Bright Beginnings Childcare And Learning Center - Worthington PA Child Care Center

Noncompliance Area: Near the door to the playground a cracked blue toy bin was observed that had rough edges and pinch and crunch points. On the playground to the left of the fence door 3 exposed bolts were observed.

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: The file for child #1 lacked emergency contact information that included the home phone number, work address, and work phone number of the enrolling parent. The file for child #2 lacked emergency contact information that included the home and work addresses and the telephone numbers of the enrolling parent. The file for child #4 lacked emergency contact information that included the home phone number, work address, and work phone number of the enrolling parent. The file for child #5 lacked emergency contact information that included the work address and phone number 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: The file for child #3 lacked emergency contact information that included the written consent signed by a parent for emergency medical care prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files for children #2 and #3 lacked emergency contact information that included 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: The file for child #5 lacked emergency contact information that included 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.

Noncompliance Area: In the preschool room and the infant/toddler/school-age room it was observed that emergency contact information was not present for the children receiving care in the space.

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.

Noncompliance Area: The medication box containing Infants Tylenol, Orajel, Children's Ibuprofen, Equate Pain Reliever and Reducer, Children's Motrin, and Children's Cold and Cough was observed in an unlocked cabinet within reach of the children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: There were medications in the medication box that were expired. A bottle of Infants Tylenol that expired on 1/2019, Children's Ibuprofen that expired on 4/2019, and Children's Motrin that expired on 9/2019.

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 12/11/17 and 1/30/20. The file for staff person #7 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 4/5/18 and 10/6/20. The file for staff person #8 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 6/15/18 and 9/22/20.

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: The file for staff person #7 lacked a health assessment that was signed by a physician, physician's assistant, or CRNP.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: The file for staff person #7 lacked a health assessment that include an examination for communicable diseases and the results of that examination. The health assessment also lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The file for staff person #7 lacked a health assessment that included the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file for child #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Correction Required: 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.

Noncompliance Area: On 11/9/20, it was observed that there was not an operable fire detection system because the smoke detector in the infant area did not sound when activated.

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

Noncompliance Area: The file for staff person #1 lacked mandated reporter training that was dated within the past 60 months. The mandated reporter training in the file is dated 8/10/15. The file for staff person #5 lacked mandated reporter training that was dated within the past 60 months. The mandated reporter training in the file is dated 4/20/15. The file for staff person #6 lacked mandated reporter training that was dated within the past 60 months. The mandated reporter training in the file is dated 1/12/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.