Bright Futures Lrg Ctrs INC III

The emergency contact information for child #3 did not include the name of the health insurance coverage.

The emergency contact information for child #1 and #5 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Observed emergency contact information for child #2 was not present in the excursion bag while being transported by the facility.

The file for staff person #2 did not include verification of education. A copy of the Child Development Associate Certificate was on file in lieu of a High School Diploma.

On 07/31/2023, attempts to contact the facility were unsuccessful due to the published telephone number (717-343-0963) not being in service.

The emergency plan did not include a continuity of operations plan.

Observed a group of children and staff from the Bright Futures Learning Center, Cameron St location arrive for a field trip for STEM activities. A group of 20 school-age children were onsite from 11:00 am -- 12:15 pm with 2 staff. The group was a mix of 17 children who are enrolled at the Cameron St Location and 3 children who are enrolled at the Front St location.

Observed cigarette butts throughout the outdoor play space.

Observed the hot water temperature of the sink located in the bathroom located in the "Left" classroom reached a temperature of 112° F.

Observed several large gaps at the bottom of the chain link fence surrounding the outdoor play space. Observed sharp points where the fence links are twisted together creating spikes on the bottom of the fence.

The health report on file for child #1 was an Outpatient Visit Summary and did not include the signature of the physician, physician's assistant or CRNP.

The health report on file for child #1 was an Outpatient Visit Summary and 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.

The copy of the emergency contact information (in the excursion bag) for child #2 used while the child was being transported did not have signed written parental consent for transportation.

At 10:00 am, observed a group of 25 preschool age children in the classroom on the left, which has a total capacity of 20 children. The room was overcapacity for approximately 1 hour before a group of 8 children were moved to another classroom.

The Director or designated staff person did not ensure fire drills were conducted at least once every 60 days. The last documented fire drill was documented on 12/21/2022.

The Director or designated staff person did not ensure a test of the fire detection system was conducted at least once every 30 days. The last documented test of the fire detection system was documented on 01/18/2023.

The total number of children receiving child care services at the facility exceeded the facility's maximum capacity of 39 children for a period of approximately 15 minutes when a group of 20 school aged children arrived at 11:00 am. A group of 25 preschool age children already at the facility did not leave until 11:15 am.

The file for staff person #2 did not include documentation of completing the updated 10-hour "Get Started with Center-Based Care: Building Blocks for Qualify" by April 29, 2022, as outlined in Announcement C-22-02. The file contained documentation of the 6-hour "Health and Safety Basics: Requirements for Certification" training certificate dated 9/15/2016 which does not count toward the new Health and Safety Professional Development (PD) requirements and documentation of the 1-hour "Pennsylvania Health and Safety Update 2022" completed on 12/22/2022.

The director did not ensure a written evaluation was completed every 12 months for staff person #1; the last evaluation on file was completed on 03/11/2022.

Observed the written plan of daily activities posted in the group space did not include the timeframe the children were in care. The written plan of activities only included a schedule for before and after school care activities.

The emergency contact information for child #1 did not include the address of the individuals designated by the parent to whom the child may be released.

The financial agreement for child #1, #2 and #3 was not updated when there was a change in the child's enrollment. The agreement did not include information regarding the child's arrival and departure times on their enrolled day at the facility.

On 02/14/2022, observed the file for staff person #1 contained a Child Abuse Clearance and FBI Clearance which were not updated within 60 months. The current Child Abuse Clearance on file was dated 09/14/2021 and the previous clearance was dated 05/17/2016. The current FBI clearance on file was dated 08/09/2021 with the previous clearance dated 06/06/2016.

On 02/01/2022, observed cigarette butts inside the outdoor play space fencing adjacent to the parking lot entrance/alley.

On 02/01/2022, observed the following on the chain link fence surrounding the playground: a gap in the fence and a leaning post along the back parking lot entrance/alley, a rusty fence post and rusty links on the fence, a top rail missing on the fence next to the gate, a the top rail next to the building was bent and disconnected from the corner, the chain link fence was not connected the top rail, splintering and split wooden rail at the bottom of the fence, a metal connector was no longer holding 2 of the wooden rails together, bolts along the gate were protruding into the playspace. Observed the following on the white vinyl fencing: missing caps on the posts, broken posts that were no longer secured along the top of the fence, a bolt securing the fencing was out of the ground, a section of the fence was leaning where it was no longer secured to the ground.

On 02/18/2022, the file for child #2 included an "After Visit Summary" dated 12/15/2021which was not signed by a physician, physician's assistant or a CRNP. The file for child #3 included an "After Visit Summary" dated 01/25/2022/2022 which was not signed by a physician, physician's assistant or a CRNP.

On 02/18/2022, the file for child #1 included an incomplete Student Health History dated 08/17/2021 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. The file for child #2 included an "After Visit Summary" dated 12/15/2021 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. The file for child #3 included an "After Visit Summary" dated 01/25/2022/2022 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.

On 02/14/2022, observed the health assessment for staff person #1 was not updated within 24 months; the most recent health assessment on file was dated 02/11/2022 and the previous health assessment was dated 11/26/2019. Observed the health assessment for staff person #2 was not updated within 24 months; the current health assessment on file was dated 12/22/2020 with the previous health assessment dated 03/02/2018.

On 02/01/2022, observed written notification of safe routes was not posted at a conspicuous location in the child care facility

On 02/14/2022, observed the emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 02/01/2022, observed an annual emergency drill was not conducted within the previous year.

On 02/14/2022, observed the emergency plan does not provide for accommodations for shelter of children which includes a lock-down procedure.

On 02/14/2022, the operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility; the letter provided was dated 12/11/20020.

On 02/14/2022, observed the Pediatric First Aid and CPR training for staff person #3 was not updated. The most recent First Aid & CPR Certificate was completed on 11/11/2019 and valid for 2 years.

On 02/18/2022, the emergency contact information for child #1 included an incorrect birth date of the child. The birthdate listed on the emergency contact form was listed as 04/17/2014; the birthdate listed on the child's immunization record was 08/16/2017.

On 02/01/2022, observed the operator does not provide information to the parent of each child enrolled on how to access the regulations in PA Chapter 3270 electronically with instructions for contacting the Central Region child care office.