Bright Horizons At Southside Works

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.

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.

Corrected by Jun 5, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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.

Corrected by Jun 5, 2025

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3270.32(a)/3270.192(4) · 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.

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.

Corrected by Jun 27, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

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.

Corrected by Jun 5, 2025

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

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

Corrected by Jun 6, 2025

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3270.76 · 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.

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.

Corrected by Aug 11, 2025

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3270.82(h) · 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.

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

Corrected by Jun 9, 2025

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3270.102(a) · 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.

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.

Corrected by Aug 11, 2025

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3270.103 · 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.

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.

Corrected by Jun 5, 2025

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3270.106(f) · 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.

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.

Corrected by Jun 9, 2025

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3270.111(a) · 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.

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

Corrected by Jun 9, 2025

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3270.113(a) · 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.

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.

Corrected by Jun 9, 2025

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Corrected by Jun 9, 2025

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

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

Corrected by Jun 9, 2025

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3270.124(e) · 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.

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

Corrected by Jun 9, 2025

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3270.124(f)/3270.181(c) · 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.

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.

Corrected by Jun 5, 2025

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3270.131(d)(5)/3270.131(e)(3) · ·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.

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.

Corrected by Jun 5, 2025

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3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

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.

Corrected by Jun 9, 2025

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

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.

Corrected by Jun 17, 2025

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3270.135(a)(3) · 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.

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.

Corrected by Jun 17, 2025

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3270.192(5) · 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.

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

Corrected by Jun 9, 2025

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3270.94(a)(1) · 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.

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.

Corrected by Jun 6, 2025

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3270.14/3270.21 · 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.

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.

Corrected by Feb 20, 2025

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3270.31(f) · 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.

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.

Corrected by Feb 19, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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.

Corrected by Feb 3, 2025

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3270.32(a)/3270.192(4) · 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.

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.

Corrected by Feb 6, 2025

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3270.32(a)/3270.192(4) · 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.

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.

Corrected by Feb 4, 2025

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3270.33(a)/3270.192(2)(ii) · 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.

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

Corrected by Feb 6, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

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.

Corrected by Feb 4, 2025

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3270.106(a) · 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.

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.

Corrected by Feb 6, 2025

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3270.107 · 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.

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.

Corrected by Feb 4, 2025

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3270.151(a)/3270.192(3) · 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.

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).

Corrected by Feb 7, 2025

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3270.192(5) · 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.

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.

Corrected by Feb 21, 2025

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3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

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.

Corrected by Jul 12, 2024

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3270.113(b) · 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.

**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.

Corrected by Jul 12, 2024

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3270.113(b) · 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.

***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.

Corrected by Nov 20, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

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.

Corrected by Jul 12, 2024

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3270.113(b) · 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.

*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.

Corrected by Jul 24, 2024

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3270.113(e) · 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.

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,

Corrected by Jul 24, 2024

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3270.162(d) · A child may not be forced to eat food.

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.

Corrected by Oct 14, 2024

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3270.14/3270.21 · 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.

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.

Corrected by Jun 17, 2024

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3270.27(f) · 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.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

Corrected by Jul 16, 2024

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3270.27(c)/3270.192(2)(iii) · 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.

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

Corrected by Jul 22, 2024

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3270.27(e) · 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.

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.

Corrected by Jul 17, 2024

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.

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.

Corrected by Jul 23, 2024

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3270.31(f) · 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.

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.

Corrected by Apr 4, 2024

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3270.32(a)/3270.192(4) · 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.

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.

Corrected by Jul 22, 2024

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3270.33(a)/3270.192(2)(ii) · 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.

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

Corrected by Sep 19, 2024

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3270.76 · 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.

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.

Corrected by Jul 26, 2024

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3270.102(a) · 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.

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

Corrected by Jun 17, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

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

Corrected by Jul 24, 2024

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

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

Corrected by Jun 17, 2024

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3270.95(a)/3270.95(b) · 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.

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.

Corrected by Jun 17, 2024

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3270.124(f)/3270.181(c) · 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.

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.

Corrected by Jun 17, 2024

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3270.131(b)(1)/3270.182(1) · 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.

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.

Corrected by Jun 17, 2024

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3270.131(d)(5)/3270.131(e)(3) · ·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.

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

Corrected by Jun 21, 2024

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3270.131(e) · 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.

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.

Corrected by Jun 17, 2024

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3270.135(a)(3) · 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.

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.

Corrected by Jun 17, 2024

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3270.31(e)/3270.192(2)(iii) · 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.

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.

Corrected by Jul 23, 2024

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3270.131(a)/3270.182(1) · 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.

