Brecknock Academy

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 12/15/25 Child 2 did not have a Child service report. Child 2 has been enrolled for more than 6 months(see LIS code sheet for Date of enrollment).

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)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: During a renewal inspection on 12/15/25 Children 1 and 4's fee agreements were not signed by the operator. Child 4's fee agreement also did not list the fee amount.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: During a renewal inspection on 12/15/25 Child 5's emergency contact form did not include the child's name and birth date. The provider identified this emergency contact form was for Child 5, and it was present in Child 5's file.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection on 12/15/25 emergency contact form for Child 4 did not include the name of the child's source of medical care, and emergency contact form for Child 5 did not list the address for the child's 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.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During a renewal inspection on 12/15/25 emergency contact forms did not list parents work address(Child 1), and work phone number (Children 1, 3, and 5). Additionally Children 3 and 4 did not have the address for the release persons listed on their emergency contact forms.

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

Description: Each child care space

Noncompliance Area: During a renewal inspection on 12/15/25 Cert rep observed that Child 6 and Child 7's emergency contact information was not present with them in the rooms where they were receiving care, the young toddler room and infant room respectively.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During a renewal inspection on 12/15/25 Older toddler Child 2's initial health assessment was dated 11/20/25 which is beyond 60 days from child's date of enrollment. (See LIS code sheet for DOB and Date of enrollment).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During a renewal inspection on 12/15/25 preschool Child 1's most recent health assessment was dated 3/18/24, which is more than 12 month ago.

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(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 12/15/25 Cert rep observed Benadryl cream (exp 4/2025) and Neosporin(3/2025) in the older toddler room first aid kit.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During a renewal inspection on 12/15/25 Cert rep observed a cheese stick in a child's lunch box in the Preschool room. The cheese stick and lunch box were not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: During a renewal inspection on 12/15/25 cert rep observed the emergency contact form for Child 4 had been updated in the children's files, but was not updated in the emergency contact form in the children's classroom. This was evident by information such as child's last name, child's date of birth, and parent's home and work information not being present on the emergency contact forms in the classroom but were present on the master copy in the children's file, as well as information such as child's address and health insurance information being updated on the master file, but not the copy in the classroom.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During a renewal inspection on 12/15/25 it was reported that a copy of the accident injury or illness reports are not retained in in a facility wide accident file. Staff reported that when accident injury or illness reports are completed, the parent is given the original, and a copy is kept in the child's file.

Correction Required: 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.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: During a renewal inspection on 12/15/25 it was observed the children's files were stored in an unlocked drawer, in a unlocked office. It was reported the drawer was not able to be locked.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 12/15/25 the most recent emergency drill took place on 11/3/25, however the facility did not have documentation of the previous emergency drill log available for review during the inspection. Previous documentation verified by the regional office noted the most recent previous emergency drill was 2/1/2024. This is more than 12 months between emergency drills.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 12/15/25 the following violations of the CPSL were noted: Staff 1's NSOR clearance certificates were dated 1/15/20 and 1/30/25, Staff 2's PSP clearance certificates were dated 7/13/20 and 11/4/25, Staff 2's DHS FBI clearance certificates were dated 7/24/20 and 8/5/25 and Staff 2's NSOR clearance certificates were dated 1/14/20 and 4/4/25. These are more than 60 months between clearance certificates. It was reported Staff 1 worked as staff between 1/16/25-1/30/25, and Staff 2 worked as Staff 1/15/25-4/4/25, and 7/14/25-11/4/25.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.