Antietam Academy

3270.31(c)(4)/3270.31(c)(5) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum. Written certification that an individual enrolled in an approved training curriculum has completed the required classroom training and is currently enrolled in the curriculum shall be retained in the staff file at the facility.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, staff files were reviewed. Staff person #7 is listed as an Aide in the facility. Director reports that staff person #7 is enrolled in an approved training curriculum. File for staff person #7 did not contain written certification from a representative of the training institution that staff person #7 is enrolled in an approved training curriculum and has completed the required classroom training

Corrected by Sep 15, 2025

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3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, staff files were reviewed. Previous pediatric first-aid/CPR training certificate on file for staff person #4 expired on 11/30/2023 and was not renewed until 1/10/2024. Pediatric first-aid/CPR training certificate on file for staff person #5 is dated 1/3/2025, which is past 90 days since hire date (see LIS code sheet for date of hire). Pediatric first-aid/CPR training certificate on file for staff person #6 is dated 12/23/2024, which is past 90 days since hire date (see LIS code sheet for date of hire).

Corrected by Sep 15, 2025

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3270.32(a)/3270.192(4) · 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.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, staff files were reviewed. Child abuse clearances on file for staff person #1 were dated 12/9/2019 and 12/11/2024, which is past 60 months. Child abuse clearances on file for staff person #2 were dated 12/12/2019 and 12/19/2024, which is past 60 months. Child abuse clearances on file for staff person #3 were dated 12/6/2019 and 12/10/2024, which is past 60 months. NSOR clearances on file for staff person #4 were dated 1/31/2020 and 2/18/205, which is past 60 months.

Corrected by Sep 15, 2025

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3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, a sample of children's files were reviewed. Emergency contact form on file for child #3 did not include the address and phone number of child's physician or health insurance policy number.

Corrected by Sep 15, 2025

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3270.124(b)(7) · 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.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, a sample of children's files were reviewed. Emergency contact form on file for child #4 did not include the addresses or phone numbers of release people.

Corrected by Sep 9, 2025

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, a sample of children's files were reviewed. Health assessment on file for child #1 was dated 10/9/2024 which is more than 6 months old. Child #1 is a young toddler (see LIS code sheet for date of birth).

Corrected by Sep 10, 2025

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and child #5 must be dismissed from care by close of business 9/8/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, a sample of children's files were reviewed. immunization record on file for child #1 indicated that child received 1 of 2 doses of the Hep A vaccine. Child #1 is a young toddler (see LIS code sheet for date of birth). There was no exemption on file. Immunization record on file for child #2 indicated that child received 1 of 2 doses of the Hep A vaccine. Child #2 is an older toddler (see LIS code sheet for date of birth).

Corrected by Sep 10, 2025

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3270.151(a)/3270.151(c)(2) · 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. 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 renewal inspection was conducted 9/8/2025-9/9/2025. At that time, staff files were reviewed. Health assessments on file for staff person #1 were dated 8/24/2022 and 9/4/2024, which is past 24 months. Initial health assessment on file for staff person #7 is dated 9/2/2205 and initial TB test is dated 6/3/2025, which are both past their start date (see LIS code sheet).

Corrected by Sep 15, 2025

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3270.181(c) · 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.

A renewal inspection was conducted 9/8/2025-9/9/2025. At that time, a sample of children's files were reviewed. Emergency contact form on file for child #2 was last updated 12/26/2024 and fee agreement for child #2 was last updated 1/17/2025, which is over 6 months ago. Fee agreement for child #3 was last updated 8/4/2023, which is over 6 months ago.

