Bright Beginnings

Regulation 5.11.6.4: Infants shall be held for bottle-feeding until they are able to hold an unsupported bottle. At no time shall a bottle be propped for feeding an infant.

“An infant, confirmed by staff and observed during this visit by Licensing Field Specialist Crawford as unable to hold their own bottle, had a bottle propped into a cloth holder for feeding while seating in a bouncy seat. The staff person providing care in the group did not assist the child with the bottle or hold the child during the feeding. Corrective Action: As required during this visit, children who cannot hold their own bottles are to be held during feedings. The use of any products or materials designed to prop infant bottles is to stop. Review this requirement with all staff persons and submit signed documentation that all staff are aware of this practice change to Licensing Field Specialist Crawford by 05/01/2024”

Correction date in the state record: Mar 28, 2024

Regulation 5.6.4: Written permission from parents to administer medication must include all of the following information for each prescription and non-prescription medication administered to children: * Name of the child; * Child's date of birth; * Any medication allergies; * Name of medication; * Dosage to be given; * Time when medication is to be given; * Route of administration (mouth, ear, nose, topical, inhalation); * Reason for the medication; * Start and end dates for administration of the medication; and * Any special instructions.

“Staff confirm that a child was administered a medication without the required documentation of parental permission. Corrective Action: Have the signed parental permission to provide this child the prescribed medication. Establish and review with staff the practice to update children's records if/when a medication is required to be given on site.”

Correction date in the state record: Apr 10, 2024

Regulation 6.2.1.3: The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

“From approximately 2:20 p.m. to 3:12 p.m., the program had six (6) children between the ages of 4 months to 15 months of age and three (3) children ages 18 months to 2 yrs of age in care with two staff persons present in the building and providing care. Staff to child ratio required a third staff person to be present and providing care. This is a serious violation of staff to child ratio requiring a Parental Notification Letter. Corrective Action: As required during the visit, staff to child ratio is to be maintained at all times. Send to Licensing Field Specialist Crawford a program improvement plan that includes the following steps: review with all staff persons the staff to child ratios and have signed documentation from each staff person that this information was reviewed with them, develop a staffing plan which is to include ages and numbers of children assigned to each staff person,and documentation of the program's plans to maintain staff to child ratio for if/when staff persons leave for errands or for the end of thier day.Complete the parental notification letter as outlined above. Submit a statement indicating your understanding of this rule and an e-mail with a list of names and phone numbers of parents who were sent the Parental Notification Letter to Licensing Field Specialist Crawford by 12/22/2023.”

Correction date in the state record: Dec 12, 2023

Regulation 5.10.4.5.9: Trampolines may be used if they measure thirty six (36) inches or smaller in size.

“Staff confirmed that children use the trampoline that has an estimated size of 6 feet across. Corrective Action: As required during this visit, children are not to use the trampoline. During a subsquent visit to the program on 09/12/2023, it was confirmed on 09/12/2023 that the program has restricted child access to the trampoline. The Licensee confirmed during a telephone call on 11/22/2023 that the trampoline has been removed from the property.”

Correction date in the state record: Aug 25, 2023

Regulation 5.10.1.1: General Safety: The licensee shall ensure the physical facilities of the CBCCPP, grounds, equipment, and toys present no hazard to the health, safety, and well-being of the children.

“A child in the infant/toddler group reached behind a storage cabinet and grabbed an ant trap with visible powder bait. Staff were notified by this licensor that the child had this and it was immediately removed from the child's grasp. The child was taken immediately to wash his hands. Program staff reviewed all areas of the floor behind and beneath items in the children's spaces and confirmed no additional traps were present. Corrective Action: As required during the visit, children are to be protected from all products identified as poisonous or labled keep out of reach of children. Develop a system to ensure any products needed to eliminate pests or insects are not accessible within program space.”

Correction date in the state record: Aug 25, 2023