Bright Horizons at Mount Joy

Staff persons #1 and #2 were present with a group of 17 preschoolers. When the staff were asked to identify the names and whereabouts of the children in their care groups, only 16 of the 17 children were accounted for.

The facility self-reported the following incident: Staff persons #1 and #2 were caring for a group of preschoolers on the afternoon of Thursday, May 21st. Child #1 was able to exit the room without staff supervision, following along with a large group of other families that were picking up their children at the end of the day. Once they exited the building, a parent realized child #1 was not with a parent and returned child #1 to the office staff. Staff estimated that the child was without staff supervision for less than 2 minutes.

Staff person #7 complete mandated reporter training 3/3/2020 and subsequently more than 60 months later on 8/15/25. The disclosure statements on file for facility persons #11 and #12 were incomplete as they each were not signed by a witness.

Staff persons #7 and #8 were present with a group of 20 preschoolers. When the staff were asked to identify the names and whereabouts of the children in their care groups, only 16 of the 20 children were accounted for.

K-prep - Hand sanitizer was observed on a child's bag in an area accessible to the children in the room. (CORRECTED ON SITE)

The kitchen contained a working stove, which was accessible to the children that use the neighboring hallway / play area.

An area of the fence on the preschool playground was cracked, creating a sharp edge.

The health assessment on file for staff person #7 did not include an examination for communicable diseases and the results of that examination.

The health assessment on file for facility person #11 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The proof and date of purchase of the interconnected fire detection device or system was not on file with the facility's fire drill logs.

Staff persons #1 and #4 completed fire safety trainings in February of 2025 and subsequently more than 12 months later in April of 2026. Staff persons #2, #3, and #9 completed fire safety trainings in February of 2025 and subsequently more than 12 months later in March of 2026. Staff persons #5, #8, #10 completed fire safety trainings in March of 2025 and subsequently more than 12 months later in April of 2026. Staff person #6 completed fire safety trainings in August of 2024 and subsequently more than 12 months later in April of 2026.

Valid PA State Police Clearance documents were not available for facility person #1 and #3. The clearance document for #1 did not contain the top portion of the form containing the identifying information. The clearance document for #3 did not contain the bottom portion of the form containing the disseminated date information. It was observed that disclosure forms were not obtained from CTC volunteers at time of hire as evidenced by a uniform start date of 10/1/24 and disclosure signature dates of 5/1/25 and 5/2/25. Child abuse clearance for facility person #8 was observed to be late as evidenced by a previous clearance dated 2/20/20 and a new clearance dated 2/26/25.

Documentation showed that the annual emergency plan training for staff occurred beyond the 12-month requirement as evidenced by the fact that a majority of existing staff completed emergency plan training 9/18/23 and again 10/14/24.

In the Preschool 1 room, tweezers were observed to be missing from the first aid kit. In the Two's room, tape was observed to be missing from the first aid kit. BOTH CORRECTED ON SITE.

Ceiling tiles in the K Prep, Pre-K 2, and Infant 1 rooms contained water stains, reportedly from the HVAC system pipes above the tiles.

At the time of inspection, the date of the health assessment was not available for facility person #2. The initial health assessment for facility person #7 was observed to have been obtained after the person's start date with the program as evidenced by a health assessment dated 9/8/23 - see LIS for first date working with children.

At the time of inspection, documentation of the date of TB test results was not available for facility person #2, #4, and #5.

In the Preschool 1 room, the window frame was observed to be dusty. In the K-Prep room, the window frames were observed to be dusty.

In the infant room, a sensory bottle was observed to be unsecured, allowing children access to pumpkin seeds inside the bottle.

In the Young Toddler room, a blue foam pad was observed to have a ripped corner, allowing children access to the foam inside the pad. Corrected on site by removing the seat pad.

Medication log for child #1 was missing the dates for which the medication can be administered. Medication log for child #2 was missing the dates for which the medication can be administered.

Health Assessment for Staff #1 was dated 10/13/20 and updated on 11/15/22, which is greater than 24 months. Health Assessment for Staff #2 was dated 9/28/20 and updated on 11/11/22, which is greater than 24 months. Health Assessment for Staff #3 was dated 9/24/20 and updated on 11/9/22, which is greater than 24 months

Emergency plan on file did not contain accommodations for infants, toddlers, and children with chronic medical conditions or disabilities.