Illumination School Age at Good Shephard Academy

3270.65 Protective Outlet Covers 5 yrs. or less

“Two electrical outlet covers near the service door in the cafeteria were observed to be missing protective receptacle covers. These outlets were accessible to preschoolers who were being supervised in that room.”

Correction date in the state record: May 13, 2026

3270.66(a) Locked or inaccessible

“Two Clean Check commercial sprays and two Dawn dish detergents labeled, "keep out of reach of children", were observed on a kitchen table. The kitchen is next to the cafeteria, which is a childcare space, and the doors to the kitchen were propped wide open, allowing children to have access to these items. Also, three Clean Check commercial sprays and one XtraCare hand sanitizer labeled, "keep out of reach of children", were observed on a metal shelf, near the condiments table, in the cafeteria. These items were also accessible to the children being supervised in that room.”

Correction date in the state record: May 13, 2026

3270.31(f) Health and Safety Training

“Staff #2 had not completed the following required pre-service training within 90 days of their date of hire (see code sheet for hire date): Pediatric First Aid and CPR. Staff #2 completed the training on 2/16/26.”

Correction date in the state record: Feb 16, 2026

3270.76/3270.102(a) Building Surfaces/Clean and good repair

“The service door, that was next to the condiments table in the cafeteria, had a hole with sharp wooden pieces. A wall near the door in the Outdoor Play Area had a rusty metal grate with sharp edges. One toilet in the girls' restroom had an exposed bolt.”

Correction date in the state record: May 19, 2026

3270.123(a)(3)/3270.123(a)(5) Services proceeded/Designated release persons

“Child #2 (see code sheet for date of admission) did not have any child service reports on file which provided information to the family about the child's growth and development in the context of the services being provided. The agreement on file for Child #1 did not specify the persons designated by a parent to whom the child may be released.”

Correction date in the state record: May 13, 2026

3270.102(c) Outdoor equip.- protective surfacing

“The wood mulch around the monkey bars in the Outdoor Play Area was measured to be 7 inches. The wood mulch around the blue slide, that was located near the monkey bars, was measured to be 6.5 inches. Also, the wood mulch around the small jungle gym's curved yellow slide was measured to be 5.5 inches. The wood mulch around the straight yellow slide, that was attached to this same jungle gym, was measured at 7 inches and the wood mulch around the blue slide was measured to be 8 inches. At least nine inches of loose fill material is required around embedded equipment at all times.”

Correction date in the state record: May 13, 2026

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The only NSOR Clearance on file for Staff #3 was dated 5/1/26, which was after they began working with children. Staff #5 acknowledged that Staff #3 had direct contact and routine interaction with children prior to Staff #3 having the NSOR Clearance on file. Staff #4 had State Police Clearances on file dated 3/3/21 and 4/10/26; Child Abuse Clearances on file dated 3/4/21 and 4/7/26; DHS FBI Clearances on file dated 3/19/21 and 4/9/26; and NSOR Clearances on file dated 4/7/21 and 4/9/26. More than 60 months had lapsed between each clearance and Staff #5 acknowledged that Staff #4 had direct contact and routine interaction with children during the lapse.”

Correction date in the state record: May 1, 2026

3270.31(e)(4)(i) Age and Training

“Staff #4 did not complete pediatric first aid/CPR training prior to the previous trainings expiring after 2 years. This is evidenced by the following training dates: 8/26/22 and 10/21/24.”

Correction date in the state record: May 19, 2025

3270.102(c) Outdoor equip.- protective surfacing

“The mulch around the monkey bars was measured to be 6 inches. The mulch around the slide and rock-climbing wall, that was located near the monkey bars, was measured to be 5 inches. Also, the mulch around the blue slide, that was part of the pirate ship jungle gym, was measured to be 5.5 inches. The mulch around the straight yellow slide, that was attached to this same jungle gym, was measured at 6.5 inches and the mulch around the curved yellow slide was measured to be 5.5 inches. At least nine inches of loose fill material is required around embedded equipment at all times.”

Correction date in the state record: May 24, 2025

3270.102(a) Clean and good repair

“The jungle gym, with the telescope, had a sharp, cracked piece of plastic. The fence in the Outdoor Play Area had two exposed screws. One screw was located about elbow height and the other one was about knee height. The Girls' Restroom had three toilets, each with two exposed screws near their base. The Boys' Restroom had one toilet with two exposed screws near its base.”

