NURXERY CHRISTIAN ACADEMY LLC

2026

1. High risk7/1/2026

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

   Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR and Mandated Reporter Training). 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 person #3 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 #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff #3 has not cared for children unsupervised and has scheduled pre-service CPR training for 07/11/26 and mandated reporter training is pending as allotted within the 90-day window of hire date. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/1/2026
2. Medium-High risk7/1/2026

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

   The file for Staff #1 contained a disclosure statement that lacked a witness. The file for Staff #1 lacked an FBI clearance or fingerprinting request and West Virginia Out of State Clearances. The file for Staff #1 contained a PA Child Abuse Clearance and National Sex Offender Certificate at the time of inspection but it was observed that Staff #1 lacked a PA Child Abuse and National Sex Offender Certificate prior to working with children. The file for Staff #2 lacked a signed disclosure statement and a National Sex Offender Certificate. The file for Staff #3 lacked a signed disclosure statement and contained a Pennsylvania Department of Education FBI Clearance not the required Department of Human Service FBI Clearance. The file for Staff #4 lacked a signed disclosure statement. The file for Staff #5 lacked a PA State Police Clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1, #2, #3, and #5 may not work in a childcare position at the facility. Correction: All staff (#1, #2. #3, and #4) not meeting this requirement signed a new disclosure statement and witness signature was provided by the Center Director. Staff #1 is no longer employed. Staff #2 had current NSOR. Staff member #2 has remained out of care. Staff #3 has been fingerprinted and remaining out of care until results are obtained. Staff #5 has current State Police Clearance. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/20/2026
3. Medium-High risk7/1/2026

   Locked or inaccessible (3270.66(a))

   In Room 3, the young toddler's classroom, two tubes of diaper cream, labeled "Keep out of the reach of children", were observed on a low shelf on the changing table and were accessible to the children in care. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Bin of diaper creams were removed from shelf just within reach of children and placed behind a cabinet locked with a child safe locking mechanism. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/2/2026
4. Medium risk7/1/2026

   Handwashing signs (3270.82(h))

   The diapering area in the two children restrooms lacked hand washing signs. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Provider has printed additional duplicate signage, in addition to the existing signage that now hangs directly over the changing table in the two children's restrooms. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/6/2026
5. Medium-High riskStandard 127/1/2026

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

   The files for Staff #1 and #3 lacked 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 #1 is no longer employed. Staff #3 has health assessment. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/13/2026
6. Medium-High risk7/1/2026

   Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

   The file for Staff #1 lacked documentation of TB screening by the Mantoux method. The file for Staff #3 contained documentation of TB screening but lacked the results of that screening. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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: Provider has instructed staff #1 to obtain the required TB testing which was performed on 7/7/26 and read on 07/09/26 (documentation attached). Staff #3 quantiferon TB testing was available at the time of inspection but was not presented readily and is now attached for your review (obtained 6/17/26). Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/7/2026
7. Medium risk7/1/2026

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

   The files for Staff #2 and #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity. 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 #2 and Staff #5 have education documents in their file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/13/2026
8. Medium risk7/1/2026

   Two written references (3270.192(5))

   The files for Staff #1, #2, and #3 lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person. The file for staff #4, contained one written, nonfamily reference and one written, family reference from individuals attesting to the 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: Required references supplied for each staff member and placed in their respective employee files (attached for your review). Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/6/2026
9. Medium-High risk4/13/2026

   Has all items (3270.75(c))

   The first aid kits located in Rooms 1, 2, 3, 4, and the Gross Motor space lacked soap. 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: Operator purchased and added soap to the first aid kits. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 4/13/2026
10. Medium risk4/13/2026

    Handwashing signs (3270.82(h))

    The diapering area in Room 4 and the urinal in the child's restroom lacked hand-washing signs. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Operator will print and laminate two handwashing signs and put above the changing table and the urinal. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/13/2026