Brilliant Beginnings Early Learning Center Llc

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed agreements missing the names of release persons as well as admission dates for Child 1, Child 2, Child 3, Child 4 and Child 5.

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

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed all agreements in child files were original versions of the agreements, and all missing the admission dates.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing health insurance coverage and policy information in the file of Child 3.

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Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed out of date updating signatures on agreements and emergency contact information documents in the files of Child 2, Child 3 and Child 5.

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: During renewal inspection on 1/17/20, cert rep observed missing physicals in the files of Child 1, Child 2, Child 3 and an out of date physical in the file of Child 4.

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.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Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed out of date physicals in the files of Staff 1 and Staff 2.

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: During renewal inspection on 1/17/20, cert rep observed missing documentation of current liability insurance at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing initial physicals for Child 1, Child 2 and Child 3.

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

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing consent for minor first aid in the file of Child 3, and missing consent for walking, transportation, swimming and wading in the files of Child 3 and Child 5.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing Child Abuse clearance in the file of Staff 3.

Correction Required: 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 #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing documentation showing records of when and who attended emergency plan training at the facility. There was also no record of the plan being updated at least annually.

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 and kept on file at the facility.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: During renewal inspection on 1/17/20, cert rep observed missing documentation of current fire safety training in the files of Staff 1, Staff 2, Staff 3, and Staff 4.

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: During renewal inspection on 1/17/20, cert rep observed missing documentation in the files of Staff 1, Staff 2 and Staff 3 showing at least 6 credit hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 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.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed missing Child Abuse clearance in the file of Staff 3.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: During renewal inspection on 1/17/20, cert rep observed first aid kit in the young toddlers room missing band-aids and tweezers.

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: During renewal inspection on 1/17/20, cert rep observed chipped paint on the walls of the indoor play space room at the facility.

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

Noncompliance Area: During renewal inspection on 1/11/19, cert rep observed rest equipment that was not labeled for the use of a specific 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: During renewal inspection on 1/11/19, cert rep observed out of date health assessments in the files of Child 1, Child 2 and Child 4.

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 renewal inspection on 1/11/19, cert rep observed out of date signatures on the agreement and emergency contact information in the file of Child 3.

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

Noncompliance Area: During renewal inspection on 1/11/19, cert rep observed missing FBI clearance documentation in the file of Staff 6.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: On 6/28/18, staff person #1 was in the toddler room with staff person #2 and 5 young toddlers. Both staff person 1 and 2 are provisional employees and cannot supervise each other.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: Staff person # 5 was able to unlock the office door but could not locate files for staff persons # 3 & 4, newly employed at the facility. Both were observed working with children, but without files, it could not be determined if they were qualified to count in the ratio. Staff person #4 was observed alone with 4 toddlers, but without her file, it could not be determined if she can be alone with children.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

Noncompliance Area: When I entered the facility, I observed staff person #1 walking down the hall to the infant room. I followed her and observed her now in the room with staff person #2 and 5 children, the youngest was 7 months old. She stated that she needed a bathroom break. They were out of ratio when staff person #1 was out of the room. There were no additional staff who could relieve her in the room. On 5/29/18, during re-inspection, 2 rooms were out of ratio and worksheets are not being completed for each room or primary care group.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation at the facility and made immediately available to the representative of the Southeast Region Office whenever they visit for a period of three months after DHS approves the documentation format. 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). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation at the facility and made immediately available to the representative of the Southeast Region Office whenever they visit for a period of three months after DHS approves the documentation format.

Noncompliance Area: Staff person #4 was observed with four toddlers in an unmeasured room that has not been inspected or approved as indoor child care space. On 5/29/18, during re-inspection to add the room to capacity, 6 children were observed in the room which only measures for 5.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: Staff person #4 was observed with four toddlers in an unmeasured room that has not been inspected or approved as indoor child care space. There was an outlet cover missing from one of the outlets.

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

Noncompliance Area: Staff person #4 was observed with four toddlers in an unmeasured room that has not been inspected or approved as indoor child care space. There is a diaper changing area but no running water in the room.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: There was an electric standing fan on the floor in the infant room. It was plugged in but not on. It stands about 4 feet tall and toddlers might be able to put their fingers through the slats. Fan was removed from the room and put in the teacher's lounge away from child care areas.

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

Noncompliance Area: During the inspection, when I entered the infant room, all the lights were off and only a night light was on. Staff stated this was to calm infants so they would nap. However, they were not able to see children's faces to monitor if they were choking, breathing, had something covering their face.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: A 3 month old infant was observed sleeping in an infant chair in his crib. When that was cited as non-regulatory and the child was being moved to the crib, it was noted that only loose blankets were in the crib and no crib sheet. Loose blankets are a smothering hazard. The facility stated that they need to request that the parents provide crib sheets.

Correction Required: Seasonal, appropriate covering, such as sheets or blankets, shall be provided as agreed between the child's parent and the operator.

Noncompliance Area: A 3 month old child was observed sleeping in an infant seat in a crib next to other cribs without 2 feet of space 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.

Noncompliance Area: A 3 month old infant was observed sleeping in an infant seat placed in a crib. This is not an AAP approved sleeping position and places the child at risk of not breathing. Children under one must be placed flat on their backs.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Children # 1 7 2 did not have parent signatures 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 shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Child # 1's emergency contact info did not include health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Child # 1's emergency contact info does not have release persons addresses.

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

Noncompliance Area: Facility does not have a written emergency transportation plan posted.

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: Child # 3, a preschooler, was enrolled on 8/2/17, and parent provided a physical dated, 1/27/16, more than 1 year old. No updated physical has been provided.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. 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 trash cans near the diaper changing areas are not working correctly and are not hands free.

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.

Noncompliance Area: Facility does not have safe routes, pick up/drop off points posted.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Children # 1 & 2 do not have parent signatures for 1st aid.

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

Noncompliance Area: Staff person #1 had a volunteer state police clearance and an undated disclosure statement and was past her 90 days of employment so she could not be a provisional employee.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A new state police clearance under employment was immediately obtained same day 1/12/18 and placed in the file and the disclosure statement was signed.

Noncompliance Area: Staff persons # 1 & 2 do not have verification of education in their files.

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.

Noncompliance Area: An unannounced visit was made on 10/20/17 at around 12 noon. A director was not present. No staff present had access to the locked office nor access to staff or children's files which were locked in that office.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director`s absence.

Noncompliance Area: On 10/20/17, no staff present, nor the certification representative could locate a posted certificate or regulations.

Correction Required: The facility's current certificate of compliance 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: On 10/20/17, no staff present, nor the certification representative could locate a posted emegency plan.

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

Noncompliance Area: Staff persons # 1 & 3 do not have mandated reporter training in their record which makes them provisional employees. On 10/30/17, they were both observed working alone with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: An unannounced visit was made on 10/20/17 at around 12 noon. A director was not present. I returned on 10/30/17 and was given access to the office by staff person #6 who is identified as the director. However her record needs a transcript because her degree is a Bachelor's in Biological Sciences and we cannot determine if she meets the qualifications for director.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. Director's name and schedule must be provided.