Correction date in the state record: May 20, 2025

3270.77(a) No peeling paint or plaster

“The purple pillar, located on the left side of the entrance to the Main Room, was observed to have cracked plaster near its base. Another purple pillar, located on the right side of the entrance to the Main Room, was observed to have peeling paint near its base.”

Correction date in the state record: May 20, 2025

3270.123(a)(4) Arrival/departure times

“The agreement on file for Child #2 was observed to be missing the child's departure time.”

Correction date in the state record: May 20, 2025

3270.66(a) Locked or inaccessible

“Ultra Defense hand sanitizer, labeled "keep out of reach of children", was observed in the Main Room on the dry erase board shelf. This was accessible to the children being supervised in that room.”

Correction date in the state record: May 19, 2025

3270.31(f) Health and Safety Training

“Staff person #5 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.”

Correction date in the state record: Jun 3, 2025

3270.75(c) Has all items

“Soap was observed to be missing from the first aid kit in the Main Room.”

Correction date in the state record: May 19, 2025

3270.31(f) Health and Safety Training

“Staff person #5 had not completed the following required pre- service training within 90 days of their date of hire (see code sheet for hire date): Pediatric First Aid/CPR”

Correction date in the state record: Jun 3, 2025

3270.27(a)(5) Emergency plan

“The emergency plan on file did not include accommodations for children with disabilities and chronic medical conditions. Staff #1 acknowledged that one child has a disability, and another child has a chronic medical condition.”

Correction date in the state record: May 20, 2025

3270.102(a) Clean and good repair

“The fence in the Outdoor Play Area was observed to have one exposed bolt that was about hip height and two exposed bolts that were about knee height.”

Correction date in the state record: Sep 26, 2024

3270.31(e)(4)(ii) Fire safety - 1 yr.

“Staff person #4 had fire safety trainings on file dated 5/8/23 and 7/5/24. These trainings were required to be completed annually.”

Correction date in the state record: Sep 25, 2024

3270.52 Mixed Age Level

“On 9/25/2024, Staff person #5 was observed to be supervising a group of 12 children: 7 preschoolers and 5 young school-age children. This number of children requires at least 2 staff persons.”

Correction date in the state record: Sep 25, 2024

3270.52 Mixed Age Level

“On 9/25/2024, Staff person #5 was observed to be supervising a group of 12 children: 7 preschoolers and 5 young school-age children. This number of children requires at least 2 staff persons.”

Correction date in the state record: Oct 15, 2024

3270.31(e) Age and Training

“Staff person #4 had documentation on file that they completed 9 hours of annual child care training, and not the required 12 hours.”

Correction date in the state record: Sep 25, 2024

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“Staff person #1 (see code sheet for date of hire) had a tuberculosis screening test and health assessment on file dated 11/2022, which is more than 12 months prior to initial service at the facility. Staff person #1 also had a current tuberculosis screening test and health assessment on file dated 9/2024, which is after the individual began working with children.”

Correction date in the state record: Sep 25, 2024

3270.124(b)(3) Parent home/work address, phone

“The emergency contact information on file for Child #2 and Child #5 did not include a parent's work phone number.”

Correction date in the state record: Sep 26, 2024

3270.66(d) Toxic plants not permitted

“Two purple and two yellow chrysanthemum plants were observed to be accessible to children in the Outdoor Play Space.”

Correction date in the state record: Oct 1, 2024

3270.94(a)(1) Every 60 days

“On 12/11/23, cert rep reviewed the fire drill log and the last fire drill was conducted on 9/11/23.”

Correction date in the state record: Dec 12, 2023

3270.34(c) Employed and present 30 hrs/wk

“On 12/11/23, the director from another Illuminations facility acknowledged that a director was only present two to three days a week and not everyday since this program in not a school age only program and operates fewer than 30 hours per week.”

Correction date in the state record: Dec 18, 2023

3270.31(e)(4)(ii) Fire safety - 1 yr.

“On 10/11/23, a renewal inspection was conducted. Staff person #1 and #2 have not completed annual fire safety training. Previous fire safety training was not on file. (Please see code sheet for DOH).”

Correction date in the state record: Dec 1, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“On 10/11/23, a renewal inspection was conducted. Child #1's immunization record indicates the child does not have the flu vaccine for 2022 and no exemption letter is in the child's file. The child is over six months of age. (Please see code sheet.)”

