BRIGHT LEADERS ACADEMY

2025

1. Medium-High risk7/24/2025

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

   The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's record did not contain the required CPSL hiring documents. (#2hired 4/18/25 FBI completed 7/25/25-more than 45 days) (#3 hired 4/16/25 CHILD ABUSE completed 6/2/25- not prior to working with children also STATE POLICE and FBI completed 6/2/25- not prior to working with children) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Correction: We will revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff/facility persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
2. Medium-High risk7/24/2025

   Similar Age Level/Supervised at all times (3270.51/3270.113(a))

   On 7/24/25, at approximately 12:30pm, a child was observed being supervised by a volunteer (facility person #1) and not a staff person in the infant room. The child was also observed alone and unattended with no staff supervision when the volunteer left the classroom. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. TIERED LIS: 1. Ensure that children are supervised by a staff person at all times and that staff/child ratios are maintained at all times by 7/24/25. 2. Develop and submit a written staffing and supervision plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, staff lunch, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance with staff/child ratios and supervision of children. Submit a copy of the written staffing and supervision plan by 8/24/25. Correction: A staff was assigned to the classroom. We will ensure that children are insured at all times by a staff person and that staff/child ratios are maintained at all times. We will develop and submit a written staffing and supervision plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, staff lunch, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance with staff/child ratios and supervision of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
3. Medium risk7/24/2025

   Outdoor equip.- protective surfacing (3270.102(c))

   Outdoor play equipment required to be embedded was not anchored firmly and mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. Requirement: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Properly anchor the play equipment and obtain loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. Correction: The play equipment will be removed and replaced with equipment that does not require embedding. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
4. Medium-High risk7/24/2025

   Review policies and procedures/Given parents in writing (3270.121(a)/3270.121(b))

   Written parental information to be given to parents at the time of enrollment did not include the facility's policies on supervision. Requirement: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Amend the parent handbook to include the specified written policies in accordance with 55 PA Code 3290 regulations. Submit a copy of the amended parent handbook/information for verification of compliance. Correction: We will amend the parent information to include the specified policies. We will submit a copy of the amended parent handbook/information for verification of compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
5. Medium risk7/24/2025

   Signed (3270.123(a))

   Two children's records lacked an agreement signed by the parent. (#1 and #5) Requirement: An agreement shall be signed by the operator and the parent. Obtain and submit a signed agreement for the indicated child/ren that includes both the operator and parent's signature as specified. Ensure that all agreements are signed by the parent as required. Correction: We will obtain and submit a signed agreement for the indicated children that includes both the operator and parent's signature as specified. We will ensure that all agreements are signed by the parent as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
6. Medium-High risk7/24/2025

   Insurance coverage information (3270.124(b)(6))

   Two children's emergency contact information did not include health insurance coverage and policy number information. (#2, #4 and #5) Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations. Correction: We will obtain and submit a written copy of the missing health insurance information for the identified child. We will ensure that all children's records contain emergency contact information as specified in these regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
7. Medium-High risk7/24/2025

   Written emergency plan posted (3270.124(e))

   The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children. Correction: We will develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. We will post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
8. High risk7/24/2025

   Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

   Several children's records did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#1, #2, #3, #4 and #5) Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records. Correction: We will obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. We will ensure that this information is in all children's records. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
9. Medium-High risk7/24/2025

   Emergency plan (3270.27(a)(5))

   The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures. Submit a written copy of the amended emergency plan. Correction: We will amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and lockdown procedures. We will submit a written copy of the amended emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/24/2025
10. Medium-High risk7/24/2025

    Emergency plan (3270.27(a)(1))

    The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures. Requirement: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan. Correction: We will amend the facility emergency plan to include lock down procedures. We will submit a written copy of the amended emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/24/2025
11. Medium risk7/24/2025

    Age and Training (3270.31(a))

    One facility person identified as a volunteer was not at least 16 years of age or older. (#1) Requirement: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. The identified person must be removed as a volunteer until they are 16 years of age. Ensure that all volunteers will be at least 16 years of age or older. Correction: The identified person was removed from our facility and will no longer serve as a volunteer at our facility until they are 16 years of age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/24/2025
12. Medium-Low risk3/12/2025

    Unsafe Areas in Outdoor Space (3270.63)

    During the Initial Inspection, the outdoor play area which is in close proximity to a busy street was missing complete fencing. Requirement: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Correction: I will have contractors add to the existing fencing in order to restrict children from unsafe conditions. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/4/2025
13. Medium-High risk3/12/2025

    Trash removed grounds once/week (3270.67(b))

    During the Initial Inspection, it was observed that the outdoor play space is being used to store unwanted materials, posing a hazard to children. Requirement: Trash shall be removed from the facility grounds at least once per week. Correction: I will arrange to have the junk in the outdoor play space removed. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/4/2025
14. Medium-High risk3/12/2025

    Health assessment, TB test (3270.192(3))

    Staff member number one did not have a completed Health Assessment form on file during the Initial Inspection. Requirement: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: I will visit my doctor to get this form completed. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/4/2025