Chesterbrook Academy

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: IT HAS BEEN CONFIRMED THAT A STAFF PERSON #1 HAS LEFT A CHILD UNATTENDED IN THE OUTDOOR PLAY AREA. (THIS IS CONTINUED NON-COMPLIANCE, PROVIDER IS CURRENTLY UNDER A TIERED INSPECTION FOR 2 OTHER INCIDENTS INVOLVING CHILDREN BEING LEFT OUTSIDE IN THE PLAY AREA UNATTENDED)

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #1 grabbed child #1 by the hair and face to get him to stand.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the investigation on 09/22/2025, it was found that on 09/10/2025, staff person #1 was in the outdoor main playspace with ten children. When transitioning the group into the facility staff person # 1 left child # 1 alone in the outdoor playspace without suprervision by a staff person. Staff person # 1 was not aware child # 1 was left on the outdoor play space. Continued non-compliance from the complaint investigation conducted on 07/28/2025.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the complaint investigation, it was verified by director that 2 children were left on playground due to staff#1 not doing name to face and moving children alone which inhibited proper supervision.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION, A FACILITY WALKTHROUGH WAS CONDUCTED AND ALL ROOMS WERE IN RATIO WITH PROPER SUPERVISION. HOWEVER, DIRECTOR ADMITS THAT DUE TO AN EMERGENCY A STAFF PERSON CALLED OUT WHICH LEFT THE TODDLER ROOM OUT OF COMPLIANCE(1:6-YOUNGEST CHILD BEING 1YO)FOR NO LONGER THAN 5 MINUTES.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.102(a)/3270.106(a)

Description: Clean and good repair/Clean, age appropriate

Noncompliance Area: At time of renewal inspection on 10/29/24, the nap mats in the Pre-K 2 room were observed to have ripped edges with exposed foam.

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. Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: At time of renewal inspection on 10/29/23, the file for staff person #3 did not include an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At time of renewal inspection on 10/29/24, the emergency information located in the Toddler 2 classroom had not been updated with a signature and date within the past 6 months. Information was updated in the master file in the office.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of renewal inspection on 10/29/24, the file for staff persons #1, #2, and #4 did not include two written, nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: During renewal inspection on 10/29/24, a kalanchoe plant was observed in the Pre-K 1 room.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At time of renewal inspection on 10/29/24, the sink in the Intermediates 1 room had cabinet doors that were damaged on the bottom edge with peeling and flaking. The ceiling vent in the Beginners 2 room was observed to have visible dust and dirt. There were metal sprinklers in the outdoor play space that were observed to have rust. A broken plastic cap was observed on the fence near the sprinklers.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At time of renewal inspection on 10/29/24, chipped beige paint was observed by the cots and on the door trim in the Toddler 2 room, on the wall by the cots and in the bathroom by the sink in the Beginner 1 room, and on the sprinkler on the playground.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: At time of renewal inspection on 10/29/24, rusty caps covering the water line were observed in the Beginner 1 bathroom, the Intermediates 1 bathroom, and the Pre-K 2 bathroom.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During investigation facility person #3 was not supervising child #3,4 and 5 while they were playing.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: At the time of investigation facility person # 2 did not clean the diaper changing station after a diaper changing child #2.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.53(a)/3270.181(a)

Description: Counted in staff:child ratio /Each child

Noncompliance Area: At the time of investigation, facility person # 1 had their daughter child #1 in the facility who was not enrolled and did not have a file.

Correction Required: The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements. An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During the investigation facility had only two classes open as they usually do at 8:00 am and both classes (infant and mixed older toddler classes were out of ratio..

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(b)/3270.113(c)

Description: No physical punishment /No ridicule or threaten harm

Noncompliance Area: Staff member #1 was observed grabbing a child by the arm and shirt roughly during quiet time.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, the rest equipment located in the intermediate/Pre-k 1 room was not labeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: Staff member #1 was observed aggressively grabbing children and carrying them by one arm to their cots and slamming them face down into their cots.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of the required health and safety professional development training(s) including updates were not submitted for staff members #5, #15 and #16 (See LIS Code Sheet for DOH). Staff member #16 was observed working alone on 10/18/23.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, a completed physical was not submitted for staff members #10, #16, #17, #19 and #21.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.151(c)(3)

Description: Mantoux TB/Exam communicable disease

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, the health assessment submitted for staff member #8 did not include a tuberculosis screening or examination for communicable diseases and the results of the examination.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, the health assessment submitted for staff member #8 did not include the physician's or CRNP's assessment of the person's suitability to provide child care services.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of address was not submitted for staff member #3.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, was not submitted for staff members #2 thru #8, #10, #13, #14 and #16 thru #23.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of emergency plan training was not submitted for staff members #9, 12, 17 and #20.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of ongoing annual professional development trainings (12 hours annual childcare trainings) was not submitted for staff members #1, #2, #4, #5, #11, #12, #13 and #15. Only 6 hours of annual childcare training was submitted for staff member #9.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of annual fire safety training was not submitted for staff member #12 (SEE LIS Code Sheet for DOH).

