Bright Minds Family Day Care

Noncompliance Area: Child 1 had an outdated flu shot from 2017 and child 2 did not have a flu shot on record.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: None of the day care children had an initial health assessment on file. As per provider, copies of the initial health assessment were not kept.

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: The first aid kit was missing soap.

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

Noncompliance Area: Children 1-5 had outdated child service reports. Child 1 last had his child service report completed on 2/28/2018. Children 2 and 4 last had their child service reports completed on 7/6/2018. Child 3 last had the child service report completed on 6/13/2018. Child 5 last had the child service report done on 1/6/2018.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: Children 3, 4 and 5 had previous outdated fee agreements and emergency contact forms. Child 3's emergency contact form and fee agreement was last dated 12/13/2017 before being currently updated. Children 4 and 5's emergency contact forms and free agreements was last dated in February 2018 before being currently updated.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Children 3, 4 and 5 had outdated health assessments. Child 3's health assessment was last dated 8/11/2017. Children 4 and 5 last had a health report done on 1/9/2018. Children 3, 4 and 5 are all preschool age.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The facility's emergency plan was last updated on 4/12/2017.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: There was Windex cleaner in an unlocked kitchen cabinet, which was accessible to the children.

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: There were two fire drills done in 2018. They were completed on 2/13/2018 and 4/13/2018.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: Child 1-4 did not have services provided documented on the fee agreement. Child 2 also did not have a date of admission documented. Child 5 had an outdated child service report. The child service report was last completed on 7/6/2017.

Correction Required: An agreement shall specify 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 at 3290.124(e).An agreement shall specify the date of the child's admission.

Noncompliance Area: During the facility's annual inspection, a first aid kit was not observed in the facility's vehicle used to transport children. As per provider, she does transport the children and she did not keep a first aid kit in the vehicle, nor did she have emergency contact forms in the vehicle.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.A first-aid kit, including the contents as specified in 3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Children 1 and 5 had outdated health assessments. Both are three years old and had their health assessments last completed on 8/29/2016.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: During the facility's annual inspection on 1/10/2018, there were toxics, such as cleaner, present in the kitchen cabinet. The toxics were above where food is kept for the daycare children.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: None of the rest equipment is labeled for the use of a specific child and used only by the specified child.

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.

Noncompliance Area: Provider does not have a written plan of daily activities and routines shall be posted in a traffic area used by parents.

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. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Children 1, 2, 4 and 5 have been enrolled for more than 6 months and do not have a child service report on file.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: Emergency contact form for children 4 and 5 do not specify the persons designated by a parent to whom the child may be released. Emergency contact form for children 1, 2 and 3 do not have the address of the individual designated by the parent to whom the child may be released. Children 2, 3 and 4 do not have release persons names listed on fee agreement.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: Children 1, 2, 3 and 5 do not have a fee agreement on file that specifies the date of the child`s admission.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: Emergency contact form for children 1 and 2 do not have written consent signed by a parent for emergency medical care.

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

Noncompliance Area: Emergency contact information for children 4 and 5 is missing health insurance coverage and policy number for a child under a family policy. Emergency contact informaionfor child 1 is missing the policy number for a child under a family 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.

Noncompliance Area: Children 1 and 4 did not receive 6 month updates on the emergency contact form.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Child 1 - DOE - 9/2/16 has a chilld health assessments on file dated 2/16/16 and the child health assessment does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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 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.

Noncompliance Area: Child 1 - DOB - 7-6-15 and DOE - 2/8/16, does not have 6 month updated child health assessments on file.

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

Noncompliance Area: Child 4 does not have an updated health assessment on file. Health assessment on file is dated 1/20/15.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Inspector observed butcher knives in an unlocked draw in the kitchen that are accessible to children. Provider uses the stove during child care hours and soes not have a stove guard on the stove or a gate blocking off the kitchen. The stove is accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Emergency contact form for children 1, 4 and 5 do not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Facility's license and a copy of the regulations are not posted in the facility.

Correction Required: The facility`s current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: Emergency plan is not posted in the facility. Provider was unable to show inspector emergency plan at time of inspection.

Correction Required: The facility shall have an emergency plan.The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Emergency plan was never sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Staff 1 does not have required minimum child care trainings on file.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person`s record shall include records of training required by the Department.

Noncompliance Area: Inspector observed eye drops, antibiotic ointment, auqaphor lotion and glade air freshener in the bathroom accessible to children. The closet in the bathroom also has toxics that are accesible to children. In the room whrere childcare is held, inspector observed 2 containers of vaseline in one of cubbies that are accessible to children. All toxics are labeled "keep out of reach of children".

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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Emergency telephone number of the nearest hospital, police department, fire department, ambulance and poison control center are not posted in the facility.

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