Bright Beginnings Daycare And Preschool Inc

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety and pediatric first aid/CPR. Staff #1 completed health and safety on 1/24/25. Staff #1 completed pediatric first aid/CPR on 1/18/25. Both trainings were taken after the staff had been employed by the facility for more than 90 days. 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/CPR. Staff #3 was observed working in child care at the time of this inspection and did not have pediatric first aid/CPR.

Correction Required: 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 #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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires an NSOR clearance on file, prior to staff working in a child care role at the facility. Staff #2 was observed working at the time of this inspection, and the staff did not have an NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Video was viewed at the facility of an incident that occurred at the facility on 4/9/25. The video showed a table that was placed on its side by Staff #1 to section off a water play table from other children. Child #1 was playing near the table, when another child approached the table and pulled it down, landing on the leg of Child #1 causing a fracture to the child's leg. Staff #1 was fired for using the table for a purpose for which it was not intended.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessments every 24 months. Staff #3 had a health assessment dated 6/7/22 and the file did not contain an updated health assessment at the time of the inspection. Staff #6 had a health assessment dated for 7/20/22 and this staff did not update their health assessment until 8/6/24. Regulation requires staff to obtain a health assessment prior to working in a child care role. See the code sheet for the date of hire. Staff #5 did not have a health assessment completed until 8/5/24 and worked in a child care role prior to obtaining this health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection was conducted at the facility. A review of staff files was conducted. Regulation requires documentation of a tuberculosis screening on file prior to working in a child care role at the facility. See the code sheet for the date of hire. Staff #5 did not obtain a tuberculosis screening and results until 8/5/24.

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.

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

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires current pediatric first aid/CPR training at all times for all staff. The following staff had a lapse in pediatric first aid/CPR training: Staff #2 (previous 7/25/22, current 7/27/24) and Staff #3 (previous 7/9/22, current 7/27/24).

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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not complete fire safety training on an annual basis: Staff #1 (previous 11/14/22), Staff #2 (previous 1/26/23, current 2/15/24) and Staff #6 (previous 1/26/23).

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. 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)10.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires the facility to participate in a fire drill once at least every 60 days. The following drills lapsed occurring at least every 60 days: 12/7/23 - 2/8/24 2/8/24 - 5/22/24.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire safety system log was conducted. Regulation requires the facility to test the facility's fire safety system once at least every 30 days. The following test did not occur at least every 30 days: 12/7/23 - 1/8/24 1/8/24 - 2/8/24 3/7/24 - 5/22/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Through interviews and review of facility video footage, Child #1 was observed to knock over classroom materials, repeatedly slam a bathroom door, and kick at staff. As a result, Staff #1 was observed to restrict the movement of Child #1 by holding the child in a bear hug with her arms and legs around the child for approximately two minutes on 11/10/2023.

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.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Through interviews and review of facility video footage, Child #1 was observed to knock over classroom materials, repeatedly slam a bathroom door, and kick at staff. As a result, Staff #1 was observed to restrict the movement of Child #1 by holding the child in a bear hug with her arms and legs around the child for approximately two minutes on 11/10/23.

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. The legal entity must develop or update their policies and procedures regarding children with difficult behaviors. The written policies and procedures must address expectations for staff behavior, and steps to take when children exhibit unsafe or difficult behaviors. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policies and procedures and it must be documented in their files.

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

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of birth. Child # 6 has not had an updated health assessment completed since 12/29/22. Child # 6 is required to have a health assessment completed every 6 months.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had a health assessment dated 4/30/19. This health assessment was not updated every 24 months per regulation. Staff # 2 did not update this health assessment until 1/5/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Several lunches brought to the facility by children from home, were found to have dairy and meats. These items require refrigeration and were not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. At the time of the inspection, the Director was unable to provide documentation that the emergency plan was sent to the county management agency and to the local municipality.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff person # 3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/16/18. Staff # 3 completed the training on 1/19/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for dates of hire. Staff # 1 was hired as a provisional hire and worked past the 45-day provisional hire period without all clearances on file. Staff # 1 did not receive the NSOR clearance until 2/14/23.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. The following tests were not conducted at least every 30 days as required by regulation: 8/12/22 - 9/30/22 10/10/22 - 11/22/22 2/27/23 - 3/30/23 5/16/23 - 6/21/23 8/10/23 - 9/13/23

