Bright Horizons at Southside Works

3270.76 Building Surfaces

“2ND CITATION - PREVIOUSLY CITED ON 6.15.2026 - There was a missing toilet bolt cover on the toilet on the right, on the Preschool side of the bathroom in the Preschool/K-Prep bathroom. There was a small pile of dirt in the corner behind the chair in the library are in Two's 2. The poured surface in the Preschool playground had several holes in the surface, causing a tripping hazard. The poured surface in the Infant/Toddler playground had several holes and the sections for the bike track were separating from each other causing a tripping hazard.”

Correction date in the state record: Sep 4, 2026

3270.113(a) Supervised at all times

“Based on the facility's self-reported incident and staff interviews, on August 6, 2026, at approximately 9:30 a.m., Staff Person #1 was supervising eight preschool-age children in the outdoor Preschool Play Area. Child #1 jumped over a circular flower bed outlined with concrete, fell backward, and struck their head on the concrete. Staff Person #1 stated they did not observe Child #1 fall.”

Correction date in the state record: Sep 14, 2026

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The initial health assessment on file for Child #3 is dated 10.10.25, more than 60 days after enrollment.”

Correction date in the state record: Jun 15, 2026

3270.25(a) Availability of certificate of compliance and applicable regulations

“The Certificate of Compliance posted at the facility expired 9.7.25; the current certificate was not posted.”

Correction date in the state record: Jun 15, 2026

3270.192(5) Two written references

“The file for Staff person #3 includes only 1 written nonfamily reference.”

Correction date in the state record: Jul 7, 2026

3270.181(c) Emergency info/agreement updated 6 mos

“The most recent 6-month review signature for the Agreement on file for Child #6 is dated 6.9.26, more than 6 months after the previous signature, dated 7.15.25.”

Correction date in the state record: Jun 15, 2026

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The 2 most recent health assessments on file for Staff person #2 were dated 3.6.23 and 8.21.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 8.8.23 and 11.12.25, more than 24 months apart.”

Correction date in the state record: Jun 15, 2026

3270.131(d)(8) Age appropriate screenings complete

“The current health assessment on file for Child #6 does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted..”

Correction date in the state record: Jun 15, 2026

3270.131(d)(7) Free from contagious/communicable disease

“The current health assessment on file for Child #6 does not indicate if the child is free from contagious disease and is able to participate in child care.”

Correction date in the state record: Jun 15, 2026

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The immunization record on file for Child #4, who is an Older Toddler, included 3 of 4 DTAP vaccines recommended for a child this age; 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #5, who is an Infant, 1 of 2 Rotavirus vaccines recommended for a child this age; included 1 of 2 DTAP vaccines recommended for a child this age; 1 of 2 HIB vaccines recommended for a child this age; 1 of 2 pneumococcal vaccines recommended by the ACIP for a child this age; 1 of 2 IPV vaccines recommended by the ACIP for a child this age.”

Correction date in the state record: Jun 15, 2026

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 1.6.26, more than 6 months after the previous signature, dated 2.5.25.”

Correction date in the state record: Jun 15, 2026

3270.124(c) Each child care space

“A child was observed receiving care in the Enrichment room without their emergency contact form being in the classroom.”

Correction date in the state record: Jun 15, 2026

3270.124(b)(3) Parent home/work address, phone

“The emergency contact form on file for Child #1 does not include the current home or work address and/or telephone number for the enrolling parent.”

Correction date in the state record: Jun 15, 2026

3270.123(a) Signed

“The file for Child #5, with an enrollment date of 3.9.26, does not include a signed Agreement.”

Correction date in the state record: Jun 15, 2026

3270.107 Refrigerator

“The thermometer in the refrigerator in Infant 2 where children's bottles are stored, measured 48° F at the time of the inspection.”

Correction date in the state record: Jun 15, 2026

3270.106(f) 2 feet apart

“During nap the CR observed 3 cots in Toddlers that did not have 2 feet on 3 sides while children were using the cots.”

Correction date in the state record: Jun 15, 2026

3270.103 Small Toys and Objects

“There was a sensory bottle in Two's 1 containing items smaller than an inch inside with an unsecured lid making the items accessible to children. There were plastic bugs on the sink counter in Two's 2 that were < 1 inch; staff were unable to identify what the bugs were used for, and they were accessible to children. There was a foam football in the Infant/Toddler outdoor playspace that had multiple pieces of foam <1 inch in size missing.”

Correction date in the state record: Jun 15, 2026

3270.102(a) Clean and good repair

“There were 4 Magna Tiles in the Preschool room and 4 Magna Tiles in the K-Prep room that had cracked and broken edges with missing pieces of plastic on the edges.”

