Brightside Academy Inc

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 did not include the test results of the tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of the inspection, the dramatic play kitchen in room 9 was not mounted and was easily a tipping hazard.

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

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in room #5-6.

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.

Noncompliance Area: At the time of the inspection, there was no 6 month update to the emergency contact form or agreement on file for child #1, 2, 4, 5 and 6.

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.

Noncompliance Area: At the time of the inspection, there was no health report on file for child #3 (date of birth 1-29-10). The child's date of enrollment is 11-22-16.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #6 (date of birth 6-11-17). The last report was dated 2-6-19. There should have been another report at child's 2 year birthday or 6 months later. There was no updated health report on file for child #7 (date of birth 3-16-18). The last report was dated 6-18-19. There should have been another report 6 months later, on or around 12-18-19. There was no date on the health report for child #8 (date of birth 10-20-16).

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: At the time of the inspection, there was no updated health report on file for child #5 (date of birth 12-7-16). The last report was dated 12-20-18. There should have been another report on 12-20-19.

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: At the time of the inspection, there was no immunization for influenza or exemption from this immunization on the records of child #1, 4, 7, and 8.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, on the health report of child #1, 3, 4, 5, 6 and 7 there was no statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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.

Noncompliance Area: At the time of the inspection, there was no updated health assessment on file for staff #12. The last health report was dated 10-26-17 and therefore expired on 10-26-19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: At the time of the inspection, the last notification in writing of the facility notifying the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility was dated 10-30-18.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of the inspection, there was no verification of previous child care experience on file for staff #14 AND 15.

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

Noncompliance Area: At the time of the inspection, there was no transcript to accompany the degree for staff #4 and 14.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #14.

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

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #4, 14 and 15.

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

Noncompliance Area: At the time of the inspection, there was no verification of an annual minimum of 6 clock hours of child care training on file for staff #10.

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

Noncompliance Area: At the time of the inspection, there was no fire safety training on file for staff #4 AND 14.

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.

Noncompliance Area: At the time of the inspection, the mandated reporter training on file for staff #4 was dated 12-30-14 and therefore expired on 12-30-19. The mandated reporter training on file for staff #12 was dated 12-31-14 and therefore expired on 12-31-19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of the inspection, staff #13 had stated that she was only present at this facility 2 days a week and not meeting the 30 hour requirement due to also having to be a Director at another location, therefore, this facility does not have a Director.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).

Noncompliance Area: At the time of the inspection, there was no annual written evaluation for staff #4. The last one on file was dated 11-10-17. There was no annual written evaluation on file for staff #10. The last was dated 6-4-18. There was no annual written evaluation on file for staff #12. The last was dated 3-21-18.

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

Noncompliance Area: At the time of the inspection, there was missing outlet covers in room #5-6, which holds 1 year old children. There was a missing outlet cover in the hallway by the gross motor room.

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

Noncompliance Area: At the time of the inspection, there was no emergency phone numbers posted in room #5-6.

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.

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles outside of the Head Start 1 room. There was water damaged ceiling tiles in the PK counts room. Both of these classrooms have before and after care services which fall under DHS licensing. (fixed on site).

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.

Noncompliance Area: At the time of the inspection, there was chipped paint in room #5-6 and room #3.

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

Noncompliance Area: At the time of the inspection, the sink in room 11 which is a school age room had an out of order sign posted on it.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of the inspection, there was no evacuation route posted in room #5-6.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: At the time of the investigation, staff #1 and 2 were unable to state how child #1 obtained a lump over his eye while under their supervision.

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.

Noncompliance Area: At the time of the investigation, medical documentation was obtained from the parent that child #1 did obtain emergency room treatment following an injury that occurred while under the care of staff #1 and 2. The operator did not notify DHS within 72 hours after the emergency room treatment.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Noncompliance Area: At the time of the inspection, photographs of child #1's face showed scratches on her face to the point where skin was missing and the child was bleeding. Staff #1 was unsure as to how the scratches occurred.

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.

Noncompliance Area: At the time of the inspection, there were 27 young school age children with staff #1 and 2. Child #1 was the youngest child in the room with a date of birth of 5-21-13.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: At the time of the inspection, there was a white portable space heater sitting on the desk of the Director in the administration's office.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: At the time of the inspection, the initial health report on file for child #1 (DOB 1-2-13) was dated 9-5-17 and the child's date of admission was dated 9-11-18. The physical stated that the child had a physical on 9-5-17, when the child would have been four years old.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: At the time of the inspection, the Preschool classroom was observed as being out of ratio. This occurred during rest time. Staff #1 had 32 children (ages 3-5 years old) and was the only staff person in the classroom. In the 1 1/2 and 2 year old room, this classroom was out of ratio as well. There were 16 children (ages 1 1/2-2 years old) with staff #2. Staff #2 was the only staff person in the room.

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

Noncompliance Area: On 2/12/18 at renewal inspection certification representative observed that the emergency contact and agreement forms for child # 1, # 2, # 3, # 4, # 5, # 6, and # 7 have not been updated in the last 6 months.

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

Noncompliance Area: On 5/11/17 a staff person witnessed staff person # 1 smack a child's hand for ripping a book. This was confirmed by the staff person.

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