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Child Care Center ✓ Licensed

Bright Horizons At Southside Works

Pittsburgh, PA · Allegheny County
2629 E CARSON ST, Pittsburgh, PA 15203
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Quick Facts

Capacity
132 children
Languages
English, English
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (412) 488-8690
2629 E CARSON ST
Pittsburgh, PA 15203
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✓ Licensed Child Care Center
Active License
License Number
CER-00244560
License Issued
Sep 7, 2025
Expired
Sep 7, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 5

Reviews

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About the Provider

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Hours of Operation

  • Monday7:30 AM - 6:30 PM
  • Tuesday7:30 AM - 6:30 PM
  • Wednesday7:30 AM - 6:30 PM
  • Thursday7:30 AM - 6:30 PM
  • Friday7:30 AM - 6:30 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-06-15 Renewal 3270.102(a) - Clean and good repair Needs Verification

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 4 Magna Tiles in the Preschool room and 4 Magna Tiles in the K-Prep room that had cracked and broken edges with missing pieces of plastic on the edges.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Magna Tiles were disposed of upon discovery immediately.
2026-06-15 Renewal 3270.103 - Small Toys and Objects Needs Verification

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a sensory bottle in Two's 1 containing items smaller than an inch inside with an unsecured lid making the items accessible to children. There were plastic bugs on the sink counter in Two's 2 that were < 1 inch; staff were unable to identify what the bugs were used for, and they were accessible to children. There was a foam football in the Infant/Toddler outdoor playspace that had multiple pieces of foam <1 inch in size missing.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sensory bottle in Twos 1 were thrown away immediately upon discovery. The plastic bugs in Twos 2 were removed from the classroom on 6/15/26. The foam football on the playground was disposed of upon discovery.
2026-06-15 Renewal 3270.106(f) - 2 feet apart Needs Verification

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During nap the CR observed 3 cots in Toddlers that did not have 2 feet on 3 sides while children were using the cots.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff adjusted the cots to create additional space.
2026-06-15 Renewal 3270.107 - Refrigerator Needs Verification

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in Infant 2 where children's bottles are stored, measured 48° F at the time of the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A new refrigerator thermometer was placed in the Infant classroom to replace the one observed below temperature.
2026-06-15 Renewal 3270.123(a) - Signed Needs Verification

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for Child #5, with an enrollment date of 3.9.26, does not include a signed Agreement.

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

Provider Response: (Contact the State Licensing Office for more information.)
The signed agreement for this child's enrollment was printed and placed in their file on 6/15/26.
2026-06-15 Renewal 3270.124(b)(3) - Parent home/work address, phone Needs Verification

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the current home or work address and/or telephone number for the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child's family was asked to complete the additional information missing and review the form to ensure it is completed.
2026-06-15 Renewal 3270.124(c) - Each child care space Needs Verification

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A child was observed receiving care in the Enrichment room without their emergency contact form being in the classroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact form was printed and provided to the teacher upon discovery.
2026-06-15 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Needs Verification

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 1.6.26, more than 6 months after the previous signature, dated 2.5.25.

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 information. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Form was updated though past due.
2026-06-15 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Needs Verification

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #3 is dated 10.10.25, more than 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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Health assessment was on file though past due.
2026-06-15 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Needs Verification

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #4, who is an Older Toddler, included 3 of 4 DTAP vaccines recommended for a child this age; 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #5, who is an Infant, 1 of 2 Rotavirus vaccines recommended for a child this age; included 1 of 2 DTAP vaccines recommended for a child this age; 1 of 2 HIB vaccines recommended for a child this age; 1 of 2 pneumococcal vaccines recommended by the ACIP for a child this age; 1 of 2 IPV vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child # 4 and #5 must be dismissed from care by close of business on 6.15.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Both children were excluded from care on 6/15/26. Each child's family provided updated immunization records on 6/16/26.
2026-06-15 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Needs Verification

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for Child #6 does not indicate if the child is free from contagious disease and is able to participate in child care.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
Physician provided an updated form with all information completed.
2026-06-15 Renewal 3270.131(d)(8) - Age appropriate screenings complete Needs Verification

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The current health assessment on file for Child #6 does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted..