Correction date in the state record: Dec 1, 2023

3270.65 Protective Outlet Covers 5 yrs. or less

“On 10/11/23, a renewal inspection was conducted. An uncovered and accessible outlet was observed in the cafeteria.”

Correction date in the state record: Oct 12, 2023

3270.181(d) Dated signature affixed

“On 10/11/23, a renewal inspection was conducted. Child(ren) #2, 3,&4 's emergency contact form was not signed by the parents.”

Correction date in the state record: Dec 1, 2023

3270.124(b)(3)/3270.124(b)(7) Parent home/work address, phone/Name/address/phone release person

“On 10/11/23, a renewal inspection was conducted. Child #2's emergency contact form did not list the parents work address, work phone number or the release persons address.”

Correction date in the state record: Oct 12, 2023

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“On 10/11/23, a renewal inspection was conducted. The fire detection system could not be tested due the facility being in a school. The facility provided an annual inspection report from Cintas which identified 2 items that did not pass inspection. At the time of the inspection, the facility did not provide documentation stating if the deficiencies have been corrected. A subsequent fire alarm test report dated 11/17/23 was received, which indicates the same two items failed. Additionally, proof of purchase for the fire detection system is not available.”

Correction date in the state record: Dec 8, 2023

3270.121(a) Review policies and procedures

“On 10/11/23, a renewal inspection was conducted. The parent handbook did not contain a supervision policy and the director acknowledged it was not given to the parents in writing.”

Correction date in the state record: Dec 1, 2023

3270.102(a) Clean and good repair

“On 10/11/23, a renewal inspection was conducted. The outside fence in the playground area have exposed, sharp bolts on the corners and gates and are accessible to children.”

Correction date in the state record: Nov 15, 2023

3270.76 Building Surfaces

“On 10/11/23, a renewal inspection was conducted. Cert Rep observed garbage in the outside play space along the building and is accessible to children.”

Correction date in the state record: Oct 12, 2023

3270.66(a) Locked or inaccessible

“On 10/11/23, a renewal inspection was conducted. In the cafeteria, a container of Clorox wipes was observed on the window ledge and is accessible to children.”

Correction date in the state record: Oct 12, 2023

3270.31(f) Health and Safety Training

“On 10/11/23, a renewal inspection was conducted. Staff person #2 has not completed the health and safety 1 hour update.”

Correction date in the state record: Dec 1, 2023

3270.171(a) Pick-up and drop-off points

“At the time of the inspection, the facility was unable to provide documentation for review that the operator notified the local traffic safety authorities of the facility's safe routes for pick-up and drop-off procedures of the facility.”

Correction date in the state record: Oct 7, 2022

3270.94(a)(1) Every 60 days

“At the time of the inspection, the facility was unable to provide a copy of the facility's fire drill log for review.”

Correction date in the state record: Oct 7, 2022

3270.192(5) Two written references

“A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 were missing two letters of written reference. Staff # 3 and # 4 were working at the facility at the time of this inspection. The file of Staff # 2 was missing 1 letter of written reference. Staff # 2 has worked in child care without two letters of reference in the file.”

Correction date in the state record: Oct 7, 2022

3270.171(b)/3270.171(c) Safe pick-up and drop-off in writing/Safe routes posted

“At the time of the inspection, the facility was unable to provide documentation for review of the facility's safe routes for pick-up and drop-off procedures of the facility.”

Correction date in the state record: Oct 7, 2022

3270.151(c)(1)/3270.151(c)(2) Physical examination/Mantoux TB

“A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.”

Correction date in the state record: Oct 7, 2022

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 3 and # 4 were observed caring for children and their files did not contain a health assessment or tuberculosis screening.”

Correction date in the state record: Oct 7, 2022

3270.134(a) Child's hands washed

“At the renewal inspection, children were viewed during snack time and the children did not wash their hands before eating.”

Correction date in the state record: Oct 7, 2022

3270.124(e) Written emergency plan posted

“At the time of the inspection, a plan for transporting a child to emergency care and staffing provisions in the event of an emergency were not provided for review or posted conspicuously.”

