First Impressions Day Care Center LLC

The file for Child #1 includes 6-month review signatures for the emergency contact form and agreement dated 2.9.24 and 7.30.25, more than 6 months apart.

Observed three electrical outlets that lacked receptacle covers.

Observed in the gymnasium: a large hole in the wall on the left side where four of the blocks had been removed. In this gap, exposed pipes and pieces of cracked cinder blocks were observed. Observed a leaking water pipe on the ceiling, which was creating a puddle on the floor on the far left side. Observed a cracked electrical outlet cover on the far wall, and another electrical cover, which were held on with blue tape that was peeling. A gap in the wall near this same outlet exposed crumbling cinder. Several smaller holes, which had previously been taped, were observed along the lower walls of the gym, primarily in the far right corner below the pull-up bars. Observed wrestling equipment (a portable rink with metal components), which was accessible to children, on the near right corner of the gymnasium.

While assessing supervision and ratio during a complaint investigation on 11.4.24, at approximately 10:40 AM, in a mixed age group, staff member #1 named 1 young school-age child and 2 preschool children they were responsible for. Staff person #2 named 3 preschool children, 3 older toddlers, and 1 young toddler who they were responsible for. Staff member #3 was to have responsibility for the young toddler but had left the room for several minutes after the CR's arrival.

The most recent fire drill documented is dated 9.3.24, more than 60 days ago.

The most recent documented fire alarm test is dated 9.3.24, more than 30 days ago.

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised and no staff present to maintain ratio.

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised.

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised and no staff present person was present with the children.

There were 2 pairs of adult scissors on the teacher desk in Room 119 which were accessible to children.

In Room 119 there was a missing outlet cover on the wall opposite the windows and there were 2 missing outlet covers in the power strip beneath the air conditioning unit, accessible to children 5-years or younger.

There was a bottle of White-Out, labeled "keep out of reach of children" in an unlocked drawer on the teacher's desk, making it accessible to children.

There was no lidded trashcan in Room 119 where children were observed throwing away soiled facial tissues, used plastic utensils, and unfinished food from lunches.

The second window from the far end in Room 119, which is above the ground floor, was able to be opened more than 6 inches.

In the outside playground, there was a piece of wood bordering the edge of the poured surface that was splintered and had a sharp exposed shard that stuck out several inches creating a tripping or injury hazard. There was also a strip of wood on the border around the poured surface that was pulling away from the border and sticking up, creating a tripping hazard. In the gym there were floorboards pulling up from the floor, creating a tripping hazard. The cover on the end of the heating unit in Room 119 had broken, causing pinch points and sharp metal corners to be exposed.

Peeling paint was observed on the wall above the sink in the food preparation area in room 118.

Several plastic figurines smaller than 1 inch were observed in the toy bin in Room 118 and 119, where children who are still placing items in their mouths.

The fire alarm 30-day test log includes test dates 10.27.23-11.27.23; 5.17.24-6.17.24; and 7.15.24-8.15.24, more than 30 days apart.

While testing the 2 independent smoke detectors, the smoke detector in Room 118 did not appear to be functioning.

The Shaken Baby/Abusive Head Trauma Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

The file for Staff person #1 includes verification of First Aid/CPR training dated 8.14.24, after the expiration date of 3.31.24.

The file for Staff person #2, 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

The agreement on file for Child #1 and #2 does not include the persons to whom the child can be released.

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

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

The current emergency contact form on file for Child #1 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

The emergency contact form on file for Child #1 does not include a complete address for all listed release persons.

The file for Staff person #1 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/19/23. A 2-hour training from 7.15.24 (Physical Activities for Young Children) is borrowed to complete the required training hours.

One electrical outlet on a power strip in room 119 lacked a protective cover. The power strip was accessible to children 5 years of age or younger.

A reusable spray bottle observed in room 119 was not labeled with the contents. Based on statements made by staff, the bottle contained sanitizer.