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Provider Response: (Contact the State Licensing Office for more information.)
Physician provided an updated form with all information completed.
2026-06-15 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Needs Verification

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 2 most recent health assessments on file for Staff person #2 were dated 3.6.23 and 8.21.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 8.8.23 and 11.12.25, more than 24 months apart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Assessments were updated immediately..
2026-06-15 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Needs Verification

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the Agreement on file for Child #6 is dated 6.9.26, more than 6 months after the previous signature, dated 7.15.25.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The form was updated..
2026-06-15 Renewal 3270.192(5) - Two written references Needs Verification

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #3 includes only 1 written nonfamily reference.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
An additional reference from a nonfamily member was provided by the staff member on 7/7/26.
2026-06-15 Renewal 3270.25(a) - Availability of certificate of compliance and applicable regulations Needs Verification

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted at the facility expired 9.7.25; the current certificate was not posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Provider Response: (Contact the State Licensing Office for more information.)
Current certificate was printed and posted on day of inspection.
2026-06-15 Renewal 3270.31(e)(4)(i) - Age and Training Needs Verification

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff person #5 includes verification of First Aid/CPR training dated 5.16.26, after the expiration date of the previous training, 4.30.26.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Employee did not work during lapse period.
2026-06-15 Renewal 3270.31(f) - Health and Safety Training Needs Verification

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Pediatric First Aid/CPR was completed on 5.16.26. Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 completed on 5.16.26. Staff person #6 completed training with a non-PQAS instructor. This employee is no longer employed at the center.
2026-06-15 Renewal 3270.66(a) - Locked or inaccessible Needs Verification

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a bottle of soapy water on the sink and accessible to children in K-Prep.

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

Provider Response: (Contact the State Licensing Office for more information.)
Soap bottle was placed into locked cabinet out of reach of children immediately.
2026-06-15 Renewal 3270.66(b) - Original container Needs Verification

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: There was a container in Infant 1 labeled with a child's name in the cabinet where diaper changing materials are stored that staff reported is diaper cream; the diaper cream was not in the original container and did not include a list of ingredients. There was a spray bottle in Two's 1 that was not labeled with the contents of the bottle.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The container labeled with a child's name was sent home with the family on 6/15/26. They were asked to provide a cream in an original container. Spray bottle in Twos 1 was labeled with "Soap & Water Solution" to identify its contents.
2026-06-15 Renewal 3270.67(d) - Contaminated trash in closed plastic-lined receptacle Needs Verification

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was a trashcan in the Preschool Room that contained food waste and did not have a lid on it.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Provider Response: (Contact the State Licensing Office for more information.)
The trash can lid was reattached on 6/15/26. Staff were directed to ensure it remains on the trash can at all times.
2026-06-15 Renewal 3270.76 - Building Surfaces Needs Verification

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a missing toilet bolt cover on the toilet on the right, on the Preschool side of the bathroom in the Preschool/K-Prep bathroom. There was a small pile of dirt in the corner behind the chair in the library are in Two's 2. The poured surface in the Preschool playground had several holes in the surface, causing a tripping hazard. The poured surface in the Infant/Toddler playground had several holes and the sections for the bike track were separating from each other causing a tripping hazard.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A replacement toilet bolt cover was ordered on 6/15/26 to be installed by 7/13/26. The small pile of dirt in Twos 2 was swept and disposed of on 6/15/26. The pour and play surface of the playground is scheduled to be replaced - awaiting confirmed date of completion.
2026-06-15 Renewal 3270.77(a) - No peeling paint or plaster Needs Verification

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on handles on the playhouse in the Infant/Toddler playground.

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

Provider Response: (Contact the State Licensing Office for more information.)
Handles were covered with painter's tape on 6/15/26. A request has been placed for the handles on the playground to be replaced. Awaiting confirmation of completion date.
2026-06-15 Renewal 3270.82(h) - Handwashing signs Needs Verification

