Brightside Academy Early Care Education

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.

3rd Citation: Previously cited on 2/2/26 and 4/7/26: The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report.

Corrected by May 19, 2026

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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.

Observed a soiled diaper in the hands-free can, which lacked a plastic liner, in Room #1.

Corrected by Feb 12, 2026

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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.

Observed two frayed washers, which create sharp edges, under the screws in the wall in Room #7.

Corrected by Jan 23, 2026

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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.

Observed flaking plaster from two holes in the wall near the bookshelf in Room #7. Observed flaking paint under the alphabet sign in Room #8.

Corrected by Feb 18, 2026

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3270.27(c) · 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.

The initial emergency plan trainings in the files for Staff Person #1 and #2 were conducted more than 90 days after the staff persons' first days working in a child care position at the facility. This was due to previous emergency plan trainings being purged from the files (See LIS Code Sheet).

Corrected by Feb 12, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

The most recent fire safety trainings in the file for Staff Person #1 exceeded 12 months between trainings.

Corrected by Feb 12, 2026

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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 disclosure statement in the file for Staff Person #3 was signed/dated four years prior to staff person's first day working in a child care position at the facility (See LIS Code Sheet).

Corrected by Feb 12, 2026

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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 first written evaluations in the files for Staff Person #1 and #2 were conducted more than 12 months after the staff persons' first days working in a child care position at the facility. This was due to previous evaluations being purged from staff persons' files (See LIS Code Sheet).

Corrected by Feb 12, 2026

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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.

Observed dirt and debris under the mats of the diaper changing tables in Room #1 and the restrooms.

Corrected by Feb 12, 2026

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The fee agreement in the file for Child #1 was not signed by the operator.

Corrected by Feb 12, 2026

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3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The fee agreement in the file for Child #1 did not specify the amount of the fee or the date on which the fee is to be paid.

Corrected by Feb 12, 2026

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The fee agreement in the file for Child #1 did not specify the arrival and departure times.

Corrected by Feb 12, 2026

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The fee agreement in the file for Child #1 did not specify the date of the child's admission.

Corrected by Feb 12, 2026

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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.

The emergency contact binder in Room #8 did not include emergency contact forms for Child #3 and #4, who were receiving care in that room.

Corrected by Feb 12, 2026

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child #4, a preschool child, did not include an updated health report conducted within the past 12 months.

Corrected by Mar 12, 2026

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3270.181(c) · 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 parent updates for the emergency plan and fee agreement in the file for Child #3 exceeded 6 months between updates.

Corrected by Feb 12, 2026

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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 file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report.

Corrected by Apr 30, 2026

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3270.113(a) · TIER 1: 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. This portion of the plan shall have an immediate correction date. Tier2: The legal entity must work with the ELRC to develop and ensure that all staff at the facility participate in two (2) hours of in-person training focused on active supervision while children are in care in all childcare and play spaces at the facility. The training will emphasize maintaining continuous supervision, including requiring staff to position themselves so that children can be observed at all times, and will address the importance of staff not engaging in activities that distract from active supervision. This training must be completed within 30 days of the Department's acceptance of the Plan of Correction and may count toward the required twelve (12) annual training hours mandated by the Department. Documentation verifying completion of the training must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when documentation verifying completion of the training will be submitted to the Department. Tier3: Once Tier 2 is met, the legal entity must work with the ELRC to develop a written supervision policy that defines staff physical location within each classroom/play space, including required positioning near exit doors, and clearly outlines staff responsibilities while in the classroom, including monitoring, engagement with children, and appropriate positioning. All staff must review and sign the policy to confirm understanding. The policy must be provided to the Department Representative within five (5) days of completion. The operator must also provide a date by which proof of completion of supervision checks will be submitted to the Department. Tier4.: Once Tier 3 is met, the legal entity must work with the ELRC to develop an environmental hazard reporting form for staff to promptly document and report safety concerns, including alarm issues and building or safety concerns. The form must be completed and submitted to the Director, or placed in a designated file or box, on the same day the concern is identified. The Director must document the concern and implement a plan to address the hazard as soon as possible. All staff must review and sign to confirm understanding. The form must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when proof of these supervision checks will be submitted to the department. Tier 5. Once Tier 4 is met, the legal entity must work with the ELRC to develop a supervision tracking form to ensure that random supervision checks are conducted and documented at least three times per week for all childcare and play spaces and all age groups. This requirement must be completed for four consecutive months. Supervision check form must be provided to the Department within five days of completion. The operator must provide a date for when proof of these supervision checks will be submitted to the Department. Tier 6. Once the supervision tracking form is developed and implemented, and supervision checks are being conducted three times per week for the first week, the legal entity must ensure that staff meetings are held once per month for four consecutive months to review supervision checks, reinforce supervision expectations outlined in the written supervision policy, and review findings reported as a result of the Environmental Hazard Form, as well as citations issued since February 2025. Meeting agendas and sign-in sheets must be maintained on site and made available to the Department upon request. The operator must provide a date for when proof of completion of these staff meetings will be submitted to the Department.

Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes after exiting the gym and traveled down two (2) flights of stairs (24 steps) to the lobby.

Corrected by Aug 10, 2026

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At that time, Child #1's whereabouts were unknown to staff. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes, from 4:35 PM until 4:39 PM, and traveled down two (2) flights of stairs (24 steps) to the lobby.

Corrected by Feb 26, 2026

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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.

Observed peeling, flaking paint in the following areas: Room #2 beside exit door on the left. Room #11 below window. Last two toilet stalls on right in the restroom across from Preschool #3.

Corrected by Oct 17, 2025

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

On the day of the inspection (9/23/25), a fire drill had not been conducted within the past 60 days. Most recent fire drill was conducted on 5/29/25.

Corrected by Sep 24, 2025

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3270.27(c) · 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.

The files for Staff Person #1 and #2, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan. The files for Staff Person #4 and #5 did not include documentation of annual emergency plan training conducted within the past 12 months. (See LIS Code Sheet).

Corrected by Feb 3, 2025

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3270.31(e)(4)(ii) · 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.

The most recent fire safety trainings in the file for Staff Person #4 exceeded 12 months between trainings.

Corrected by Jan 29, 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 NSOR Certificate in the file for Staff Person #3 was dated after the staff person's first day working in child care and the staff person's file did not include documentation of application for the NSOR Certificate on or before the staff person's first day working in child care. The disclosure statement in the file for Staff Person #3 was not dated.

Corrected by Feb 6, 2025

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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 files for Staff Person #4 and #5 did not contain a written evaluation conducted within the past 12 months.

Corrected by Feb 14, 2025

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff Person #3 and #6, assistant group supervisors, lacked documentation of two years child care experience.

Corrected by Feb 14, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

The electrical outlet near the entrance of the gym lacked a protective receptacle cover.

Corrected by Jan 29, 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.

Observed peeling, flaking paint on the wall behind the first toilet in the bathroom across from Room #6.

Corrected by Feb 7, 2025

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3270.124(b)(7) · 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.

The emergency contact form in the file for Child #2 lacked the release person's address.

Corrected by Feb 7, 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.

The emergency contact binder in Room #4 lacked an emergency contact form for Child #1, who was receiving care in that room.

Corrected by Feb 7, 2025

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child #3, a Preschool child, did not include an updated health report conducted within the past 12 months.

Corrected by Feb 14, 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 most recent health assessments in the file for Staff Person #4 exceeded 24 months between assessments.

Corrected by Feb 7, 2025

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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 report in the file for Child #2 was conducted more than 60 days after the child's first day in care.

Corrected by Feb 14, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Corrected by Dec 17, 2024

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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.

* According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Corrected by Dec 17, 2024

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3270.113(a) · All staff, including directors and leadership team, will participate in a technical assistance/demonstration session with a Quality Coach from ELRC #5 focused on supervision while diapering and the proper way to stabilize a child on a diapering surface, along with best practices for diapering. An attendance sheet will be provided by the ERLC #5 to verify attendance by all staff.

