WILLOWDALE CHILDRENS ACADEMY

Emergency plan (3270.27(f))

During the renewal inspection conducted 3/16/26, upon request there was no verification available for review to verify the facility sent a copy of their emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: Director will send the emergency plan to the local municipality. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

During the renewal inspection conducted 3/16/26, Aquaphor and diaper rash paste was observed in an unlocked closet under the diaper changing table inside of the 2-year-old classroom. Bleach, several cans of paint, mildew and mode stain remover were observed on the floor in an unlocked closet inside of the children's gym 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: Doors were locked immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training at facility (3270.36(b)(5)/3270.192(2)(iii))

During the renewal inspection conducted 3/16/26, the record reviewed for staff #2 and #3 did not include verification of childcare experience for the position performing (Assistant group supervisor). 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 following the outset of service at the facility. Correction: Director will discuss and retrieve missing items from staff members. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection conducted 3/16/26, the file of facility person #1 (See code sheet for hire date) does not contain a completed NSOR verification or out of state clearances (Delaware). The file of facility person #2 (See code sheet for hire date) does not contain a completed state police history clearance. The file did not contain copies of a request for the PA state police clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2-- may not work in a childcare position at the facility. Correction: Director will discuss and retrieve missing items from staff members. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection conducted 3/16/26, the continuity of operations reviewed did not include backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. 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: Discuss a plan with the owner and then add it to our current policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the renewal inspection conducted 3/16/26, chip paint was observed on the pink wall near the back infant crib inside of the infant classroom. Chip paint was also observed on the white wall along the edge of the door entrance in the hall near the 2-year-old classroom. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Owner had all chipped paint painted on 3/21/26 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))

During the renewal inspection conducted 3/16/26, the emergency contact and agreement reviewed for child #1, #2, #3 and #4 was not updated within a 6-month period. Last dated, child #1 and #2 9/2/25, Child #3 9/1/25 and 8/14/25, child #4 1/6/25 and 1/5/25. The emergency contact reviewed for child #5 did not include a date. 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: Director will get all forms signed within two weeks and send copies to our inspector. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During the renewal inspection conducted 3/16/26, the record reviewed for staff #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. One reference letter was available for review. 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: Director will request an additional reference from staff #1. 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))

During the renewal inspection conducted 3/16/26, the record reviewed for staff #1 and #2 did not include an initial 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: Director will have both staff members get their health assessments ASAP so they are able to work. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3270.131(b)(1))

During the renewal inspection conducted 3/16/26, the health assessment reviewed for child #5 was not at least updated within a 6-month period. Last dated 9/10/25. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: Director has requested an updated health assessment for the child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

During the renewal inspection conducted 3/16/26, there were no handwashing signs over the toilets in the 1year old classroom, prekindergarten classroom or the preschool classroom that states 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. 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: Handwashing signs were hung up immediately the day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan (3270.111(a))

During the renewal inspection the certification representative conducted a facility walk through and did not see a daily schedule in the pre k room. 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 provider will post the daily schedule and send the certification representative a copy of the plan posted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During the renewal inspection the certification representative viewed the staff files staff # 2 was missing two written references in the 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 provider will notify the staff and request for them to provide two written references to be included in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

CPSL information (3270.192(4))

During the renewal inspection the certification representative viewed the staff files, staff #3 was missing the FBI results in the file. 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 #3 may not work in a childcare position at the facility. Correction: The provider will notify the staff and request for them to provide the FBI results that was send in correspondence to the results receipt that was in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the certification representative viewed the staff files staff # 2 was missing proof of education in the file. staff #3 was missing experience in the file. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: The provider will notify the staff and request for them provide their education level to be included in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of medications or special dietary needs (3270.182(4))

During the renewal inspection the certification representative viewed the children files child #2 was missing a consent or acknowledgement for special meds/diet this area was left blank. Requirement: A child's record shall contain signed parental consent for administration of medications or special dietary needs. Correction: The provider will notify the parent and request for them to complete the emergency form to its entirety leaving no areas blank. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the certification representative viewed the children files child #1 health assessment was missing the statement free from 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: The provider will notify the parent and request for them to get a statement from the doctor that says the child is free from communicable disease. 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))

During the renewal inspection the certification representative viewed the children files children #4 and #5 were missing update emergency contact forms and were also missing updated financial agreement forms. 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 provider will notify the parents and request for them to update the emergency contact information and financial agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the certification representative viewed the children's files child # 2 was missing information on disability this area was left blank. 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 provider will notify the parents and request for them to complete the emergency contact form to its entirety leaving no areas blank. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the certification representative viewed the children files child #2 was missing the physician phone number on the emergency contact form. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The provider will notify the parents and request for them to complete the emergency contact form to its entirety leaving no areas blank. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During the renewal inspection the certification representative viewed the children files, child # 5 was missing an updated child service report in the file. 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: The provider will provide an updated child service report to the parents and include it in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

During the renewal inspection the certification representative conducted a facility walk through when arrived and observed the infant room out of ratio after a staff emergency that occurred. The ratio was 7-1. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Correction: The provider corrected the violation by calling leading staff from other centers to assist in the shortage of staff for the day. The provider will require all staff to take a ratio training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the certification representative requested to view the shaken baby policy the policy did not address all three topics shaken baby, abusive head trauma and child maltreatment. 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: The provider will ensure all three topics are being address in the shaken baby, abusive head trauma, child maltreatment policy and provide a copy for the certification representative to view. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).