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the toilet on the right by the K-Prep room in the Preschool/K-Prep bathroom. bathroom. There were no handwashing signs at the toilets in the Two's 1 & 2 bathroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Handwashing signs were hung in the Preschool, Kindergarten Prep and Twos bathrooms on 6/15/26.
2025-06-05 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a Kinder Musik toy in preschool that a broken piece and peeling paint. The table and bench in the Infant/Toddler outdoor playspace had loose bolts on one side creating a potential pinch point.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Kinder Musik toy was disposed of upon discovery. A facility maintenance request has been placed to have the outdoor playscape's bolts tightened and inspected.
2025-06-05 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a sensory bottle in Infant 2 containing items smaller than an inch inside with an unsecured lid making the items accessible to children. There were cork blocks located in Toddler 1 that had several small pieces missing from them, creating a choking hazard. There were plastic bags in Toddler 1 that were accessible to children. There were also foam paint rollers that were missing pieces in Toddler 1, creating a choking hazard for children still placing items in their mouths.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sensory bottle and cork blocks were removed from classrooms as well as the plastic bag. All foam paint rollers were inspected for missing pieces. Center Director reviewed with staff the expectation of regularly inspecting toys and items in the classroom and disposing of any with broken pieces. Center Director also reviewed the expectation that no plastic bags are used in the classroom or within reach of children.
2025-06-05 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Child #4 was observed sleeping in a crib in Infant 1 that did not have 2 feet of space on 3 sides of the crib. Child #5, #6, and #7 were observed sleeping in Infant 2 without 2 feet on 3 sides of the crib. The sleeping area in Infant 2 had a basket stacked with sheets, toys, etc. between 2 cribs causing them to not have 2 feet of clearance on 3 sides and a set of drawers between 2 cribs, causing the 2 cribs to not have 2 feet of clearance 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.

Provider Response: (Contact the State Licensing Office for more information.)
All baskets and and sets of drawers were removed from the crib area in the infant classrooms. All cribs will be moved to the front of the crib bay, ensuring two feet of space on three sides when a child is occupying the crib.
2025-06-05 Renewal 3270.111(a) - Written plan Compliant - Finalized

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no written daily activity schedule in Infant 1 or Infant 2.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Daily schedule was posted in the classroom upon rehanging of items after completion of center painting.
2025-06-05 Renewal 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A young toddler was observed sleeping in Infant 1 in the crib portion of the room where he was not visible to the staff person in the room and was not being supervised. Two infants were observed sleeping in Infant 2 in the crib portion of the room where they were not visible to the staff person in the room and were not being supervised.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Occupied cribs were moved to the front of the crib area or out into the classroom to ensure visibility. Staff positioned themselves to be able to supervise all areas of the classroom.
2025-06-05 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #1 does not include the policy number for the medical insurance policy.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Assistant Director followed up with family to obtain policy number to complete the form.
2025-06-05 Renewal 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A child was observed receiving care in Infant 1 without their emergency contact form being in the classroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact form was located in the classroom, it had been incorrectly stored. Center Director also provided an additional copy for the classroom.
2025-06-05 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted in a conspicuous location in Infant 1, Infant 2., or Toddler 2

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency transportaion plan was reposted near phones in all classrooms upon the completion of painting.
2025-06-05 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the agreement on file for Child #2 is dated 1.4.25, more than 6 months after the previous 6-month review signature, 6.4.24.

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 information. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Assistant Director reviewed file paperwork and had parent review upon discovery.
2025-06-05 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #2, who is 2 years old, included 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age, 0 of 1 MMR vaccines recommended by the ACIP for a child this age, and 0/1 Varicella vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #2 and #3 must be dismissed from care by close of business on 6.13.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Updated immunization records for Child #2 and child #3 were printed from our online enrollment form system. They were mistakenly not printed and placed in the children's paper file.
2025-06-05 Renewal 3270.133(4) - Locked Compliant - Finalized

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A bottle of acetaminophen was observed in a child's bag hanging on the hook in their cubby in Infant 1, making it accessible to 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.

Provider Response: (Contact the State Licensing Office for more information.)
Child's bag was removed and placed in a locked cabinet until the parent arrived for pick-up. A letter was sent to all families regarding items in bags that are left at the center, especially within the reach of children.
2025-06-05 Renewal 3270.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: A child was observed not washing their hands in Toddler 3 after using the toilet. A staff person was observed in Toddler 2 wiping a child's hands after using the toilet, rather than having the child wash their hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Provider Response: (Contact the State Licensing Office for more information.)
Staff persons were reminded of handwashing policies and procedures, which included, offering children to clean their hands with a wipe if they refused to wash hands.
2025-06-05 Renewal 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A diaper change was observed in Toddler 3, and the staff person was observed using their hand to open the hands free can when disposing of the diaper.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The trash can in Toddler 3 was replaced with an operable, hands-free trash can with lid.
2025-06-05 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2 includes only 1 written nonfamily reference.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff person is no longer employed at the childcare facility.
2025-06-05 Renewal 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The two most recent fire safety trainings on file for Staff person #1 are dated 2.20.24 and 5.23.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #2 are dated 2.20.24 and 6.3.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #3 are dated 4.22.24 and 5.24.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #4 are dated 2.19.24 and 5.29.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #5 are dated 2.19.24 and 5.23.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #6 are dated 2.19.24 and 5.23.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #7 are dated 2.19.24 and 6.4.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #9 are dated 2.19.24 and 5.23.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #10 are dated 2.19.24 and 5.23.25, more than 12 months apart.