Corrected by Sep 15, 2025

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

During renewal inspection, the following staff members did not update their fire safety training within 12 months: Staff person #4: Fire safety trainings on file dated 8/23/2023 and 9/10/2024. Staff person #5: Fire safety trainings on file dated 8/23/2023 and 9/9/2024. Staff person #7: Fire safety trainings on file dated 8/23/2023 and 9/10/2024. Staff person #8: Fire safety trainings on file dated 8/23/2023 and 9/10/2024. Staff person #9: Fire safety trainings on file dated 8/21/2023 and 9/10/2024. Staff person #10: Fire safety trainings on file dated 5/17/2023 and 9/12/2024. Staff person #11: Fire safety trainings on file dated 8/21/2023 and 9/10/2024. Staff person #12: Fire safety trainings on file dated 8/23/2023 and 9/10/2024. Staff person #13: Fire safety trainings on file dated 8/30/2023 and 9/10/2024.

Corrected by Sep 27, 2024

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3270.124(b)(3)/3270.124(b)(7) · 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.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Release persons' addresses. Child #3: Both parent's work addresses and work telephone numbers. Child #4: Mother's work information. Release person's address.

Corrected by Sep 30, 2024

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3270.124(b)(6)/3270.182(5) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Health insurance information and policy number. Child #2: Consent to administer minor first-aid by facility staff. Child #4: Health insurance policy number.

Corrected by Sep 30, 2024

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During renewal inspection, last health assessment on file for child #3 is dated 8/24/2023. Child #3 is preschool-aged (see LIS code sheet for DOB).

Corrected by Sep 30, 2024

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3270.151(a)/3270.151(c)(2) · 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. 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.

During renewal inspection, health assessment on file for staff person #1 is dated 9/7/2024 and TB test is dated 9/4/2024, which is past start date (see LIS code sheet for start date). TB test on file for staff person #2 is dated 10/17/2016, which is past one year prior to start date (see LIS code sheet for start date). There is no initial health assessment on file for staff person #6 (see LIS code sheet for start date). Health assessments on file for staff person #5 are dated 8/24/2022 and 9/4/2022, which is past 24 months. Last health assessment on file for staff person #9 is dated 8/29/2022, which is past 24 months. Health assessments on file for staff person #11 are dated 8/15/2022 and 9/14/2024, which is past 24 months. Health assessments on file for staff person #12 are dated 8/3/2022 and 9/14/2024, which is past 24 months. Health assessments on file for staff person #14 are dated 8/22/2022 and 9/11/2024, which is past 24 months.

Corrected by Oct 11, 2024

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3270.181(c) · 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.

During renewal inspection, emergency contact form for child #3 was last updated 11/28/2023 and fee agreement for child #3 was last updated 2/19/2024, which are past 6 months.

Corrected by Sep 30, 2024

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3270.192(5) · 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.

During renewal inspection, there was only one written, nonfamily reference in file of staff person #3.

Corrected by Sep 30, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During renewal inspection, staff person #4 had 9 hours of childcare training on file for training year 12/19/2022-12/19/2023.

Corrected by Sep 30, 2024

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 10/16/23 child #1 was missing documentation of age appropriate third Hib and fourth PCV vaccines. Child #2 was missing age appropriate fourth PCV and second Hepatitis A vaccines. There were no exemption letters on file. Child #1 and #2 must be removed from care until proper documentation is on file.

Corrected by Oct 23, 2023

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3270.14/3270.21 · 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.

On 9/19/23 during the renewal inspection, the emergency plan did not contain a continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

Corrected by Sep 26, 2023

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

During the renewal inspection on 9/19/23, the letter to parents regarding the facility's emergency plan did not include information on accommodations for toddlers, children with special needs or children with chronic medical conditions.

Corrected by Sep 26, 2023

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3270.32(a)/3270.192(4) · 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. Facility Person #2 may not work in a child care position at the facility.

During the renewal inspection on 9/29/23, Staff #2 had a Dept of Ed FBI clearance and not the required DHS clearance. Staff #2 must be removed from care until the appropriate clearance is on file.

Corrected by Sep 20, 2023

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3270.76 · 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.

On 9/19/23 during the renewal inspection, sharp scissors were accessible in the unlocked drawer of the desk in Room 3.

Corrected by Sep 26, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

As of the renewal inspection on 9/19/23, the most recent health assessment for child #1 was dated 7/12/22.