Correction date in the state record: Jun 15, 2026

3270.82(h) Handwashing signs

“There was no handwashing sign at the toilet on the right by the K-Prep room in the Preschool/K-Prep bathroom. bathroom. There were no handwashing signs at the toilets in the Two's 1 & 2 bathroom.”

Correction date in the state record: Jun 15, 2026

3270.77(a) No peeling paint or plaster

“Peeling paint was observed on handles on the playhouse in the Infant/Toddler playground.”

Correction date in the state record: Jun 15, 2026

3270.76 Building Surfaces

“There was a missing toilet bolt cover on the toilet on the right, on the Preschool side of the bathroom in the Preschool/K-Prep bathroom. There was a small pile of dirt in the corner behind the chair in the library are in Two's 2. The poured surface in the Preschool playground had several holes in the surface, causing a tripping hazard. The poured surface in the Infant/Toddler playground had several holes and the sections for the bike track were separating from each other causing a tripping hazard.”

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“There was a trashcan in the Preschool Room that contained food waste and did not have a lid on it.”

Correction date in the state record: Jun 15, 2026

3270.66(b) Original container

“There was a container in Infant 1 labeled with a child's name in the cabinet where diaper changing materials are stored that staff reported is diaper cream; the diaper cream was not in the original container and did not include a list of ingredients. There was a spray bottle in Two's 1 that was not labeled with the contents of the bottle.”

Correction date in the state record: Jun 15, 2026

3270.66(a) Locked or inaccessible

“There was a bottle of soapy water on the sink and accessible to children in K-Prep.”

Correction date in the state record: Jun 15, 2026

3270.31(f) Health and Safety Training

“Staff person #1 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. Pediatric First Aid/CPR was completed on 5.16.26. Staff person #6 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.”

Correction date in the state record: Jun 15, 2026

3270.31(e)(4)(i) Age and Training

“The file for Staff person #5 includes verification of First Aid/CPR training dated 5.16.26, after the expiration date of the previous training, 4.30.26.”

Correction date in the state record: Jun 15, 2026

3270.124(c) Each child care space

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

Correction date in the state record: Jun 9, 2025

3270.124(e) Written emergency plan posted

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

Correction date in the state record: Jun 9, 2025

3270.133(4) Locked

“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.”

Correction date in the state record: Jun 9, 2025

3270.134(a) Child's hands washed

“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.”

Correction date in the state record: Jun 17, 2025

3270.67(d) Contaminated trash in closed plastic-lined receptacle

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

Correction date in the state record: Jun 6, 2025

3270.76 Building Surfaces

“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.”

Correction date in the state record: Aug 11, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Jun 27, 2025

3270.135(a)(3) Disposable diapers

“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.”

Correction date in the state record: Jun 17, 2025

3270.103 Small Toys and Objects

“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.”

Correction date in the state record: Jun 5, 2025

3270.102(a) Clean and good repair

“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.”

Correction date in the state record: Aug 11, 2025

3270.82(h) Handwashing signs

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

Correction date in the state record: Jun 9, 2025

3270.111(a) Written plan

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

Correction date in the state record: Jun 9, 2025

3270.106(f) 2 feet apart

“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.”

Correction date in the state record: Jun 9, 2025

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“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.”

Correction date in the state record: Jun 5, 2025

3270.124(b)(6) Insurance coverage information

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

Correction date in the state record: Jun 9, 2025

3270.113(a) Supervised at all times

“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.”

Correction date in the state record: Jun 9, 2025

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“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.”

Correction date in the state record: Jun 5, 2025

3270.192(5) Two written references

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

Correction date in the state record: Jun 9, 2025

3270.94(a)(1) Every 60 days

“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.”

Correction date in the state record: Jun 6, 2025

3270.66(a) Locked or inaccessible

“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.”

Correction date in the state record: Jun 5, 2025

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“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.”

Correction date in the state record: Jun 5, 2025

3270.31(f) Health and Safety Training

“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.”

Correction date in the state record: Jun 5, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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.”

Correction date in the state record: Feb 20, 2025

3270.31(f) Health and Safety 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.”

Correction date in the state record: Feb 19, 2025

3270.31(f) Health and Safety Training

“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.”

Correction date in the state record: Feb 3, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Feb 6, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Feb 4, 2025

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“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”

Correction date in the state record: Feb 6, 2025

3270.77(a) No peeling paint or plaster

“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.”

Correction date in the state record: Feb 4, 2025

3270.106(a) Clean, age appropriate

“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.”

Correction date in the state record: Feb 6, 2025

3270.107 Refrigerator

“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.”

Correction date in the state record: Feb 4, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“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).”

Correction date in the state record: Feb 7, 2025

3270.192(5) Two written references

“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.”

Correction date in the state record: Feb 21, 2025

3270.113(b) No physical punishment

“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.”

Correction date in the state record: Jul 12, 2024

3270.113(b) No physical punishment

“***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.”

