Chesterbrook Academy

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Child Record for Child #2 did not include a Child Service Report signed and updated within the most recent 6 months.

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)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Fee Agreement Forms for Child #1 and Child #4 did not include an arrival and departure time and did not include the names of individuals designated by the parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Fee Agreement Form for Child #1 and Child #4 did not include a date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Emergency Contact Form for Child #2 and Fee Agreement Forms for Child #5 was not reviewed and signed once in a 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. 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: 3270.131(b)(2)

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

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Child Record for Child #4 did not include an updated health report.

Correction Required: 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the FBI Background Clearance for Staff Person #1 was renewed at an interval greater than 60 months.

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.

Regulation: 3270.37(a)/3270.192(2)(iv)

Description: Aide responsibilities/Transcript, diploma and letters

Noncompliance Area: During Renewal Inspection on 04/21/2026, Certification Staff Observed that the Staff Record for Staff Person #2 did not include verification of education.

Correction Required: An aide is responsible for assisting in the implementation of daily program activities. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Child 3 was missing updated health assessment.

Correction Required: 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: 3270.181(b)/3270.181(c)

Description: Current/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 1,2,34,6,9 and 10 were expired. Fee agreement for child 5,7 and 8 were missing.

Correction Required: Information in a child's record shall be kept current by the operator. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 and 2 were missing 2 reference letters. Staff 3 was missing 1 reference letter.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 4 was missing health and safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #-4- will have until _3-19-25____to complete the required training. Until such time as the required training has been completed, staff person #--4- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #-4-, staff person #-4- may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 4 was missing NSOR.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -4- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--4- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 was missing education. Experience for staff 4 needs to be verified.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection certification rep observed Lysol wipes accessible to children in the Prek room bathroom. (corrected on site)

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During renewal inspection certification rep observed the toilet in Beginners room not working.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 1,2,3,4,5,7 8,9 and 10 were missing extra services. Child 1,2,5 and 8 were missing CSR's (child service reports). CSR for child 9 was not dated

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)(4)

Description: Arrival/departure times

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 5 did not shall specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 2,3,4,5, 7,8,9 and 10 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Emergency contact for child 6 was missing the address of the individual designated by the parent to whom the child may be released.

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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 1 and 8 were expired

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. 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: 3270.131(b)(2)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Health assessment for child 2 was expired (1-27-22)

Correction Required: 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: 3270.133(1)/3270.133(5)

Description: Original container/Original label

Noncompliance Area: During renewal inspection certification rep observed allergy medication not in its original container in Intermediates Room.During renewal inspection certification rep observed expired medication in Prek 2: albuterol (2-18-23) and (10-25-23) and EPI pen (5-20-23)

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1, 2, 3 and 4 were missing verification of child care experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 was missing 2 reference letters and staff 3 was missing 1 reference letter.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff person #--1- has not completed the following required 10 hour health and safety pre-service training within 90 days of their date of hire (9-15-23)

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #-1- will have until _4-4-24____ (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #-1-- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1--, staff person #-1- may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 had state police clearance on file but it was on pending status. Staff 2 was missing NSOR clearance. Staff 2 was missing out of state clearance (Texas)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1 and 2- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 and 2-- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 5 and 6 were missing written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

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 DTaP 4, HIB 4, Varicella 1 vaccination, 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 DTaP 3, Polio 3, MMR 1, HIB 3, HepB 3,Varicella 1, PCV 3 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 3, enrolled more than 60 days at the facility, did not contain documentation of DTaP 3, Polio 3, MMR 1, HIB 3, HepB 3, Varicella 1, PCV 3 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 4, enrolled more than 60 days at the facility, did not contain documentation of MMR 1, Varicella 1, vaccination within the past year, as required per the ACIP recommended schedule. The file of child 5, enrolled more than 60 days at the facility, did not contain documentation of MMR 1, Varicella 1 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 6, enrolled more than 60 days at the facility, did not contain documentation of DTaP 4, MMR 1, HIB 4, HepB 3, Varicella 1, PCV 4, vaccination within the past year, as required per the ACIP recommended schedule. The file of child 7, enrolled more than 60 days at the facility, did not contain documentation of DTaP 2, Polio 2, MMR 1, HIB 2, HepB 3, Varicella 1, PCV 2 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 8, enrolled more than 60 days at the facility, did not contain documentation of DTaP 4, MMR 1, HIB 4, HepB 3, Varicella 1,PCV 4 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 9, enrolled more than 60 days at the facility, did not contain documentation of DTaP 4, HIB 4, PCV 4 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 10, enrolled more than 60 days at the facility, did not contain documentation of MMR 1, Varicella 1 vaccination within the past year, as required per the ACIP recommended schedule. The file of child 11, enrolled more than 60 days at the facility, did not contain documentation of DTaP 3, Polio 3, MMR 1, HIB 3, HepB 3, Varicella 1, PCV 3 vaccination within the past year, as required per the 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). Child 1,2,3,4,5,6,7,8,9,10 and 11 must be dismissed from care by close of business 10-27-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At time of renewal inspection, chipped paint was observed on the windowsill in the Beginners classroom.

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

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: CHILD #1 RECIEVED A STAIN ON CLOTHING DUE TO COMING IN CONTACT WITH THE SANITIZING SOLUTION USED BY THE FACILITY.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A UNLABELED SPRAY BOTTLE, IDENTIFIED AS BLEACH AND WATER, WAS OBSERVED IN THE PRE-K CLASSROOM.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A SNAKE PLANT WAS OBSERVED IN THE BEGINNER 2 CLASSROOM.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A RECEIPT INDICATING THE DATE OF PURCHASE OR INSTALLATION FOR THE INTERCONNECTED FIRE SYSTEM WAS NOT ON FILE AT THE FACILITY AS REQUIRED UNDER ACT 62.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).