A Bright Future Learning Center

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection it was observed that Child #1's emergency contact sheet did not have the health insurance coverage or 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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During renewal inspection, it was observed that Staff #1's CPR on file was not an acceptable CPR Training. It needed to be Pediatric CPR and the certificate stated it was Adult First-Aid CPR.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a facility person 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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: During renewal inspection, it was observed that the following dates indicate that fire alarm testing was not done within the 30-day requirement: 5/24/24, 6/24/24, 8/23/24. 9/23/24, 10/22/24, 11/22/24, 12/20/24, 1/20/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 has not completed the required 1-hour update to the health and safety within 90 days of their hire date (see LIS Code Sheet).

Correction Required: Staff person #1 shall complete the required one-hour 2022 update to the health and safety training within 90 days of hire. Staff #1 will have until 3/21/24 to complete the required training.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: While at the facility unannounced on 10/18/23 the inspector asked to view the fire drill/detection log and was told that the facility had been a target of malware and had their computers, and files held for ransom. The fire drill/detection log had been converted to a full digital program in March of 2023 and that could not be accessed due to the ransom. Due to this the facility could not produce any fire drill/detection documentation since February 1st, 2023. The inspector then asked several staff how often fire drills and emergency evacuations were held and the staff noted that the facility does both monthly usually on the first of the month.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed that the file for child #2 was missing proof of having had an Influenza vaccine since enrollment (see code sheet for enrollment date).

Correction Required: 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 childcare group settings). Child # 2 must be dismissed from care by close of business on 2/28/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed that the file for child #1 last had an update to the emergency contact information and the financial agreement on 3/6/21 and it is required at least once in a 6-month period or as soon as there is a change in the information.

Correction Required: 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: 3270.27(f)/3270.171(a)

Description: Emergency plan/Pick-up and drop-off points

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed the emergency plan and notice to local traffic authority and noted that the emergency plan had not been sent to the local municipality and to the county emergency management agency since 2/8/22 and the notice to local traffic authorities had also not been sent since 2/8/22.

Correction Required: 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. 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 childcare facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed that staff person #1, #2, #3, #4, #5, #6, #7, #8 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff #1 completed this training on 1/21/23, staff #2 completed this training on 1/19/23, staff #3 completed this training on1/23/23, staff #4 completed this training on1/18/23, staff #5 completed this training on1/19/23, staff #6 completed this training on 1/19/23, staff #7 completed this training on 1/13/23, staff #8 completed this training on 1/13/23..

Correction Required: Staff persons shall complete professional development within the allotted time frames as required.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed that staff #3 had an initial Childline clearance dated 1/20/17 and did not update it until 2/7/22. This clearance needed to be updated prior to expiration. Further, staff # 3 last had an FBI clearance on 3/24/17 and no proof of having an update as of 2/28/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3 may not work in a childcare position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: While at the facility for the renewal inspection on 2/28/23 the inspector observed the fire drill/detection log and noted that fire system testing was not occurring every 30 days as is required with dates of 6/2/22 and not again until 8/5/22 and then from 8/5/22 to 10/3/22 and not again until 12/5/22.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 2/17/22 while at the facility for the renewal visit the inspector observed the emergency plan and found that it was missing accommodations for infants, toddlers, children.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 2/17/22 the inspector observed the emergency plan and noted that it was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Noncompliance Area: On 2/20/20 a renewal inspection occurred at the facility. A physical site review was conducted. The outdoor play space contained 2 little tikes picnic tables and on the benches were found rusty screws. This outdoor play space contained a little tikes 4-walled climber that had a cracked red slide and a yellow side piece that lifted up and down that was broken. These toys were identified to the assistant director in the areas that needed repair.

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: On 2/20/20 a renewal inspection occurred at the facility. A physical site review was conducted. In the preschool room, 2 cots were found to be ripped at the netting. These cots were identified to the assistant director.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: On 2/20/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff file # 2 contained a health assessment dated for 12/12/18 that did not address if a physical examination was conducted on the listed staff.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: On 2/20/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff file # 2 contained a health assessment dated for 12/12/18 that did not address if the listed staff was free from communicable diseases after examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: On 2/20/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff file # 2 contained a health assessment dated for 12/12/18 that did not address based on assessment if the person was suitable 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: On 2/20/20 a renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a date of hire of 9/23/19. The file did not contain documentation of mandated reporter training completed until 2/2/20. The mandated reporter training was not completed within 90 days of employment per CPSL. Staff file # 3 contained a state police clearance dated for 3/5/13 and this clearance was not updated until 7/30/18, a child abuse clearance dated for 3/28/13 and this clearance was not updated until 1/10/19, an FBI clearance dated for 3/15/13 and this clearance was not updated until 11/9/18. Staff # 3 did not update these clearances every 60 months (5 years) per CPSL.

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.

