Beth Shalom Academy

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The agreement on file for child # 1 is not signed by the operator. The agreement on file for child # 5 is not signed by the operator or the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no child service report on file for children # 3 and 4, both were enrolled longer than 6 months (see code sheet).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no designated release persons listed on the agreement for child # 5. There is no date of admission on the agreements for children # 1 and 3.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no physician phone number provided on the emergency contact form for child # 5. There is no health insurance policy number on file for children # 1 and 4.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection, child files were reviewed. There is no release persons address listed for children # 1 and 2.

Correction Required: 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There not an acceptable health report on file for child # 1. The parent provided a visit summary from the physician's office.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.133(4)/3270.133(5)

Description: Locked/Original label

Noncompliance Area: During a renewal inspection on 6/2/26, certification rep observed expired medication stored in the pre k classroom. Certification rep observed Desitin diaper cream labeled "keep out of reach of children" accessible to children in the girls bathroom.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The emergency contact and financial agreement were last signed by the parent of child # 2 on 11/24/25. There are no dates on the emergency contact and financial agreement forms for child # 3.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no written consent for emergency medical care or the administration of minor first aid procedures on file for children # 3 and 5.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The facility does walking excursions; there is no written consent for children # 3 and 5 for walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: During a renewal inspection on 6/2/26, staff files were reviewed. Staff # 1 was hired as an aide; there is no proof of education or experience on file.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 6/2/26, certification rep observed a bottle of Windex cleaner accessible to children in the indoor play area.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued noncompliance: On 11/18/25, a renewal inspection was conducted at the facility. Certification rep observed staff # 1 in a classroom alone with children. There were no clearances on file for staff # 1. The facility's acceptable plan of correction indicated that the staff person responsible for creating and maintaining staff records will participate in existing provider training at the regional office on 2/25/26. As of 2/27/26, the existing provider training was not completed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Any person responsible for creating and maintaining staff records shall participate in an existing provider orientation at the regional office. Registration can be completed by calling the regional office directly. This portion of the plan shall have a date by which this training will be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed a green ride on tractor and pink rocking horse with pinch points in the indoor play area.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.