Chesterbrook Academy · Leola

A staff person was observed feeding two infant their bottles while they were propped up on boppy pillows the floor. Both of the infants were under 6 months of age. (CORRECTED ON SITE)

The facility self-reported the following incident: On Tuesday, June 10th, staff person #1 fed child #1 from bottle meant for another infant. Child #1 consumed approximately 1.5-2 oz of the formula before the staff realized it was the wrong bottle.

Staff persons #1 and #2 were responsible for caring for 20 children. Staff person #1 identified 9 children that were in her group, and staff person #2 identified 10 children that were in her group. 1 child was unaccounted for.

Staff person #1 gave child #1 (older infant) Annie's gummies without first consulting with the child's parent.

Staff person #1 put her teeth around the wrist of child #1 (older infant) after the child bit another staff person in the room.

The facility self-reported the following incident: On the morning of March 19, 2025, staff person # 1 was supervising a group of older toddlers. Child #1 was able to slip out of the door as a parent was leaving the classroom, and staff person #1 was helping another child in the bathroom. The staff person noticed the child was not in the room within seconds, and the child was brought back into the room by a staff person who was in the hallway.

Toddler playground - Rocks with a diameter of less than 1 inch were observed along the edge of the fencing within reach of toddlers that use the space.

Staff person 1 resided outside of the state of Pennsylvania during the previous 5 years. Staff person 1 began employment at the facility without the necessary valid out of state clearances on file and the clearances still were not on file at the time of inspection. Staff person #5 worked for a period of time during the previous year with expired clearances on file. The PA state police clearance expired on July 3, 2024, but was not updated until September 16, 2024. The PA child abuse clearance expired on July 11, 2024, but was not updated until September 18, 2024. The DHS FBI clearance expired on July 16, 2024, but was not updated until September 17, 2024. Staff person #12 worked for a period of time during the previous year with expired clearances on file. The NSOR on file for staff person #12 expired on 11/18/24, but was not updated until 12/4/24. Staff person #13's state police clearance expired on 6/1/23. An updated clearance request was submitted 4/7/23, but the clearance was incomplete and did not include the results. (CORRECTED ON SITE) Staff person #14 worked for a period of time during the previous year with expired clearances on file. The NSOR on file for staff person #14…

Back hall, room through 2nd on right (with separate entrance) - A container of ant bait was observed on the windowsill within reach of children in the room. (CORRECTED ON SITE)

Room at end of main hallway - The thermometer in the room read at 63° F at naptime. (CORRECTED ON SITE)

Large infant room - The first aid kit in the backpack did not contain soap. (CORRECTED ON SITE)

Main hall, 1st room on left and 3rd room on left - The trash can lids were visibly soiled. (CORRECTED ON SITE)

Main hall, 2nd room on left - Areas of peeling paint were observed on the walls near the block center.

Main hall, 2nd room on left - The toy shelves were dirty / dusty.

Health reports on file for child #4 (young toddler) were dated in February of 2024 and subsequently more than 6 months later in October of 2024.

The most recent immunization records on file for children #1 (toddler) and #5 (infant) were not updated in accordance with the schedule recommended by the ACIP. Dismissal policies were not implemented.

Room at end of main hallway - A staff person was observed changing a child's diaper. After the diaper changed, the staff person did not was their own hands, nor the child's hands. Large infant room - A staff person was observed changing a child's diaper. After the diaper changed, the staff person did not was their own hands, nor the child's hands.

Room at end of main hall - A staff person was observed using her hands to open the trash can to dispose of a soiled diaper. Back hallway, 1st room on right - Diapers were being disposed of into a trash can with a swinging lid that must be touched in order to be opened. (CORRECTED ON SITE)

Room at end of main hallway - A staff person was observed changing a child's diaper. After the diaper change, the staff person did not clean the surface.

The health assessments on file for staff person #4 were dated in June of 2022 and subsequently more than 24 months later in September of 2024. The health assessments on file for staff person #5 were dated in April of 2022 and subsequently more than 24 months later in July of 2024. The health assessments on file for staff person #6 were dated in February of 2022 and subsequently more than 24 months later in July of 2024. The health assessments on file for staff person #10 were dated in August of 2022 and subsequently more than 24 months later in September of 2024. The health assessments on file for staff person #13 were dated in October of 2022 and subsequently more than 24 months later in November of 2024.

The health assessment on file for staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

According to the log on file at the time of inspection, fire drills were conducted on 5/17/24 and subsequently more than 60 days later on 7/17/24.

The fire detection system at the facility was tested on 5/17/24, and subsequently more than 30 days later on 6/17/24.

During the previous year, the operator had not notified local traffic safety authorities 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 #9 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Staff person #7 completed fire safety training in June of 2023, and subsequently more than 12 months later in September of 2024. Staff person #8 completed fire safety training in April of 2023, and subsequently more than 12 months later in September of 2024. Staff person #11 completed fire safety training in July of 2023, and subsequently more than 12 months later in September of 2024. Staff person #13 completed fire safety training in October of 2023, and subsequently more than 12 months later in December of 2024. Staff person #14 completed fire safety training in October of 2023, and subsequently more than 12 months later in December of 2024.

The facility currently has a maximum daily enrollment of 90 children, with a director and one group supervisor on staff. The facility does not have a second group supervisor for the 2nd group of 45 children.

Child 2 - Child service reports on file were completed in October of 2023 and then more than 6 months later in November of 2024. Child 6 - Child service reports on file were completed in 2023 and then more than 6 months later in November of 2024.