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.

Corrected by Jun 17, 2024

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3270.102(a) · 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.

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

Corrected by Jun 20, 2023

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3270.14/3270.21 · 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.

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.

Corrected by Jun 20, 2023

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3270.27(c)/3270.192(2)(iii) · 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.

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.

Corrected by Jun 20, 2023

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3270.27(e) · 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.

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.

Corrected by Jul 13, 2023

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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.

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

Corrected by Jul 13, 2023

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.

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.

Corrected by Jun 20, 2023

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3270.32(a)/3270.192(4) · 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. Staff #11 may not work in a child care position at the facility.

The file for staff #6 contained documentation of applying for the required out of state clearances on 8/11/22 which is after their date of hire (SEE LIS CODE SHEET). The file for staff #9 lacked a disclosure statement. The file for staff #11 did not contain an application for or the results of an NSOR clearance.

Corrected by Jun 30, 2023

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3270.33(a)/3270.192(2)(ii) · 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.

The file for staff #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. The files for staff #4 and #7, designated as group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected by Jun 20, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #7 contained an initial evaluation completed more that 12 months after their date of hire. A current evaluation is now on file.

Corrected by Jun 20, 2023

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3270.76 · 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.

A wall mounted sensory station in Infant 2 was not securely attached to the wall leaving a sharp screw exposed and creating a pinch point. A piece of drywall, left over from recent construction, was observed in the hall with dust and debris observed on the carpet around it.

Corrected by Jul 31, 2023

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3270.101(a) · 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.

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.

Corrected by Jun 20, 2023

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3270.103 · 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.

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.

Corrected by Jun 20, 2023

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

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

Corrected by Jun 20, 2023

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3270.106(f) · 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.

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.

Corrected by Jun 20, 2023

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3270.107 · 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.

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

Corrected by Jun 20, 2023

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3270.123(a)(3) · 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).

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.

Corrected by Jul 11, 2023

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3270.131(d)(5)/3270.131(e)(3) · 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).

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.

Corrected by Jul 13, 2023

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

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

Corrected by Jul 13, 2023

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3270.151(a)/3270.192(3) · 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.

The file for staff #5 contained a health assessment which was not dated therefore making the health assessment invalid.

Corrected by Jul 13, 2023

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3270.192(5) · 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.

The file for staff #1 contained only 1 written reference.

Corrected by Jul 13, 2023

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3270.31(e)/3270.192(2)(iii) · 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.

The file for staff #8 contained 9 hours of annual training completed between 12/19/21 and 12/19/22. Three additional hours were completed late.

Corrected by Jun 20, 2023

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3270.32(a)/3270.192(4) · 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. Staff #2 may not work in a child care position at the facility.

The file for staff #2 contained did not contain a valid state police clearance. The file contained the invoice for the clearance request, dated 3/04/22.

Corrected by Jun 24, 2022

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3270.76 · 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.

The floor covering in two rooms, toddler 3 and preschool 2, has lifted and cracked which has created a tripping hazard. In the outdoor play space, the poured surface has 2 holes and multiple areas of separation which have created a tripping hazard.

Corrected by Aug 31, 2022

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The rear floor to ceiling windows in toddler 2 lacked visual strips.

Corrected by Jun 24, 2022

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3270.102(a)/3270.103 · 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. 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.

Two torn seat covers were observed on a facility stroller. The inner foam padding was accessible to children due to the tears.

Corrected by Jun 24, 2022

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3270.124(f)/3270.181(c) · 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.

The files for children #2-4 contained emergency contact information and agreements which were not updated by 1/06/22, the date in which the regulation was reinstated after being suspended due to covid 19. The emergency contact information and agreements on file are now current.

Corrected by Jun 24, 2022

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3270.131(e)(1) · 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.

The files for children #1 and #4 contained immunization records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

Corrected by Jun 24, 2022

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

A container of cortisone intended for child #5 and observed in toddler 2, lacked a corresponding medication log.

Corrected by Jun 24, 2022

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

Corrected by Jun 24, 2022

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3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1, employed for over 90 days, did not contain documentation of completing training in pediatric FA/CPR. (SEE LIS CODE SHEET)

Corrected by Jun 24, 2022

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Based on documentation on the facility's fire drill log, the hypothetical location of the fire was the same for 4 consecutive drills.

Corrected by Jul 31, 2022

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3270.95(a)/3270.95(b) · 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.

The operator did not provide a record of installation or proof of purchase for the interconnected fire alarm system at the time of the inspection.

Corrected by Jun 24, 2022

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