* * * According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Corrected by Mar 28, 2025

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3270.113(a) · Leadership will review staff compliance with the facility's cell phone policy by conducting random checks of all classrooms at least twice per week for the next two months. The checks shall be conducted at a different time of day for each check. These checks shall be documented on a log that lists each classroom, the date, time of day, and indication whether staff was compliant or noncompliant. This log will be available upon request from the Certification Representative.

* * According to staff statements and video observation, on 12-13-24 in the infant room, staff person #1 placed child #1 on the changing table and while staff person #1 was turned and talking to another staff person and had one hand on child #1, child #1 fell from the changing table to the floor falling headfirst through the opening of the railing on the front of the changing table.

Corrected by Dec 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 facility had documentation of the interconnected fire detection system's annual testing by a fire safety professional on 10-13-23 and lacked annual testing of the interconnected fire detection system within the last year.

Corrected by Jan 14, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed one electrical outlet in the gym that lacked a protective receptacle cover.

Corrected by Sep 19, 2024

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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.

On the date of the inspection (9/19/24) a fire drill had not been documented in the last 60 days (7/15/24).

Corrected by Sep 24, 2024

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1 and #2 must be dismissed from care by close of business 3/22/24 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 records in the files for Child #1 and #2 were not in accordance with the recommendations of the ACIP. Based on the ages of the children, each was determined to be missing their second Hep A vaccine.

Corrected by Mar 28, 2024

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3270.131(e)(3) · 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). Child #1 and #2 must be dismissed from care by close of business 3/22/24 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 records in the files for Child #1 and #2 were not in accordance with the recommendations of the ACIP. Based on the ages of the children, each was determined to be missing their second Hep A vaccine.

Corrected by Mar 28, 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 file for Staff Person #3, who has been working for more than 90 days, (See LIS Code Sheet) did not have documentation of the one-hour Health and Safety Update.

Corrected by Feb 7, 2024

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3270.27(c) · 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.

The most recent emergency plan trainings in the files for Staff Person #1 and #2 exceeded 12 months between trainings.

Corrected by Jan 23, 2024

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3270.31(e)(4)(ii) · 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.

The most recent fire safety trainings in the file for Staff Person #2 exceeded 12 months between trainings.

Corrected by Jan 31, 2024

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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 first written evaluation in the file for Staff Person #1 was conducted more than 12 months after the staff person's first day in child care (See LIS Code Sheet).

Corrected by Jan 23, 2024

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit for Room #7 lacked tape.

Corrected by Jan 23, 2024

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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.

Observed peeling, flaking paint in the left corner wall in the Preschool Girl's Restroom.

Corrected by Jan 24, 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.

Observed dirt and debris under the mat of the diaper changing table in the Preschool Girl's Restroom.

Corrected by Jan 23, 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 updated health reports in the file for Child #1, a young toddler, exceeded 6 months between reports.

Corrected by Jan 23, 2024

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent updated health reports in the file for Child #2, a preschool child, exceeded 12 months between reports. The file for Child #3, a preschool child, did not include an updated health report conducted within the past 12 months.

Corrected by Feb 16, 2024

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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 Person #4, who has been working for more than one year (See LIS Code Sheet), did not include a written evaluation.

Corrected by Mar 24, 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 file for Staff Person #3 did not include the One-Hour Health and Safety Update. The One-Hour Health and Safety Update in the file for Staff Person #4 was conducted on 2/20/23. The prescribed time frame for completion was 12/30/22.

Corrected by Mar 24, 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 Person #3, who has been working for more than 90 days (See LIS Code Sheet) did not include documentation of initial training in the facility's emergency plan.

Corrected by Mar 17, 2023

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3270.31(e)(4)(i) · 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.

The current Pediatric First Aid/CPR Certificate in the file for Staff Person #1 was issued after the previous certificate had expired.

Corrected by Mar 17, 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. Facility Person #2 may not work at the facility.

The state police and FBI clearances in the file for Staff Person #2 did not contain dispositions for the charges on the rap sheets attached to these clearances. The file for Staff Person #3 did not contain a copy of the request for the NSOR Certificate. The NSOR Certificate in the file for Staff Person #3 was dated 12/21/22, which was after the staff person's start date (See LIS Code Sheet).

