Illumination School Age at Good Shephard Academy

The jungle gym, with the telescope, had a sharp, cracked piece of plastic. The fence in the Outdoor Play Area had two exposed screws. One screw was located about elbow height and the other one was about knee height. The Girls' Restroom had three toilets, each with two exposed screws near their base. The Boys' Restroom had one toilet with two exposed screws near its base.

The mulch around the monkey bars was measured to be 6 inches. The mulch around the slide and rock-climbing wall, that was located near the monkey bars, was measured to be 5 inches. Also, the mulch around the blue slide, that was part of the pirate ship jungle gym, was measured to be 5.5 inches. The mulch around the straight yellow slide, that was attached to this same jungle gym, was measured at 6.5 inches and the mulch around the curved yellow slide was measured to be 5.5 inches. At least nine inches of loose fill material is required around embedded equipment at all times.

The emergency plan on file did not include accommodations for children with disabilities and chronic medical conditions. Staff #1 acknowledged that one child has a disability, and another child has a chronic medical condition.

Staff #4 did not complete pediatric first aid/CPR training prior to the previous trainings expiring after 2 years. This is evidenced by the following training dates: 8/26/22 and 10/21/24.

Staff person #5 had not completed the following required pre- service training within 90 days of their date of hire (see code sheet for hire date): Pediatric First Aid/CPR

Staff person #5 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

The agreement on file for Child #2 was observed to be missing the child's departure time.

On 9/25/2024, Staff person #5 was observed to be supervising a group of 12 children: 7 preschoolers and 5 young school-age children. This number of children requires at least 2 staff persons.

Two purple and two yellow chrysanthemum plants were observed to be accessible to children in the Outdoor Play Space.

The fence in the Outdoor Play Area was observed to have one exposed bolt that was about hip height and two exposed bolts that were about knee height.

Staff person #1 (see code sheet for date of hire) had a tuberculosis screening test and health assessment on file dated 11/2022, which is more than 12 months prior to initial service at the facility. Staff person #1 also had a current tuberculosis screening test and health assessment on file dated 9/2024, which is after the individual began working with children.

Staff person #4 had fire safety trainings on file dated 5/8/23 and 7/5/24. These trainings were required to be completed annually.

The emergency contact information on file for Child #2 and Child #5 did not include a parent's work phone number.

Staff person #4 had documentation on file that they completed 9 hours of annual child care training, and not the required 12 hours.

On 12/11/23, cert rep reviewed the fire drill log and the last fire drill was conducted on 9/11/23.

On 12/11/23, the director from another Illuminations facility acknowledged that a director was only present two to three days a week and not everyday since this program in not a school age only program and operates fewer than 30 hours per week.

On 10/11/23, a renewal inspection was conducted. An uncovered and accessible outlet was observed in the cafeteria.

On 10/11/23, a renewal inspection was conducted. In the cafeteria, a container of Clorox wipes was observed on the window ledge and is accessible to children.

On 10/11/23, a renewal inspection was conducted. Cert Rep observed garbage in the outside play space along the building and is accessible to children.

On 10/11/23, a renewal inspection was conducted. The outside fence in the playground area have exposed, sharp bolts on the corners and gates and are accessible to children.

On 10/11/23, a renewal inspection was conducted. Child #1's immunization record indicates the child does not have the flu vaccine for 2022 and no exemption letter is in the child's file. The child is over six months of age. (Please see code sheet.)

On 10/11/23, a renewal inspection was conducted. The fire detection system could not be tested due the facility being in a school. The facility provided an annual inspection report from Cintas which identified 2 items that did not pass inspection. At the time of the inspection, the facility did not provide documentation stating if the deficiencies have been corrected. A subsequent fire alarm test report dated 11/17/23 was received, which indicates the same two items failed. Additionally, proof of purchase for the fire detection system is not available.

On 10/11/23, a renewal inspection was conducted. Staff person #1 and #2 have not completed annual fire safety training. Previous fire safety training was not on file. (Please see code sheet for DOH).

