Bright Beginnings Early Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A wooden play stove with a broken knob/handle and a drawing desk on wheels that was not steady were observed in the in the facility's school age rooms.

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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash receptacle used in the diapering area of the facility's One's room was observed to lack a hands-free lid on the trash receptacle.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #3 was observed to contain a health exam that was not obtained within 24 months from the previous health report. This was evidenced by health reports dated 05/16/2022 and 12/9/2024 a period of 30 months present in the file.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child; however, this letter did not specify a method to inform parents the emergency ended and provides them instructions on how to be safely reunited with their child. This letter also lacked to specify the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The baseboard heat enclosures in the facility's Fours and Five's room were observed to be missing a connector piece thereby creating a hazard of sharp, pointed metal.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The facility was observed to have a grey bin filled with tinker toys that had a crack/split/hole on the lid of the bin.

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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The "purple" table in the facility's 4-year-old room was observed to have loose legs causing the table to be unsteady.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #4 was observed to contain an agreement form that did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #4 was observed to contain an agreement form that lacked information regarding the services to be provided to the family and the child.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #2 was observed to contain an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Correction Required: 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: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children #1, #2 and #3 were observed to lack verification of obtaining an updated health report at least once every 12 months. This was evidenced by the only health report in the file for child #1 was dated 12/28/2023. Health reports dated 1/09/2024 present in the file for child #2, and a health report dated 09/22/23 in the file of child #3.

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. 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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #1 was observed to lack verification of child care experience, prior to service at the facility.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: The facility was observed to have a clear liquid identified as "sanitizer" by staff stored in a clear gallon jug with no details of the contents in a locked cabinet in both the 1-year-old room and in the infant room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:20 p.m., observed in the Pre-K 3 room insufficient lighting during naptime to properly see and assess the children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the infant room, a pack 'n play labeled for child #5 with a hole in the netting.

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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed infant #1 and infant #2 sleeping in pack 'n plays that measured less than 2 feet apart from one another.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, there was not a working thermometer in the refrigerator in the Toddler #2 room.

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.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: Observed child #1, an infant sleeping in a pack 'n play with the mat installed in the top third of the equipment. However, this did not allow for a flat, firm surface, and the child was not lying in a supine position.

Correction Required: 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #1 and #2 lacked emergency contact forms with the full addresses of the individuals designated by the parents to whom the children may be released.

Correction Required: 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: At the time of the inspection, there were not emergency contact forms in the respective rooms in which CR observed the following children receiving care: Toddler 1 room - Child #5, Toddler 2 room - Child #6, Pre-K 4 room - Children #4, #7, #8, #9, and #10, and Pre-K 3 room - child #3.

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)(1)/3270.182(1)

Description: Initial health report for infant dated no more than 3 months/Initial and subsequent health reports

Noncompliance Area: The file of child #11 lacked an updated health assessment.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #1 had health assessments dated: 9-13-21 and 9-19-23. The file of staff #2 had health assessments dated: 7-19-21 and 12-7-23. The file of staff #4 had health assessments dated: 11-15-21 and 12-4-23.

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.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #3 lacked documentation of completing Mandated Reporter training every 60 months due to the fact the documents on file were dated: 5-22-17 and 12-6-22. The file of staff #4 lacked documentation of completing Mandated Reporter training every 60 months due to the fact the documents on file were dated: 6-11-16 and 8-9-21.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #3 had clearances that were dated as follows: PA State Police 5-11-17 and 9-28-22; PA Child Abuse 5-18-17- and 9-30-22; FBI 5-17-17- and 9-30-22. The file of staff #4 had clearances that were dated as follows: PA State Police 11-7-15 and 11-11-20; PA Child Abuse 11-10-15 and 11-12-20; FBI 11-14-15 and 8-12-21.

