DISCOVER OUR WORLD ACADEMY

2025

1. Medium-High risk2/4/2025

   Supervised at all times (3270.113(a))

   During renewal inspection on 2/19/25, Cert Rep observed the following Staff # 2 was observed leaving Child #2 in the highchair alone to retrieve something from the playroom 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. Children must be supervised at all times. Correction: Immediate Action: - Staff Re-Training: Conduct an immediate re-training session for Staff Number Two on the importance of constant supervision of children in their care. This session should address the potential dangers of leaving children unattended and the facility's policies regarding supervision. Children will be supervised at all times - Review of Supervision Policies: Review and reinforce supervision policies with all staff members to ensure clarity regarding expectations when caring for children. Documentation: - Incident Report: Prepare an incident report detailing the situation, including the time, place, and actions taken. This report should be kept on file for future reference and staff accountability. Supervision Policy Update: - Update Supervision Protocol: Revise supervision protocols to explicitly state that no child should be left unattended in any care setting, including highchairs, play areas, or during transitions between rooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/19/2025
2. Medium risk2/4/2025

   Age and Training (3270.31(e)(1)(ii))

   During renewal inspection on 2/19/25, Cert Rep observed the following: Staff # 1 and Staff # 3's file had documentation of 9 clock childcare hours and not the mandatory 12 clock hours of childcare training Requirement: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training. Correction: Immediate Action: - Training Verification: Review the training records of Staff #1 and Staff #3 to confirm the completion of any additional training hours. - Schedule Additional Training: Arrange for both staff members to complete the remaining three hours of childcare training by 2/28/2025 Training Provider: - Ensure that the additional training is conducted by an entity that is licensed or certified and professionally competent in the relevant training topics. Documentation: - Upon completion of the additional training, obtain and file certificates of completion for both staff members in their personnel files. Review of All Staff Files: - Conduct a comprehensive review of training hours for all staff members to identify any other discrepancies. Address them promptly. Follow-Up: - Schedule a follow-up internal audit to ensure all staff training records meet state requirements within 60 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/5/2025
3. High risk2/4/2025

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

   During renewal inspection on 2/19/25, Cert Rep observed the following Staff #-3- was observed to be caring for children unsupervised. Staff #-3- does not have current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 10/18/22 and 9/23/24 which was an online 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. Correction: staff #-3- must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person) or 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 #--3 staff #-- 3 may not work in a child-care position at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/5/2025
4. Medium risk2/4/2025

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

   During renewal inspection on 2/19/25, Cert Rep observed the following While reviewing staff files, Cert Rep observed that Staff # 2's high school diploma in the file was altered. After further review with the School District, Cert rep verified the principal and superintendent named on staff person #2's high school diploma that did not match the school district's information for principal and superintendent for the year on the diploma 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: - Verification of Credentials: Conduct a thorough review of Staff Number Two's credentials, including contacting the issuing school district to confirm the authenticity of the diploma & request her transcript. Documentation Review: - Staff Records Audit: Conduct an audit of all staff files to ensure that all educational credentials are authentic and properly documented. This includes verifying diplomas, certifications, and any other qualifications. Ensure that staff #2 is not left alone with children if she does not possess a transcription proof that she has a high school diploma based on the regulations she would be considered an aid and cannot be left alone. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/6/2025
5. Medium-Low risk2/4/2025

   Lighting (3270.78)

   During renewal inspection on 2/19/25, Cert Rep observed the following The light on one side of the infant room was not working at the time of inspection Requirement: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Correction: Immediate Action: - Repair Lighting: Arrange for immediate repair of the malfunctioning light fixture in the infant room. This should be completed by 2/20/2025 Inspection and Testing: - Conduct a thorough inspection of all lighting fixtures in the infant room and other areas of the facility to identify any additional non-working lights. Replace or repair any faulty fixtures as needed. Documentation: - Maintain a record of the repair work conducted, including the date of repair, the type of light fixture replaced or repaired, and any other relevant details. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/6/2025
6. Medium risk2/4/2025

   Infant/Toddler Stimulation (3270.112)

   During renewal inspection on 2/19/25, Cert Rep observed the following Child # 2 was observed in the bouncy chair for a long period of time during the inspection Requirement: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. Correction: - Review of Child Care Practices: Conduct an immediate review of the infant and toddler care practices to reinforce the importance of actively engaging with children rather than relying on equipment like bouncy chairs for extended periods. - Staff Meeting: Hold a staff meeting to discuss this violation, emphasizing the necessity of active interaction with infants and toddlers and ensuring all staff understand the importance of meeting developmental needs. Individual Care Plan: - Develop Individual Care Plans: Create individualized care plans for each infant and toddler that outline specific engagement strategies. These plans should include scheduled times for holding, rocking, talking, playing, and other interactive activities. Training: - Conduct Training Sessions: Schedule training sessions for staff focused on age-appropriate activities for infants and toddlers. This training should highlight the importance of physical interaction and stimulation for young children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/19/2025
7. Medium-High risk2/4/2025

   Services proceeded (3270.123(a)(3))

