TOTALLY FOR KIDS ACADEMY INC

No physical punishment (3270.113(b))

An unannounced inspection occurred at the facility to conduct a complaint inspection. Staff #1 admitted to slapping Child #1 in the face in response to Child #1 intentionally coughing in the face of Staff #1 on 3/10/26. Requirement: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEIDATE CORRECTION DATE.) 2. The legal entity will arrange for Staff #1 to schedule and participate in the training 'Big Emotions and Self-Regulation for Adults and Children.' The Legal Entity will send a copy of this completed training to the Regional Office and will keep a copy in the file of Staff #1. (THE LEGAL ENTITY SHALL PROVIDE A DATE FOR WHEN THIS TRAINING WILL BE COMPLETED.) 3. The Legal Entity will develop a policy that includes that the facility will not use physical discipline, the use of appropriate discipline and ways staff can work together to support one another during stressful situations. The policy will be submitted to the Regional Office for review and approval. Once the policy is approved, the Legal Entity will review the policy with all and any new staff in the future. Staff will sign indicating their understanding of the policy and these signatures will remain on file at the facility. (THE LEGAL ENTITY SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.) Correction: Our handbook is updated to detailed plans regarding employee corrective actions for appropriate discipline when working with children. 1. Staff will not use not use any form of physical punishment, including spanking a child. (3/17/26) 2. Staff #1 to schedule and participate in the training 'Big Emotions and Self-Regulation for Adults and Children.' A copy will be sent to the Regional Office and placed in the staff's file. (3/18/26) 3. The operator will develop a policy that indicates the facility will not use physical discipline, the use of appropriate discipline and ways staff can work together to support one another during stressful situations. The policy will be submitted to the Regional Office for review and approval. Once the policy is approved, the operator will review the policy with all and any new staff in the future. Staff will sign indicating their understanding of the policy and these signatures will remain on file at the facility. (4/15/26) Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a health assessment and tuberculosis screening prior to working in a child care position at the facility. The following staff did not obtain a health assessment or tuberculosis screening prior to working in a child care role at the facility: Staff #5. Staff #5 received a health assessment and tuberculosis screening on 12/11/24. 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: In the future, staff will obtain a health assessment and tuberculosis screening prior to working in a child care role at the facility. This documentation will be placed in the staff's file. Staff will also update health assessments as required by regulation and the updated copies will also remain in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

A renewal inspection occurred at the facility on 10/23/25. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be update at least every 6-month period. The following children's forms were not updated at least every 6-month period: Child #2 (agreement and emergency contact previous 9/25/24, current 9/22/25), Child #3 (agreement and emergency contact previous 11/10/24, current 9/17/25) and Child #4 (agreement and emergency contact previous 9/5/24, current 9/16/25). Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the 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: In the future, children's emergency contact and agreement forms will be updated at least every 6-month period. Documentation of these reviews will be maintained in the children's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #6 was not hired correctly per the CPSL. Staff #6 did not have on file prior to working in child care a completed NSOR clearance. Staff #6 was observed working in child care at the time of this inspection. The CPSL requires staff to update their clearances at least every 60 months. The following staff did not update their clearances at least every 60 months: Staff #1 (previous state police 11/5/19, current 2/21/25) and Staff #5 (previous state police 8/29/20, current 10/23/25; previous child abuse 9/10/20, current 10/23/25; and previous FBI 9/14/20, no current). Staff #5 was working in child care at the time of this inspection. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. TIERED LIS: 1) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1, #5 and #6 must be removed from a child care position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. ((This portion of the plan requires an immediate date of correction.)) 2) The director will create a checklist/form to track clearances per the CPSL regarding hire and updates to ensure clearances are obtained and updated as appropriate. This checklist/form will be submitted to the Regional Office for review and, upon approval, will be immediately implemented and placed in each staff's file to track clearances. ((The operator shall provide a date for when this checklist/form will be completed and implemented.)) Correction: 1. Staff will be removed from child care until the appropriate clearances are obtained. (10/23/25) 2. The director will create a checklist/form to track clearances per the CPSL regarding hire and updates to ensure clearances are obtained and updated as appropriate. This checklist/form will be submitted to the Regional Office for review and, upon approval, will be immediately implemented and placed in each staff's file to track clearances. (11/6/25) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required pre- service trainings are completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility. Correction: Staff #5 will be supervised until they complete pediatric first aid/CPR training. Staff #5 will schedule and participate in pediatric first aid/CPR training and a copy of the training will be placed in the staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not patriciate in annual fire safety training: Staff #1, #2, #3 and #4 (previous 3/26/24, current 4/24/25). Requirement: 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. Correction: In the future, staff will participate in fire safety training on an annual basis. Documentation of this training will be maintained in the staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

