Pennsylvania · West Chester · 19380

Chesterbrook Academy · West Chester

1220 Ward Ave Ste 100, West Chester, PA 19380 · Chester County

8 complaint investigations found violations Keystone STAR 1

Chesterbrook Academy is a certified child care center in West Chester, PA, with capacity for 193 children. It holds a Keystone STAR 1 rating. Since August 2021, Pennsylvania certification staff have inspected it 7 times and confirmed violations in 8 complaint investigations. The state cited 88 violations, 16 of them core-safety (supervision, staff ratios, discipline, background checks, child protection or safe sleep), most often for building & playground safety (20 of 88). 3 citations came in the last 12 months. Measured by topic-weighted citations per inspection, it is #37 of 37 centers in West Chester and has more citations per inspection than 97% of Pennsylvania certified centers.

Inspection record

More citations than 97% of 4,789 Pennsylvania certified centers, per inspection, weighted by topic. Among the most cited

#37 of 37 centers in West Chester

16 Core-safety citations

72 Other citations

7 Inspections

8 Complaint investigations that found violations

88 citations from 15 state visits since Aug 16, 2021 · 3 in the last 12 months · last inspected Aug 19, 2026

Every state visit

Violation found No violation Top row: inspections · bottom row: complaint investigations, self-reported incidents and other visits

What inspectors cited most

Building & playground safety 20

Records & paperwork 18

Health & medication 12

Emergency preparedness 11

Staff ratios 10

Training & qualifications 7

Background checks 3

Food & feeding 3

Caregiver conduct 2

Supervision 1

Other standards 1

Citations, newest first

Citation Aug 19, 2026 Inspection Building & playground safety

110º F or less 55 Pa. Code §3270.69(b)

Water in the sinks in Toddler A classroom were 120 degrees and 115 degrees, in the Beginner A classroom water temperature was 117 degrees, and in the Toddler B classroom water temperature was 119 degrees.

Center’s plan of correction (implemented, Sep 4, 2026): “Maintenance will be requested to adjust water temperature.”

Citation Aug 19, 2026 Inspection Health & medication

Toddler/preschool: updated health report every 12 months 55 Pa. Code §3270.131(b)(2)

Child #2 did not have an updated health assessment on file. The health assessment on file was dated 2/21/23.

Center’s plan of correction (implemented, Sep 4, 2026): “Director will request updated health assessment from parents.”

Citation Aug 19, 2026 Inspection Records & paperwork

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. 55 Pa. Code §3270.123(b)/3270.182(8)

Child #1 did not have an agreement on file.

Center’s plan of correction (implemented, Sep 4, 2026): “Parent will complete agreement form and form will be placed in child's file.”

Core safety Aug 13, 2025 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

The file of staff person #1 did not include their NSOR verification.

Center’s plan of correction (implemented, Aug 15, 2025): “Staff will not work in a child care position until NSOR is obtained. Facility will always maintain compliance with CPSL requirements.”

Citation Aug 13, 2025 Inspection Building & playground safety

Building Surfaces/No peeling paint or plaster 55 Pa. Code §3270.76/3270.77(a)

During the renewal inspection the Beginner B bathroom had baseboard paneling peeling from wall. The Beginner B bathroom had damaged paint along the lower area of the wall. The Pre K classroom had damaged paint on the rear wall under the window. The Intermediate A classroom had two areas of damaged paint on the rear wall. The toddler A classroom had two areas of chipped paint on the rear wall

Center’s plan of correction (implemented, Sep 2, 2025): “Director will have maintenance repair dry wall, paint, and replace baseboard paneling.”

Citation Aug 13, 2025 Inspection Health & medication

2 feet apart 55 Pa. Code §3270.106(f)

During the renewal inspection, cribs that were in use in the Infant classroom were not separated at least 2 feet apart on three sides.

Center’s plan of correction (implemented, Aug 13, 2025): “Director and staff arranged the cribs of the children that were sleeping so that they were two feet apart on at least 3 sides. The cribs of children who nap for the least amount of time will be moved closer to the entrance of the room so that they can be removed from the classroom as needed.”

Citation Aug 13, 2025 Inspection Health & medication

Original label 55 Pa. Code §3270.133(5)

The epi pen of child #1 was expired with an expiration date of 4/30/25.

Center’s plan of correction (implemented, Aug 15, 2025): “Director informed the child's parent who has ordered a new epi pen.”

