Chesterbrook Academy · 2301 Harrisburg Pike, Lancaster

Staff person #1 required an out-of-state Sex Offender Registry clearance, and it was not on file (corrected during inspection).

It was observed, in Rm 127, that one of the toilets was not functioning (corrected during inspection).

It was observed, in the 2-3 yr classroom (Rm 124) that Bingo chips and Unifix cubes (smaller than 1" diameter) were accessible to children (corrected during inspection).

The time between Staff person #6's health assessments exceeded the permitted every 24 months' timeframe (11/29/22, 1/2/25).

Staff person #7's initial health assessment was conducted more than 12 months prior to providing initial service (5/4/23) See Code Sheet

Staff person #2, #3, and #4, #5, and #6's time between staff evaluations exceeded the permitted annual timeframe (4/20/23, 7/25/24) and (4/19/23, 7/25/24), (5/16/23, 7/25/24), (5/18/23, 7/4/24), (4/14/23, 7/25/24) respectively.

Staff person #4's record did not contain the verification of child care experience needed to be utilized as an Assistant Group Supervisor, but was being used as an AGS.(corrected during inspection).

Staff person #1's file did not contain the NSOR clearance. See Code Sheet

Staff person #1's record did not include verification of education.

Staff person #1's file did not contain an FBI clearance and had been working beyond the 45 days provisional permitted timeframe. Staff person #4's file did not contain and NSOR clearance and had been working beyond the 45 days provisional permitted timeframe. Staff person #7's file did not contain a completed Disclosure Statement.

Staff person #8 did not receive emergency plan training and has been employed for greater than 90 days. Staff person #13 did not receive emergency plan training within one year of the previous emergency plan training (most current is 9/26/22). SEE CODE SHEET

It was observed that the following toxins were accessible to children in the Teachers' Lounge (to left of main office): Raid, Air Freshener spray can, and hand sanitizer bottles. (corrected during inspection)

It was observed that one of the toilets in the bathroom in Room 123 was non-functional, covered with a plastic bag. There is a broken Bye Bye Buggy, with missing wheels, positioned against the building outside of the Toddler classroom. The playground covering ("turf") at the bottom of the slide has an approximately 9 inch tear, and the material under the turf is exposed.

Child #7's record did not contain an updated health report at least every 6 months: Most current health assessment dated 3/21/23 SEE CODE SHEET

Child #1's current health assessment does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

It was observed, in the Infant A room, that a staff person discarded the soiled diaper by using her hands to open the hands-free covered can and did not clean the diaper changing surface with a sanitizing solution after changing a child's diaper (corrected during inspection).

Staff person #8's file contained health assessments that were beyond the permitted every 24 months' timeframe (8/18/21, 2/29/24).

Emergency drills were not conducted annually. The most recent documented emergency drill was dated 5/13/22.

The facility's fire detection system was not tested at least every 30 days. (4/18/23, 6/18/23), (6/18/23, 8/6/23), (8/6/23, 9/12/23), (9/12/23, 10/16/23), (11/13/23, 2/28/24).

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: 10 hour Health and Safety training. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR (see LIS code sheet)

There is no proof of annual written staff evaluations for staff persons #5 and #13 (staff evaluations not dated).

The agreements of child #2, #4, #5, #6, #7, #9 and #10 did not specify the amount of the fee to be charged per day or per week.

Child #7 and #10's records did not contain an updated child service report within 6 months of the previous one (Child #7's most current 8/8/23; Child #10's most current 8/12/23)

Child #2's agreement does not specify the child's arrival and departure times. The agreements of child #2 through #10 did not specify the date of the child's admission.

Child #8's emergency contact information did not include the enrolling parent's work telephone number.

Staff person #7's record did not contain the proof of experience working with children that is required to be unsupervised, yet had been working unsupervised (Group Supervisor). Staff persons #9 and #10's records did not contain the proof of experience working with children that is required to be an Assistant Group Supervisor (unsupervised), and both had been working unsupervised. (Corrected during inspection for staff person #9).

Staff person #7' and #12's records did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents (corrected during inspection).

Staff person #1 was not aware that child #1 had remained in the classroom, for a few minutes, after taking the class onto the facility's outdoor playground.

The time between documented testing of the fire detection system was greater than the permitted at least every 30 days' timeframe. (4/18/23, 6/18/23).