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.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: At the time of the inspection, Pre-K room #4 lacked a posting of the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: At the time of the inspection, there were no emergency contact forms with the signed parental consent for swimming and wading for the following children: child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Second citation previously cited, the fie of child #1 lacked an updated health assessment; the one on file was dated 9-20-21. The file of child #2 lacked an updated health assessment; the one on file was dated 12-26-21.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a pink dollhouse and a Frozen character dollhouse both stood 4' 6" tall and needed anchored to prevent crush hazards due to the fact both were made from wood, but wobbly from side to side and could easily be pushed over.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed in Toddler 2 room 2 mats labeled BF torn along the edges with exposed foam.

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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed in toddler 1 and toddler 2 rooms children resting on rest mats that were less that 2' apart. CR measured them to be 1' to 1.5' apart.

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.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The first school age room downstairs and the gross motor room located downstairs, lacked a daily schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full address of the child's physician or 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)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #5 lacked an emergency contact form with the parent's full work address. The file of child #6 lacked an emergency contact form with the parent's work address and phone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #4 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #1, #3, and #4 lacked emergency contact forms with addresses of the individuals designated by the parents to whom the children may be released.

Correction Required: 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The fie of child #1 lacked an updated health assessment; the one on file was dated 9-20-21. The file of child #2, with an enrollment date of 11-15-21 lacked a health assessment. The file of child #4 lacked an updated health assessment; the one on file was dated 12-26-21.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The policy for Shaken Baby Syndrome, Abusive Head Trauma, And Child Maltreatment did not address the prevention of Child Maltreatment.

Correction Required: 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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of staff #6, the facility person who preps lunch, lacked a health assessment. The file of staff #3 had a late health assessment due to the fact the ones on file were dated 2-2-22 and 8-30-19.

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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Based on conversation with the director and owner, the emergency plan was not sent to the county emergency management agency.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2 and #5 have not completed the following required pre-service training within 90 days of their hire dates (see LIS code sheet): Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development in the topics of 3270.(f)(1-10) within 90 days of hire. Staff person #2 and #5 will have until 2-15-23 to complete the required training. Until such time as the required training has been completed, staff person #2 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there is no staff available to supervise staff #2 and #5, staff person #2 and #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12-3-22 and 9-7-17. Staff person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2-27-20 and 2-26-15.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff person #3 had late clearances due to the fact the clearances on file were dated: PSP 9-28-22 and 9-1-17; Child Abuse 10-2-22 and 9-16-17; and FBI 10-3-22 and 9-6-17.

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.

Regulation: 3270.35(b)(4)/3270.192(2)(iii)

Description: Associate's, 30 + 3 yrs/Exp, educ., training at facility

Noncompliance Area: The file of staff #1, a group supervisor lacked education due to the fact there was no transcript on file.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file of staff #3, an AGS lacked proof of 2 years' experience.

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 following the outset of service at the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed a first aid kit hanging on a hook in the hallway accessible to children. Observed in both school age rooms downstairs, accessible first aid kits due to the fact they were stored on a shelf low enough for children in care to reach.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed in preschool 4 room peeling paint on the door around the doorknob. The door was located at the far end of the room near the nap mat storage.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The handicap accessible restroom lacked a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the smoke detection log, testing of the smoke detection system was done more than 30 days apart on the following dates: 7-1-22 to 8-1-22 = 31 days, 8-1-22 to 9-1-22 =31 days, 9-1-22 to 10-3-22 = 32 days.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in preschool room #2 broken Magna Tiles; 4 square and 1 triangle shaped.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the older toddler room, a bin with flakes of artificial snow and foam stickers measuring less than 1 inch in diameter. Children observed in this space were children in care who still mouthing toys.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: Observed in the infant room, a grey colored Graco brand high chair lacking the shoulder straps intended by the manufacturer. Observed in the infant room, an owl pattern Graco brand high chair with the shoulder straps not threaded through the fabric as intended by the manufacturer.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file of child #3 lacked an agreement signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file of child #3 lacked an agreement with the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files of children #1, #3, and #4 lacked agreements with the persons designated by a parents to whom the children may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 lacked agreements with the children's admission dates.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 had the original agreements rather than copies.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #3 lacked an emergency contact form with the work address of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #1 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #1 and #2 lacked emergency contact forms with addresses of the individuals designated by the parents to whom the children may be released.