Citation Aug 13, 2025 Inspection Food & feeding

Bottles labeled 55 Pa. Code §3270.166(4)

A bottle in the Toddler B classroom was not labeled with child's name.

Center’s plan of correction (implemented, Aug 13, 2025): “Director immediately labeled bottle with child's name.”

Citation Aug 13, 2025 Inspection Records & paperwork

Physician name, address, phone 55 Pa. Code §3270.124(b)(2)

The emergency contact information of child #2 did not have their physician's telephone number.

Center’s plan of correction (implemented, Sep 2, 2025): “Director will obtain number from parent and input on form.”

Citation Aug 13, 2025 Inspection Records & paperwork

Name/address/phone release person 55 Pa. Code §3270.124(b)(7)

The emergency contact information of child #2 did not include their designated release person's address.

Center’s plan of correction (implemented, Sep 2, 2025): “Director will obtain address from parents and add to form.”

Show 78 older citations

Citation Aug 21, 2024 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

There was a ceiling tile in beginners A classroom to the right of the entrance. that had a brown water spot. There were also 2 ceiling tiles in the back corner of the Pre k b classroom that had brown water stains.

Center’s plan of correction (implemented, Sep 6, 2024): “Facility will replace tiles as soon as possible :”

Citation Aug 21, 2024 Inspection Building & playground safety

Handwashing signs 55 Pa. Code §3270.82(h)

Child in Toddler B classroom did not have their hands washed after diapering.

Center’s plan of correction (implemented, Aug 21, 2024): “All children's hands will be washed after diapering”

Citation Aug 21, 2024 Inspection Health & medication

Original label 55 Pa. Code §3270.133(5)

In the Pre-K A classroom, child #3 had an expired epinephrine pen dated 7/24.

Center’s plan of correction (implemented, Sep 6, 2024): “Director will contact parents and ask them for new pen. Maintenance:”

Citation Aug 21, 2024 Inspection Food & feeding

Bottles labeled 55 Pa. Code §3270.166(4)

Child #1 and #2 did not have their names labeled on their bottles.

Center’s plan of correction (implemented, Aug 21, 2024): “Cups will be relabeled by teacher.”

Core safety Jun 21, 2024 Complaint investigation Staff ratios

Similar Age Level 55 Pa. Code §3270.51

During the complaint investigation, it was verified that the Beginners A classroom, Beginner's B classroom, and the Intermediate A classroom had been out of ratio. During interviews, it was reported that these classrooms were out of ratio several times a week from September 2023 to early June 2024.

Center’s plan of correction (implemented, Jul 2, 2024): “Facility will be in ratio at all times.”

Core safety Apr 24, 2024 Complaint investigation Staff ratios

Similar Age Level 55 Pa. Code §3270.51

Cert Rep found that the Young Intermediate classroom was out of ratio. There were 12 3-year-old children and 1 staff in the classroom. The Beginners B classroom was also out of ratio, there were 16 children between the ages of 2 and 3 and there were 2 staff persons.

Center’s plan of correction (implemented, May 7, 2024): “Facility will maintain compliance with ratios at all times. New staff will be hired to help the facility maintain ratios.”

Citation Jul 18, 2023 Inspection Building & playground safety

In child care spaces 55 Pa. Code §3270.75(a)

During the renewal inspection on 7/18/23, a first aid kit was not present in the Pre-K room. (CORRECTED ON SITE)

Center’s plan of correction (implemented, Jul 28, 2023): “A first aid kit will be placed on the playground to elimiate the need to move the classroom first aid kit outside onto the playground. A first aid kit will be readily avaialble in all spaces used by children.”

Citation Jul 18, 2023 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

During the renewal inspection on 7/18/23, a ceiling tile in the Pre-K B room was hanging. Multiple ceiling tiles in the room were water damaged as if there is a leak in the ceiling.

Center’s plan of correction (implemented, Jul 31, 2023): “Tiles were changed out on 7/24/23. Landlord was contacted to come out to assess the roof.”

Citation Jul 18, 2023 Inspection Building & playground safety

No peeling paint or plaster 55 Pa. Code §3270.77(a)

During the renewal inspection on 7/18/23, peeling paint was observed on the wall above an electrical outlet in the Pre-K room. Peeling paint was observed along several walls in the Beginners B classroom.

Center’s plan of correction (implemented, Jul 31, 2023): “Peeling paint was repaired by maintenance.”