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

Provider Response: (Contact the State Licensing Office for more information.)
All staff have completed fire safety for 2025.
2025-06-05 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 2.19.25.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #8 completed CPR training on 2.19.25 after we learned that their original CPR training was not accepted by DHS.
2025-06-05 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent complete State Police Criminal History clearance on file for Staff person #7 is dated 12.30.19; the clearance applied for on 12.13.24 does not include a dissemination date, making it invalid. The State Police Criminal History clearance and FBI clearance on file for Staff person #11, which indicates the individual has an arrest record, did not include the RAP sheets, making the clearances incomplete (see LIS Code sheet). The file for staff person #12, who resided in Ohio in the 5 years prior to hire, did not contain an Ohio Child Abuse clearance or Ohio Sex Offender registry check, (See IS CODE SHEET) required for provisional hiring under the 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. Facility Person #7, #11, #12 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #7's State Police Criminal clearances was reprinted including dissemintation date. Center Director obtained rap sheet for staff person #11's home center and provided it to licensing rep on 6.6.25 prior to their return to the center. Staff member #12 is no longer employed at Bright Horizions as of 6.27.25.
2025-06-05 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following accessible toxics were observed in the facility: spray bottles containing soap and water in Preschool, K-Prep, Toddler 2; Swiffer wet-Jet cleaner in Preschool and K-Prep bathrooms; the unlocked, open kitchen containing cleaning materials; the utility closet outside K-Prep, containing6 paint cans and a bottle of liquid plumber.

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

Provider Response: (Contact the State Licensing Office for more information.)
Teachers removed soap and water bottles as well as liquid cleaning dispensers from the classroom and placed them in locked cabinets out of child reach. The staff kitchen area as well as the utility closet were locked and locks were checked for operation.
2025-06-05 Renewal 3270.67(d) - Contaminated trash in closed plastic-lined receptacle Compliant - Finalized

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Used disposable bowls, utensils, and food waste was observed in an unlidded trashcan in K-Prep.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Provider Response: (Contact the State Licensing Office for more information.)
The trash can in Kindergarten Prep was replaced with a new, operable, hands-free trash can with lid.
2025-06-05 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The backstop on the gate in Infant 1 was loose, creating a pinch point. There was a section of baseboard that had pulled away from the wall in Infant 2 by the outside door. There was an exposed bolt on one of the legs on the sensory table in Preschool and there were two exposed bolts on the legs of the sensory table in K -Prep. There was a piece of broken plastic pipe covering on the floor in the bathroom in Preschool beside the toilet that was dirty, and broken. There were exposed fence bolts on the gate of the Infant/Toddler playground and the Preschool playground.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A request was placed to facility maintenance to repair the loose backstop and pulled baseboard in infants, as well as the pipe covering in Preschool and bolts on the playground. Covers have been ordered for the exposed bolts in Preschool and Kindergarten Prep. Tape has been placed over them until the covers are received.
2025-06-05 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were no hand washing signs at the toilets in the bathrooms in Preschool and K prep.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Handwashing signs were replaced in the Preschool and Kindergarten Prep bathrooms as center painting had been completed.
2025-06-05 Renewal 3270.94(a)(1) - Every 60 days Compliant - Finalized

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log indicates fire drills were conducted on 8.2.24-10.21.24 and 10.21.24-1.24.25, more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Provider Response: (Contact the State Licensing Office for more information.)
Fire drills have been scheduled and placed on a webcalendar for the remainder of the year to ensure follow through.
2025-02-03 Allocated Unannounced Monitoring 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in the Two's 2 room was not labeled and did not have a complete chart indicating which numbered cot was for which child, and children were observed on cots not labeled for their use.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Director worked with staff to ensure each child was assigned a cot and the cots were appropriate labeled. Teachers created an updated cot list to correspond.
2025-02-03 Allocated Unannounced Monitoring 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: There was no thermometer in the refrigerator in the Young Toddler room, the Early Preschool room, and the K-Prep room, where milk for the children is stored.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Thermometers were placed in the three classroom refrigerators.
2025-02-03 Allocated Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #4 has completed the health and safety course titled Get Started with Center-based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

