CHRIST CORNERSTONE PRODUCTIONS ACADEMY LLC

Parent receives original (3270.123(b))

Children # 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10's files obtained the original financial agreements. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. Correction: Children 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10's parents received the original agreements, and a copy remains in each child's file. Effective immediately, all original financial agreements will be issued to parents/guardians at the time of enrollment or signing. The facility will retain a copy of each agreement in the child's file, and an additional copy will be scanned and securely stored in our digital record system (Brightwheel) for documentation and accessibility purposes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed Lysol spray, Clorox wipes and air freshener labeled "Keep out of Reach of Children" in an unlocked desk drawer. *Corrected at the time of the 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: Lysol spray, Clorox wipes and air freshener were immediately removed from the drawers and placed in an inaccessible area. Inspection: Change in Location Capacity. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

Observed the first aid kit was in an unlocked desk drawer which was accessible to children. *Corrected at the time of the inspection. Requirement: A first-aid kit must be inaccessible to children. Correction: The first aid kit was removed from the drawer and placed in the locked storage closet. Inspection: Change in Location Capacity. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Availability of certificate of compliance and applicable regulations (3270.25(a))

The facility's current certificate of compliance dated 06/06/2025 - 06/06/2026 was not posted in a conspicuous location used by parents. The certificate of compliance posted at the main entrance to the facility was dated 06/06/2024-06/06/2025. The certificates of compliance posted at the back entrance and in the foyer at the bottom of the steps were dated 06/06/2023 - 06/06/2024. *Corrected at the time of the inspection. Requirement: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Correction: At the time of the inspection, the outdated certificates were removed, and the current Certificate of Compliance was posted at all designated parent-accessible entrances, including the main entrance, back entrance, and foyer. To maintain compliance moving forward, the following actions will be implemented: Annual Certificate Update Reminder: A calendar reminder will be set for the expiration month of the certificate to ensure timely replacement each year. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

Annual emergency plan training was not completed within 12 months of the previous training for staff person #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, and #16. The most recent emergency plan training for staff #5 - #16 was conducted on 05/08/2024, with no subsequent training documented. 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: All staff have finish Annual emergency plan training Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff person #1 did not include a Child Abuse Clearance prior to their first day caring for children (see LIS code sheet), the Child Abuse Clearance dated 06/15/2022 was a volunteer clearance which cannot be used for employment. The file for staff person #3 did not include an NSOR prior to their first day caring for children (see LIS code sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #3 may not work in a child care position at the facility. 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. Correction: Staff Person #1: The individual was immediately notified and instructed to submit an application for an employment-based Child Abuse Clearance. And the individual received correct clearance 6/18/2025 Staff Person #3: This individual has been suspended from all child care duties until the required NSOR clearance is received and verified. An NSOR request was submitted immediately upon discovery of the oversight. Staff will only resume responsibilities upon receipt and documentation of an approved NSOR. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

Observed 10 younger school age children and 17 older school age children in the upstairs classroom with staff person #5 and #6. Staff person #5 identified a group of 14 older school age children and 1 young school age child. Staff person #6 identified a group of 9 younger school age children and 3 older school age children. The staff:child ratio for staff person #5 exceeded the ratio requirements of 1:12 when the youngest child in care is a younger school age child. *Corrected at the time of the inspection. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Correction: At the time of the inspection, the grouping was immediately adjusted to ensure compliance with ratio regulations. Staff person #6 reassigned children so that the number of younger school-age children and total group size per staff member met required ratios. Moving forward, the following steps will be implemented: Daily Ratio Checks: Classroom groupings will be reviewed by the director or lead staff each morning and after transitions to ensure proper ratio based on the youngest child in each group. Staff Training: All staff will receive refresher training on ratio requirements, especially regarding mixed-age groups and how the presence of younger school-age children affects staffing needs. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

Observed electrical outlets throughout the facility including the multipurpose room, the hallways, the upstairs and downstairs preschool classrooms which lacked protective receptacle covers and were accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective receptacle covers were immediately installed in all accessible electrical outlets at the time of the inspection to eliminate the hazard. To prevent recurrence, the following corrective actions will be implemented: Immediate Full Facility Inspection: A walkthrough was conducted to ensure every outlet accessible to children under age five is covered with an approved protective receptacle cover.Weekly Safety Checks: A designated staff member will perform weekly safety checks of all classrooms and common areas to ensure outlet covers remain in place and undamaged. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed a can of Lysol disinfectant spray on the table located in the downstairs preschool classroom, which was accessible to children. The utility closet door in the corner was unlocked and open, the door leads a storage area which contained a variety of cleaning products labeled Keep out of Reach of Children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: At the time of the inspection, the Lysol disinfectant spray was immediately removed from the table and stored in a secured location. The utility closet door was closed and locked to prevent access to cleaning products. To ensure future compliance, the following measures will be taken: Immediate Removal Policy: All cleaning products, including sprays and disinfectants, will be stored out of children¿s reach and in locked cabinets or closets at all times. Daily Visual Checks: Staff will conduct daily classroom safety checks at opening and closing to ensure all hazardous items are properly stored and inaccessible to children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Observed in the upstairs preschool classroom: a power cord laying across the floor in front of the desk which presented a trip hazard. Guina Pig Debris on the floor next to the cage. Observed in the downstairs preschool classroom: a power cord laying on the floor next to the fish tank which presented a trip hazard. The door to the dumbwaiter was left open in the downstairs preschool classroom. Observed a string of decorative lights which were no longer secured to the wall above the doorway between the two areas of the room and was laying across the floor in the game room which presented a trip hazard. 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: All issues were immediately addressed at the time of inspection: Power cords in both classrooms and the game room were either removed, re-routed, or secured using cord covers or cable organizers to eliminate tripping hazards. The guinea pig area was cleaned, and a daily pet care maintenance log has been implemented. The dumbwaiter door was closed and is now kept secured at all times when not in use. The decorative lights were removed entirely to prevent further hazard. To ensure ongoing safety and compliance, the following measures will be implemented: Daily Environmental Checks: All classrooms and activity areas will be inspected daily for tripping hazards and cleanliness by lead teachers or designated staff. Inspection: Allocated Unannounced Monitoring. 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))

