abuse Clearance on file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 and #3 may not work in a childcare position at the facility until the required, current clearances are on file. Correction: Staff Persons #1 and #3 did not work with children until the required clearances were received and on file. Admin will ensure that all clearances are current and in the staff files prior to expiration date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Good repair (3270.72(c))

A torn window screen was observed in the Intermediate 2 Room. Requirement: Screens shall be in good repair. Correction: The torn screen was replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the Infant Room (on the left), did not contain soap. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Soap was added to the first aid kit in the Infant Room. Admin will conduct weekly audits of the First Aid kits in all classrooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The poured rubber surfacing on the Preschool Playground, was in poor repair. Areas of the surfacing were peeling and lifting up and the edging of the surfacing was degraded, creating a trip hazard. Requirement: 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. Correction: The preschool playground bike bath will be repaired and secured to eliminate tripping hazards and restore the playground to a safe condition. Until the preschool playground bike path surfacing has been repaired, inspected and approved for use, all children will use the Toddler playground. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

The toilet that the PreK 1 bathroom, had yellow residue around the bottom of the toilet. The toilet in the PreK 2 bathroom, was dirty at the base of the toilet. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: The toilet area in the PreK 1 bathroom was cleaned. Staff are using Daily Room Closing checklists, to ensure that bathrooms and other areas in the rooms, are cleaned daily. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

The Fencing on the Preschool Playground, had areas where it was separating. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The fence will be repaired and secured to restore the playground to a safe condition. Until the fence is repaired, all children are using the Toddler Playground. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

Mulch was washed up onto the Toddler playground. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: All mulch on the Toddler playground, was swept off of the playground. A broom was left in the playground shed, so that staff are able to sweep mulch away. Admin will conduct daily morning playground inspections to identify and address any mulch or debris that may have accumulated on the playground, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded/Emergency info/agreement updated 6 mos (3270.123(a)(3)/3270.181(c))

There were no Child Service Reports (or STARS-approved Assessment Tool) completed and shared with the parent in the past 6 months or Children #2, 3, 4, #5, #6 or #7. The Financial Agreements for Children #2, #3, #5, #6 and #7 have not been updated (signed and dated) by the parent within 6 months of the last parent signature and date. The Emergency Contact Forms for Child #3 had not been updated (signed and dated) by the parent within 6 months of the last parent signature and date. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). 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. Correction: Child Service Reports were completed and shared with the parents of Children #2, 3, 4, #5, #6 or #7. The Financial Agreements for Children #2, #3, #5, #6 and #7 have been updated (signed and dated) with parents' signature and date. Tracker was created with each child's name, due date, completion of child service reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The Financial Agreements for Children #2 and #7, did not list the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: The parents of Children #2 and #7, updated their Financial Agreements by adding persons designated by a parent to whom the child may be released. Tracker was created with each child's name, due date, accuracy and completion of financial agreements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact form for Child #3 did not include the address of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parent of Child #3 updated the emergency contact form to include the physician's address. Tracker created with each child's name, due date, accuracy, and completion of Emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact form for Child #7 did not include the enrolling parent's work address. The Emergency Contact form for Child #3 did not include the enrolling parent's work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The parents of Child #7 and #3 added the missing information to their child's emergency contact form. Tracker was created with each child's name, due dates, accuracy, and completion of emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact form for Child #1 did not include the addresses of authorized Release Persons. The Emergency Contact form for Child #8 did not include addresses and phone numbers of 2 of the 4 authorized Release Persons. Requirement: 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. Correction: The parents of Children #1 and #8 updated their emergency contact forms to include the missing addresses and phone numbers of authorized release people. Tracker was created with each child's name, due date, accuracy and completion of emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

The health reports on file for Children #3 and #7, were not conducted within 12 months of the prior ones as follows: Child #3: 1/2024 then 1/2026 Child #7: 4/2024 then 7/2025 Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Correction: Children #3 and #7 have current health reports on file. Tracker has been created with each child's name, due date, accuracy, and completion of health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's health history/Child's allergies (3270.131(d)(1)/3270.131(d)(2))