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. Staff person #4 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Provider Response: (Contact the State Licensing Office for more information.)
Staff member had completed the required health and safety update course however the certificate was not in their file. Staff provided a copy of the completed training on 2/20/25 and it was placed in their file.
2025-02-03 Allocated Unannounced Monitoring 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 #2 does not include documentation of a health assessment and Tuberculosis test being completed within 12 months prior to date of hire (See LIS CODE SHEET).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 had an updated health assessment and tuberculosis test completed.
2025-02-03 Allocated Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1, #5, #6 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Written references for staff # 1 & # 5 have been collected. Staff # 6, a temporary employee, is no longer working at the center.
2025-02-03 Allocated Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person completed Pediatric First Aid/CPR training on 2/19/25.
2025-02-03 Allocated Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 12.31.24.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person completed training but struggled with English being a second language.
2025-02-03 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #6, a temporary employee, included a Criminal History clearance that did not include a dissemination date or signature, making it invalid. The file for Staff person #6 also did not include a complete NSOR certificate; a temporary employee cannot be a provisional hire, per CPSL, as the childcare facility is not the employer.

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 Person #6 may not work in a childcare position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff provided new copy of the Criminal History clearance with the dissemination date visible. Staff also provided a complete NSOR. Employee did not work until all paperwork was provided and reviewed.
2025-02-03 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The signed Disclosure statement on file for Staff person #2 is not dated and does not include a witness signature, making it invalid. The signed Disclosure statement on file for Staff person #3 is not dated, making it invalid.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The disclosure statements for both staff members were reviewed with staff, signed and dated.
2025-02-03 Allocated Unannounced Monitoring 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #5, #6, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #5 has provided a high school diploma. Staff # 6 has provided a high school diploma.
2025-02-03 Allocated Unannounced Monitoring 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was present by the window to the right of the door in Two's 1 and by the outlet under the phone in Two's 2, which was accessible to children.

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

Provider Response: (Contact the State Licensing Office for more information.)
A request for painting has been placed to our facilities team. In the meantime, tape has been placed over the areas of peeling paint so that it is no longer accessible.
2024-07-17 Complaints- Legal Location 3270.112 - Infant/Toddler Stimulation Compliant - Finalized

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: Per staff interviews, Staff person #1 has placed Child #1 and Child #4 in their cribs or otherwise isolated them, allowing them to cry for more than 5 minutes without consoling them. Interviews indicate Child #4 has been left to cry in their crib until they exhaust themselves to the point of falling asleep.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Provider Response: (Contact the State Licensing Office for more information.)
On 7/12/24 Director retrained staff on all Rest Time Expectations and specially focusing on cues for infants needs.
2024-07-17 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: **Per staff statements, Staff person #1 has used physical discipline toward children in her care, including picking up Child #1 by the ankles and has pulled the legs out from under Child #2 while standing in the crib so that the child landed on their face in the crib when trying to get the child to lay down.

Correction Required: The legal entity will conduct a staff meeting where the written discipline policy is reviewed with all staff. The staff meeting agenda will also include a review of citations made by the Dept in the last 6 months. A sign in sheet with typed attendee names next to hand written signatures of attendees will be used to document meeting attendees. The agenda and list of attendees will be submitted to the Dept. within 5 days of completion of the staff meeting.

Provider Response: (Contact the State Licensing Office for more information.)
On 7/12/24 Director retrained all staff on Bright Horizons policy 'Physical Interactions between Children and Staff' this training focuses on respectful and kind treatment of children and includes prohibited behaviors and actions. All staff were trained on escalation guidelines. All citations made by DHS in the past 6 months were shared with staff.
2024-07-17 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: ***Per staff statements, Staff person #1 has used physical discipline toward children in her care, including picking up Child #1 by the ankles and has pulled the legs out from under Child #2 while standing in the crib so that the child landed on their face in the crib when trying to get the child to lay down.

