Bright Beginnings of South Park

Staff #4 and Staff #8 have acceptable Pediatric First Aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff #3 did not complete the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR: Completed 10/9/23 (SEE IS CODE SHEET).

The two most recent staff evaluations on file for Staff #1 were dated 6/14/21 and 5/11/23, more than one year apart.

The two most recent Emergency Contact updates on file for Child #1 were dated 8/28/23 and 3/6/24, more than 6 months apart.

The file for Staff #7 includes only 1 written nonfamily reference.

Facility person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR.

Documentation of smoke detector testing indicates that tests occurred on 3/27/23 and next again on 4/27/23 - more than 30 days apart.

The facility's emergency plan did not include a plan for continuity of operations in the event of an emergency, as required by federal regulation.

The letter to be given to parents explaining the emergency plan did not include information regarding the facility's plan for a lockdown.

There were two suncreens labeled "keep out of reach of children" in an unlocked drawer near the diapering area, in reach of children, in the Sunny Days room.

There was peeling paint on the wall in a toy storage closet in the Sunny Days room.

There was no lidded trash can in the girls restroom.

The initial health assessment on file for Facility Person #3 was not signed or dated by the physician, physician's assistant or CRNP who conducted the exam.

The fire drill log did not list the names of the facility persons who participated in each fire drill.

There was no documentation on file at the facility indicating that facility's smoke detectors were tested between July 2022 and 1/26/23. The most recent test documented was notated as occurring on 2/23/23. The smoke detectors were tested on the day of the inspection, more than 30 days later. Smoke detectors are required to be tested at least every 30 days and the testing documented under Act 62.

The most recent evaluation completed and on file for Facility Person #4 was completed on 1/31/22 by an assistant group supervisor.

Facility Persons #1-#6 are classified as assistant group supervisors based on completion of high school and at least two years (2500 hours) of child care experience. The required documentation of child care experience on file for each of these staff includes written statements from the staff persons themselves initialed by a representative of the operator, who states this was to document a phone conversation with a representative of the experiential entity to verify the hours of child care experience written by the employee. The written statements do not include the name of the representative of the experiential entity whom the operator's representative spoke with. There was less than two years of child care experience documented and on file for Facility Person #6 as a portion of the hours documented were of care to related child living in the same household as Facility Person #6 when the care was provided.

The agreements on file for children #1, #2, #3, #4, #6, and #7 were the originals.

The medical emergency transportation plan was not posted in the Sunny Days and Rainbow rooms. The medical emergency transportation plan posted in the other spaces did not include the plan for staffing provisions in the event of an emergency.

The agreement on file for child #5 was not reviewed and updated by a parent in writing in the previous 6 months.

During an observed bathroom break on 9/15/22 at approximately 10:50 AM, 1 staff was observed with 3 PS girls and 3 PS boys. The children entered their respective bathrooms, which were 12 feet apart, while the staff member waited in the hall. The staff then entered the girls' bathroom to assist one of the children, leaving the 3 PS boys unsupervised in the boys' bathroom.

Upon assessment of supervision and ratio in the Shining Stars Room 9/15/22 at 10:40 AM, Staff #1 named 5 PS and Staff #2 named 5 PS. There were 11 children in the room at that time. Staff were asked to name their groups three different times with the same result.

A crib containing a sleeping infant was observed to lack 2 feet of space on 3 sides in the Little Lambs Room.

Staff #1 in the Infant Room was heard outside the room, with the door closed, screaming about her work assignment. When observed, Staff #1 had been holding a YT while screaming.

According to a reported incident from the facility, Child #1 was injured and fractured his femur after falling from the window ledge in the Shining Stars Room. During interviews conducted as part of the investigation, it was reported staff permitted the children to climb on the window ledge

A folding cabinet door was reported to have been off the upper track in the Sunny Days Room, making it unable to open and close properly.

A child was injured while placing his finger between the sections of a folding cabinet door in the Sunny Days Room, which was off the upper track and unable to open and close properly due to its disrepair.

In the Preschool/ Pre-k room the following toxics items labeled, Keep out of reach of children, and adult supervision recommended "were accessible to children in care: Germ X sanitizer, carpet square acrylic paint, champagne body cream on the counters top and chap stick. In the rainbow room the following toxic items labeled "not for children under 3 years" were used with 1 and 2 years old children. In the laundry area on the hallway the following cleaning items labeled "keep out of reach of children"were accessible to children in care: Gain dish soap, antibacterial source soap and wind fresh laundry detergent.

The first aid kit in the preschool/pre-k room lacked tape.

There was a pink and yellow climbing matt ripped on the left top corner, a blue toy sofa ripped on the back and on the left leg exposing the wood in the Sunny Day room. There was a cracked bin in the Rainbow room and in the Smiley room.

The file for child #1 lacked an updated health report. The last health report in file was dated 1/5/21.

The file for Child #2,3, and 4 lacks documentation of a current influenza immunization as recommended by the ACIP.

In the Rainbow room was a mupirocin medication with out the label of the medication and the name of the child for whom the medication is intended.

There was a white, liquid in a plastic bottle in a lunch bag in the pre-k room. Per staff the liquid was a plant based milk. There was cheese, yogurt and lunch meat in two lunch boxes in the Smiley room.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The provider lacked proof of purchase of the interconnected alarm system.

The file for staff #1lacked pediatric Firs-Aid and pediatric CPR certificate. The staff start date was 11/22/21.The training certificate was due on 2/22/22.

The file for child # 1 lacked the admission date on the agreement form.

The file for child #1and 3 lacked the work address of the enrolling parent on the emergency contact form.

The file for child # 2 lacked the information on disabilities on the emergency contact form.

The files for child #1 and 2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.