THE GODDARD SCHOOL

Exam communicable disease (3270.151(c)(3))

The staff file for Staff person #1 contained a current health assessment dated 10/14/24 that had 'Yes' checked off to having a communicable disease and additional information describing the condition and the risk it might pose was not provided. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: The staff member followed up with her physician the following day to have the form corrected and to complete a new physical examination, as [the staff] was due for her annual physical in October. The updated documentation was obtained and placed in the staff file to ensure compliance. The forms were immediately emailed to our Certification Rep. 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 child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 8/13/25 which was conducted more than 12 months from the previously dated 7/31/24 health report on file. The child file for Child #7, who is a preschool age child, was observed to contain an updated health report dated 10/29/25 which was conducted more than 12 months from the previously dated 9/7/24 health report on file. 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: Both children had already obtained physical examinations; however, the documentation reflected that the reports were completed after the one-year timeframe had elapsed. The records were verified and confirmed -- self corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date (3270.123(a)(6))

The child file for Child #1, Child #2, Child #4, Child #5, Child #6, Child #7, and Child #8 was observed to have a current financial agreement form on file that lacked the child's admission date. Requirement: An agreement shall specify the date of the child's admission. Correction: During the inspection, the admission date was added to the Financial Agreement forms for all children identified as missing this information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the PreK A Room a clear plastic lid with green handles was observed to have multiple cracks on the lid causing it not to be in good repair. A clear plastic bin was observed to have a broken handle with a crack on the side causing it not to be in good repair. 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: During the inspection, both the clear plastic bin and the clear plastic lid with green handles were immediately removed from the classroom and disposed of. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The staff file for Staff person #1 contained current staff evaluation dated 11/4/25 which was not completed at least once every 12 months from the previous staff evaluation on file dated 10/14/24. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: This was self-corrected at the time of inspection as the evaluation was completed and already in the staff file, but the timing did not meet the required annual interval. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #2 contained a disclosure statement on file that was not signed by a witness. Requirement: 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. Correction: During the inspection, the staff member and the director, serving as the witness, completed and signed an updated Disclosure Statement. The signed document was immediately added to the employee's file to ensure compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The child file for Child #3 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 emergency contact form were reviewed and signed on 5/4/26 and 10/31/25. The child file for Child #9 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 emergency contact form were reviewed and signed on 5/3/26 and 10/31/25. Requirement: 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: During the inspection, the required parent signatures had already been obtained (although they were overdue at the time they were signed), which self-corrected this violation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #4 contained a current health assessment and tuberculosis screening/results dated 10/2/24 which was not conducted prior to providing initial service in a childcare setting. Requirement: 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. Correction: At the time of inspection, we verified that the required health assessment and TB screening for Staff Person #4 were on file and current, though completed after their start date. While the timing did not meet initial service requirements, no further corrective action was needed since both documents were present and up to date. We documented this in the file and discussed protocol changes to prevent future occurrences. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff person #1 was observed not to contain a valid State Police clearance within 45 days of hire (See IS CODE SHEET). The file for Staff person #2 was observed to lack a complete State Police clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Correction: During the inspection, we were able to obtain valid documentation of the State Police clearances for both Staff Person #1 and Staff Person #2. For Staff Person #1, we printed and filed an updated and complete copy of their clearance, as the version originally on file was marked "Under Review." For Staff Person #2, we printed the docket confirming the disposition and added it to the file to accompany their clearance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The child file for Child #1 was observed to have a current emergency contact information form that lacked the health insurance policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: During the inspection, we were able to obtain a valid insurance policy number for Child #1's file after speaking with their parent. This information was added to the appropriate form to complete the documentation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3270.151(c)(3))

The staff file for Staff person #3 contained a current health assessment dated 5/13/25 that was observed to lack an examination for communicable diseases and the results of that examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: Staff Person #3 followed up with [their] healthcare provider and obtained an updated health assessment that includes confirmation of the communicable disease examination and its results. The corrected documentation was added to the staff file upon receipt on 6/24/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).