CHESTERBROOK ACADEMY

2026

1. Medium-High risk2/12/2026

   Training regarding plan (3270.27(c))

   The time between staff person #2 and #3's emergency plan training exceeded the annual timeframe Staff person #2's dated 8/13/24, 11/26/25; Staff person #3's most current dated 8/13/24. 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: The emergency plan trainings for staff person #2 and #3 were completed on 2/12/26. The time between staff emergency plans training will not exceed the annual timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
2. High risk2/12/2026

   Age and Training (3270.31(e)(4)(i))

   Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/22/26. Documentation of updated Pediatric first aid and CPR training is not on file. 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. Until such time as the required training has been completed, staff person #3must be supervised, when interacting with children at a minimum by, a minimum of an AGS 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 person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff person #3 completed their CPR training on 2/27/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/17/2026
3. Medium-High risk2/12/2026

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

   Staff person #3's record did not contain any documentation of completing fire safety training (see Code Sheet). 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: Staff member #3 completed their fire safety training on 2/12/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
4. High risk2/12/2026

   Health and Safety Training (3270.31(f))

   Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Mandated Reporter Training. (see code sheet) Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS 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 person #1-, staff person #1 may not work in a child-care position at the facility. Correction: Staff person #1 completed their mandated reporter training on 2/6/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/6/2026
5. Medium-High risk2/12/2026

   Comply with CPSL (3270.32(a))

   The time between staff person #2's NSOR clearances exceeded the permitted every 60 months' timeframe (1/9/20, 2/11/25). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person's will obtain their NSOR clearances at time of hire and every 60 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
6. Medium risk2/12/2026

   Staff evaluations (3270.34(a)(6))

   Staff person #3's time between staff evaluations exceeded the permitted annual timeframe (5/31/24, 6/12/25). Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: All staff person's will have evaluations every year within an annual timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
7. Medium-High risk2/12/2026

   Locked or inaccessible (3270.66(a))

   It was observed in the Infant B classroom that Aquaphor cream and sunscreen were accessible to children in the cabinet under the diaper changing table. A hair detangler bottle was accessible to children in a drawer in the classroom. (all corrected during inspection). Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Both the cabinet and drawer in the Infant B classroom were locked at time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
8. Medium-High risk2/12/2026

   Has all items (3270.75(c))

   It was observed that the first-aid kit in the Beginner A classroom did not contain scissors (corrected during inspection). Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Scissors were placed in the first aid kit at time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
9. Medium-High risk2/12/2026

   Building Surfaces (3270.76)

   It was observed that the Staff Lounge room was accessible to the children and contained: scissors on counter, die cuts, and a paper cutter. (corrected during inspection). The vinyl children's couch in the Pre-K B classroom was torn, with the foam exposed. (corrected during inspection). 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 staff lounge was locked and the children's couch was removed at time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/12/2026
10. Medium risk2/12/2026

    Lidded waste receptacles (3270.82(i))

    It was observed that the bathroom in the indoor gross motor room was not equipped with a lidded waste receptacle (corrected during inspection) Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: A clean, lidded trash can was placed in the bathroom in the indoor gross motor room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
11. Medium-Low risk2/12/2026

    Clean, age appropriate (3270.106(a))

    It was observed that the rest equipment in the Intermediate A, Pre-K A, and Re-K B classrooms were not labeled for the use of a specific child and used only by the specified child. 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 rest equipment was properly labeled for the use of a specific child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
12. Medium-Low risk2/12/2026

    Written plan (3270.111(a))

    It was observed that the written plan of daily activities was not posted in the Infant B and Toddler A classrooms (corrected during inspection). Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Correction: The written plan of daily activities was posted in the Infant B and Toddler A classrooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
13. Medium-High risk2/12/2026

    Services proceeded (3270.123(a)(3))

    Child #1 #3, and #4's files did not contain child service reports within the last 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: Child Service Reports for child #1, #3, and #4 were completed and given to the parents on 3/2/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/2/2026
14. Medium risk2/12/2026

    Designated release persons (3270.123(a)(5))

    Child #2's agreement did not specify the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Child #2's agreement now specifies who the child can be released to. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026
15. Medium risk2/12/2026

    Services considered extra (3270.123(a)(7))

    Child #4's agreement did not the services which are to be considered as extra. Requirement: An agreement shall specify the services which are to be considered as extra. Correction: Child #4's agreement contains the services that are extra. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026
16. Medium risk2/12/2026

    Parent receives original (3270.123(b))

    The parents of child #2, #3, and #5 did not receive the original agreement. The original agreement was in the children's files. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. Correction: Parents of child #2, #3 and #5 received the original agreements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026
17. Medium-High risk2/12/2026

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

    Child #1 and #2's emergency contact information did not include the enrolling parent's work telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contact information for child #1 and #2 now contains the enrolling parent's work phone number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026
18. Medium-High risk2/12/2026

    Each child care space (3270.124(c))

    It was observed that there was no emergency transportation plan posted in the indoor gross motor space (corrected during inspection). 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: The emergency transportation plan was posted in the indoor gross motor space. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
19. Medium risk2/12/2026

    Free from contagious/communicable disease (3270.131(d)(7))

    Child #2's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: Child #2's health report includes a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026
20. Medium-High risk2/12/2026

    Annual immunization reporting to DOH (3270.131(e)(4))

    Child #5 most current immunization record did not include any record of receiving the Polio immunization which is required for a child of this age (see code sheet) Requirement: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77. Correction: Child #5 most current immunization record now includes the first dose of the polio immunization. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/20/2026
21. Medium-High riskStandard 122/12/2026

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

    Staff person #3's record did not include a copy of their current health assessment. The most current health assessment on record is dated 12/8/23. 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: Staff person #3's now has an updated health assessment on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/20/2026
22. Medium-High risk2/12/2026

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

    The parents of child #3 did not update the emergency contact information and financial agreement at least once in a 6-month period (emergency contact 1/22/25, 9/14/25; agreement 1/22/25, 9/16/25). The parents of child #4 did not update the financial agreement at least once in a 6-month period (2/21/25, 9/12/25). 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: The emergency contacts and financial agreements will be reviewed and updated every 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
23. Medium risk2/12/2026

    Exp, educ., training prior to facility (3270.192(2)(ii))

    Staff person #3's record did not include verification of child care experience required to act as an AGS, as this staff person has been doing. (corrected during inspection). Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff person #3's includes verification of child care experience. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
24. Medium-High risk2/12/2026

    CPSL information (3270.192(4))

    Staff person #4's record did not include a completed disclosure statement. (corrected during inspection). Requirement: 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. Facility Person #--- may not work in a child care position at the facility. Correction: Staff person #4's record now includes a completed disclosure statement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/12/2026
25. Medium risk2/12/2026

    Two written references (3270.192(5))

    Staff person #5 and #6's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. 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 person #5 and #6's records includes two written references. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/27/2026