Bright Beginnings Childcare And Learning 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.

Noncompliance Area: The file for staff person #3, whom was hired as an assistant group supervisor on 1/29/18 lacked an NSOR verification certificate. The file for staff person #4, whom was hired as an assistant group supervisor on 9/22/20, lacked valid state police and child abuse clearances. The clearances were requested for volunteer purposes instead of employment purposes. The file for staff person #6, whom was hired as the director of the facility on 4/18/11, lacked state police and child abuse clearances that were updated within 60 months from the previous clearances. The state police clearances in the file are dated 4/6/15 and 8/27/20. The child abuse clearances in the file are dated 4/18/15 and 9/2/20.

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. Facility Persons #3 and #4 may not work in a child care position at the facility.

Noncompliance Area: The files for staff persons #1, #2, #3, #5, #7, and #8 lacked staff evaluations that were completed within the past year. The staff evaluations in the files were dated 10/13/19.

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: On the power strip under the television in the school-age area an outlet was observed that did not have a protective receptacle cover accessible to children 5 years of age or younger.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: In the preschool room an unlocked cabinet was observed that contained a bottle of Raid Bug Spray, Wipe Away, Weed B Gone, and Bug Stop all labeled "Keep Out of the Reach of Children" accessible to the children. In the office area an unlocked cabinet was observed that contained 3 cans of Raid Bug Spray, 3 cans of Krylon paint, 5 bottles of hand sanitizer, Awesome Cleaner, and Goof Off Cleaner all labeled "Keep Out of Reach of Children" accessible to the 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: In the purple rest room a hand washing sign was observed to be missing above the toilet.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: It was observed on the fire drill log that there were more than 60 days in between 11/5/19 & 1/10/20 and 7/17/20 & 9/25/20.

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: The refrigerator by the television in the preschool/school-age room was observed not to have an operating thermometer placed in it.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: A bottle of Children's Ibuprofen was observed in a blue back pack in an area that is not out of the reach of children. A bottle of Children's Tylenol was observed in a cubby in an area that is not out of the reach of 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: The files for staff persons #1 and #2 lacked health assessments that were conducted within the past 24 months. Staff person #1's health assessment was dated 1/22/17. Staff person #2's health assessment was dated 10/1/17.

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 #5 lacked a health assessment that included an examination for communicable diseases and the results of that examination.

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

Noncompliance Area: Stonyfield Organic Kids yogurt was observed in the fire truck lunch box outside of the refrigerator. A salami sandwich was observed in a bug lunch box outside of the refrigerator.

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

Noncompliance Area: The file for staff person #5, whom was hired provisionally as an assistant group supervisor, on 4/23/18 lacked a child abuse clearance that was placed in the file prior to the provisional period ending on 7/23/18. The child abuse clearance was dated 2/10/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The files for staff persons #2-#9 lacked staff evaluations that were completed within the last 12 months. The staff evaluations were date 7/31/18.

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 file for staff person #3 lacked proof of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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: At approximately 9:00am staff person #1 identified 2 infants, 3 young toddlers, and 3 older toddlers in the group in the infant room making staff person #1's group over ratio by 4 children due to the youngest child in the group being an infant.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: Three protective receptacle covers were observed to be missing on the power strip under the television accessible to children 5 years of age or younger.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Humidifier water treatment labeled keep out of reach of children was in the 3rd unlocked cabinet from the right on a shelf 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 file for staff person #1 lacked initial emergency plan training that was completed within the first week of hire.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The file for staff person #2, whom was hired provisionally as an assistant group supervisor at the child care, lacked a valid State Police Clearance. The file for staff person #3, whom was hired provisionally as an aide at the child care, lacked mandated reporter training that was completed within 90 days from the hire date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: In the preschool room two broken toy bins were observed that had sharp corners and pinch and crush points.

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.