   During renewal inspection on 2/19/25, Cert Rep observed the following Child # 2's agreement- service provided was incomplete 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: - Review Incomplete Service Agreements: Conduct a thorough review of the service agreement for Child Number Two to identify missing information. Ensure that the agreement includes all required details, including the services to be provided, developmental information, and emergency contact details. - Complete the Agreement: Update the service agreement with the necessary information, including the parents' approval form that outlines the services being provided and the child's developmental context. Ensure that this is completed by 2/28/25 Communication with Family: - Provide Updated Agreement: Once the service agreement is completed, provide a copy of the updated agreement to Child Number Two's family. Discuss the content of the agreement with them to ensure they understand the services being provided and the importance of the information included. Documentation: - Maintain Records: Keep a copy of the completed service agreement in Child Number Two's file, along with any correspondence with the family regarding the agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/19/2025
8. Medium-High risk2/4/2025

   Immunization record (3270.131(d)(5))

   During renewal inspection on 2/19/25, Cert Rep observed the following Child # 1's immunization record was missing rotavirus Child # 2's immunization record was missing 1 dose Rotavirus, 1 dose Dtap, 1 dose HepB, 1 dose Pneumococcal, 2 doses of Polio Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Correction: - Contact Parents: Immediately contact the parents or guardians of Child Number One and Child Number Two to inform them of the missing and incomplete immunization records. Request that they provide the necessary documentation or schedule vaccinations as soon as possible. - Documentation Update: Update the children's files with any new immunization records received from parents or healthcare providers immediately Review of Health Records: - Conduct a comprehensive review of all children's health records to identify any other missing or incomplete immunization records. Document findings and take appropriate action to obtain missing information. Health Report Compliance: - Ensure that all health reports are updated to include a review of each child's immunization status, following ACIP recommendations. This includes maintaining accurate and complete records for all children enrolled in the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/5/2025
9. Medium-High risk2/4/2025

   Exemption documentation from parent/guardian (3270.131(e)(2)(i))

   During renewal inspection on 2/19/25, Cert Rep observed the following Child # 5's file did not have documentation of an exemption letter from parent for exemption of immunization Requirement: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Correction: - Contact Parents: Reach out to the parents or guardians of Child Number Five to inform them of the requirement for documentation regarding the exemption from immunizations. Request that they provide a signed and dated statement if they wish to maintain the exemption. - Documentation Collection: Once the exemption letter is received, ensure it is properly signed, dated, and maintained in Child Number Five's file. Review of Other Files: - Conduct a Review: Review the files of all other children enrolled in the facility to ensure that any exemptions are documented appropriately. Identify any additional files that may be missing exemption letters. Update Child's Record: - File Documentation: Ensure that the exemption letter for Child Number Five is filed appropriately in their record, along with any relevant health records. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/19/2025
10. Medium-High riskStandard 122/4/2025

    12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

    During renewal inspection on 2/19/25, Cert Rep observed the following Staff # 2's health assessment and TB was dated 7/3/23 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: Schedule Health Assessment: Arrange for Staff Number Two to undergo a new health assessment and TB test as soon as possible, ensuring it is completed by 2/28/2025 Ensure that the assessment includes documentation confirming freedom from communicable diseases. - Complete Documentation: Once the health assessment is completed, ensure that the written report, including the results of the TB test, is obtained and placed in Staff Number Two's file. Staff Notification: - Inform Staff: Notify Staff Number Two of the need to update their health assessment and provide them with the necessary resources to complete this requirement, including information on local healthcare providers. Review of Other Staff Files: - Conduct a Review: Review the health assessment files for all other staff members to ensure that there are no other expired health assessments or missing TB documentation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/5/2025
11. Medium-High risk2/4/2025

    Measurement and use of indoor child care space (3270.61)

    During renewal inspection on 2/19/25, Cert Rep observed the following: The infant room was not set up to receive children and was in the process of being redecorated Requirement: Measurement and use of inodoor child care space. Correction: - Completion of Redecoration: Expedite the redecoration of the infant room to ensure it is fully set up and ready to accommodate children immediately. This includes arranging all necessary furniture, toys, and materials to create a safe and engaging environment. - Inspection of Completed Room: After redecoration, conduct a thorough inspection of the infant room to ensure compliance with all health and safety regulations before allowing children to enter. Avoidance of Temporary Space Usage: - Cease Use of Alternate Space: Immediately discontinue the use of any temporary spaces for infant care, as this is not permitted under the regulations. Ensure that all staff are aware that no alternate spaces will be used while the infant room is being prepared. Communication with Staff: - Staff Meeting: Hold a staff meeting to discuss the importance of maintaining compliance with regulations and the specific requirements for room readiness. Reinforce that all designated childcare spaces must be prepared for use at all times. Documentation: - Corrective Action Report: Prepare a report outlining the steps taken to correct the violation and submit it to the appropriate regulatory body, detailing the completion of the infant room setup. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/5/2025
12. High risk2/4/2025

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

    During renewal inspection on 2/19/25, Cert Rep observed the following: Staff #2--- has not completed the following required pre- service training within 90 days of their date of hire - Pediatric CPR/First Aid Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff #-2--will be supervised, when interacting with children at a minimum by, an (AGS, primary staff person) 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 #-2-, staff #--2 may not work in a child-care position at the facility Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/5/2025