Citation Jul 18, 2023 Inspection Health & medication

Clean, age appropriate 55 Pa. Code §3270.106(a)

During the renewal inspection on 7/18/23, rest equipment located in Toddler A room was not labeled for each childs specific use.

Center’s plan of correction (implemented, Jul 31, 2023): “Cot labels were placed on appropriate cots immediately.”

Citation Jul 18, 2023 Inspection Food & feeding

Potentially hazardous food refrigerated 55 Pa. Code §3270.161(d)

During the renewal inspection on 7/18/23, yogurt was observed in a bag, in the cubby, of two children in care in room Pre-K B.

Center’s plan of correction (implemented, Jul 31, 2023): “Student lunches were placed in the student refrigerator.”

Citation Jul 18, 2023 Inspection Emergency preparedness

Written record 55 Pa. Code §3270.94(a)(9)

During the hybrid renewal inspection on 7/18/23, the fire drill log submitted did not contain the names of the facility persons participating in the drill.

Center’s plan of correction (implemented, Jul 31, 2023): “Leadership will ensure that the fire drill log includes the names of the staff members who participated in the fire drill moving forward.”

Citation Jul 18, 2023 Inspection Records & paperwork

Individual Records 55 Pa. Code §3270.191

During the hybrid renewal inspection on 7/18/23, no staff files were submitted/presented for renewal inspection.

Center’s plan of correction (implemented, Jul 31, 2023): “Staff data sheets for employees hired prior to 2022 have been submitted. Staff files for employes hired in 2022 will be submitted by end of day, 7/25/23.”

Core safety Mar 15, 2023 Complaint investigation Staff ratios

Similar Age Level 55 Pa. Code §3270.51

During the unannounced complaint visit on 3/15/23, the child:staff ratios in the PreK room and the Beginners B room were not in compliance. Sixteen preschoolers and 2 staff members were observed in the PreK room. A staff member left the classroom with 2 children leaving the other staff member with 14 preschoolers alone. Twelve Older toddlers and 1 preschooler were observed in the classroom with 2 staff members.

Center’s plan of correction (implemented, Jul 18, 2023): “All staff will be trained on how to get materials without leaving the room out of ratio. For example, ask for help from another staff member or take the appropriate number of students along.”

Core safety Mar 15, 2023 Complaint investigation Caregiver conduct

No physical punishment 55 Pa. Code §3270.113(b)

During the unannounced complaint visit on 3/15/23, it was confirmed that a staff member gripped a child up and pulled a child close to their person out of anger.

Center’s plan of correction (implemented, Jul 18, 2023): “Employee was terminated.”

Core safety Mar 15, 2023 Complaint investigation Staff ratios

Similar Age Level 55 Pa. Code §3270.51

During the unannounced complaint visit on 3/15/23, the child:staff ratios in the PreK room and the Beginners B room were not in compliance. Sixteen preschoolers and 2 staff members were observed in the PreK room. A staff member left the classroom with 2 children leaving the other staff member with 14 preschoolers alone. Twelve Older toddlers and 1 preschooler were observed in the classroom with 2 staff members.

Center’s plan of correction (implemented, Jul 18, 2023): “All staff will be trained on how to get materials without leaving the classroom out of ratio. For example, ask for help from another staff member or take the appropriate number of children along.”

Core safety Mar 15, 2023 Complaint investigation Caregiver conduct

No physical punishment /No ridicule or threaten harm 55 Pa. Code §3270.113(b)/3270.113(c)

During the unannounced complaint visit on 3/15/23, it was confirmed that a staff member purposely extended their foot outwards so that a specific older toddler would trip and fall.

Center’s plan of correction (implemented, Jul 18, 2023): “Employee was terminated.”

Citation Mar 15, 2023 Complaint investigation Records & paperwork

May not disclose 55 Pa. Code §3270.193(b)

During the unannounced complaint visit on 3/15/23, the director mistakenly emailed a parent of an enrolled child in care, the written write-up of a staff member.

Center’s plan of correction (implemented, Jul 18, 2023): “Adhere to confidentiality policies.”

Core safety Oct 25, 2022 Complaint investigation Staff ratios

Similar Age Level/Supervision on and facility premises 55 Pa. Code §3270.51/3270.113(a)(2)

On 10/25/2022, around 10 am, four rooms were observed to be out of ratio. Beginners A had 8 older toddlers with 1 staff person. Intermediate B had 14 preschoolers with 1 staff person. Beginners B had 13 older toddlers with 2 staff persons. Toddler B had 1 older toddler and 13 young toddlers with 2 staff persons.