Staff person #3's record contained a NSOR clearance dated 9/7/22 which was after the first day working with children (see code list) and there was no proof of applying for the NSOR in the staff file.

Staff person #1 and #2 in Rm 124 (Int B) took three attempts to correctly name the children in their primary care groups.

The facility's emergency plan does not contain a Continuity of Operations plan.

The facility's emergency plan does not provide for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

It was observed that there were toxins (air freshener spray) accessible to children in the staff bathroom across from the Beginner B classroom, in a cabinet (corrected during inspection). It was observed in Rm 124 (Int B) that the class bathroom contained a cabinet with A&D ointment, Aquaphor, and Desitin (keep out of reach of children) accessible to children. Two bottles of hand sanitizer were accessible to children on a classroom shelf in this room. (corrected during inspection). The facility's kitchen was accessible to children and had Germicide and sanitizing spray (bleach/H2O) accessible to children (corrected during inspection).

It was observed that the water temperature of the sink in the bathroom shared by the Beginner A and Beginner B child care rooms measured 111.9 degrees F (exceeding the permitted maximum temperature of 110 degrees F). Corrected during inspection

It was observed that the first-aid kit in the 1 yr old Toddler Rm (119B) did not contain soap (corrected during inspection). It was observed that Room 126 (not currently used by children) did not contain a first-aid kit (corrected during inspection).

It was observed that the facility's kitchen was accessible to children and contained a variety of potential hazards: oven, large freezer, large refrigerator, knives, etc. (Corrected during inspection).

It was observed, in the Beginner B classroom, that the diaper changing pad had 3 tears with foam exposed (corrected during inspection).

It was observed, in the Beginner B classroom (on a shelf), that there were pompoms (less than 1 inch diameter) accessible to children who are still putting objects in their mouths. It was observed, in Room 123, that there were Unifix Cubes (less than 1 inch diameter) accessible to children who are still placing objects in their mouths (both corrected during inspection).

It was observed in Beginner A, Beginner B, Rm 119A, Rm 123, and Rm 124, that the rest equipment was not labeled for the use of a specific child (corrected during inspection).

It was observed, in Rm 124 (Int B) that rest equipment while the mats were in use did not have at least 2 feet of space on three sides (corrected during inspection).

Child #2, #4, and #7 did not have current Influenza vaccinations on record: Most current #2 10/6/21, #4 1/11/22, #7 11/1/21.

The exemption letter for the Influenza vaccination on record for child #9 did not include the parent's reason for the exemption.

It was observed that there was no med log for a child in Room 124 (Int B) classroom for the medication for this child.

It was observed that there were crumbs/debris under the diaper changing pad, in the Infant room (corrected during inspection)

The fire detection system was not tested at least every 30 days. It was last tested on 1/2/23 and no documentation of testing in February 2023 (tested the system during this renewal inspection).

The operator did not notify local traffic safety authorities annually (in 2023) in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Staff person #5's record did not contain proof of participating in fire safety training conducted by a fire protection professional staff in 2022.

Staff person #5's most recent staff evaluation on record is dated 3/8/21.

At the time of enrollment, parents did not receive in writing the facility's supervision policy.

The parents of child #1 through #10 did not receive the original agreements. Originals were in children's files.

It was observed that, in every child care space, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency situation displayed conspicuously.

Staff person #4 did not obtain 12 clock hours of child care training between 12/19/21 and 12/19/22.

Staff person #1 fed child #1 part of another child's bottle, even though both bottles were labeled.

There was a container of white-out was accessible to children, as it was in the top desk drawer in the KDG/Summer Camp classroom (Corrected during inspection). The door to the Janitorial Room was unlocked with a can of paint on the floor and a cart of cleaning supplies (corrected during inspection).

In the Intermediate classroom, a magic eraser in the cabinet above the sink was not labeled as such.

In the Beginner's (2's) classroom, a broken, small piece of crayon (small enough to fit into a choke tube) was accessible to the children (corrected during inspection). In the same classroom, plastic bags hanging from cubbies were accessible to children (also corrected during inspection).

In the Beginner's (2's) Room, there was no Emergency Contact Form for Child #1, who was in attendance in the classroom (corrected during inspection).

Staff person #1 pulled chair out from child #1 and child fell to the floor.