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of completed pre-service professional development trainings were not submitted for staff members #8, #10, #14, and #19 (See LIS Code Sheet for DOH).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of completed out of state clearances were not submitted for staff member #20. The required Mandated and Permissive Reporting in Pennsylvania training was not submitted for staff members #9, #10, #17, #18, #20 thru #23. PA State Police Criminal Clearance was not submitted for staff members #17, #18 and #19. An incomplete ("pending") PA State Police Criminal Clearance was submitted for staff member #10. The PA State Police Criminal Clearance submitted for staff member #13 list an incorrect date of birth. Completed child abuse clearance was not submitted for staff members #14, #17, #18 and #21. Completed FBI clearance was not submitted for staff members #8, #17, #19 and #21. A completed National Sex Offenders Registry Certificate (NSOR) was not submitted for staff members #8, #10, 17 thru #19 and #21. A disclosure statement was not submitted for staff members #12, #17, #18, #20 and #22. (See LIS Code Sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #9, #10, #17, #18 and #20 thru #23 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9, #10, #17, #18 and #20 thru #23 may not work in a childcare position at the facility.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of education and experience to qualify facility member #16 for the position performing at the facility was not submitted. The education submitted does not declare the curriculum/subject of education.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of education and experience to qualify facility members #4, #6, #7, #12, #14, #19 and #22 for the position performing at the facility was not submitted.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at §3270.36(b)(1)-(5). A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.37(b)/3270.192(2)(ii)

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, verification of education and experience to qualify facility members #10, #17, and #20 for the position performing at the facility was not submitted. The foreign education submitted for facility member #18 had not been evaluated by the Department of Education standards. Facility member #18 does not have verification of education on file that qualifies the facility member for the position performing at the facility.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, staff members #13 and #17 (both hired as aides) were observed working together unsupervised. Staff member #2 (hired as an aide) was observed working with staff member #19 alone. Facility member #19 does not qualify as a staff member due to no education on file to qualify the person as a staff member. Staff member #5 (who was hired as an aide) was observed working with staff member #21 who is not a permanent staff member due to not have all clearances on file.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, peeling paint was observed in on the wall (where the rest equipment is placed/stored) in the Toddlers room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the hybrid renewal inspection on 10/18/23, hand washing signs were not posted at all of the sinks or toilet areas in the facility.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 1/4/23, child #3 did not have emergency contact information in the childcare space while in care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection on 1/4/23, children #1 and #2 did not have emergency contact information updated within the required 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 1/4/23, there was a blue tarp and an extended water hoes in the outside childcare space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 5/13/22, IT WAS VERIFIED THAT STAFF MEMBERS USED PHYSICAL PUNISHMENT TO CORRECT CHILDREN.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 5/13/22, IT WAS VERIFIED THAT THE PROVIDER DID NOT CREATE INCIDENT REPORTS FOR THE PARENTS ON THE DAY OF THE ACCIDENTS.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/1/22, CHILD #1 HAD EMERGENCY CONTACT INFORMATION IN THE CHILD CARE SPACE THAT WAS NOT UPDATED WITHIN THE LAST 6-MONTHS (DATED 6/29/21).

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/1/22, THERE WERE NO POSTING WITH STEP BY STEP INSTRUCTIONS ON HOW TO ACCESS THE REGULATIONS ELECTRONICALLY.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/1/22, STAFF PERSON #1 DID NOT HAVE 12 CLOCK HOURS OF CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/1/22, STAFF PERSON #2 DID NOT HAVE THE REQUIRED HEALTH AND SAFETY TRAINING COMPLETE.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: CCDBG HEALTH AND SAFETY PROFESSIONAL DEVELOPMENT.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/1/22: 1. THERE WAS CHIPPING PAINT ON THE WALL IN THE BEGINNERS ROOM. 2. THERE WAS MOLDING THAT WAS IN POOR REPAIR ALONG THE REAR WALL IN THE INTERMEDIATE ROOM. 3. THERE WAS CAULKING AROUND THE BATHROOM SINK IN THE INTERMEDIATE ROOM THAT WAS IN POOR REPAIR. 4. THERE WAS CHIPPING PAINT ON THE WALL IN THE PRE-KINDERGARTEN 2 ROOM.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.