The emergency contact form on file for child #3 did not include the work phone number of the enrolling parent.

Small infant room - A child was receiving care in the room, but the emergency contact information was not present in the child care space. (CORRECTED ON SITE)

Back hall, 1st room on right - The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space. (CORRECTED ON SITE)

One of the two written references on file for staff person #3 was written by a family member.

Staff person #2 did not complete a pediatric first aid and CPR training with an approved PQAs instructor within 90 days of hire. The training was completed 265 days after start date. Another training was on file, but it was not completed by a PQAs instructor.

Staff person 1 only identified the names and whereabouts of 6 of the 7 children in her care group.

According to the log on file at the time of inspection, the fire system was manually tested on 1/8/24 and subsequently more than 30 days later on 2/29/24.

The facility self-reported the following incident: At approximately 7:45 am on 3/18/24, staff person 1 was transitioning a group of 5 older toddlers when child 1 was left behind. The group was lined up "sticky back" outside the 1st room as the staff person counted the children. A parent arrived to drop off his children and was talking with the staff person while holding his daughter. A child in line went running, the staff person quickly moved the group to catch up with the running child. The group arrived to their room with 5 children. The newly arrived child had joined the group, and another toddler that was with the group remained waiting at the wall. The child was unsupervised in the hallway for approximately a minute to a minute and a half before being found by staff person 2.

The record for facility person 1 did not include a complete state police clearance. They staff person has been employed for more than 45 days. (CORRECTED ON SITE) Staff person 7 started working with incomplete provisional hire paperwork on file, and continued to work after a 45 provisional hire period without complete clearances on file. The staff person's state police clearance was dated 106 days after start date. The staff person's record did not include documentation that the required out-of-state clearances had been requested by start date, and they were not on file at the time of inspection. Staff person 7 was observed working alone in a room with children.

First preschool room on left - The arrangement of the children at naptime allows for blind spots, not allowing the staff person to see all of the children in the room.

The facility did not have documentation that staff person 1 had been trained on the emergency plan at initial employment.

The facility's emergency plan parent letter did not include information about lockdowns, accommodations, and emergency drills.

2nd room on right, back hall - A Swiffer mop with cleaning solution was observed in an unlocked classroom bathroom in an area accessible to children. (CORRECTED ON SITE) 1st room on left, main hall - Batteries were observed in an area accessible to children. A bottle of sanitizer was observed on a low shelf in an area accessible to children. (CORRECTED ON SITE) 3rd room on left, main hall - A container of glass cleaner was observed on a shelf within reach of the children. (CORRECTE ON SITE)

The first aid kit in the toddler room at the end of the main hallway did not contain soap. (CORRECTED ON SITE) The first aid kit in the 2nd preschool room on left did not contain tweezers. (CORRECTED ON SITE)

A large and heavy box was observed leaning against the wall in an unlocked bathroom off a space used by children. Preschool playground - Loose window screens were observed leaning against the wall. A trash bag containing a rotting pumpkin was observed laying on the ground. Loose / sharp metal connectors were observed at the base of the fence. 1st room on right - A large orange extension cord was observed laying on the floor in a walkway. Sharp adult scissors were observed on the counter. (CORRECTED ON SITE)

Main hall, 2nd room on left and 1st on right - Children were observed resting on equipment that had less than 2 feet of space on 3 sides. (CORRECTED ON SITE)

The facility's emergency plan did not provide accommodations for the children with chronic medical conditions.

The facility did not have documentation on file that the emergency plan had been sent to the local municipality.

Staff persons 3, 5, 6, and 8 are serving as assistant group supervisors at the facility. Their records did not include sufficient documentation of education and experience to justify the role they are serving in. Staff 3 - 18 college credits, did not include documentation of 1 year (1,250 hours) of child care experience Staff 5 - HS diploma, did not include documentation of 2 years (2,500 hours) of child care experience Staff 6 - Unrelated degree, did not include documentation of 2 years (2,500 hours) of child care experience Staff 8 - Unrelated degree, did not include documentation of 2 years (2,500 hours) of child care experience

The records for children 1-3 did not include documentation that the facility completed Child Service Reports (CSRs) (or another Department's approved form) at least every six months. Child 1's CSRs were completed in October of 2022 and then subsequently in November of 2023. CSRs were most recently completed for children 2 and 3 in May of 2023.

A portion of the emergency contact forms located in the following rooms were past due for updates: 2nd room on right in back hall (down hall), 1st room on right main hall, 2nd room on left main hall. (CORRECTED ON SITE)

The record for child 4 did not contain signed parental consent for emergency medical care for the child. The record also did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Child records were being stored on a cart in an unlocked bathroom in the gross motor room.

The record for staff person 2 included 10 clock hours of child care training. The record for staff person 4 did not include documentation of annual training hours. The record for staff person 9 included 10 clock hours of child care training.

At the time of the follow up visit to verify corrections for SIN-00234062, the plan of corrections for the violation citing 3270.113a1 had not been fully implemented. On 12/5/23, 15 preschool aged children were present in a classroom with staff persons 1 and 2. The staff persons were not assigned the responsibility for supervision of specific children.

13 preschool aged children were present in a classroom with staff persons 1 and 2. The staff persons were not assigned the responsibility for supervision of specific children.

An infant was observed in a crib that had less than 2 feet of space on three sides of the equipment. (CORRECTED ON SITE)

According to the written record on file at the facility, the fire detection system was last tested in May of 2023. (CORRECTED ON SITE)

Peeling paint was observed on the frame of the exterior door to the toddler classroom.