Correction Required: All currently employed staff will complete mandated reporter training within 14 days of the approval of this Plan of Correction. Proof of all trainings will be submitted to the Department within 21 days of the approval of this Plan of Correction.

Provider Response: (Contact the State Licensing Office for more information.)
All staff will be retrained on mandated reporting by completing the Penn State's Department of Humanities and Center for the Protection of Children 'iLookOut for Child Abuse' online training.
2024-07-17 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Per staff statements, Staff person #1 has used physical discipline toward children in her care, including picking up Child #1 by the ankles and has pulled the legs out from under Child #2 while standing in the crib so that the child landed on their face in the crib when trying to get the child to lay down.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Provider Response: (Contact the State Licensing Office for more information.)
On 7/12/24 Director retrained all staff on Bright Horizons policy 'Physical Interactions between Children and Staff' this training focuses on respectful and kind treatment of children and includes prohibited behaviors and actions. All staff were trained on escalation guidelines
2024-07-17 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: *Per staff statements, Staff person #1 has used physical discipline toward children in her care, including picking up Child #1 by the ankles and has pulled the legs out from under Child #2 while standing in the crib so that the child landed on their face in the crib when trying to get the child to lay down.

Correction Required: The legal entity must create a written discipline policy that includes 3270.113(b). The policy must also address how staff are to report concerning staff interactions with children to the Director/Administration. The policy should also incorporate the staff responsibilities for mandated reporting of child abuse. The policy must be reviewed by DHS. Each staff must review and sign the policy and a copy of the policy shall be included in the child and staff handbooks. Documentation of staff signatures will be submitted to the Department.

Provider Response: (Contact the State Licensing Office for more information.)
The entire staff were retrained on 7/24/2024 regarding Bright Horizons' 'Child Abuse, Neglect and Mandating Reporting Policy'. Director and Assistant Director discussed bringing all concerns to the administration team immediately, even if it seems small. All staff signed off on the 'Mandated Reporter Acknowledgement' form.
2024-07-17 Complaints- Legal Location 3270.113(e) - Restraints prohibited Compliant - Finalized

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Per staff interviews, Staff person #1 has placed children in their cribs when not ready to sleep and left them in the crib crying for at least 5 minutes when not asleep; and has placed children in highchairs when not ready to eat, not allowing them out of the highchairs when they are not hungry,

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Provider Response: (Contact the State Licensing Office for more information.)
All staff were retrained on the Bright Horizons' 'Positive Guidance' policy which describes in detail appropriate interventions, reactions and interactions for teachers with children on 7/24/2024.
2024-07-17 Complaints- Legal Location 3270.162(d) - Not forced to eat Compliant - Finalized

Regulation: 3270.162(d)

Description: Not forced to eat

Noncompliance Area: Per staff interviews, Staff person #1 forced Child #3 to eat solid food by a spoon when the child was pushing the spoon away; threw pieces of apple into the mouth of Child #5, while crying, and put the food back in the child's mouth after spitting it out, causing the child to gag; fed bottles to Child #6 and Child #7 when they did not appear ready to eat and both children ;later spit up.

Correction Required: A child may not be forced to eat food.

Provider Response: (Contact the State Licensing Office for more information.)
All staff will review 'Child Centered Mealtimes', 'Infant Feeding Policy', and 'Infant Feeding Procedures' on 10/14/24.
2024-06-17 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 Magna Tiles in Preschool 2 that had cracked edges.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The 3 magna tiles with cracked edges were disposed of immediately on 6/17/24. All other magna tiles were inspected for issues.
2024-06-17 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #4 does not include the work address and/or telephone number for the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Assistant Director contacted the parents immediately and worked with family to update the work contact information for guardians. The form was reviewed and signed by the parent.
2024-06-17 Renewal 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A child was observed receiving care in Toddler 2 without their emergency contact forms being in the classroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Assistant Director provided a new copy of the Emergency Contact form for the classroom upon discovery.
2024-06-17 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #1, dated 2.6.24, more than 6 months after the previous 6-month review signature. dated 2.12.23. The most recent 6-month review signature for the emergency contact form on file for Child #2, dated 2.5.24, more than 6 months after the previous 6-month review signature. dated 9.15.22.