Correction date in the state record: Oct 7, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“A renewal inspection occurred at the facility. A review of staff files was conducted. The file for Staff #1 did not contain a signed/dated disclosure statement, State Police Clearance, FBI Clearance, or NSOR Clearance. The file for Staff #2 did not contain a date of signature on the disclosure statement, Child Abuse Clearance, or NSOR Certificate. The file for Staff #3 did not contain a date of signature on the disclosure statement, an FBI Clearance or NSOR Clearance, or proof that either clearance was requested. The file for Staff #4 did not contain a signed/dated disclosure statement, a completed State Police clearance, or proof that the clearance was requested. Staff # 4 did not complete mandated reporter training within 90 days of their hire date. Staff # 3 and # 4 were observed to be working unsupervised during the inspection. Staff # 3 and # 4 have worked in childcare without following the proper provisional hiring procedures. See Code Sheet for all dates of hire.”

Correction date in the state record: Nov 30, 2022

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire and was observed unsupervised (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR. Staff person # 3 has not completed the mandated reporter training within 90 days of their date of hire and was observed working unsupervised (see LIS code sheet).”

Correction date in the state record: Oct 7, 2022

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“A renewal inspection occurred at the facility. A review of children's files was conducted. The files of children # 1, # 2, # 3, # 4, # 5 and # 6 did not contain the children's dates of admission.”

Correction date in the state record: Oct 7, 2022

3270.123(a) Signed

“A renewal inspection occurred at the facility. A review of children's files was conducted. The agreement forms for children # 1, # 2, # 3, # 4 , # 5 and # 6 were not signed by either the parent or operator.”

Correction date in the state record: Oct 7, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A renewal inspection occurred at the facility. A physical site review was conducted. Staff # 3 and # 4 were unable to identify the exact number of children present, and the names of children they were caring for in their supervision group during the inspection. Children were also viewed walking in and out of the child care space and going in and out of the snack room unsupervised.”

Correction date in the state record: Oct 7, 2022

3270.111(c) Promote development

“A renewal inspection occurred at the facility. A physical site review was conducted. During the renewal inspection, there was no plan for developmentally appropriate activities being offered to children. As a result, children were observed throwing toys at fans, running through the classroom, and walking out of the classroom unsupervised by an adult, all while other children attempted to eat and complete homework.”

Correction date in the state record: Oct 7, 2022

3270.111(a)/3270.111(b) Written plan/Posted in group space

“At the time of the inspection, the facility was unable to provide for review a written daily activity schedule. This activity schedule was not posted at the facility.”

Correction date in the state record: Oct 7, 2022

3270.18(a) On file at facility

“At the time of the inspection, the facility was unable to provide a copy for review of their comprehensive general liability insurance.”

Correction date in the state record: Oct 7, 2022

3270.74 Emergency Numbers Posted

“At the time of the inspection, a list of emergency telephone numbers was not viewed posted at the facility.”

Correction date in the state record: Oct 7, 2022

3270.27(c) Training regarding plan

“A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 3 and # 4 did not contain documentation that these staff have reviewed the facility's emergency plan within 90 days of hire.”

Correction date in the state record: Oct 7, 2022

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 3 and # 4 were missing proof of education. Staff # 3 and # 4 could not be appropriately qualified for a child care role at the facility. Staff # 3 and # 4 were working at the facility at the time of this inspection.”

Correction date in the state record: Oct 7, 2022

3270.31(f) Health and Safety Training

“Staff person # 1 and # 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics and pediatric first aid/CPR.”

Correction date in the state record: Oct 7, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“A renewal inspection occurred at the facility. A review of staff files was conducted. The file for Staff #1 did not contain a signed/dated disclosure statement, State Police Clearance, FBI Clearance, or NSOR Clearance. The file for Staff #2 did not contain a date of signature on the disclosure statement, Child Abuse Clearance, or NSOR Certificate. The file for Staff #3 did not contain a date of signature on the disclosure statement, an FBI Clearance or NSOR Clearance, or proof that either clearance was requested. The file for Staff #4 did not contain a signed/dated disclosure statement, a completed State Police clearance, or proof that the clearance was requested. Staff # 4 did not complete mandated reporter training within 90 days of their hire date. Staff # 3 and # 4 were observed to be working unsupervised during the inspection. Staff # 3 and # 4 have worked in childcare without following the proper provisional hiring procedures. See Code Sheet for all dates of hire.”

Correction date in the state record: Oct 7, 2022

3270.124(b)(6) Insurance coverage information

“A renewal inspection occurred at the facility. A review of children's files was conducted. The file of child # 2 was missing documentation of the health insurance policy number.”

Correction date in the state record: Oct 7, 2022