The posting in room 119 listing the emergency numbers did not include phone numbers for the poison control center or the nearest hospital.

Two pieces of wood surrounding the perimeter of the outdoor play space were observed to be lifting away from the foundation below exposing sharp screws and creating a tripping hazard.

The boys restroom lacked posted handwashing signs at two sinks.

A portable space heater was observed in the storage area of the staff room. Based on statements made by staff, the heater has been used when the rooms are cool because the heat in the building has not yet been turned on for the winter.

Loose screws which created pinch points were observed on a triangular book shelf in room 118.

The following items with a diameter of less than 1 inch were observed to be accessible to an older toddler who was present in care on the day of the inspection; In room 118 and 119, a Lego bin with small pieces, a bin of Barbie accessories including small shoes, short Lincoln Logs, a bin with various small items including a rubber tire from a toy car, and small pieces of hard macaroni in the sensory bin. Large pieces of scrap plastic wrap were observed on the floor of the gym.

A flat screen television on a table in room 119 was not anchored and was easily tipped forward. In the gym, large wooden platforms with protruding nails and a large piece of unknown green equipment were observed. The green item was constructed of hard plastic and seemed be be overturned which exposed multiple large protruding bolts.

The files for children #1 and #2 contained immunization records which lacked documentation of receiving the influenza vaccine since 2021. No record for the influenza vaccine was on file for 2022 or yet for 2023. Written exemptions were not on file.

Documentation of the 30 day tests of the fire detection devices indicated consecutive tests conducted more than 30 days apart.; 4/10/23 and 5/12/23 = 32 days.

The file for staff #1 did not contain a written evaluation completed in 2022. The most recent evaluation on file dated 7/24/23 is now current.

The emergency contact form for child #3 did not include the telephone number of the child's physician.

The facility's emergency plan did not address continuity of operations.

The files for staff #2 and #3 did not contain documentation of being trained on the emergency plan within 90 days of hire. (SEE LIS CODE SHEET) The only documented training on file for both staff was dated 6/15/22.

Five electrical outlets in the gym lacked protective covers. The outlets are accessible to children 5 years of age or younger.

Upon arrival, the door to the maintenance closet was open leaving multiple toxics accessible to children (bleach, sanitizer, disinfectant and batteries). The closet is beside the entrance to the girls' restroom used by children in care.

Room 119 lacked a first aid kit.

The first aid kit in room 118 was accessible to children on a child sized table.

Accessible foam was observed on multiple gymnastics mats stored in the gym. Crumbling pieces of foam were observed on the gym floor around the mats.

A torn seam was observed in the seat of the gray hammock chair in room 118.

The operator was unable to provide documentation of the manufacturer's ASTM F1292 test data for the unitary playground protective surface covering for the outdoor play space.

Plastic bags were accessible to children under 2 cabinets in room 118 and in one child's locker in the hall.

The file for child #1, a school age child, contained a health report which was not dated therefore compliance could not be determined.

The file for child #5 contained a health report which has not been updated in the past 12 months.

The files for children #2 and #5 contained immunization records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP.

The file for staff #2 did not contain the results of a tuberculosis screening.

The facility's emergency plan lacked accommodations for toddlers. Two older toddlers were observed in care.

The facility conducted an initial annual emergency on 6/16/22 which was after the deadline on 12/19/21.

A pedestal fan, which lacked a protective netting, was observed in the hall outside room 118. The fan was plugged in.

The file for staff #1 contained documentation of fire safety training completed more than 12 months apart; 7/13/21 and 8/24/22.

The file for staff #1, designated as an assistant group supervisor, did not contain documentation of the qualifications required for the position.

The files for children #1, #3, and #4 contained agreements which did not specify the persons designated by a parent to whom the child may be released.

The file for child #1 contained an emergency contact form which did not include a health insurance policy number.

The file for staff #1 contained 12 annual hours of training which were completed late, but are now current.