BETH SHALOM ACADEMY

8th grade + 2 yrs (3270.37(b)(3))

During a renewal inspection on 6/2/26, staff files were reviewed. Staff # 1 was hired as an aide; there is no proof of education or experience on file. Requirement: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. Correction: Individual is working on getting their proof of education. Staff will not work until the required proof of education is provided. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information (3270.131(a))

During a renewal inspection on 6/2/26, child files were reviewed. There not an acceptable health report on file for child # 1. The parent provided a visit summary from the physician's office. 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. Correction: The parent submitted the correct form to her doctor and got them filled out Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed parental consent for transportation, walking excursions, swimming and wading (3270.182(6))

During a renewal inspection on 6/2/26, child files were reviewed. The facility does walking excursions; there is no written consent for children # 3 and 5 for walking excursions. Requirement: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: Parents signed at time of inspection. 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 a renewal inspection on 6/2/26, child files were reviewed. There is no written consent for emergency medical care or the administration of minor first aid procedures on file for children # 3 and 5. 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: The forms were signed immediately Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

During a renewal inspection on 6/2/26, child files were reviewed. The emergency contact and financial agreement were last signed by the parent of child # 2 on 11/24/25. There are no dates on the emergency contact and financial agreement forms for child # 3. Requirement: 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: Documents were signed and dated by all. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked/Original label (3270.133(4)/3270.133(5))

During a renewal inspection on 6/2/26, certification rep observed expired medication stored in the pre k classroom. Certification rep observed Desitin diaper cream labeled "keep out of reach of children" accessible to children in the girls bathroom. Requirement: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: The medication was sent home immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During a renewal inspection, child files were reviewed. There is no release persons address listed for children # 1 and 2. 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: Release persons were listed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone/Insurance coverage information (3270.124(b)(2)/3270.124(b)(6))

During a renewal inspection on 6/2/26, child files were reviewed. There is no physician phone number provided on the emergency contact form for child # 5. There is no health insurance policy number on file for children # 1 and 4. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: Policy number was released and doctor phone number was inserted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons/Admission date (3270.123(a)(5)/3270.123(a)(6))

During a renewal inspection on 6/2/26, child files were reviewed. There is no designated release persons listed on the agreement for child # 5. There is no date of admission on the agreements for children # 1 and 3. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission. Correction: Child 1's record was searched and admission date was placed and child 5's form had release persons placed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During a renewal inspection on 6/2/26, child files were reviewed. There is no child service report on file for children # 3 and 4, both were enrolled longer than 6 months (see code sheet). 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: Both children's assessments were replaced immediately Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

During a renewal inspection on 6/2/26, child files were reviewed. The agreement on file for child # 1 is not signed by the operator. The agreement on file for child # 5 is not signed by the operator or the parent. Requirement: An agreement shall be signed by the operator and the parent. Correction: Parent and operator signatures were given immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

During a renewal inspection on 6/2/26, certification rep observed a bottle of Windex cleaner accessible to children in the indoor play area. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Windex was moved out of reach from children during inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Continued noncompliance: On 11/18/25, a renewal inspection was conducted at the facility. Certification rep observed staff # 1 in a classroom alone with children. There were no clearances on file for staff # 1. The facility's acceptable plan of correction indicated that the staff person responsible for creating and maintaining staff records will participate in existing provider training at the regional office on 2/25/26. As of 2/27/26, the existing provider training was not completed. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Any person responsible for creating and maintaining staff records shall participate in an existing provider orientation at the regional office. Registration can be completed by calling the regional office directly. This portion of the plan shall have a date by which this training will be completed. Correction: Clearances are brought up to date and training will be attended in May. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for child # 2 does not have the name address and phone 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: Information was obtained and added Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

There was no child service report on file for children # 1, 2, and 3 to communicate to the family about the child's growth and development in the context of the services provided. Children were enrolled longer than 6 months. 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: Child service reports will be completed within the end of the month 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 on file for child # 2 does not have the parent's work address or phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Information was obtained and added Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for child # 2 does not have the child's health insurance coverage and policy number. 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: Parents were notified and information was obtained 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))

During a renewal inspection on 11/18/25, there was no health assessment on file for staff # 7. More than 24 months passed since the last health assessment for staff # 1 as evidenced by the staff health assessment on file dated 9/3/23. The initial health assessment for staff # 3 (see code sheet for date of hire) was not on file. 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. Correction: health assessment will be completed as soon as possible. staff # 7 no longer works at facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The emergency contact form and agreement were last reviewed by the parent of child # 1 on 11/13/24. The agreement on file for child # 4 was last reviewed by the parent on 8/22/24. The agreement on file for child # 5 was last reviewed by the parent on 6/20/24. Requirement: 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: 6 month review was done and documented Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Copy of initial and subsequent agreements. Parent receives original. (3270.182(8))

During a renewal inspection on 11/18/25, there was no financial agreement on file for children 2 and 3. Requirement: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: Forms were sent home and parents signed it Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Individual Records (3270.191)

During a renewal inspection on 11/18/25, there was no individual record for staff # 7. Requirement: An individual record is required for each facility person. Correction: Staff # 7 ended their employment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health assessment, TB test (3270.192(3))

During a renewal inspection on 11/18/25, there was no TB test results on file for staff # 7, who was observed working with children. Requirement: 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: Staffer will obtain a Tb test immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During a renewal inspection on 11/18/25, there was only one letter of reference observed in staff person # 5 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: The staff member in question is obtaining the second reference Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

During a renewal inspection on 11/18/25, there was no documentation of an emergency drill being held in the last 12 months. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: An emergency drill will be held Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Different times of day (3270.94(a)(2))

During a renewal inspection on 11/18/25, the fire drill log was reviewed. The time of day was not recorded for any of the fire drills logged at the facility since November 2024. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at different times of the day or night, or both, if applicable. Correction: The calendar is being searched and the information will be filled out Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).