Lightbridge Academy Hampton Township

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Orange Giraffe classroom lacked an operating thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired on (See LIS Code Sheet) lacked a state police clearance.

Correction Required: 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Khaki Kangaroos classroom handwashing signs were not observed to be posted above the two toilets in the restroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Per the facility's self-report and staff statements, on 6/3/25, Staff #1 and Staff #2 were transitioning 19 preschoolers from their classroom to outside when Child #1 was left in the restroom which is located inside of the classroom. Child #1 then left the room unaccompanied and went down the stairs where the child rejoined their group. Staff Person #1 and Staff Person #2 reported that they did not realize Child #1 was not with the class until Child #1 rejoined them downstairs Staff Person #3 witnessed the child returning to the group and reported that the child was upset. Staff #3 took Child #1 into office to calm down before reuniting them with their class. Child #1 was alone for less than one minute before reuniting with their class.

Correction Required: 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. TIERED LIS: 1. Children must be supervised at all times. 2. The Legal Entity will require the operator, director and any staff persons who have a leadership role to participate in monthly, on site, Technical Assistance (TA) sessions with ELRC 5 for a minimum of 4 months. The TA sessions will include defining staff leadership roles in the childcare, identifying methods that each role can utilize to ensure staff understand and are implementing proper supervision of all of the children in care. Documentation of each TA session will be submitted to the Department within 10 days of the completion of the session. 3. The director and any staff person who have a leadership role will attend the live virtual Supervision 101 training conducted by the ELRC 5 on August 7, 2025. 4. All new staff employed after the accepted date of this plan of correction will complete 2 hours of online supervision training within the first 14 calendar days of employment for a minimum of 4 months. The legal entity will submit the training for approval prior to completing the training. Certificates of completion will be submitted to the department within 5 calendar days of completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Per the facility's self-report and staff statements, on 6/3/25, Staff #1 and Staff #2 were transitioning 19 preschoolers from their classroom to outside when Child #1 was left in the restroom which is located inside of the classroom. Child #1 then left the room unaccompanied and went down the stairs where the child rejoined their group. Staff Person #1 and Staff Person #2 reported that they did not realize Child #1 was not with the class until Child #1 rejoined them downstairs Staff Person #3 witnessed the child returning to the group and reported that the child was upset. Staff #3 took Child #1 into office to calm down before reuniting them with their class. Child #1 was alone for less than one minute before reuniting with their class.

Correction Required: 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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Per the facility's self-report and staff statements, on 6/3/25, Staff #1 and Staff #2 were transitioning 19 preschoolers from their classroom to outside when Child #1 was left in the restroom which is located inside of the classroom. Child #1 then left the room unaccompanied and went down the stairs where the child rejoined their group. Staff Person #1 and Staff Person #2 reported that they did not realize Child #1 was not with the class until Child #1 rejoined them downstairs Staff Person #3 witnessed the child returning to the group and reported that the child was upset. Staff #3 took Child #1 into office to calm down before reuniting them with their class. Child #1 was alone for less than one minute before reuniting with their class.

Correction Required: 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.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The 30-day fire detection log on file at the facility included dates of testing from 1/8/25-2/24/25, 2/24/25-3/2725, and 4/24/25-5/27/25, which are all over 30 days between testing.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Per the facility's self-report and staff statements, on 2/10/25 Staff #1 and #2 took their group of 10 preschool children from the Khaki Kangaroo room directly across the hall to the multi-purpose room. Staff person #2 went to the restroom. Child #1 was found in the hallway by staff person #3. Staff person #4 walked out of her classroom and found staff person #3 and child #1 in the hallway. Staff person #3 and #4 took child #1 back to the multi-purpose room. Staff person #1 did not realize that child #1 was not in the multi-purpose room. Child #1 was unsupervised for approximately 1 minute before staff returned child #1 to the multi-purpose room.

Correction Required: 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. 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. 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to take the 2-hr, in person training from ELRC 5, "Creating Safe Environments Through Active Supervision." The training must be approved by DHS. The training may count towards the mandatory 12 training hours required by 3270.31(e).

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Per the facility's self-report and staff statements, on 2/10/25 Staff #1 and #2 took their group of 10 preschool children from the Khaki Kangaroo room directly across the hall to the multi-purpose room. Staff person #2 went to the restroom. Child #1 was found in the hallway by staff person #3. Staff person #4 walked out of her classroom and found staff person #3 and child #1 in the hallway. Staff person #3 and #4 took child #1 back to the multi-purpose room. Staff person #1 did not realize that child #1 was not in the multi-purpose room. Child #1 was unsupervised for approximately 1 minute before staff returned child #1 to the multi-purpose room.

Correction Required: 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. 1. Each staff person shall be assigned the responsibility for supervision of specific children. 2. The facility is required to develop and maintain a hands-free method for identifying the specific children for which each staff person is responsible. It will include, minimally, the name and a picture of the child and staff will utilize the identification method appropriately at all times while on duty at the facility. When a new child enrolls at the facility, a supervision card will be present at the facility before the child's first day of attendance.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Per the facility's self-report and staff statements, on 2/10/25 Staff #1 and #2 took their group of 10 preschool children from the Khaki Kangaroo room directly across the hall to the multi-purpose room. Staff person #2 went to the restroom. Child #1 was found in the hallway by staff person #3. Staff person #4 walked out of her classroom and found staff person #3 and child #1 in the hallway. Staff person #3 and #4 took child #1 back to the multi-purpose room. Staff person #1 did not realize that child #1 was not in the multi-purpose room. Child #1 was unsupervised for approximately 1 minute before staff returned child #1 to the multi-purpose room.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #1 lacked Pediatric First-Aid and CPR training that was completed within 90 days of hire (See the LIS Code Sheet). The Pediatric First-Aid and CPR training in the file was dated 9/12/24.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a child abuse clearance prior to the start date. The child abuse clearance in the file was dated 6/14/24. The file for staff person #3 who was hired as an aide on (See LIS Code Sheet) lacked a child abuse clearance prior to the start date. The child abuse clearance in the file was dated 8/9/24.

Correction Required: 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Yellow Ducks classroom broken magnetic plastic blocks were observed to be broken causing rough edges, sharp corners, and pinch and crush points.

Correction Required: 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #8 lacked a child service report that was completed 6 months from the previous child service report. The child service reports in the file were dated 10/31/22 and 11/15/23.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: In the files for children #1 - #10 it was observed that the original agreement was in the files and was not given to the parents.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.