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 information. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2 has an emergency contact review on file dated 8/23/23 however it was located in the electronic filing system and not in the physical, paper file system that was checked. Child #4 also has an emergency contact review on file dated 9/4/2023 however it was also located in the electronic filing system as well. Hard copies of forms for both children were printed and put in their files.
2024-06-17 Renewal 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #3, with an enrollment date of 9.25.23, is dated 2.6.24, more than 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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Initial health assessment was received however it was outside of the 60 day window from enrollment.
2024-06-17 Renewal 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessments on file for Child #2, who is a Young Toddler, is dated 8/4/23, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2 does have a health assessment dated for 1/30/2024. Assistant Director mistakenly sent the same, previous health assessment from 8/4/23 when providing the updated copy.
2024-06-17 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization record on file for Child #2, who is 22 months old, includes 1 of 2 Hepatitis A immunizations recommended by the ACIP for a child this age2

Correction Required: ·Child 2# must be dismissed from care by close of business on 7/16/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
Parent provided a letter of exemption for this immunization on 6/18/2024 after a discussion with center leadership.
2024-06-17 Renewal 3270.131(e) - ACIP recommended immunization record Compliant - Finalized

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #3, with an enrollment date of 9/25/23, is dated 2/6/24, more than 60 days after enrollment.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Family provided record of immunization for child, however it was outside of the 60 day window.
2024-06-17 Renewal 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A diaper change was observed in Toddler 3, and the staff person was observed using their hand to open the hands free can when disposing of the diaper and it was also observed that the diaper was not immediately disposed of but was set on the table and left there throughout the change.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff were retrained on diaper changing procedure and policy after this observation on 6/17/.2024.
2024-06-17 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Assistant Director added the continuity of operations plan and the provisions regarding volunteer emergency preparedness training to the emergency plans on site.
2024-06-17 Renewal 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The most recent documentation of emergency plan training on file for Staff person #2 is dated 1/20/23, more than 1 year ago.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person # 2 had a training sheet for Ready to Respond training dated 8/31/2023, however it was located in a separate file from other trainings. Current emergency plan training record was filed in the appropriate place with other training documents.
2024-06-17 Renewal 3270.27(e) - Letter to parents Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency response parent letter was located and sent to licensor via email.
2024-06-17 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted 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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider updated emergency plan and submitted to county management agencies via email on 7/16/2024.
2024-06-17 Renewal 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1 does not include fire safety training within 1 year of hire (See LIS CODE SHEET). The most recent fire safety training documentation on file for Staff person #3 is dated 2/20/23, more than 1 year ago.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person # 1 completed fire safety training upon their return to work on [date].
2024-06-17 Renewal 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1does not include 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET). The file for Staff person #2 includes 10 of 12 required annual training hours completed between 11/15/22-11/15/23.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Records were located for both staff members to document their required training for the year. Staff #1 included a certificate for 34 hours of training and staff # 2 included two separate 7 hour training events.
2024-06-17 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until7/31/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 completed CPR training on April 4, 2024 when it was noted they had not yet received training.
2024-06-17 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 does not to contain a Child Abuse clearance from West Virginia, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 applied for appropriate clearances on 6/18/2024 and again on 7/10/2024. Both copies of the clearances were received at the center on 7/22/2024. Updated clearances were shared with licensor via email on 7/22/2024.
2024-06-17 Renewal 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #1 and #4, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #4was asked for an updated verification of hours form verifying 2 years of experience, but she has been unable to obtain the required documentation. Staff person #4 is reclassified as an Aide until required documentation is received.
2024-06-17 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were missing toilet bolt covers on the toilets in Preschool 1 and Preschool 2. There were exposed bolts on a fence in the outdoor playspace, around the water pipes on the outside of the building. There were ceiling tiles with water damage marks from a leak in the residential units above the Preschool 2 room that had occurred over the previous weekend.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Center Director contacted facilities immediately on 6/17/24 and submitted a work Maintenance order. Maintenance came to install covers on the toilet bolts in Preschool 1 and 2. They also cut the exposed bolt on the outdoor playspace fence. Ceiling tiles will be replaced no later than 7/296/24 by Redtail Management.
2024-06-17 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The two most recent annual fire detection system inspection reports are dated 6.8.23 and 6.24.24, more than 1 year apart and is required annually as the provider is unable to test the alarm every 30 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.

