FAITHFUL HANDS ACADEMY

Supervised at all times (3270.113(a))

On 4/16/26, a staff person was unable to assess and direct the activity of a group of children when she was inattentive and failed to maintain active supervision. 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. TIERED LIS: Children must be supervised at all times by 4/23/26. The legal entity must ensure that staff persons are able to properly supervise children by being physically present and be able to see, hear and assess and direct the activity of the children by 5/23/26. Develop and submit written verification of a supervision plan to ensure compliance. Correction: We will ensure that children are supervised at all times. The staff person in question will be reassigned to other duties that do not involve supervising children. We will develop and submit written verification of a supervision plan to ensure compliance. This plan will include ongoing supervision training and observations to ensure compliance. arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children. We will submit written verification of the completed training for all facility staff persons. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #3, #4 and #5) 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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation. Correction: A current up-to-date child service report will be completed and submitted for the indicated child/children. We will ensure that child service reports are completed for all children as specified in this regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

There was no documentation indicating that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. 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. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery. Correction: A copy of the emergency plan will be sent to the appropriate authorities as specified in this regulation. A copy of the emergency plan delivery notification will be submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#2) Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified. Correction: We will obtain and submit the required written references as specified for the identified staff person. We will ensure that all facility staff records contain written references as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

Two children's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1 and #5-corrected) (#2-not corrected) Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission. Correction: We will obtain and submit written verification of signed parental consents that includes the parent's signatures. We will ensure that all children's records contain the required signed parental consents prior to admission as specified in this regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

One staff person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#2 and #3) 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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation. Correction: We will obtain and submit a current up-to-date health assessment for the identified staff persons. We will ensure that staff health assessments are completed within the required timeframes as specified in this regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#1) 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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Correction: We will obtain and submit a current up-to-date health report for the indicated child. We will ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Initial health report for school age; accordance with school attendance (3270.131(a)(4))

The child's record did not contain the initial health report for a school-age child in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). (#2) Requirement: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). Correction: We will obtain a current up-to-date health report for the indicated child. We will ensure that health reports for school-age children are completed in accordance with this regulation. 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))

Emergency contact and financial agreement information in four children's records were not being updated every 6 months. The last updates were being done (#1, #2, #3 and #5) 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. Revise and submit written policies and procedures to ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes. Correction: Current up-to-date emergency contact and financial agreement information are in the children's files. We will revise and submit written policies and procedures to ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents. (#1- NSOR more than 60 months old) (#2-hired 10/3/25 -NSOR not completed prior to working with children-none on file.) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #1 and #2 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Correction: Facility Person #1 and #2 will not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. A copy of the required, completed NSOR clearances will be submitted for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

One staff person's record did not contain written verification of annual emergency plan training. (#4) 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. Provide and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff receive emergency plan training at the time of initial employment and annually. Correction: We will provide and submit written verification of annual emergency plan training for the identified staff person. We will ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Plan reviewed/updated annually (3270.27(b))

There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3270 regulations. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified. Correction: The emergency plan will be reviewed and updated in writing. A written copy of the updated emergency plan will be submitted. We will ensure that the plan is reviewed, updated and documented in writing annually as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information (3270.131(a))

One child's record contained a health report completed more than 60 days (7 months) following the first day of attendance at the facility. Child was enrolled on 3/25/24--health report completed 10/24/24. (#1) Requirement: 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. Revise and submit written policies and procedures to ensure that children's initial health reports are completed and provided within the required timeframe as specified in this regulation to ensure ongoing compliance. Correction: We will revise our written policies and procedures to ensure that children's initial health reports are completed and provided within 60 days of enrollment to ensure ongoing compliance. A written copy of the revision will be submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan/Emergency info/agreement updated 6 mos (3270.27(f)/3270.181(c))

Emergency contact information in several children's record was not being updated every 6 months. (#2, #3 and #5) 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. 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Correction: The children's records have current information. We will revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. We will ensure that this information is updated every 6 months for all enrolled children as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Several children's records did not contain health reports completed every 12 months as required for children older toddler age to preschool age. (#2-not updated) (#3. #4 and #5- updated after 12 months) 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. Submit the current up to date health report for the identified child. Revise and submit written policies and procedures to ensure that health reports are obtained every 12 months for children older toddler to preschool age. Correction: We will obtain the current up to date health report for the identified child. The other children 's records contained a current up-to-date health report though not completed every 12 months. We will revise and submit written policies and procedures to ensure that health reports are obtained every 12 months for children older toddler to preschool age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).