Correction Required: 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked an initial health assessment which was due 1-18-22. The file of child #4 lacked an initial health assessment which was due 1-2022. The file of child #5 lacked an initial health assessment which was due 11-25-21.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed in the young toddler room, expired Tylenol for child #2 due to the fact it was dated 11-21.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed in the young toddler room, medication labeled for child #1 and #2 but no medication logs.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for staff person #1 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file of staff #2 had health assessments that were more than 24 months apart due to the fact they were dated 4-2-18 and 9-2-20.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation of completing an emergency drill by 12-19-21.

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(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #2 lacked documentation of completing Mandated Reporter training every 60 months due to the fact the documents on file for completing Mandated Reporter training were dated 2-25-15 and 2-27-20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #3 had documentation of living in North Carolina within the last 5 years, lacked clearances from North Carolina.

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

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: Based of conversation with the director and review of the staff files, there are not enough Group Supervisors staffed due to the fact there are 92 children enrolled and 48 children in attendance on a daily.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the restroom used by children 2 bottles of Clorox toilet bowl cleaner, 1 bottle of Lysol cleaner, 1 bottle of Windex cleaner all labeled "keep of reach or hazardous to humans" stored on the top of cabinets, accessible to children due to the fact there were 2 step stools at the counter.

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: Child #3 was observed having an enrollment date of 1/15/20 and initial health report dated 6/18/20, exceeding 60 days after 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.

Noncompliance Area: Children #1 and #2 lacked a flu vaccination for the 2019/2020 flu season or a letter of exemption on file from the parent.

Correction Required: 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.

Noncompliance Area: Staff #1 lacked raining regarding the emergency plan at the time of initial employment. Employment in child care was documented as 9/30/19 and initial emergency plan training 2/10/20.

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: Staff #1 and #2 lacked Mandated Reporter training completed every 60 months in compliance with the Child Protective Services Law (CPSL). Training dates for staff #1 were 5/28/15 and 8/31/20. Training dates for staff #2 were 5/28/15 and 8/30/20.

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

Noncompliance Area: The chain link fencing surrounding the outdoor child care space was observed having exposed bolts around the entrance gate.

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 infant room lacked a written plan of daily activities posted in the group space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The agreement for child #1 and #2 lacked the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Child #2 lacked the address of the individual designated by the parent to whom the child may be released included on the emergency contact form.

Correction Required: 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.

Noncompliance Area: Staff #1 was observed having health assessments on file dated 5/17/17 and 6/24/19, exceeding 24 months between assessments.

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: Staff #2 lacked 6 clock hours of child care training during the period of 1/22/18 to 1/22/19.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file for child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Correction Required: 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.

Noncompliance Area: The facility lacked a posting of safe routes parents should utilized during pick up and drop off of children.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The file for child #2 lacked parental review and update to the emergency contact information and the financial agreement at least once in a 6-month period. The most current review dates were observed being dated 2/5/18.

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.

Noncompliance Area: The file for child #2 was observed having the most current health report dated 7/17/16 as a preschool child.

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.

Noncompliance Area: The file for staff #1 lacked the date of the initial tuberculosis screening.

Correction Required: 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.

Noncompliance Area: The facility lacked a letter notifying the local authorities in writing of the location of the facility and the program`s use of pedestrian and vehicular routes around the day care facility.

Correction Required: 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 day care facility.

Noncompliance Area: The files for children #1, #2, #3, and #4 lacked review and update to the emergency contact information and the financial agreement at least once in a 6-month period. All files were reviewed and updated in January 2017 and August 2017.

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.

Noncompliance Area: The file for staff #2 lacked a disclosure statement on file.

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: The child saftey lock located on the bathroom sink cabinet was not working correctly making diaper creams 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 first-aid kit located in the infant room lacked medical tape.

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.