First Impressions Early Childhood Dev Center INC

It was observed that emergency contact forms were not present when the children were in the outside play area.

2nd citation. Previously cited on 5/23/24. Observed 6 cribs with loose sheets, two of which were designated for infants, in the Infant/Toddler Room creating a potential suffocation hazard.

2nd citation. Previously cited on 5/23/24. Observed rest equipment not labeled for the use of a specific child in the Preschool Room.

2nd citation. Previously cited on 5/23/24. Staff #1 did not wash a child's hands after being diapered in the Infant/Toddler Room.

Staff #1 did not wash his/her hands after diapering a child in the Infant/Toddler Room.

Observed 6 cribs with loose sheets, one of which was designated for an infant, in the Infant/Toddler Room creating a potential suffocation hazard.

The file of Staff #2 lacked a disclosure statement.

At approximately 12:30 PM Certification Staff observed a child lying on rest equipment behind a bookcase in the Preschool Room which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed 2 approximately 1/2-inch holes in the drywall behind the first crib to the left of the entrance door in the Infant/Toddler Room. Observed approximately a 1-inch hole in the drywall to the left of the first bathroom in the Preschool Room.

The counter height sink in the Infant/Toddler Room did not have platforms or steps, and staff were observed holding a toddler to wash his/her hands.

The sink in the bathroom located at the entrance to the Preschool Room from the side door lacked a handwashing sign.

Observed a cracked bin containing yellow building blocks in the Preschool Room.

Observed rest equipment not labeled for the use of a specific child in the Preschool Room.

The file of Child #1 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained health reports dated 9/26/22, 5/18/23, and 3/25/24.

Staff #2 did not immediately wash a child's hands after being diapered in the Infant/Toddler Room. The child was observed playing before Staff #2 took the child to the sink to wash his/her hands.

The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 2/13/23 with a previous one dated 9/14/20. The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 4/19/22.

The file of Staff #2 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #2 had a Mantoux read date of 4/22/22.

The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of meeting one of the applicable staff qualifications for the position in which Staff #2 was performing.

The files of Children #1 and #2 lacked child service reports completed at least every 6 months. The file of Child #1 contained child service reports dated 1/18/23, 6/28/23, and 1/23/24. The file of Child #2 contained child service reports dated 1/18/23, 6/28/23, and 1/23/24.

Emergency contact information for Child #2 did not include the telephone number of the individual designated by the parent to whom the child may be released.

The files of Staff #1, #4, and #5 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #4, and #5 was not the one updated in 2020. The file of Staff #1 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a NSOR dated 8/25/22.

On 5/17/23 observed a frayed small rug in the Preschool Room. In the outdoor play space beside the parking lot on 5/17/23 observed rust on the 3rd section of the chain link fence from the building as well as rust on the 5 sections from the gate. In the outdoor play space behind the building on 5/17/23 observed rust on the chain link fence in the right corner across from the door, rust on the 1st 2 sections of chain link fence from the gate, and rust on the gate that connects the play spaces. On 5/17/23 observed screws which were rusted on the picnic table in the outdoor play space behind the building.

On 5/17/23 observed 3 foam puzzle pieces with bite marks in the Preschool Room.

The files of Children #3 and #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained a health report dated 3/6/23 with a previous one dated 8/8/22. The file of Child #4 contained a health report dated 9/15/22.

Child #2, a 9-month-old, lacked Pneumococcal immunizations according to the recommendation of the ACIP. Child #2 had documentation of 2 Pneumococcal immunizations. Child #3, a 14-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendation of the ACIP. Child #3 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.

The file of Child #3 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Staff #1 contained an adult health assessment which indicated a physical examination was not conducted.

The file of Staff #1 contained an adult health assessment which indicated Staff #1 was not suitable to provide child care.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 5/12/22, 6/10/22, 7/11/22, 8/5/22, 10/21/22, 1/20/23, and 3/20/23.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 8/29/22, 9/23/22, 10/21/22, 11/17/22, 12/15/22, 1/13/23, 2/13/23, 3/13/23, 4/13/23, and 5/12/23.

The files of Staff #2 and #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The files of Staff #2 and #3 contained documentation of fire safety training completed on 8/1/22 with previous training completed on 6/3/21.

The agreement for Child #1 lacked the arrival and departure times.

Emergency contact information for Child #1, #4, and #5 lacked the complete address of the individual designated by the parent to whom the child may be released.

It was observed that an agreement was not on file at the date of Child #2 and #5's enrollment. Child #2's admission date was 11/1/22 with an agreement dated 11/8/22. Child #5's admission date was 8/23/22 with an agreement dated 11/15/22.

The file of Staff #5 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #5 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 3/22/22.

2nd citation. Previously cited on 5/23/22. Observed rust on the fence surrounding the Outdoor Play Space.

2nd citation. Previously cited on 5/23/22. Observed foam blocks with bite marks in the Preschool Classroom.

On 5/23/22 observed 2 pair of adult scissors in a plastic bin drawer labeled "misc." on the desk in the Preschool Classroom which were accessible to children.

On 5/23/22 observed a Bingo Dauber which indicated "keep out of reach of children" in the art area of the Preschool Classroom. On 5/23/22 observed Great Value Toilet Bowl Cleaner which indicated "keep out of reach of children" at the top of the basement steps which was accessible to children. On 5/23/22 observed Assured Hand Sanitizer which indicated "keep out of the reach of children" on the ledge at the entrance to the Preschool Classroom which was accessible to children.

On 5/23/22 observed a first-aid kit in a back pack by the side door which was accessible to children.

On 5/23/22 observed rust on the fence surrounding the Outdoor Play Spaces. On 5/23/22 observed a loose vent cover to the right of the door in the Outdoor Play Space. On 5/23/22 observed a loose faucet at the handwashing sink in the Toddler Classroom.

On 5/23/22 observed approximately a 10 inch crack on top of the white section of the Little Tykes climber/slide in the Outdoor Play Space behind the building.

On 5/23/22 observed foam blocks and foam letters with bite marks in the Preschool Classroom. On 5/23/22 observed foam blocks and foam mats with bite marks in the Toddler Room.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The file of Child #2 contained a current health report dated 3/8/22 with a previous one dated 2/18/21.

The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 4/18/22 with a previous one dated 5/8/19.

An emergency drill was not conducted annually.

The Director or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The facility provided documentation that a fire drill was conducted on 9/17/21 and then again on 11/22/21.

The Director or designated staff person did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The hypothetical location was the same for fire drills conducted on 9/17/21 and 11/22/21.

The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment.

The file of Staff #2 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #2 contained documentation of fire safety training conducted on 6/3/21 with previous training on 9/29/17.

Staff person #4 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS CODE SHEET). Staff Person #4 had documentation of completing the health and safety training on 4/18/22. Staff person #6 and #7 have not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): pediatric first-aid and CPR.

Staff #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/10/17.

The facility does not have a qualified director working at least 30 hours per week. This is evidenced by Staff #2 who was identified as the facility director, not having documentation of a minimum of an associate's degree including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.

The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

The file of Child #1 lacked the date of the child's admission on the agreement.

The file of Child #1 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

The files of Staff #4 and #5 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS CODE SHEET). The files of Staff #4 and #5 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 8/11/21.

Staff #1, who was hired prior to the implementation of the new regulations, did not complete health and safety training under subsection (f) within 180 days of the new regulations being implemented. Staff #1 had documentation of completing health and safety training on 4/7/22.

The files of Staff #2 and #3 lacked documentation of completing an annual minimum of 12 clock hours of child care training.