Center’s plan of correction (implemented, Nov 21, 2022): “The required staff:child ratios will be maintained at all times. Provider will review student attendance in each classroom along with staff schedules. Provider will adjust classroom rosters for that specific date to meet the proper staff:child ratios for each respective classroom.”

Core safety Jul 19, 2022 Inspection Supervision

Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21

During the hybrid renewal inspection visit on 7/19/22, staff members #3, #4, #5,#7, #8, #9, and #13 was observed to be caring for children unsupervised. Staff members #5, #7 and #9 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety topics including pediatric 1st aid/CPR. Staff member #8 has not completed the Health and safety pre-service training required prior to caring for children unsupervised. Staff member #13 has not completed the Health and safety topics including pediatric 1st aid/CPR and the mandated reporter pre-service training required prior to caring for children unsupervised. Staff member #3 was observed to be caring for children with staff member #20. Staff member #3 has not completed the health and safety topics including the pediatric 1st aid/CPR. A file for staff member #20 was not submitted for review. Staff member #4 was observed to be caring for children with staff members #16 and #17. Staff member #4 has not completed the health and safety topics including the pediatric 1st aid/CPR. A file for staff members #16 and #17 was not submitted for review.

Center’s plan of correction (implemented, Aug 22, 2022): “Provider has scheduled a Pediatric CPR First Aid training through American Red Cross for all current and new staff to attend. This training will be completed by a certified trainer that is approved to use. Staff will complete health and safety topics through the Better Kid Care website and complete…”

Core safety Jul 19, 2022 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the hybrid renewal inspection visit on 7/19/22, the disclosure or signature page was not submitted for staff members #2, #8, #9, #11, #13, #14 and #15. A completed FBI, NSOR and mandated reporter training was not summitted for staff member #6. A completed FBI clearance was not submitted for staff member #7. A completed NSOR and mandated reporter training was not submitted for staff member #13. A volunteer PA State police clearance was submitted for staff member #5. A completed FBI clearance was not submitted for staff member 5. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “All staff who do not have updated and current clearances on file, will be removed from their childcare position at the facility immediately.”

Core safety Jul 19, 2022 Inspection Staff ratios

Mixed Age Level 55 Pa. Code §3270.52

During the hybrid renewal inspection visit on 7/19/22, at approximately around 1:55pm, non-compliance with staff:child ratios were observed in the Beginners A room. Staff member #8 was observed caring for 11 older toddlers. 9 children were observed resting on their cots while 2 older toddlers were mobile. Non-compliance continues from renewal inspection on 2/16/22 (CORRECTED ON SITE).

Center’s plan of correction (implemented, Jul 19, 2022): “Provider will train all staff the proper ratios during rest time and follow the correct requirements. A paper signage will be handed to staff for review and reminder as well.”

Citation Jul 19, 2022 Inspection Emergency preparedness

Plan reviewed/updated annually 55 Pa. Code §3270.27(b)

During the hybrid renewal inspection visit on 7/19/22, the emergency plan presented had not been updated since May 2018.

Center’s plan of correction (implemented, Sep 1, 2022): “Principal will be working closely with licensing representative and using resources sent by the, to update the emergency plan correctly. Principal will be working closely with other school leaders as well to use an examples. Principal will be including COVID 19 guidelines and protocols as well.”

Citation Jul 19, 2022 Inspection Emergency preparedness

Training regarding plan 55 Pa. Code §3270.27(c)

During the hybrid renewal inspection visit on 7/19/22, verification of annual emergency plan training was not submitted for staff member #2. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff member #2 will be completing their emergency plan training with principal. Once training complete, staff member #2 will review with principal any questions or thoughts. Staff member #2 will then sigh after completion and questions are answered.”

Citation Jul 19, 2022 Inspection Building & playground safety

Locked or inaccessible 55 Pa. Code §3270.66(a)

During the hybrid renewal inspection visit on 7/19/22, a can of "OFF" insect repellent was observed in an accessible cubby of a preschool age child in the Intermediate A class room. (CORRECTED ON SITE)

Center’s plan of correction (implemented, Jul 19, 2022): “Provider will remove any toxic materials from an accessible spot that is within children's reach and will lock it away as well.”

