Bright Horizons at Southside Works

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.

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.

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.

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

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

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

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

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.

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

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.

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.

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.

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.

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.

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).

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.

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.

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.

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

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.

**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.

***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.

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.

*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.

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,

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.

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.

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.

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.

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

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.

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.

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

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.

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

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.

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.

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.

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

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.

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.

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.

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

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

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

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.

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.

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.

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.

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.

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.

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.

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

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.

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

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.

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

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.

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

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

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.

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

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.

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.

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.

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.

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

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.

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.

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.

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

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

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.

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

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

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

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.

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.

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)