Heaven Sent Academy

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 9/17/25, it was observed that the emergency contact information for child 1 did not include the name of the child's 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 9/17/25, it was observed that the emergency contact information for child 1 did not include a parent work address or phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.151(a)

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

Noncompliance Area: On 9/17/25, it was observed that staff person 1 had a health assessment on file that expired on 10/20/24, which had not been updated.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 9/17/25, it was observed that facility surfaces were not in good repair. It was observed that the baseboard in the toddler classroom, by the hallway doors had peeling paint. It was observed that there was a ceiling tile in the toddler classroom that had a water stain. It was observed that there was a ceiling tile in the preschool classroom that had a water stain.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 9/16/24, it was observed that the blue couch in the toddler room and the green couch in the preschool room were torn allowing the stuffing to be exposed. CORRECTED ON SITE.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 9/16/24, it was observed that the pack and play with the pink blankets was unstable.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 9/16/24, it was observed that the facility did not have a continuity of care plan as part of their emergency plan. CORRECTED 9/16/24.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 9/16/24, it was observed that staff person 2 did not have documentation of 12 annual training hours on file.

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: On 9/16/24, it was observed that staff persons 1, 2, and 3 did not have documentation of fire safety training, in the previous 12 months, on file.

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: 3270.151(a)

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

Noncompliance Area: On 10/5/22, it was observed that staff health assessments were not updated in a timely manner. Staff person 1 had a health assessment on file that expired on 11/29/21. No updated health assessment was available. Staff person 2 had a health assessment on file that expired on 11/11/21. No updated health assessment was available.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 10/5/22, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 3 did not have a state police clearance on file. No provisional paperwork was available and staff person was present past 45 days of employment. Staff person pay not work until completed state police clearance is on file. Staff person 3 did not have an acceptable FBI fingerprint clearance on file. No provisional paperwork was available and staff person was present past 45 days of employment. Staff person may not work with children until accepted FBI clearance is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3- may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 9/23/22, it was observed that an outlet cover was missing on the outlet strip behind the television. CORRECTED ON SITE.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 9/23/22, toxics were observed to be accessible to children in the preschool classroom. Hand sanitizer and disinfecting wipes were located on top of a low shelf in the middle of the classroom. 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: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: On 9/23/22, it was observed that Proof of Purchase for the fire detection system was not available. CORRECTED ON SITE.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: On 10/4/21, it was observed that the facility did not have accommodations for lock-down procedures in their emergency plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 10/4/21, it was observed that CPSL was not followed: Child Abuse Clearances -Staff person 1 had a child abuse clearance on file which expired on 4/27/20. An updated Child Abuse Clearance was not on file. CORRECTED ON SITE. Mandated Reporter Training: -Staff person 1 had a Mandated Reporter Training on file that expired on 4/27/20. An updated Mandated Reporter Training was not on file. Mandated Reporter Training must be updated every 60 months. -Staff person 2 (hire date 9/2021) did not have a Mandated Reporter Training on file. Mandated Reporter Training must be on file within the first 90 days of employment. -Staff person 3 had a Mandated Reporter Training on file that expired on 4/30/20. An updated Mandated Reporter Training was not on file. Mandated Reporter Training must be updated every 60 months. -Staff person 4 had a Mandated Reporter Training on file that expired on 4/29/20. An updated Mandated Reporter Training was not on file. Mandated Reporter Training must be updated every 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 10/4/21 it was observed that outlet covers were missing in the preschool classroom. An uncovered outlet was observed behind the teachers desk by the windows and behind the television by the back door. CORRECTED ON SITE.

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

Noncompliance Area: Children in the infant and toddler room use a high chair table. Several of the seats have holes for safety straps but there are no straps.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Facility does not have written policies for supervision or dismissal of children.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: The agreement for child #5 does not include the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: Original agreements were on file for children #1-5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for child #3 does not include the 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.

Noncompliance Area: Emergency contact information for children #1,3,4,5 does not include complete work addresses and telephone numbers of the enrolling parent

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Emergency contact information for children #1,5 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: Emergency contact information for children #1,2,4,5 does not include the complete addresses 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.

Noncompliance Area: The emergency contact information and agreement for child #1 is up to date but was not updated between September 2018-September 2019. The emergency contact information and agreement for child #5 has not been updated since September 2018.

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 informationA 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.

Noncompliance Area: According to the immunization records on file children #1,3,4,5 are not immunized according to the ACIP schedule. There are no letters of exemption on file for these families.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The children in the infant/toddler room were observed eating lunch. Staff person did not wash their hands prior to lunch.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: The trash can in the diaper changing area is broken so it is no longer hands free.

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.

Noncompliance Area: Staff persons #1,2 do not have a current health assessment on file.

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.

Noncompliance Area: Written notification of safe routes is not posted at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The facility does not have a master file for incident reports involving children at the facility.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

Noncompliance Area: Instructions for contacting the appropriate regional day care office are not posted with the current certificate of compliance and regulations.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Staff #1,2, 3 do not have documentation that they received annual emergency plan training.

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.

Noncompliance Area: The emergency plan is not posted at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff persons #1,2 do not have documentation of six hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff have completed an online fire safety training that does not have an in person component. The training is not accepted by DHS so no staff in the facility currently have fire safety training.

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.

Noncompliance Area: Staff #2,3 do not have documentation of an evaluation within the last 12 months.

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

Noncompliance Area: Staff person #3 was observed alone caring for 2 infants, 1 young toddler and 2 older toddlers. Staff person #2 was in the room but he had to leave the room to prepare lunch for all of the students. Staff person #2 is in charge of preparing lunch daily.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: Staff person #3 does not have documentation of a current health assessment on file. The last health assessment was dated 06/07/16.

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.

Noncompliance Area: Staff persons #1,2,3 did not have documentation of annual fire safety training.

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.

Noncompliance Area: Staff persons #1,2,3 did not have documentation of six hours annual training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Outdoor embedded equipment was only mounted over six inches of shredded tire mulch. Several areas of the mulch were only two inches deep and not the six inches as required by the CPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The walkways used to access the facility and the main door are overgrown with shrubs and bushes making passage on the sidewalk difficult. The gaps in the bushes/ the walkways are 14 inches and 25 inches.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: The green couch in the school age room was torn in several places. The red see saw and the larger picnic table on the playground both had areas of sharp, cracked plastic.

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.

Noncompliance Area: Outdoor embedded equipment was mounted over shredded tire but there was not six inches as required under the CPSC guidelines.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The walkways used to access the facility and the main door are overgrown with shrubs and bushes making passage on the sidewalk difficult.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: The smoke detector in the school age classroom was chirping indicating that the batteries need replaced.

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.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.

Noncompliance Area: A visible layer of surface dirt was observed on two toys in the nap room. Several cracked plastic seats were observed in the nap room. A torn nap mat with exposed foam was observed in a cubby in the nap room. CORRECTED DURING INSPECTION.

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.

Noncompliance Area: A plastic bag was observed accessible to children in the toddler room. MOVED DURING INSPECTION.

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.

Noncompliance Area: A chirping fire detector indicated that the batteries need replaced and, in the event of an actual fire, the smoke detector may not properly function. CORRECTED DURING INSPECTION.

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

Noncompliance Area: Outlet covers were missing in a power strip in the nap room. CORRECTED DURING INSPECTION.

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