Citation Jul 19, 2022 Inspection Building & playground safety

Inaccessible to children 55 Pa. Code §3270.75(b)

During the hybrid renewal inspection visit on 7/19/22, the first aid kit located in the Pre K A classroom was on a hook at a height accessible to children. (CORRECTED ON SITE)

Center’s plan of correction (implemented, Jul 19, 2022): “Teachers will be trained on where to properly locate their first aid kit, to be out of access to the children.”

Citation Jul 19, 2022 Inspection Building & playground safety

Has all items 55 Pa. Code §3270.75(c)

During the hybrid renewal inspection visit on 7/19/22,the first-aid kit located in the Beginners A room did not include tape and scissors. Gauze was missing in the first aid kit located in the Intermediate A classroom. Non-compliance continues from renewal inspection on 2/16/22. (CORRECTED ON SITE)

Center’s plan of correction (implemented, Jul 19, 2022): “Provider will include all missing items to the first aid kits. Staff will be trained on where to find materials that are missing for their first aid kid in the lobby closet that is labeled "First Aid".”

Citation Jul 19, 2022 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

During the hybrid renewal inspection visit on 7/19/22, damaged ceiling tiles from a possible leak was observed in the Pre K B and Infants A classroom. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Aug 30, 2022): “A repair will be scheduled through our EMCOR maintenance company to replace the damaged tiles from the protentional leak in Pre K B and Infant A. Landlord of building will be contacted to hire a roofing company to fix protentional leak.”

Citation Jul 19, 2022 Inspection Building & playground safety

No peeling paint or plaster 55 Pa. Code §3270.77(a)

During the hybrid renewal inspection visit on 7/19/22, peeling paint was observed on the wall in Intermediate B and Toddlers B classroom. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Aug 30, 2022): “A repair will be scheduled through our EMCOR maintenance company to touch up the paint damages.”

Citation Jul 19, 2022 Inspection Building & playground safety

Clean and good repair 55 Pa. Code §3270.102(a)

During the hybrid renewal inspection visit on 7/19/22, the steps for the outdoor play equipment in the preschool area appeared to be broken and loose.

Center’s plan of correction (implemented, Sep 6, 2022): “The step that appears to be broken and loose will not be used by children until repaired. A playground repair company will be contacted to fix this properly and safely.”

Citation Jul 19, 2022 Inspection Health & medication

12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)

During the hybrid renewal inspection visit on 7/19/22, a current physical was not submitted for staff members #4 and #6. No physical submitted for staff member #3 # 8. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff members #4, #6, #3, #8 will complete physical using the Staff Health Assessment form provided by the DHS website. Once the physicals are complete and signed by the doctor the staff member was seeing, the Staff Health Assessment will be added to that staff members file.”

Citation Jul 19, 2022 Inspection Health & medication

Mantoux TB 55 Pa. Code §3270.151(c)(2)

During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #10 did not include the results from tuberculosis screening.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff member #10 will provide a current health assessment that includes the results of the tuberculosis screening including signature of the physician.”

Citation Jul 19, 2022 Inspection Health & medication

Exam communicable disease 55 Pa. Code §3270.151(c)(3)

During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 did not include an examination for communicable diseases and the results of the examination.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff member #5 will include health assessment sheet that includes the communicable diseases and results of the examination. This will also include the signature and date from the health provider.”

Citation Jul 19, 2022 Inspection Health & medication

Information re: medical problems 55 Pa. Code §3270.151(c)(4)

During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Citation Jul 19, 2022 Inspection Health & medication

Physician/CRNP assessment 55 Pa. Code §3270.151(c)(5)

During the hybrid renewal inspection visit on 7/19/22, the health assessment submitted for staff member #5 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Citation Jul 19, 2022 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(a)(5)

During the hybrid renewal inspection visit on 7/19/22, the emergency plan presented did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Citation Jul 19, 2022 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(a)(6)

During the hybrid renewal inspection visit on 7/19/22, facility did not have documentation on file of annual emergency drills conducted at the facility.

Center’s plan of correction (implemented, Sep 2, 2022): “Provider will conduct an annual emergency drill and will provide the correct documentation to then keep on file. The documentation will explain in detail the type of drill that was conducted. This documentation will be filed in the same location as our emergency plan.”

