BRIGHTSIDE ACADEMY EARLY CARE EDUCATION

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

3rd Citation: Previously cited on 2/2/26 and 4/7/26: The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: The parent of Child #1 provided a health assessment for the child. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date (3270.123(a)(6))

The fee agreement in the file for Child #1 did not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. Correction: Director put in child's admission date Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The disclosure statement in the file for Staff Person #3 was signed/dated four years prior to staff person's first day working in a child care position at the facility (See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Correction: Disclosure statement will be signed on the correct date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The first written evaluations in the files for Staff Person #1 and #2 were conducted more than 12 months after the staff persons' first days working in a child care position at the facility. This was due to previous evaluations being purged from staff persons' files (See LIS Code Sheet). Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff evaluations were conducted and are located in the employees file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Observed a soiled diaper in the hands-free can, which lacked a plastic liner, in Room #1. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: Diaper was removed from garbage can and liner was installed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Observed two frayed washers, which create sharp edges, under the screws in the wall in Room #7. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Director put in request to have washers and screws removed. Washers and screws with sharp edges were removed on 1/23/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Observed flaking plaster from two holes in the wall near the bookshelf in Room #7. Observed flaking paint under the alphabet sign in Room #8. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Will put in a maintenance order to have flaking paint, removed and re-painted. Walls will be repainted on 2/18/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Observed dirt and debris under the mats of the diaper changing tables in Room #1 and the restrooms. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: Director cleaned underneath changing mats Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The fee agreement in the file for Child #1 was not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: Director signed the fee agreement and is located in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee/Date fee to be paid (3270.123(a)(1)/3270.123(a)(2))

The fee agreement in the file for Child #1 did not specify the amount of the fee or the date on which the fee is to be paid. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. Correction: Director fixed fee and date on form and had parent re-sign. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

The fee agreement in the file for Child #1 did not specify the arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Director put in the child's arrival and departure times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

The emergency contact binder in Room #8 did not include emergency contact forms for Child #3 and #4, who were receiving care in that room. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: Director added missing emergency contact forms for Child 3 and 4 to the emergency contact binders. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The file for Child #4, a preschool child, did not include an updated health report conducted within the past 12 months. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Parent will provide an updated health report at earliest convenience. Director has already reached out. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The most recent parent updates for the emergency plan and fee agreement in the file for Child #3 exceeded 6 months between updates. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Parent reviewed and signed the emergency contact form and fee agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health report. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: The form the parent sent me did not include the physician's information, date of the exam or the child's name. I have requested the parent to send an updated health report to me for Child #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

The most recent fire safety trainings in the file for Staff Person #1 exceeded 12 months between trainings. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Fire Safety training was completed and in the employee's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The initial emergency plan trainings in the files for Staff Person #1 and #2 were conducted more than 90 days after the staff persons' first days working in a child care position at the facility. This was due to previous emergency plan trainings being purged from the files (See LIS Code Sheet). Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: All emergency plans were reviewed with staff and placed in employee files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes after exiting the gym and traveled down two (2) flights of stairs (24 steps) to the lobby. Requirement: TIER 1: 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. This portion of the plan shall have an immediate correction date. Tier2: The legal entity must work with the ELRC to develop and ensure that all staff at the facility participate in two (2) hours of in-person training focused on active supervision while children are in care in all childcare and play spaces at the facility. The training will emphasize maintaining continuous supervision, including requiring staff to position themselves so that children can be observed at all times, and will address the importance of staff not engaging in activities that distract from active supervision. This training must be completed within 30 days of the Department's acceptance of the Plan of Correction and may count toward the required twelve (12) annual training hours mandated by the Department. Documentation verifying completion of the training must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when documentation verifying completion of the training will be submitted to the Department. Tier3: Once Tier 2 is met, the legal entity must work with the ELRC to develop a written supervision policy that defines staff physical location within each classroom/play space, including required positioning near exit doors, and clearly outlines staff responsibilities while in the classroom, including monitoring, engagement with children, and appropriate positioning. All staff must review and sign the policy to confirm understanding. The policy must be provided to the Department Representative within five (5) days of completion. The operator must also provide a date by which proof of completion of supervision checks will be submitted to the Department. Tier4.: Once Tier 3 is met, the legal entity must work with the ELRC to develop an environmental hazard reporting form for staff to promptly document and report safety concerns, including alarm issues and building or safety concerns. The form must be completed and submitted to the Director, or placed in a designated file or box, on the same day the concern is identified. The Director must document the concern and implement a plan to address the hazard as soon as possible. All staff must review and sign to confirm understanding. The form must be provided to the Department Representative within five (5) days of completion. The operator will provide a date for when proof of these supervision checks will be submitted to the department. Tier 5. Once Tier 4 is met, the legal entity must work with the ELRC to develop a supervision tracking form to ensure that random

Staff assigned to specific children (3270.113(a)(1))

Based on staff interviews and review of video footage, the following was verified: On 12/8/25 at approximately 4:34 PM, Staff Person #1 was supervising one (1) young toddler and two (2) older toddlers in the gym. Staff Person #2 was supervising eight (8) preschool children in the gym. Staff Person #3 was present in the gym but was not assigned to a specific group of children. At 4:35 PM, review of video footage shows Child #1, an older toddler, pushing open the emergency exit door and exiting the gym. Staff confirmed the emergency alarm was not functioning on the day of the incident. Staff Person #1 and Staff Person #2 were seated directly across from the emergency exit door, and Staff Person #3 was positioned in the middle of the room. Interviews confirmed that no staff person saw Child #1 exit the gym. At 4:37 PM, Staff Person #3 recognized Child #1 was missing and exited the gym to search. At that time, Child #1's whereabouts were unknown to staff. At 4:39 PM, Staff Person #3 located Child #1 in the first-floor lobby near the exit doors. Child #1 remained alone and without supervision for approximately four (4) minutes, from 4:35 PM until 4:39 PM, and traveled down two (2) flights of stairs (24 steps) to the lobby. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction: Alarm on door was fixed. Staff was terminated. The situation was addressed with all staff. Children on site and all excursions off premises are supervised by a staff person at all times. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

On the day of the inspection (9/23/25), a fire drill had not been conducted within the past 60 days. Most recent fire drill was conducted on 5/29/25. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: A fire drill was conducted on 9/24/2025. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Observed peeling, flaking paint in the following areas: Room #2 beside exit door on the left. Room #11 below window. Last two toilet stalls on right in the restroom across from Preschool #3. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: All peeling paint will be repainted throughout the center. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

The most recent fire safety trainings in the file for Staff Person #4 exceeded 12 months between trainings. Requirement: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Proof of updated fire safety training was added to the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The initial health report in the file for Child #2 was conducted more than 60 days after the child's first day in care. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: Current health assessment for child was added to their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent health assessments in the file for Staff Person #4 exceeded 24 months between assessments. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: Updated health reports were added to the files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The file for Child #3, a Preschool child, did not include an updated health report conducted within the past 12 months. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Updated health report was obtained and added to file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).