Icu Stem Academy

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1, 4, and 5 did not include the address and 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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #1 did not have the verification of the completion of the 1-hour Health and Safety update.

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: 3280.151(a)

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

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #2 and 3 had a health assessment that was more than 24 months.

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: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #2 did not have signed parental consent for administration of minor first- aid procedures by facility staff.

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

Regulation: 3280.113(a)/3280.113(a)(1)

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

Noncompliance Area: On 8/26/25 a certification representative conducted a complaint investigation. During the investigation, staff #1 and #2 reported that on 8/18/25 a child eloped from the school yard, while off school premises. The child had been away from facility staff for about 5-10 minutes before being located by staff #1 a few blocks away from the school yard. Staff #1 reported becoming aware of the missing child within seconds of them leaving the school yard.

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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written and posted plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.131(b)(2)

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

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #5 did not have an updated health report on file. The last report was dated 2-5-2024.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan did not include a plan for continuity of operations.

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: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the provider did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.171(b)/3280.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the operator did not have a written and posted policy identifying safe pedestrian crossways, pick-up and drop-off points and bike routes in the vicinity of the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #3 and #4 did not have signed parental consent for emergency medical care.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #3 and #4 did not have signed parental consent for administration of minor first- aid procedures by facility staff.

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

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan for the facility did not include shelter of children during an emergency including lock-down, shelter in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.26(a)(3)

Description: Contact when arises

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan that stated that parents will be notified but did not specify the method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3280.26(a)(4)

Description: Contact when ended

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan specify the method for facility persons to inform parents that the emergency has ended but did not identify a method to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency contact forms for child #3, 4, 5 did not have the address for the release people.

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: 3280.131(b)(2)

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

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the health report for child #4 & #5 had not been updated within the last 12 months.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility had an emergency plan that did not include the facility's plan for continuity of operation during and in the aftermath of an emergency/disaster. Also, the facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. And finally, staff #2 and #3 did not have documentation of the completion of the health and safety update.

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: 3280.17

Description: Liability Insurance

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a current copy of the comprehensive general liability insurance on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff # 1, 2, 4, & 5 do not have documentation of the completion of 12 clock hours of childcare training.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: At the time of the renewal inspection the certification representative observed that certification for pediatric first-aid and CPR was not observed in the file of staff #4.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #3 did not have a PA state police clearance on file. The child abuse clearance for staff #4 was not on file and the out of state criminal history clearance and out of state child abuse and neglect registry. Staff #5 had a PA state police clearance on file that is not completed, the clearance states that it is pending.

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 # -- 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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: During the on-site renewal inspection the following conditions were observed: The basement area was under construction; an incomplete HVAC install was suspended resulting in the ceiling, walls, and floors in disrepair. Rest equipment, toys, play equipment, furniture and supplies were all exposed to the sheet-rock dust/ dirt debris. An uncovered child accessible sump pump was in the space. The basement conditions on date of inspection contained visible hazards and was not conducive for childcare space. The stair rail to the facility's entrance contained rust and damaged peeling paint. The bathroom walls, floors and sink were dirty and in disrepair; the mounted sink was surrounded by a large hole in the wall. The damaged wooden fencing in the outdoor play yard was collapsed, exposing nails and sharp edges. Two small wading pools were filled with water, play equipment and toys were in disrepair. The outdoor shed in the play yard contained peeling paint. On date of inspection, the Indoor and outdoor conditions of the facility pose a potential health and safety threat to children when in care.

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.

Regulation: 3280.76/3280.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the on-site renewal inspection the following conditions were observed: The basement area was under construction; an incomplete HVAC install was suspended resulting in the ceiling, walls, and floors in disrepair. Rest equipment, toys, play equipment, furniture and supplies were all exposed to the sheet-rock dust/ dirt debris. An uncovered child accessible sump pump was in the space. The basement conditions on date of inspection contained visible hazards and was not conducive for childcare space. The stair rail to the facility's entrance contained rust and damaged peeling paint. The bathroom walls, floors and sink were dirty and in disrepair; the mounted sink was surrounded by a large hole in the wall. The damaged wooden fencing in the outdoor play yard was collapsed, exposing nails and sharp edges. Two small wading pools were filled with water, play equipment and toys were in disrepair. The outdoor shed in the play yard contained peeling paint. On date of inspection, the Indoor and outdoor conditions of the facility pose a potential health and safety threat to children when in care.

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