Citation Jul 19, 2022 Inspection Emergency preparedness

Every 60 days 55 Pa. Code §3270.94(a)(1)

During the hybrid renewal inspection visit on 7/19/22, the facility did not conduct fire drills at least once every 60 days. The fire drill log submitted included 2 dates for fire drills (2/2022 and 7/1/2022).

Center’s plan of correction (implemented, Sep 6, 2022): “Provider will plan and conduct fire drill on September 6 of this year. This will be documented using the fire drill log provided by licensing representative. The fire drill log will be kept with emergency plan.”

Citation Jul 19, 2022 Inspection Emergency preparedness

Written record 55 Pa. Code §3270.94(a)(9)

During the hybrid renewal inspection visit on 7/19/22, the fire drill log submitted did not include the names of each facility person who participated in the fire drill.

Center’s plan of correction (implemented, Sep 6, 2022): “Instead of writing "All Present Staff", provider will include the names of every staff member that is in attendance at the time of our upcoming fire drill.”

Citation Jul 19, 2022 Inspection Records & paperwork

On file at facility 55 Pa. Code §3270.18(a)

During the hybrid renewal inspection visit on 7/19/22, the liability insurance submitted was not for the location. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Aug 30, 2022): “The liability insurance will be resent to corporate office, Spring Edu Group, to update the general liability insurance paperwork to state the current address of the facility, 1220 Ward Ave. Once complete, provider will submit for review to representative via email.”

Citation Jul 19, 2022 Inspection Records & paperwork

Post the inspection summary 55 Pa. Code §3270.25(b)

During the hybrid renewal inspection visit on 7/19/22, the current inspection summary issued from the renewal inspection on 2/16/22 was not posed at the facility.

Center’s plan of correction (implemented, Aug 30, 2022): “Provider will post all inspection summaries in the front lobby door to the left where there is other licensing signage. These will be place in a labeled binder and will always be available for the parents.”

Citation Jul 19, 2022 Inspection Training & qualifications

Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)

During the hybrid renewal inspection visit on 7/19/22, verification of annual fire safety training was not submitted for staff members #4, #6, #7, #10 and #12. Non-compliance continues from renewal inspection no 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff members #4, #6, #7, #10, and #12 will complete their annual fire safety training online through the PA PD Registry completing the DHS Fire Safety Training 2022 course. Once the course is complete and the staff members have passed, they are to print a copy of the completion to be added to…”

Citation Jul 19, 2022 Inspection Training & qualifications

Health and Safety Training 55 Pa. Code §3270.31(f)

During the hybrid renewal inspection visit on 7/19/22, staff members #3, #4, #5, #6, #7, #8, #9, #10, #12, #13, #14 and #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics including pediatric first aid/CPR. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Aug 22, 2022): “All staff who did not complete the required health and safety topics including pediatric first aid/CPR trainings will have until August 3, 2022 to complete all trainings. Staff who did not complete the health and safety training must be supervised at minimum, by an AGS who has completed the health…”

Citation Jul 19, 2022 Inspection Records & paperwork

Services proceeded 55 Pa. Code §3270.123(a)(3)

During the hybrid renewal inspection visit on 7/19/22, the children files submitted did not include information to the family about the child's growth and development in the context of the services being provided.

Center’s plan of correction (implemented, Sep 6, 2022): “Provider will train staff to complete child service reports for each child in their classrooms. Once completed, these will be sent to parents to be reviewed and signed by teacher and parent. Once signage is complete, child service report will be added to child's file. These will be complete every…”

Citation Jul 19, 2022 Inspection Records & paperwork

Emergency info/agreement updated 6 mos 55 Pa. Code §3270.181(c)

During the hybrid renewal inspection visit on 7/19/22, the financial agreement form submitted for child #1 had not been updated once within a 6-month period. Agreement submitted last updated 12/14/21.

Center’s plan of correction (implemented, Sep 6, 2022): “Child # 1 will have an updated and accurate financial agreement signed to be within the 6 month period. This will be sent with the child to be completed by the guardian to then bring back.”

Citation Jul 19, 2022 Inspection Records & paperwork

Individual Records 55 Pa. Code §3270.191

During the hybrid renewal inspection visit on 7/19/22, files were not received for staff members #1, #16, #17, #18, #19, #20 and #21. staff members #16, #17, #18 and #19 were observed caring for children at the facility during the time of the inspection. Non-compliance continues from renewal inspection on 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “Provider will send to licensing representative staff files #1, #16, #17, #18, #20 and #21 through email. The files will be accurate and update to date with clearances as well. Provider will confirm with licensing representative that all has been sent.”