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Inspection on 9/1/22 revealed that staff number 1 was a resident of New Jersey within the last 5 years but does not have a record of the required New Jersey Clearance or request on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). AS of July, 1 2020 the CPDL was changed to including a requirement of facility persons and household members who have lived outside of Pennsylvania within the past five years. These persons are required to provide background checks for the State (s) they have resided in within the past five years Staff #-1- may not work in a child care position at the facility.

Noncompliance Area: Staff persons # 1 and #2 do not have proof of education on file.

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: There are no written non family references on file for staff person # 3.

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: The state police clearance on file for staff person # 2 is for a volunteer, therefore, not valid. Staff person # 2 started on 8/14/20 and has not completed mandated reporter training. Staff person # 3 started on 9/16/19 and has not completed mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons # 2 and 3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff persons # 2 and 3 may not work in a child care position at the facility.

Noncompliance Area: The corners of the nap mats in the pre k classroom are torn making them unable to be properly sanitized.

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: There is no thermometer in the refrigerator in the waddler classroom.

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.

Noncompliance Area: There were 3 school aged children playing inside a fort they constructed using blankets. The children were not visible to staff.

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: The agreement on file for Child # 7 did not include the arrival and departure times or the designated release persons.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: There is no physician's name, address and telephone number on the emergency contact forms for children # 1 and 3.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: There is no health insurance name or policy number on file for child # 1, 3 and 6. There is no health insurance policy number on file for child # 7.

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: There is no address or phone number provided for the release person listed for children # 1 and 7. There is no address provided for the release person listed for children # 2 and 6.

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

Noncompliance Area: The emergency contact forms on file for children # 4, 5, 6, and 7 were not updated at least once in a 6 month period. The emergency contact forms on file for children # 4 and 6 are not dated. The emergency contact forms on file for children # 5, and 7 were last updated in December, 2018. The financial agreements on file for children # 4, 5, and 7 were last updated in December 2018. The financial agreement on file for child # 6 was last updated in July, 2019.

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

Noncompliance Area: Staff person # 4 does not have proof of a health assessment being conducted within 12 months prior to providing initial service at the facility. Staff person # 4 started at the facility on 1/9/19; there is a health assessment on file dated 11/10/2016, which is no longer valid.

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: There is no written consent for emergency medical care or the administration of minor first aid on file for child # 6.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: There is no proof of education or experience prior to service at this facility on file for staff persons # 1, 2, 5, 6, 8, 9, and 10.

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: Staff person # 1 started on 1/16/19; there is no state police clearance on file and they have not completed mandated reporter training. Staff person # 2 started on 1/29/19; there is no state police clearance on file. Staff person # 3 started on 11/30/2018; there is no proof of mandated reporter training being completed. Staff person # 7 started on 1/16/19; the state police clearance on file is for a volunteer and therefore not valid. Staff person # 9 started on 3/6/19 and was fingerprinted on 3/1/19; there is no FBI clearance on file. There is also no proof of mandated reporter training being completed. Staff person # 10 started on 3/25/19; there is no proof of mandated reporter training being completed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons # 1, 2, 7, and 9 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff persons # 1, 2, 7, and 9 may not work in a child care position at the facility.

Noncompliance Area: In the toddler room, staff person # 1 identified 8 young toddlers under their supervision, exceeding the ratio by 3 children.

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 required staff:child ratios must be maintained at all times.

Noncompliance Area: There are no tweezers in the first aid kits in the pre k and toddler classrooms.

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: A complaint investigation was held on 12/27/18 and it was determined that there is not a hand washing station present at the infant room changing station. Staff are unable to wash hands after diapering a child in the infant room. Staff must leave the room, walk down a hallway and enter the bathroom to wash hands causing cross contamination.

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. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.