HILLEL ACADEMY OF PITTSBURGH

Training regarding plan (3270.27(c))

The file for Staff Person #1 contained emergency plan training dated 8/17/25 but was not at initial employment (See LIS Code Sheet). 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: Staff person #1 completed emergency plan training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

The file for Staff Person #4 contained documentation of completing the PA Health and Safety for Centers-Groups Child Care Part 1 and 2 on 1/26/26 but not within 90 days of hire (See LIS Code Sheet). Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff person #10 is no longer employed at this facility effective 3/27/2026. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff Person #1 contained FBI clearance results and Mandated Reporter training that were not renewed before the expiration date of the most current certificate. FBI clearance results were dated 11/1/20 and 11/16/25. Mandated Reporter trainings were dated 1/29/21 and 4/20/26. The file is now current. The file for Staff Person #4 contained FBI clearance results that were not renewed before the expiration date of the most current certificate (2/4/20 and 2/14/25). The file is now current. The file for Staff Person #6 contained Mandated Reporter training that was not renewed before the expiration date of the most current certificate (3/4/20 and 3/10/25). The file is now current. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person #1's file contains current FBI clearance results and Mandated reported training. Staff person #4 file contains current FBI clearance results. Staff person #6 file contains current Mandated reported training. 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 #7, who has lived in New York during the previous 5 years, did not contain the out-of-state clearances as required under CPSL to work in a child care position. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #7 may not work in a child care position at the facility. Correction: Staff person #7 has been taken out of the classroom while waiting for the out of state clearances. She will be reinstated into the classroom when her file is complete. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The file for Staff Person #2 contained a written staff evaluation dated 5/2025 but did not contain previous evaluations. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff evaluations for staff person #2 will be completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

The financial agreement form in the file for child #7 lacked the fee to be charged per day or per week. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The financial agreement form for child #7 was updated to include the fee to be charged. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form in the file for child #7 lacked the name, address, and telephone number of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The emergency contact form in the file of child #7 contains the name, address and telephone number of the child's physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The emergency contact form in the file for child #5 lacked the enrolling parent's work telephone number. The emergency contact forms in the files for children #6, #7 and #9 lacked the enrolling parents work address and telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The emergency contact forms for children #5, #6, #7, and #9 are now all complete including the enrolling parent's work telephone number, enrolling parents work address. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

The emergency contact forms in the files for children #1, #2, #6, and #7 lacked signed parental consent for emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: The emergency contact forms in the files of children #1, #2, #6, and #7 now contain signed parental consent for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: special needs (3270.124(b)(5))

The emergency contact forms in the files for children #5 and #7 lacked information on the child's special needs. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction: The emergency contact forms in the files of children #5 and #7 contain updated information on the child's special needs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact forms in the files for children #4 and #9 lacked the policy number for the health insurance coverage for the child. The emergency contact forms in the files for children #5 and #8 lacked the health insurance coverage and policy number for the child. 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: The emergency contact forms in the files for children #4 and #9 contain the policy number for the health insurance coverage for the child. The emergency contact forms in the files for children #5 and #8 contain the health insurance coverage and policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form in the file for child #4 lacked the addresses of the release persons to whom the child may be released. The emergency contact form in the file for child #7 lacked the addresses and telephone numbers of the release persons 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: The emergency contact form in the file for child #4 contains the addresses of the release persons to whom the child may be released. The emergency contact form in the file for child #7 contains the addresses and telephone numbers of the release persons to whom the child may be released. 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))

The emergency contact form in the file for child #2 was reviewed and updated by the parent on 9/14/25 and 5/18/26, which is more than 6 months apart. The financial agreement form in the file for child #5 has not been reviewed or updated by the parent within the last 6 months. The most recent update was on 8/18/25. The emergency contact form in the file for child #6 was reviewed and updated by the parent on 8/26/25 and 5/19/26, which is more than 6 months apart. The financial agreement form in the file for child #6 has not been reviewed or updated by the parent within the last months. The most recent update was on 2/16/25. The financial agreement form in the file for child #9 was reviewed and updated by the parent on 2/16/25 and 5/13/26, which is more than 6 months apart. 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: The emergency and contact form in the files for child #2 and #6 were reviewed and updated and the files are current. The financial agreement form in the files for child #5, #6, and #9 were reviewed and updated and the files are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The files for children #2, #5, and #9, who are preschool-aged, lacked an updated health report within the last 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. A child's record shall contain initial and subsequent health reports. Correction: The files for children #2, #5, and #9 include updated health reports within the last 12 months. 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 file for Staff Person #1 contained a health assessment dated 6/26/25 but was after the staff person's first day working in a child care setting. The files for Staff Persons #3, #5, and #6 contained health assessments dated more than 24 months apart. Staff Person #3: 12/8/23 and 3/10/26. Staff Person #5: 12/11/23 and 2/10/26. Staff Person #6: 7/22/23 and 8/12/25. The file for Staff Person #7 contained a health assessment dated 9/30/25 but was after the staff person's first day working in a child care 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: The files for staff persons #1, #3, #5, #6, and #7 all contain updated health assessments. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