Citation Jul 19, 2022 Inspection Records & paperwork

Name, address, and phone/Age 55 Pa. Code §3270.192(1)/3270.192(2)(i)

During the hybrid renewal inspection visit on 7/19/22, identification was not submitted for staff members #2, #3, #5 and #8. Verification of address was not submitted for staff member #7.

Center’s plan of correction (implemented, Sep 6, 2022): “All photo identification, via driver's license, will be sent to licensing representative by provider via email. Provider will confirm the photo identification was received.”

Citation Jul 19, 2022 Inspection Records & paperwork

Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)

During the hybrid renewal inspection visit on 7/19/22, education and experience was not submitted for staff members #3, #6, #11, #13 and #14. The record for staff member #15 did not contain verification of education that had been evaluated by the Department of Education standards. The education submitted for staff member #2 and staff member #8 does not verify education that qualifies the staff member for the position performing at the facility. The accreditation for the education submitted for staff member #8 was not provided.

Center’s plan of correction (implemented, Sep 6, 2022): “Education will be provided for staff members #3, #6, #11, #13, and #14 with either a copy of diploma or a copy of transcript. These will be sent to licensing representative via email. Provider will confirm materials have been received. Experience will be provided for staff member #3, #6, #11, #13…”

Citation Jul 19, 2022 Inspection Records & paperwork

Two written references 55 Pa. Code §3270.192(5)

During the hybrid renewal inspection visit on 7/19/22, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff member #3. Only one reference letter was submitted for staff members #6, #8 and #11.

Center’s plan of correction (implemented, Sep 6, 2022): “Correct and up to date reference letters will be provided to licensing representative via email to be a part of staff members #3, #6, #8, #11. These will be provided via email and will be a combination of handwritten letters and typed letters. The reference letters will then be added in staff…”

Citation Jul 19, 2022 Inspection Records & paperwork

Availability of certificate of compliance and applicable regulations 55 Pa. Code §3270.25(a)

During the hybrid renewal inspection visit on 7/19/22, the current certificate of compliance and information on how to access the regulations electronically with instructions for contacting the appropriate regional child care office was not posted at the facility.

Center’s plan of correction (implemented, Aug 30, 2022): “The provider will remove the incorrect posting and create and post the proper signage to be easily seen in the front lobby right next to the entrance door.”

Citation Jul 19, 2022 Inspection Training & qualifications

Age and Training 55 Pa. Code §3270.31(e)

During the hybrid renewal inspection visit on 7/19/22, the required annual minimum 12 clock hours of child care training was not submitted for staff members #4, #6, #7, #9, #10 and #12 (DOH See LIS Code Sheet). Non-compliance continues from renewal inspection 2/16/22.

Center’s plan of correction (implemented, Sep 6, 2022): “Staff members #4, #6, #7, #9, #10, and #12 will complete their minimum of 12 clock hours of child care training through the Better Kid Care website. These trainings will be picked based on their particular age group they teach.”

Core safety Feb 16, 2022 Complaint investigation Staff ratios

Mixed Age Level 55 Pa. Code §3270.52

During the unannounced complaint visit on 2/16/22, at approximately 12:10pm 4 infants and 1 young toddler was observed in Infants B room with 1 staff member. In Intermediate B, 10 napping preschool age children and 1 mobile child was observed with 1 staff member.

Center’s plan of correction (implemented, Jul 19, 2022): “Provider will review staff and child schedules to ensure all classroom ratios are being followed. If a classroom is out of ratio and not compliant, provider will take the steps needed to adjust the classrooms so they are following the proper regulations”

Core safety Feb 16, 2022 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the hybrid renewal inspection visit on 2/16/22, the disclosure or signature page was not submitted for staff members #8, #9, #10, #12, and #13. A completed National Sex Offenders Registry Certificate (NSOR) was not submitted for staff members #4. A PA State Police Criminal Clearance was not submitted for staff member #8. A Pa State Police Criminal Clearance, FBI or Child Abuse clearance was not submitted for staff member #6.

Center’s plan of correction (not implemented, Jul 19, 2022): “The provider will not allow staff members #4, #6, #8, #9, #10, and #13 to work in the child care positions at our location until all proper paperwork and state clearances are complete and submitted for review.”