Chesterbrook Academy

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information of child #1 did not include the address and phone number of physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #2 did not include their health insurance coverage.

Correction Required: 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: 3270.131(b)(1)/3270.131(b)(2)

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: The health assessment for child #3 was dated 9/7/24. The health assessment for child #4 was dated 3/4/25. Child #5 did not have a health assessment on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection conducted on 4/30/25, children #1-5 did not have the address of the individuals designated by the parent to whom the child may be released on their emergency contact forms.

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: 3270.182(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 the renewal inspection conducted on 4/30/25, children #6-10 did not have signed parental consent for emergency medical care and did not have signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During the allocated inspection, a soiled diaper was left on the changing table when not in use by teacher in the infant classroom.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the allocated inspection, Cert Rep observed hand sanitizer on the counter in the Pre-K 2 classroom accessible to children.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the allocated inspection, there was chipped paint on the right wall next to cot area.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Child #1 placed a piece of double-sided tape in their mouth and subsequently began gagging on the tape.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 placed a piece of double-sided tape in their mouth and subsequently began gagging on the tape. No staff person in the classroom observed the child placing the item in their mouth.

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. Children must be supervised at all times.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection, the emergency contact form of child #1 did not include the name, address and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of children # 1,2,5,6,7,8,9,10, and 11 did not include their health insurance coverage and policy number. Children #3 and #4 did not have policy number included on the emergency contact form.

Correction Required: 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(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection, staff could not locate the emergency contact of information of the children receiving care in the Pre K classroom.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection, there was a protective outlet uncovered under the cubbies in PreK 2 classroom.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During nap time, a child in the intermediate classroom stuck a hair clip into an uncovered outlet while laying on their sleeping mat.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During nap time, a child in the intermediate classroom stuck a hair clip into an uncovered outlet while laying on their sleeping mat.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of child #1, enrolled more than 60 days at the facility, did not contain documentation of four DTAP vaccinations, as required based on the child's age as per the ACIP recommended schedule. The file of child #2, enrolled more than 60 days at the facility, did not contain documentation of four PCV vaccinations, as required based on the child's age as per the ACIP recommended schedule. The file of child #3, enrolled more than 60 days at the facility, did not contain documentation of three Hep B vaccinations, as required based on the child's age as per the ACIP recommended schedule. The file of child #4, enrolled more than 60 days at the facility, did not contain documentation of four PCV vaccinations, as required based on the child's age as per ACIP recommended schedule. The file of child #5, enrolled more than 60 days at the facility, did not contain documentation of four DTAP vaccinations, four HIB vaccinations, and four PCV vaccinations, as required based on the child's age as per ACIP recommended schedule. The file of child #6, enrolled more than 60 days at the facility, did not contain documentation of four HIB vaccinations as required based on the child's age as per ACIP recommended schedule. The file of child #7, enrolled more than 60 days at the facility, did not contain documentation of three DTAP vaccinations, 3 HIB vaccinations, and 3 PCV vaccinations, as required based on the child's age as per ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Children # 1-7 must be dismissed from care by close of business 11/9/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the hybrid renewal inspection on 4/12/22, the bottom drawers and on the shelves of the refrigerator used for children's food were observed with food spills and other debris.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the onsite inspection on 4/12/22, staff member #3 was observed with 2 staff members caring for young and older toddlers. A file for staff member #3 was not provided for review.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 4/12/22, a completed NSOR certificate was not submitted for review for staff member #1 DOH (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1 may not work in a child care position 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 4/12/22, foreign education was submitted for staff member #2 and was not evaluated by the Department of Education standards. The education on file for staff member #2 does not qualify the staff members 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the hybrid renewal inspection on 4/12/22, the hot water temperature at the bathroom sink used by children, measured 115.8° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the hybrid renewal inspection on 4/12/22, peeling paint was observed on the walls in the toddlers and infant B classrooms.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the hybrid renewal inspection on 4/12/22, the director did not sound the fire alarm system at the location and did not provide written documentation of an annual inspection.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.