The file for staff person #2 included a health assessment dated 07/30/2022 with no subsequent health assessment 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. 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 #2 was immediately scheduled for an updated health assessment upon discovery of the non-compliance. The updated assessment has been placed in the employee's file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Wholesome (3270.161(a))

Observed visibly spoiled, curdled milk with an expiration date of 05/30/2025 in the upstairs preschool classroom refrigerator. Requirement: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Correction: The spoiled milk was immediately removed and discarded at the time of the inspection. To prevent future occurrences, the following corrective actions will be implemented: Daily Refrigerator Checks: Staff will check the contents of all classroom refrigerators daily. Expired or questionable items will be discarded immediately. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

Observed a lunchbox on the floor in the downstairs preschool classroom containing potentially hazardous food brought from the child's home which was not refrigerated. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: The lunchbox was immediately removed from the floor and the food was properly stored or returned to the parent, as appropriate. To prevent future occurrences, the following corrective actions will be implemented: Designated Food Storage Areas: All lunchboxes and food brought from home will be placed in designated refrigerated or insulated storage areas upon arrival. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff person #4 did not include verification of education prior to service at the facility. Proof of education was not on file. 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 #4 was immediately instructed to submit official documentation verifying their education. A copy has been placed in their personnel file to meet regulatory requirements. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insured (3270.176(a))

On 03/13/2025, observed the bus owned by the facility did not have a current copy of the vehicle registration and proof of insurance in the vehicle while transporting children; the updated documents were printed on the date of the inspection. Requirement: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law). Correction: The current vehicle registration and proof of insurance were immediately printed and placed in the bus on 03/13/2025. All transportation staff were informed of the requirement to keep these documents in the vehicle at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for staff person #1 did not include an annual minimum of 12 clock hours of child care training; the file included 4.5 hours completed between 12/2023 - 12/2024. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person #1 has been scheduled to complete the remaining 7.5 hours of required training by 04/20/2025 The staff member was reminded of the annual training requirement and the importance of timely completion and documentation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transportation First Aid Kit (3270.178)

The first aid kit in the bus did not include soap or tweezers. Requirement: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported. Correction: Additional first aid kit was added to the bus that include soap and tweezers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact information for child #1 did not include the address of the individual's designated by the parent to whom the child may be released. 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: emergency contact information for child #1 has been updated Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact information for child #2 did not include the complete home address of the enrolling parent. The emergency contact information for child #2 did not include the work address or telephone number for the enrolling parent. The emergency contact information for child #3 and #4 did not include the work telephone number for the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: All files for child #2,3,4 has been updated Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: child #1 address of the child's physician has been added Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee/Date fee to be paid (3270.123(a)(1)/3270.123(a)(2))

The agreement for child #1 did not include the fee amount with the date the fee is to be paid. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. Correction: The fee amount for child #1 has been added Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

On 03/05/2025, observed the children in the Under the Sea classroom were sitting on a carpet watching TV during naptime. During this time 2 preschool age children fell asleep on the carpet. When it was brought to the attention of the staff supervising the children, a staff person moved the 2 children into child size plush chairs in lieu of providing age-appropriate rest equipment. 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: The staff involved were reminded of the requirement to provide proper rest equipment for all children during naptime. Age-appropriate rest equipment is now readily accessible and available for all preschool-age children during rest periods. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed the cabinet under the fish tank located in the PreK counts (Under the Sea) classroom was unlocked; the cabinet contained a container of Ph stabilizer tablets labeled "Keep out of Reach of children" which were accessible to children. *Corrected at the time of the 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: All cleaning products that were stored under the fish tank have been relocated to a secure area that is out of reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

Observed a power strip in the PreK counts (Under the Sea) and PreK counts (Outer Space) classrooms which did not have protective covers on the unused outlets. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective covers where place in all unused outlets. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immediate access (3270.24(a))

On 03/13/2025, upon arrival to the facility at approximately 2:05 pm, Certification Representative was not provided immediate access to the facility. Cert Rep rang the doorbell and knocked several times at the main entrance. Cert Rep then went to another entrance and tried to knock on the door for access. Cert Rep then returned to the main entrance and knocked and rang the doorbell again. Cert Rep called the facility phone number at 2:12 pm, an individual answered the phone and stated to hold on a minute and then disconnected. After waiting a few minutes for someone to come to the door, at 2:16 pm Cert Rep called the number on the sign outside the door, the call went to voice mail. At 2:17 pm Cert Rep called the facility phone number a second time and it also went to voice mail. At 2:17 pm, the owner returned my call and shortly after, a staff person opened the door. Requirement: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. Correction: A new doorbell system has been installed to ensure that staff members can clearly hear when it rings Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).