AKIRA ACADEMY DAYCARE AND PRESCHOOL

Signed /Current (3270.123(a)/3270.181(b))

During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 1-4 's agreements were incomplete Requirement: An agreement shall be signed by the operator and the parent. Information in a child's record shall be kept current by the operator. Correction: The child service report will be completed, reviewed with the family and maintained in every child's file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During renewal inspection on 12/17/25, Cert Rep observed the following: 1. Child # 4 did not have documentation of a child service report in file 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). Correction: enrollment agreements will be updated to include all the information as required per 3270.123 (a0 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))

During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 3's emergency contact and agreement are not being reviewed and updated every 6 months. Emergency contact and agreement were done 4/24/24 and again on 9/15/25 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: Emergency contact forms and agreements will be updated every 6 months or as soon as there's a change in information Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age appropriate screenings complete (3270.131(d)(8))

During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 2's immunization record was missing 2 HIB, and Pneumococcal Requirement: 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: Provider will review all submitted health assessments to ensure all required immunizations have been administered Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/Infant: updated health report every 6 months (3270.131(a)/3270.131(b)(1))

During renewal inspection on 12/17/25, Cert Rep observed the following: Child # 1 did not have the most recent health assessment in file 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. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: Provider will ensure that infant and young older toddler health reports are updated every 6 months as per 3270.121 (1) 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))

During unannounced monitoring on 9/4/25, Cert Rep observed the following: 1.The facility's documentation of fire drill log was not being conducted every 60 days- 1/28/25, 2/26/25 and 7/16/25 2. The facility's documentation of testing the fire system was not conducted every 30 days- 1/28/25, 2/26/25, and 7/16/25 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: Provider will ensure that we properly document testing the fire detection system and fire drills Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 2 alone in the classroom with a combination of 6 young and older toddler alone with children. Staff # 2 does not have all clearances - (no FBI and NSOR clearance) and does not have all preservice trainings in file - (no Pediatric CPR/First Aid, mandated reporter training, and helath and safety training) 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: No staff will be left alone with children if they do not have their clearances and preservice trainings on file Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 1, and # 3 was observed with 9 preschool children outside the facility in the parking lot playing Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Provider fenced a section of the parking lot for an activity. Moving forward, provider will utilize the indoor place space for gross motor play. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of a signed disclosure statement Staff # 5 's mandated reporter training was dated 2.6.20 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.. Staffy cannot work alone Correction: Provider will ensure that all staff files contain the requisite documentation prior to, and while in the employ of Akira Academy. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Large muscle space provided/Play space - 65 square feet/child (3270.62(a)/3270.62(b))

During unannounced monitoring on 9/4/25, Cert Rep observed the following: Cert Rep observed Staff # 1, and # 3 was observed with 9 preschool children outside the facility in the parking lot playing. Facility does not have outdoor play space, but have measured indoor space Requirement: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Outdoor or indoor play space shall be measured at 65 square feet per child. Correction: Provider fenced a section of the parking lot for an activity. Moving forward, provider will utilize the indoor place space for all gross motor play. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

During unannounced monitoring on 9/4/25, Cert Rep observed the following The sink in the infant room was not operable Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: The sink had became inoperable the day before and the teacher had been sanitizing her hands prior to going to the bathroom to wash her hands. Provider will replace/repair the sink in the infant room. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

During unannounced monitoring on 9/4/25, Cert Rep observed the following: Child # 1 and # 2 's emergency contact was not present in the infant room while children were in care Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: Provider will ensure that all emergency contact information for children are present in the child care space for the children receiving care. Inspection: Allocated Unannounced Monitoring. 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))

During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of health assessment and TB in file Staff # 4's health assessment was dated 4/11/23 Staff # 5's health assessment was dated 1/17/23 Staff # 6's health assessment was dated 4/22/23 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: Provider will ensure that all requisite documentation for new hires are completed prior to commencement of employment. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name, address, and phone/Age (3270.192(1)/3270.192(2)(i))

During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of age and address in file Requirement: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age. Correction: Provider will ensure that identifying information as required by Chapter 3270 will be included in all employee files. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 2 did not have documentation of 2 non-family references in file 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. Correction: All facility persons' files will include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(h))

During unannounced monitoring on 9/4/25, Cert Rep observed the following : Staff # 6's health and safety training was the incorrect training. Staff # 6 had documentation of Family health and safety training and not the center/group health and safety training Requirement: All staff persons shall complete the professional development under § 3270.31(f). Correction: Provider will ensure that all staff persons complete the required profession development for child care centers Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written instructions (3270.133(2))

During renewal inspection on 12/9/24, Cert Rep observed the following: The facility had medication logs that were not completed in its entirety with written instructions on how/when to administer Requirement: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. Correction: The medication log will be completed in its entirety with instructions on how/when to administer medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection on 12/9/24, Cert Rep observed the following: The facility's shaken baby syndrome policy was missing 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: Provider will update the shaken baby syndrome policy to include prevention and identification of child maltreatment. Staff and parents will be provided with the updated policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

During renewal inspection on 12/9/24, Cert Rep observed the following: Staff #8's verification of experience in file was not acceptable Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: In compliance with child care regulations, all employees will provide verification of experience, education and training. Staff #8 will provide verification noting at least 2 years child care experience. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

During renewal inspection on 12/9/24, Cert Rep observed the following: An infant was observed in a crib that was not labelled for individual use. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: All sleep equipment will be labeled for individual use. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 4 and #5's emergency contact did not have physician's name, address and phone number listed. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: All emergency contact forms will be completed to include the name, address, and telephone number of the child's physician. 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))

During renewal inspection on 12/9/24, Cert Rep observed the following: Staff # 6's TB was dated 8/31/22 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: All employees providing direct contact with children or who work with food prep, will have a health assessment with TB conducted within 12 months of start of employment. 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))

During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 4 and # 5's emergency contact did not have parental signature for administration of minor first aid, and emergency medical care 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. Correction: Children records will include signed parental consent for emergency medical care and minor first aid prior to admission. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During renewal inspection on 12/9/24, Cert Rep observed the following: Staff # 8 had 2 references that were the same 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. Correction: Prior to commencement of employment, two non-family references will be required for all employees Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

During renewal inspection on 12/9/24, Cert Rep observed the following: Child # 1 did not have an updated health assessment in file Child # 3 had a physical completed but did not have a health form in file Child # 4's health assessment was dated 3/9/23 Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: All infant health reports will be updated every 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).