VICTORY EARLY LEARNING ACADEMY

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

During the inspection on 10/30/25 staff person #2 did not have verification of fire safety training. 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: The director will have staff person#2 take the 2025 Fire Safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the inspection on 10/30/25 the DHS FBI clearance on file for staff person #1 was expired. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). e 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. Staff Person #1may not work in a child care position at the facility. Correction: Staff person #1 will go and get the correct finger prints done through the DHS. Staff person #1 will not work until the FBI clearance is placed in the file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the renewal inspection on 10/30/25 the windows in room 134, 135 and 136 were leaking due to rain. 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 provider will inform the landlords of the issue and require the windows to be fixed so the windows will no longer leak. If needed the children will be relocated to another OCDEL certified room -141- which is currently not being used. 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 the renewal inspection on 10/30/25 the file for staff person #2 did not include a Health Assessment with TB testing dates and results. 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 Person #2 will go and get a health assessment and TB test. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During the inspection on6/26/25 The file for staff person #6 did not include two written references as required. 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: Staff #6 will get references on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)/3270.31(f)(10))

During the inspection on six 6/26/25 The file for staff person #1 Did not include pediatric first aid and pediatric CPR. The file for Staff person #3 Did not include the health and safety trading as required. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff person #1 will complete pediatric CPR training. Staff person #3 will complete the health and safety training. 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 the inspection on 6/26/25 Staff persons #2 #5 and #6 Did not have an NSOR clearance on file at the facility. Staff persons #4 Did not have an FBI clearance on file at the facility. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Persons #2 #4 #5and #6 may not work in a childcare position at the facility. . 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: Staff persons #2,#5, and #6 will complete NSOR for file to return to the classroom. Staff persons #4 will be removed from classroom until FBI clearance is on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written instructions/Written consent (3270.133(2)/3270.133(6))

During the inspection on 6/26/25 medication for child #1 and child #2 was observed at the facility. Written, parent consent for administration of the medication (medication log) was not present at the facility ofr child #1 and child #2. Written instructions form the individual who prescribed the medicine was not provided for child#1 (the prescription label did not include the instructions. 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. A parent shall provide written consent for administration of medication or a special diet. Correction: Medication logs will be completed for child #1 and child #2. Written instructions will be completed to be attached to the epi pen of child #1. 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 the inspection on 6/26/25 The file for staff persons#2 #5 and #6 Did not include the results? of TB testing orTB testing dates. The file for staff person #3 did not include a current health assessment with TB testing dates. 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 persons #2, #5, and #6 will not work in classroom until TB tests are on file. Staff person #3 will get a health report on file before working with children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transcript, diploma and letters (3270.192(2)(iv))

During the inspection on 6/26/25 The file for staff persons #4 and #5 did not. include verification of education. Requirement: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Staff persons #4 and #5 will get education verification on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transcript, diploma and letters (3270.192(2)(iv))

During the renewal inspection on 11/7/24 the file for staff person #2 did not contain verification of education. Requirement: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Staff person #2 will provide verification of education in the form of a high school diploma. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3270.166(1))

During the renwal inspection on 11/7/24 the facility did not have a written statement giving the formula and feeding schedule for an infant obtained from the parent for enrolled infants. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: All infants parents completed and signed written feeding and formula schedule to keep in classroom for teacher's reference. 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 the renewal inspection on 11/7/24 the file for staff person #3 did not contain a health assessment. 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 person #3 was removed from providing care for children until final documentation was received of health assessment. 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 the renewal inspection on 11/7/24 the file for staff person #3 did not have a health assessment with TB testing date and results as required. 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 person #3 was removed from providing care for children until final documentation was received of health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container/Written consent (3270.133(1)/3270.133(6))

During the renewal inspection on 11/7/24 Prescription medication missing the original box was observed for Child #6. Medication for child #5 was observed at the facility and did not have an action/plan instructions as to when the medication should be administered and did not have written parental consent for administering the medication. Requirement: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A parent shall provide written consent for administration of medication or a special diet. Correction: Prescription for child #6 was added to office file and is now kept with the medicine. Child #5 has a completed action plan which is filed in the office and attached to the medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 11/7/24 the emergency contact forms for Child #1 #2 #3 and #4 did not include the addresses of the individual designated by the parent to whom the child may be released. 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: Emergency contact forms will be updated to have addresses of designated person to whom child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the renewal inspection on 11/7/24 a large wall divider was observed off of its tracks in the pre-K room. 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 large wall divider will be secured to the wall. Then regardless if it is on track or not it will be anchored and can not move. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 11/7/24 the file for staff persons #1 and #4 did not include a current DHS FBI Clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 and #4 may not work in a childcare position at the facility. . 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: Staff person #1 and #4 will be removed from classroom until the FBI fingerprints are on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).