On 10/11/23, a renewal inspection was conducted. Staff person #2 has not completed the health and safety 1 hour update.

On 10/11/23, a renewal inspection was conducted. The parent handbook did not contain a supervision policy and the director acknowledged it was not given to the parents in writing.

On 10/11/23, a renewal inspection was conducted. Child #2's emergency contact form did not list the parents work address, work phone number or the release persons address.

On 10/11/23, a renewal inspection was conducted. Child(ren) #2, 3,&4 's emergency contact form was not signed by the parents.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire and was observed unsupervised (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR. Staff person # 3 has not completed the mandated reporter training within 90 days of their date of hire and was observed working unsupervised (see LIS code sheet).

A renewal inspection occurred at the facility. A review of staff files was conducted. The file for Staff #1 did not contain a signed/dated disclosure statement, State Police Clearance, FBI Clearance, or NSOR Clearance. The file for Staff #2 did not contain a date of signature on the disclosure statement, Child Abuse Clearance, or NSOR Certificate. The file for Staff #3 did not contain a date of signature on the disclosure statement, an FBI Clearance or NSOR Clearance, or proof that either clearance was requested. The file for Staff #4 did not contain a signed/dated disclosure statement, a completed State Police clearance, or proof that the clearance was requested. Staff # 4 did not complete mandated reporter training within 90 days of their hire date. Staff # 3 and # 4 were observed to be working unsupervised during the inspection. Staff # 3 and # 4 have worked in childcare without following the proper provisional hiring procedures. See Code Sheet for all dates of hire.

A renewal inspection occurred at the facility. A physical site review was conducted. During the renewal inspection, there was no plan for developmentally appropriate activities being offered to children. As a result, children were observed throwing toys at fans, running through the classroom, and walking out of the classroom unsupervised by an adult, all while other children attempted to eat and complete homework.

A renewal inspection occurred at the facility. A physical site review was conducted. Staff # 3 and # 4 were unable to identify the exact number of children present, and the names of children they were caring for in their supervision group during the inspection. Children were also viewed walking in and out of the child care space and going in and out of the snack room unsupervised.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 did not contain documentation that these staff have reviewed the facility's emergency plan within 90 days of hire.

At the time of the inspection, a list of emergency telephone numbers was not viewed posted at the facility.

At the renewal inspection, children were viewed during snack time and the children did not wash their hands before eating.

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.

At the time of the inspection, the facility was unable to provide documentation for review of the facility's safe routes for pick-up and drop-off procedures of the facility.

At the time of the inspection, the facility was unable to provide a copy of the facility's fire drill log for review.

At the time of the inspection, the facility was unable to provide documentation for review that the operator notified the local traffic safety authorities of the facility's safe routes for pick-up and drop-off procedures of the facility.

At the time of the inspection, the facility was unable to provide a copy for review of their comprehensive general liability insurance.

Staff person # 1 and # 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 3 and # 4 were missing proof of education. Staff # 3 and # 4 could not be appropriately qualified for a child care role at the facility. Staff # 3 and # 4 were working at the facility at the time of this inspection.

At the time of the inspection, the facility was unable to provide for review a written daily activity schedule. This activity schedule was not posted at the facility.

A renewal inspection occurred at the facility. A review of children's files was conducted. The agreement forms for children # 1, # 2, # 3, # 4, # 5 and # 6 were not signed by either the parent or operator.

A renewal inspection occurred at the facility. A review of children's files was conducted. The files of children # 1, # 2, # 3, # 4, # 5 and # 6 did not contain the children's dates of admission.

A renewal inspection occurred at the facility. A review of children's files was conducted. The file of child # 2 was missing documentation of the health insurance policy number.

At the time of the inspection, a plan for transporting a child to emergency care and staffing provisions in the event of an emergency were not provided for review or posted conspicuously.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 were missing two letters of written reference. Staff # 3 and # 4 were working at the facility at the time of this inspection. The file of Staff # 2 was missing 1 letter of written reference. Staff # 2 has worked in child care without two letters of reference in the file.