Corrected by Sep 21, 2023

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3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

As of the renewal inspection on 9/19/23, there was no documentation of influenza vaccine or exemption letters on file for child #2 or #3. Child #2 and #3 must be removed from care until proper documentation is on file.

Corrected by Sep 21, 2023

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3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 will have until 10/10/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During the renewal inspection on 9/19/23, Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Pediatric First Aid and Pediatric CPR with a PQAS approved trainer.

Corrected by Oct 13, 2023

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3270.31(e)(4)(ii) · 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.

During the renewal inspection on 9/21/22, the most recent fire safety training for Staff #8 was dated 11/13/20.

Corrected by Sep 23, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff #4 and #10 will have until 10/7/22 to complete the mandated reporter training. Until such time as the required training has been completed, Staff #4 and #10 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #4 and #10 , Staff #4 and #10 may not work in a child-care position at the facility. Facility Person # 2 and #5 may not work in a child care position at the facility until all clearances are on file.

As of the renewal inspection on 9/21/22, Staff #4 and #10 have not completed an approved mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #2 and #5 did not have a State Police Clearance certificate.

Corrected by Sep 23, 2022

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

As of the renewal inspection on 9/21/22, there was no written evaluation for staff #4.

Corrected by Sep 23, 2022

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection on 9/21/22, the emergency contact information for child #1, #6, and #7 did not include health insurance information.

Corrected by Oct 21, 2022

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3270.124(f)/3270.181(c) · 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.

During the renewal inspection on 9/21/22, the most recent update of the emergency contact information and fee agreement for child #2 was 2/23/22. The most recent update of the emergency contact information for child #6 was 12/22/21.

Corrected by Oct 21, 2022

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

On 9/21/22 during the renewal inspection, the most recent health assessment on file for child #6, a young toddler, was 3/19/22.

Corrected by Oct 21, 2022

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection, the most recent health assessment for child #1 was 9/15/21, for child #2 it was 9/17/21, child #4 it was 8/3/21.

Corrected by Oct 21, 2022

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection on 9/21/22, there was no documentation of influenza vaccine for child #1, #4, and #6. The most recent influenza vaccine for child #3 was 10/10/20, and for child # 5 it was 9/1/20.

Corrected by Oct 21, 2022

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3270.151(a) · 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.

As of the renewal inspection on 9/21/22, the most recent health assessment on file for Staff #3 was dated 9/10/20.

Corrected by Sep 23, 2022

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During the renewal inspection on 9/21/22, the health assessment of Staff #6 did not include documentation that the physician conducted an exam for communicable diseases.

Corrected by Sep 23, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection on 9/21/22, there was no documentation on file of an emergency drill being conducted.

Corrected by Sep 23, 2022

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3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

As of the renewal inspection on 9/21/22, there was no initial health assessment on file for child #7 who has been enrolled for more than 60 days.

Corrected by Oct 21, 2022

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3270.171(a) · An operator shall 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.

As of the renewal inspection on 9/21/22, the operator had not notified the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the facility in the past year.

Corrected by Sep 23, 2022

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 9/14/21 during the renewal inspection, the emergency plan did not provide for accommodations for toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Oct 14, 2021

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

On 9/14/21 during the renewal inspection, there was no evidence that the emergency plan had been submitted to the local municipality.

Corrected by Oct 14, 2021

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3270.151(a) · 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.

On 9/14/21 during the renewal inspection, the most recent health assessment for staff #2 was dated 9/12/19.

Corrected by Sep 30, 2021

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #1 may not work in a child care position at the facility.

On 9/14/21 during the renewal inspection, Staff #1 (hire date 9/13/21), who was working in the classroom, did not have NSOR documentation and the facility does not have a new hire waiver.

Corrected by Sep 14, 2021

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 9/14/21 during the renewal inspection, the emergency contact information for child #1 did not include the health insurance policy number.

Corrected by Sep 30, 2021

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 9/14/21 during the renewal inspection, the most recent influenza vaccine for child #2 was dated 11/13/19.

Corrected by Oct 14, 2021

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