The emergency contact forms in the files for children #1, #2, #3, #6, and #7 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: 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: The emergency contact forms in the files for children #1, #2, #3, #6, #7 now contain signed parental consent for administration of minor first-aid procedures by facility staff. 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))

Facility files contained documentation of testing the fire detection system that exceeded 30 days between testing from 10/3/25 to 11/24/25, 11/24/25 to 1/14/26, 1/14/26 to 2/18/26, and 3/9/26 to 4/10/26. 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: Documentation of a fire drill took place on 5/7/26 which was within 30 days of the last drill. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #4 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): PA Required Health and Safety for Centers-Group Child Care Part 1. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff Person #4 completed all required pre-service training. Inspection: Appeals - Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff Person #1 contained PA State Police clearance results dated 10/16/25 but were after the staff person's first day working in a child care setting (See LIS Code Sheet). The file is now current. The file for Staff Person #5 contained NSOR clearance results dated 9/22/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file is now current. The file for Staff Person #8 contained Child Abuse clearance results that were not renewed prior to the expiration date of the most current certificate: 7/23/20 and 7/31/25. The file is now current. The files for Staff Persons #9 and #10 contained Child Abuse and NSOR clearance results that were not renewed prior to the expiration date of the most current certificate. The files are now current. The file for Staff Person #11 contained NSOR clearance results that were not renewed prior to the expiration date of the most current certificate: 2/1/20 and 7/1/25. The file is now current. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: All files are now current with accurate and updated paperwork. Inspection: Appeals - Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for Staff Persons #2 and #3, who lived in Maryland during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet). The FBI clearance results in the files for Staff Persons #5 and #6 were observed to be completed under the Department of Education and therefore are not valid. The file for Staff Person #7 contained PA State Police clearance results dated 6/8/22 indicating a Record of Control; however, the required corresponding rap sheet was not on file. In addition, the file contained FBI clearance results but did not include the required Disposition Statement. The file for Staff Person #12, who lived in Florida during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #2, #3, #5, #6, #7 and #12 may not work in a child care position at the facility. Correction: Staff persons #2, #3, #5, #6, #7 and #12 were removed from a child care position. Staff person #2 and #3 have the required out of state clearance results. Staff persons #5 and #6 got the correct FBI results. We have the rap sheet and disposition statement for staff person #7. Staff Person #12 has applied for Florida clearances. Inspection: Appeals - Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

*SECOND VIOLATION In the small outdoor play space, several pickets to the wooden fence surrounding the play space were observed to be broken causing splintering and were not in good repair. Previously cited on 5/1/25. SIN-00265488. 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 part of the fence that was broken was removed and a new fence was installed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff persons #1 and #7 were observed to be caring for children unsupervised. Staff persons #1 and #7 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR. 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. Until such time as the required pre-service trainings are completed, Staff Persons #1 and #7 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 persons available to supervise Staff Persons #1 and #7, Staff Persons #1 and #7 may not work in a child-care position at the facility. Correction: Staff Persons #1 and #7 have complete staff files and have completed their pre-service training. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immediate access (3270.24(a))

On July 31, 2025, the facility failed to provide the Certification Representative with immediate and unrestricted access to staff files. Between 10:15 AM and 11:45 AM, Staff Person #6 sent several electronic folder links by email; however, the files were not shared in a way that permitted access. When the Certification Representative attempted to open the links again at 1:10 PM, access was restricted and denied, resulting in a delay in the review of staff files. Requirement: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. Correction: Staff person #6 no longer has access to any staff files and the electronic folder is owned by the Head of School. All electronic files have been shared with the Certification Representative and all staff members also have paper files. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The files for Staff Persons #1, #3, and #9 did not contain documentation of emergency plan training at initial hire. 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: All staff files are updated. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Exp, educ., training at facility (3270.31(e)(4)(i)/3270.192(2)(iii))

Staff person #2 does not have current Pediatric First Aid/CPR training. This is evidenced by the previously documented Pediatric First Aid/CPR training expiration date of August 31, 2024. On July 30, 2025, it was determined the Pediatric First Aid/CPR certificate on file for Staff Person #2 was invalid. The printed name listed Staff Person #2; however, scanning the QR code showed the certificate belonged to Staff Person #5. Staff Person #2 does not have a valid Pediatric First Aid/CPR certificate. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #2 no longer works at our facility. Staff person #5's employment has been terminated from our facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).