Corrected by Mar 16, 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.

Observed dirt and debris in Room #2, corner by language development area and on the landing and steps in the exit stairwell by the kitchen. Sinks in the child care rooms were dirty. Counter tops were propped against the wall in the stairwell by the elevator.

Corrected by Mar 24, 2023

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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.

Observed peeling, flaking paint and plaster on the wall of the bathroom across from Room #6.

Corrected by Mar 17, 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.

Observed dirt and debris under the pads on the diaper changing tables.

Corrected by Mar 17, 2023

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The fee agreement in the file for Child #4 was not signed by the operator and the parent.

Corrected by Mar 17, 2023

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The fee agreements in the files for the five child files reviewed were the original documents.

Corrected by Mar 17, 2023

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form in the file for Child #4 did not include the physician's phone number.

Corrected by Mar 17, 2023

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent updated health reports in the files for Child #2 and #3, who are preschool children, were conducted more than 12 months apart. The file for Child #1, a Preschool Child, did not contain an updated health report conducted within the past 12 months.

Corrected by Mar 29, 2023

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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 most recent immunization record in the file for Child #2 did not contain documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

Corrected by Mar 24, 2023

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3270.181(c) · 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 parent updates for the emergency plan and fee agreement in the files for Child #1 and #2 exceeded 6 months between updates. Child #1: 9/20/21-9/20/22. Child #2: 1/2/21-9/20/22. The first parental update for the emergency plan and fee agreement in the file for Child #5 was conducted more than 6 months after the child's start date. Enrolled: 9/15/21. First Update: 9/15/22. The emergency plan and fee agreement in the file for Child #3 have not been updated by the parents in the past 6 months (1/2/21).

Corrected by Mar 29, 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 letters of reference in the file for Staff Person #3 were family members.

Corrected by Mar 29, 2023

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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 files for #4 and #5, who have been enrolled for more than 60 days, did not include an initial health report.

Corrected by Mar 29, 2023

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The files for children #1 and #3 contained agreements which were not signed by the operator.

Corrected by Jan 27, 2022

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #1 contained an agreement which did not specify the amount of the fee.

Corrected by Jan 27, 2022

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for children #1, #3, and #4 contained agreements which did not specify the date of the child's admission.

Corrected by Jan 27, 2022

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

Room 11 lacked a posted written plan of daily activities.

Corrected by Jan 27, 2022

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Two pairs of adult scissors were accessible to children in room 8 in an unlocked cubby/locker labeled for teacher supplies.

Corrected by Jan 27, 2022

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3270.75(b) · A first-aid kit must be inaccessible to children.

Three first aid kits were observed to be accessible to children in the following areas; on the floor in room 11, on the half wall separating room 11 and room 5, and on the cubbies in room 7.

Corrected by Jan 27, 2022

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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 observed on the bottom of the dividing wall between stall 2 and 3 in the boys restroom, on the half wall by the door of room 5, and near the top of the cubbies at the door of room 6.

Corrected by Jan 27, 2022

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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.

Three screws were missing from the door of a cubby in room 7. The missing screws caused the wooden door to separate from the metal hinge which created a pinch point.

Corrected by Jan 27, 2022

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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.

A Jolly Rancher hard candy was observed in a cubby in room 1, which is designated for toddlers. A paper clip was observed on the floor of room 4, which is designated for toddlers. A second paper clip was observed on the floor between 2 cribs in the infant room.

Corrected by Jan 27, 2022

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #2 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Feb 11, 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 #2 and #3 contained immunization records which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

Corrected by Feb 11, 2022

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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 #1 contained an invalid health assessment.

Corrected by Feb 10, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Based on documentation, the facility has not conducted an emergency drill in the past 12 months.

Corrected by Feb 9, 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 facility did not provide proof of installation or purchase of the fire alarm system on the day of the inspection.

Corrected by Jan 27, 2022

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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 files for children #2, #4, and #5 contained initial health reports conducted more than the 90 days allowable at the time of their enrollment due to the suspension of the regulation related to covid 19. The most recent health reports on file for all 3 children are now current.

Corrected by Jan 27, 2022

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