3270.113(b) No physical punishment

“**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.”

Correction date in the state record: Jul 12, 2024

3270.162(d) Not forced to eat

“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.”

Correction date in the state record: Oct 14, 2024

3270.113(b) No physical punishment

“*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.”

Correction date in the state record: Jul 24, 2024

3270.113(e) Restraints prohibited

“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,”

Correction date in the state record: Jul 24, 2024

3270.112 Infant/Toddler Stimulation

“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.”

Correction date in the state record: Jul 12, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Jul 22, 2024

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“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”

3270.76 Building Surfaces

“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.”

Correction date in the state record: Jul 26, 2024

3270.102(a) Clean and good repair

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

Correction date in the state record: Jun 17, 2024

3270.124(b)(3) Parent home/work address, phone

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

Correction date in the state record: Jul 24, 2024

3270.124(c) Each child care space

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

Correction date in the state record: Jun 17, 2024

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“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.”

Correction date in the state record: Jun 17, 2024

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“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.”

Correction date in the state record: Jun 17, 2024

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“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”

Correction date in the state record: Jun 21, 2024

3270.131(e) ACIP recommended immunization record

“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.”

Correction date in the state record: Jun 17, 2024

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“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.”

Correction date in the state record: Jun 17, 2024

3270.31(e)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“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.”

Correction date in the state record: Jul 23, 2024

3270.27(f) Emergency plan

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

Correction date in the state record: Jul 16, 2024

3270.31(f) Health and Safety Training

“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.”

Correction date in the state record: Apr 4, 2024

3270.135(a)(3) Disposable diapers

“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.”

Correction date in the state record: Jun 17, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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.”

Correction date in the state record: Jun 17, 2024

3270.27(c)/3270.192(2)(iii) Training regarding plan/Exp, educ., training at facility

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

Correction date in the state record: Jul 22, 2024

3270.27(e) Letter to parents

“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.”

Correction date in the state record: Jul 17, 2024

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“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.”

Correction date in the state record: Jul 23, 2024

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“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.”

Correction date in the state record: Jun 17, 2024

3270.107 Refrigerator

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

Correction date in the state record: Jun 20, 2023

3270.31(e)(4)(i)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

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

Correction date in the state record: Jul 13, 2023

3270.106(f) 2 feet apart

“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.”

Correction date in the state record: Jun 20, 2023

3270.104(a) Clean, good repair, proper size

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

Correction date in the state record: Jun 20, 2023

3270.34(a)(6) Staff evaluations

“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.”

Correction date in the state record: Jun 20, 2023

3270.103 Small Toys and Objects

“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.”

Correction date in the state record: Jun 20, 2023

3270.102(a) Clean and good repair

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

Correction date in the state record: Jun 20, 2023

3270.101(a) Age appropriate

“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.”

Correction date in the state record: Jun 20, 2023

3270.76 Building Surfaces

“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.”

Correction date in the state record: Jul 31, 2023

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“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.”

Correction date in the state record: Jun 20, 2023

3270.123(a)(3) Services proceeded

“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.”

Correction date in the state record: Jul 11, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“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.”

Correction date in the state record: Jul 13, 2023

3270.133(6) Written consent

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

Correction date in the state record: Jul 13, 2023

3270.27(c)/3270.192(2)(iii) Training regarding plan/Exp, educ., training at facility

“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.”

Correction date in the state record: Jun 20, 2023

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

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

Correction date in the state record: Jul 13, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Jun 30, 2023

3270.192(5) Two written references

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

Correction date in the state record: Jul 13, 2023

3270.27(e) Letter to parents

“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.”

Correction date in the state record: Jul 13, 2023

3270.31(e)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“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.”

Correction date in the state record: Jun 20, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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.”

Correction date in the state record: Jun 20, 2023

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“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.”

Correction date in the state record: Jun 20, 2023

3270.133(7) Medication log

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

Correction date in the state record: Jun 24, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Jun 24, 2022

3270.31(f)(10)/3270.192(2)(iii) Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

“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)”

Correction date in the state record: Jun 24, 2022

3270.27(a)(5) Emergency plan

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

Correction date in the state record: Jun 24, 2022

3270.76 Building Surfaces

“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.”

Correction date in the state record: Aug 31, 2022

3270.81 Glass

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

Correction date in the state record: Jun 24, 2022

3270.94(a)(4) Hypothetical locations

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

Correction date in the state record: Jul 31, 2022

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“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.”

Correction date in the state record: Jun 24, 2022

3270.102(a)/3270.103 Clean and good repair/Small Toys and Objects

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

Correction date in the state record: Jun 24, 2022

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“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.”

Correction date in the state record: Jun 24, 2022

3270.131(e)(1) Exemption documentation from parent/guardian

“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.”

Correction date in the state record: Jun 24, 2022