Provider Response: (Contact the State Licensing Office for more information.)
Fire detection system inspection was completed but had to be rescheduled due to an inability to coordinate with landlord maintenance for full inspection.
2023-06-20 Renewal 3270.101(a) - Age appropriate Compliant - Finalized

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Colorations brand, blue bunt-tip scissors were observed in Pre School 2. Based on the manufacturer's instructions, the scissors are intended for children ages 5 years and up.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Provider Response: (Contact the State Licensing Office for more information.)
After this finding the director removed all scissors from the classrooms to reevaluate which scissors belong to which room. The correct scissors were ordered for each classroom.
2023-06-20 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked lid was observed on a liquid filled sensory shaker bottle in Infant 2.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sensory bottle was immediately thrown away upon finding.
2023-06-20 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The following items, with a diameter of less than 1 inch, were observed in Toddler 3; domino sized colored blocks, 2 sea shells, plastic peg board pieces, mulch in the sensory bin, and cylindrical wooden blocks.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All toys that were identified as not appropriate were immediately removed from the classroom. A choke tub was given to the teachers to throw away any inappropriate toys that does not conform to the regulation.
2023-06-20 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A telephone in Infant 2 was observed resting on a low partial wall leaving the cord within reach of children.

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

Provider Response: (Contact the State Licensing Office for more information.)
Director immediately contacted maintenance. The maintenance staff placed a shelf above the children's reach June20th 2023..
2023-06-20 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A crib in use by a child in Infant 1 lacked 2 feet of space on 3 sides. The crib was in a natural corner, however, a 3rd side was blocked by another crib.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The crib spacing was fixed immediately after this was found..
2023-06-20 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The bottom of the refrigerator in Toddler 2 was observed to be heavily soiled.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Upon finding, the refrigerator was wiped clean immediately.
2023-06-20 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1 and #2 lacked documentation of providing a child service report to the parents. The child service reports on file were not signed by the parent.

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).

Provider Response: (Contact the State Licensing Office for more information.)
The service reports have been signed July 11th, 2023.
2023-06-20 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #3, who was over 6 months old at the time of the inspection, contained an immunization record which lacked documentation of receiving the influenza vaccine. A written exemption was not on file.

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 child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
A written exemption was written by the family and is now on file for child #3.
2023-06-20 Renewal 3270.133(6) - Written consent Compliant - Finalized

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Tylenol for child #4, located in the office, lacked written parental consent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Provider Response: (Contact the State Licensing Office for more information.)
Upon finding, the Tylenol was pulled for child #4. At pick up the correct form was signed by the parents.
2023-06-20 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #3 and #6 did not contain documentation of completing the 1 hour training titled Pennsylvania Health and Safety Update 2022 as required by Announcement C-22-06.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Immediately following the inspection, staff # 3 had their 1hour training in their file which was overlooked. Staff # 6 completed the training June 21st, 2023.
2023-06-20 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 #5 contained a health assessment which was not dated therefore making the health assessment invalid.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #5 got the health assessment dated by the physicians.
2023-06-20 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #1 contained only 1 written reference.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
The reference has been obtained and placed in # 1 persons file.
2023-06-20 Renewal 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for staff #10 lacked documentation of receiving emergency plan training on or before they returned from documented leave. The previous training was dated 2/26/21. Staff #10 returned from leave on 6/06/22 and worked until 7/29/22. Emergency plan training did not occur until 6/12/23. Staff #10 returned from the 2nd leave on 6/13/23.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Moving forward all staff members that do not work year-round will be required to complete time sensitive trainings before the due date.
2023-06-20 Renewal 3270.27(e) - Letter to parents Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent letter explaining the emergency procedures did not address the procedures for sheltering in place, shelter during a lockdown, or accommodations for infants and toddlers.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Following the inspection, the Director created a parent letter that explained the emergency procedure which included sheltering in place, shelter during lockdowns, accommodations for infants and toddlers and our secondary location.
2023-06-20 Renewal 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff #10 contained expired pediatric CPR and first aid certification dated 4/28/21.

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

Provider Response: (Contact the State Licensing Office for more information.)
Since the inspection, staff member #10 has completed the trainings for CPR and First Aid July 7th, 2023.
2023-06-20 Renewal 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The file for staff #10 lacked documentation of receiving fire safety training on or before they returned from documented leave. The previous training was dated 2/25/21. Staff #10 returned from leave on 6/06/22 and worked until 7/29/22. Fire safety training did not occur until 6/12/23. Staff #10 returned from the 2nd leave on 6/13/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
Current training is now on file.

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