The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Child's health history * Child's allergies Requirement: A health report shall include a review of the child's health history. A health report shall include a list of the child's allergies. Correction: The parent of Child #1 submitted a complete and current health report that included the child's health history and allergies. A tracker has been created with each child's name, due date, accuracy and completion of health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Current medication and reason/Acute or chronic health problem (3270.131(d)(3)/3270.131(d)(4))

The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Child's current medications * Child's chronic health problem or special needs Requirement: A health report shall include a list of the child's current medication and the reason for the medication. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. Correction: The parent of Child #1 submitted a complete and current health report that included the child's medications and any special needs. A tracker was created with each child's name, due date, accuracy and completion of health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease/Age appropriate screenings complete (3270.131(d)(7)/3270.131(d)(8))

The health report for Child #1 was not filled out by the physician, documenting the following requirements: * Statement that the child is free from communicable diseases and able to participate in childcare * Statement that the child's age-appropriate screenings are current (vision, hearing, lead) Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Correction: The parent of Child #1 submitted a complete and current health report that included a statement that the child is free from communicable diseases and able to participate in childcare and that age-appropriate screenings are current. A tracker has been created with each child's name, due date, accuracy and completion off health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

Written notification of safe routes (pick up-drop off procedures) were not posted at the parent postings area at the facility/ Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: The required plan to local police was updated and posted for families, indicating safe routes around the facility (pick up and drop off procedures). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health assessment, TB test (3270.192(3))

There was no documentation of a TB test result in the file of Staff Person #2. Requirement: 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. Correction: Staff Person #2 has a completed TB test result on file. Admin will ensure that all staff have a tb test with results when hired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick-up and drop-off points (3270.171(a))

The written notification to the local police, of the location of the facility and program's use of pedestrian and vehicular routes around the facility, had not been sent annually. The last letter sent was dated 1/2/25. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction: An updated plan was emailed to our local police department with required information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development (3270.111(c))

Staff Person #1 sat Child #1 down in a chair firmly when Child #1 was not responding to verbal prompts and turned the child's face toward theirs to sternly scold the child for not listening. During the inspection, Staff Person #1 was observed raising their voice at a child who had spit at another child. This was in the presence of the other children in the group. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Correction: Staff Person #1was required to complete two trainings on Better Kid Care; Big emotions and Self-Regulation for Adults and children and Communicate Effectively with Children. Coaching from Administration and partnered with a Veteran teacher in our Beginner classroom. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

Staff persons #1 and #2 were responsible for a group of 13 children. When asked to identify their care groups, the staff accounted for 12 of the 13 children in the room. 1 child was unaccounted for in the care groups. Staff persons #3 and #4 were responsible for a group of 11 children. When asked to identify their care groups, the staff accounted for 10 of the 11 children in the room. 1 child was unaccounted for in the care groups. Requirement: 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. 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. Correction: Facility leadership reviewed the primary care group card requirements with staff, and sent an updated memo to families outlining the process for families to hand the care group card to the staff upon dropping their child off in care. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

1st room on left - The pipe underneath the sink in the boy's bathroom was leaking water. In addition, loose cords were observed in the area that were running into a battery pack (sink operates on a sensor). Requirement: 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. Correction: The leak will be fixed and the wires will be properly secured into the box. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

At the time of the verification visits for the renewal visit (SIN-00263187), areas of peeling paint were again observed throughout the building. (All CORRECTED ON SITE) -The door at the entrance to the child care facility. -Right side infant room, on the wall near the kitchen -Door frames into child care spaces throughout the facility -Beginners 2 - window sill and window frame -1st on left - in the prep space near the soap dispenser, and multiple spots in the boy's bathroom near the sink. -Last room on right, large area on far wall near bulletin board. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: All areas of peeling paint have been covered until they can be repainted. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

Staff person #1 has fallen asleep while caring for and while holding infants. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Staff person will be retrained on supervision, with sign off that they understand the expectation. Will be required to complete two trainings on Better Kid Care(1.Infant/Toddler Quality Supervision 2. Working with Infants and Toddlers). Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).