Suffah Academy

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, Certification Representative observed food spills in the refrigerator.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, Certification Representative observed there were no daily activities posted in the childcare space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 1 file contained a fee agreement form that did not specify the person designated by 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.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 2 files contained a fee agreement form that did not specify the 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: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 1,2,3 and 4 files contained fee agreements that did not specify if there are services that are considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 1 ,2,3 and 4 files contained emergency contact forms that did not include the address 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: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 2 and 4 files contained emergency contact forms that did not list the enrolling parents work address and work telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 1 file contained an emergency contact form that did not list the health insurance policy number.

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(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, Certification Representative observed that there was no medical transportation plan posted in the childcare space.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 4 child files were reviewed. Child # 1,2,3 and 4 files contained fee agreements and emergency contact forms that were last reviewed and signed on 10/17/2024.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 1 and 2 files did not contain verification of 12 hours of annual child care training.

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 a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 1 and 2 files did not contain verification 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 2 and 3 files did not contain verification of health and safety training as required to work unsupervised in a facility. Staff person # 2 and 3 cannot work unsupervised with children until this violation is corrected.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 3 file did not contain verification of mandated reporter training. Facility Person # 3 may not work in a child care position at the facility.

Correction Required: The operator shall comply and CPSL requirements 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: 3270.32(a)/3270.192(2)(iv)

Description: Comply with CPSL/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 3 file did not have a NSOR clearance. Facility Person # 3 may not work in a child care position at the facility.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 2 file did not contain an annual staff 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: 3270.35(b)(1)

Description: Bachelor's

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 2 file did not contain a bachelor's degree from an accredited college or university.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, 3 staff files were reviewed. Staff person # 2 was alone in the facility with 8 children when Certification Representative arrived at the facility.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During a renewal inspection conducted on 8/20/2025, Certification Representative observed that the bathroom trash can did not have a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: During a renewal inspection conducted on 8/20/20025, Certficiation Representative observed that the children and facility persons were in the outdoor play space without the first aid kit

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During an allocated unannounced monitoring inspection conducted on 4/10/2025, Certification Representative observed that the classrooms did not have a transportation plan posted.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During a renewal inspection conducted on 4/10/2025, Certification Representative observed that the bathroom located on the first floor did not a sign posted stating that hands must be washed before eating and after toileting.

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: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Certification Representative conducted an onsite visit to verify corrections for the following violation: During a renewal inspection conducted on 9/30/2024, Certification Representative was made aware that the facility was using the playground on the property. The playground is near a road and a driveway entrance to the property area is unsafe and needs to have a fence constructed around the playground to prevent the children from accessing the road and driveway.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 5 child files were reviewed. Child # 1,2,3,4 and 5 file did not contain a fee agreement.

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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 5 child files were reviewed. Child # 1 ,2 and 5 files contained an emergency contact form that did not list the enrolling parent's telephone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 5 child files were reviewed. Child #1,2,3,4 and 5 files contained an emergency contact form that did not provide an address for the individual designated 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: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained an emergency contact form that did not have signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained an emergency contact form that did not have signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 2 staff files were reviewed. Staff member # 1 and 2 files did not contain a disclosure statement.

Correction Required: 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, 2 staff files were reviewed. Staff member # 2 file did not contain verification of training on the facility's emergency plan.

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: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, Certification Representative was made aware that the facility was using a playground on the property. The playground is near a road and a driveway entrance to the property. The area is unsafe and needs to have a fence constructed around the playground to prevent the children from accessing the road and driveway.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During a renewal inspection conducted on 9/30/2024, Certification Representative was made aware that the facility was using a playground on the property. The playground is near a road and a driveway entrance to the property. The area is unsafe and needs to have a fence constructed around the playground to prevent the children from accessing the road and driveway.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 2 file did not contain the results of a TB test .

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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 1 and 2 file did not contain 2 written references. Both files contained 1 written reference.

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 an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 2 file did not contain verification of training on the facility's emergency plan.

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)(4)(i)

Description: Age and Training

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 2 file did not contain verification of CPR training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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: 3270.31(f)(1)

Description: Health and Safety Training - Prevention and control of infectious diseases

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 2 file does not contain verification of health and safety training as required.

Correction Required: Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member #2 file did not contain a NSOR clearance and a disclosure agreement. Facility Person # 2 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care 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 #2 may not work in a child care position at the facility.

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

Description: Group sup qualifications/Transcript, diploma and letters

Noncompliance Area: During an initial inspection conducted on 4/18/2024, 2 staff files were reviewed. Staff member # 2 file did not contain verification of qualification for the position.

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 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.