Noncompliance Area: On 2/20/20 a renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Fire drills were documented as occurring on 2/15/19, 4/22/19, 6/10/19, 8/29/19, 10/11/19, 12/16/19, and 2/18/20. These fire drills did not occur at least every 60 days per regulation.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. The outdoor play area that contained an embedded climber and pea gravel was inspected. The pea gravel under this equipment was not sufficient per the Consumer Product Safety Commission's Playground Safety Handbook and was lacking 9 inches of pea gravel. Exposed dirt was viewed under the climber.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: On the date of this inspection, a review of children's files was conducted. Child file # 1 was missing consent for emergency medical care.

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: On the date of this inspection, a review of children's files was conducted. Child file # 1 was missing complete health insurance information including the policy number. Child file # 2 was missing complete health insurance information including the policy number. Child file # 5 was missing 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.

Noncompliance Area: On the date of this inspection, a review of children's files was conducted. Child file # 1 emergency contact and agreement form was dated 2/23/18 and both were not updated at least every 6 month period until 11/3/18. Child file # 2 emergency contact dated 9/25/17 and agreement form was dated 3/30/17 and both were not updated at least every 6 month period until 9/20/18. Child file # 4 emergency contact and agreement form was dated 3/2/18 and both were not updated at least every 6 month period until 12/7/18.

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 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.

Noncompliance Area: On the date of this inspection, a review of children of children's files was conducted. Child file # 1 was missing consent for administration of minor first-aid procedures by facility staff.

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 the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 2/11/19 and the Director was attempting to qualify Staff # 1 for an Aide position within the facility but the file was missing proof of education. Staff file # 2 had a date of hire of 8/20/18 and the Director was attempting to qualify Staff # 2 for an Aide position within the facility but the file was missing proof of education. Both Staff # 1 and Staff # 2 were working in ratio with children at the time of this inspection without proper qualifications.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 2/11/19 and the Director was attempting to qualify Staff # 1 for an Aide position within the facility but the file was missing proof of education. Staff file # 2 had a date of hire of 8/20/18 and the Director was attempting to qualify Staff # 2 for an Aide position within the facility but the file was missing proof of education. Both Staff # 1 and Staff # 2 were working in ratio with children at the time of this inspection without proper qualifications.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. In the toddler room changing table were 12 bottles of sunscreen that were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: THE INFANT ROOM HAS 3 INFANTS SLEEPING IN PACK N PLAYS THAT DO NOT HAVE 2 FEET OF SPACE ON 3 SIDES.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: THERE IS A PACK N PLAY IN THE TODDLER ROOM THAT HAS A RIP IN THE NETTING ON THE SIDES. THERE ARE 6 INFANTS IN THE INFANT ROOM WITH TWO STAFF. THE FOUR PACK N PLAYS IN THE INFANT ROOM ARE NOT LABELED. TWO INFANTS USE ROCK N PLAYS TO SLEEP IN AS REPORTED BY STAFF. THE ROCK N PLAYS ARE ELEVATED AND DO NOT ALLOW THE INFANTS TO SLEEP FLAT ON THEIR BACKS.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: STAFF PERSON # 1 HAS NO PROOF OF HAVING A PHYSICAL HEALTH ASSESSMENT.

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.

Noncompliance Area: THERE IS EXPIRED MILK 2/16/17 IN THE KITCHEN REFIGERATOR.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: THERE ARE UNLABELED BOTTLES IN THE KITCHEN AND IN THE INFANT ROOM.

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: STAFF PERSON # 2 HAS NO PROOF OF CHILD CARE EXPERIENCE ON FILE.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF PERSON # 4 HAS NOT COMPLETED A STAFF EVALUATION FOR STAFF PERSON # 3 IN OVER 12 MONTHS FROM 5/5/15 TO 6/15/16.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: THE FACILITY OUTDOOR PLAY SPACE IS NOT SAFE TO BE USED DUE TO CONSTRUCTION OF A NEW OUTDOOR PLAY SPACE.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Noncompliance Area: THERE WAS AIR FRESHNER ON A SHELF IN THE BATHROOM ACCESSIBLE TO THE CHILDREN. THERE WAS AIR FRESHNER ON A SHELF ACCESSIBLE TO THE CHILDREN IN THE SMALL SCHOOL AGE TV ROOM. THERE IS DISENFECTANT BATROOM CLEANER IN AN UNLOCKED CLOSET IN THE SCHOOL AGE BATHROOM.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: THERE ARE NO TAPE, SCISSORS OR TWEEZERS IN THE INFANT ROOM FIRST AID KIT.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: THERE IS A METAL HOOK STICKING OUT OF THE WALL IN THE TODDLER ROOM. THE PRESCHOOL BATHROOM HAS 1 CEILING TILE THAT IS BROKEN IN MULTIPLE SPOTS. THE SCHOOL AGE ROOM HAS A HOLE IN THE INSIDE OF THE DOOR, A HOLE IN THE WALL NEXT TO THE DOOR AND A CRACKED DRESS UP STANDING MIRROR, RIPPED RED AND GREEN SITTING CHAIRS AND GOLD HOOKS STICKING OUT OF THE WALL BY THE CORK BOARD. .

Correction Required: 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.