A renewal inspection occurred at the facility on 10/23/25. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR training prior to the current certification expiring. The following staff did not participate in pediatric first aid/CPR training prior to their current certification expiring: Staff #2, #3 and #4 (previous 4/21/23, current 5/5/25). Requirement: 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. Until such time as the required pre- service trainings are completed, staff persons #2, #3 and #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 persons #2, #3 and #4, staff persons #2, #3 and #4 may not work in a child-care position at the facility. Correction: Staff will be supervised until updated training on pediatric first aid/CPR is completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in a tuberculosis screening prior to providing child care. See the code sheet for the staff's date of hire. Staff #3 worked in a child care role at the facility and did not receive tuberculosis screening results until 10/4/24. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: In the future, staff will participate in a tuberculosis screening prior to working in a child care role at the facility. Documentation of this tuberculosis screening will remain in the staff's file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of the facility's emergency plan procedures was conducted. At the time of the inspection, staff were unable to provide for review a copy of the facility's continuity of operations plan. 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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The facility will provide for review a copy of the facility's continuity of operations plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff #3 was observed working unsupervised during this inspection. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 9) within 90 days of hire. Staff person #3 will have until 11/21/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff #3 will be supervised by an appropriate staff member until they complete the health and safety topic training. Documentation of this training will remain in the staff's file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to review the facility's emergency plan with in 90 days of their hire date. Staff #3 did not review the emergency plan within 90 days of their hire date. Staff # 3 reviewed the emergency plan on 9/16/24. Requirement: 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. Correction: In the future, staff will review the emergency plan within 90 days of their hire date and annually thereafter. Documentation of reviewing the emergency plan will be maintained at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff #3 was observed working unsupervised during this inspection. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 11/21/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff # 3 will schedule and participate in the health and safety topic training. Staff #3 will be supervised until this training is completed. Documentation of this training will remain in the staff's file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL requires clearances to be updated every 60 months. Staff #1 did not update their child abuse clearance every 60 months. (previous 8/11/15, update 3/17/21). The file of Staff #1 contained a volunteer child abuse clearance dated 7/1/19 that is not valid to work in child care according to the CPSL. Staff #3 was not hired correctly as a provisional hire per the CPSL. See the code sheet for the staff's date of hire. Staff #3 did not receive a child abuse clearance until 7/31/24, which was after the staff's date of which they began working in child care. Staff #3 also lived out of state within the last 5 years. Staff #3 did not have the documentation that the out of state clearances had been applied for prior to working in child care. Staff #3 was working unsupervised at the time of this inspection. 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. Facility Person #3 may not work in a child care position at the facility. Correction: Staff #3 will be removed from child care and will apply for their out of state clearances. Staff #3 will not return to child care until the out of state clearances are obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires the facility's emergency transportation plan to be posted conspicuously in every child care space. This plan was not posted in any classroom during this inspection. Requirement: 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. Correction: The facility's emergency transportation plan will be posted in a conspicuous location in all classrooms. This plan will remain posted at all times. 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))

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in a health assessment at least every 24 months. The following staff did not participate in a health assessment every 24 months: Staff #1 (previous 11/18/20, no current) and Staff #2 (previous 7/19/2, current 1/23/24). Regulation requires staff to participate in a health assessment prior to providing child care. See the code sheet for the staff's date of hire. Staff #3 worked in a child care role at the facility and did not receive a health assessment until 10/1/24. 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: Staff #1 will schedule and participate in an updated health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, staff were unable to provide documentation that the facility had participated in an annual emergency drill. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Documentation of the facility's annual emergency drill will be sent to the regional office for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests did not occur at least every 30 days: 3/28/24-4/30/24, 6/26/24-7/31/24 and the last documented test occurred on 8/26/24. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: The fire safety system was tested and observed functional during this inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, staff were unable to provide documentation that the emergency plan was sent to the local municipality. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: Documentation will be provided that the facility's emergency plan was sent to the local municipality. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).