First Impressions Ecdc

The operator was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child, however, this letter was observed to lack information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility was observed to have a clear Zep Brand spray bottle that contained a clear liquid but failed to have any label of the exact contents. This bottle was stored on a hook by the sink in the 2-year-old room.

The facility was observed to lack the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center posted by each telephone (or on the back of the shared portable phone) in the facility.

The facility was observed to lack a first-aid kit in the 2-year-old room, the infant's room or the pre-school room. the facility was observed to have one first-aid kit in the Vestibule/entry area.

The facility was observed to have a trim piece disconnected from the 1/2 wall between the 2-year-old room and the infant room, on the 2-year-old side.

The refrigerator in the coat hook area was observed to lack an operating thermometer.

The files for Children #2 and #4, both young toddler aged children were observed to lack updated health reports at least every 6 months. This was evidenced by Health Reports dated 08/21/2023 in child #1's file, and a health report dated 10/09/23 present in child #3's file.

The file for Child #5, a pre-school aged child was observed to lack a health report updated at least every 12 months. This was evidenced by a health report dated 1/5/2023 present in the file.

The sink in the infant diapering area was observed to have a drying rack filled with bottle pieces.

The facility was observed to lack a written notification of safe routes posted by the operator at a conspicuous location in the child care facility.

The facility was observed to have a written record of manually testing all fire detection devices or systems, that indicates more than 30 days between testing on three occasions. The document shows a test on 07/29/2024 and not again until 09/03/2024 a period of 36 days, and a test on 09/25/4 and not again until 10/30/24 a period of 35 days and finally a test on 10/30/24 and not again until 12/4/24 a period of 35 days. however the log indicated that on at least once every thirty days, demonstrating the system is operable testing with the facility's fire drill logs. However,

The file for Staff person #3 was observed to lack evidence of competence in the field of pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). This was evidenced by no CPR certificate of competence present in their file.

The file for child #3 was observed to contain an agreement that did not specify the services which are to be considered as extra.

The file for Child #1 was observed to contain an emergency contact form that did not include the work telephone numbers of the enrolling parent.

The file for Child #1 was observed to contain an emergency contact form that did not include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files for children #1 and #2 were observed to contain emergency contact forms that did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #1 was observed to contain an emergency contact form that did not include health insurance coverage and policy number for child #1.

The file for Child #4 was observed to contain an emergency contact form that did not include the address of the individual designated by the parent to whom the child may be released.

The facility was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in the 2yo room, infant room, or the pre-school room.

The file for child #1 was observed to lack signed parental consent for administration of minor first-aid procedures by facility staff.

The files for Staff member #1 and #2 were observed to lack documentation of having completed an annual minimum of 12 clock hours of child care training in past 12 months. This was evidenced by the presence of evidence of having completed 10 hours present in each of their files.

*The files for Staff Persons #1, #2, and #4 were observed not to have documentation of an FBI clearance. *The file for Staff Person #1 was observed not to contain a valid State Police Clearance. *The file for Staff Person #5 was observed not to have a dated disclosure statement. The file for staff # 2 was observed not to have documentation of a disclosure statement. *The file for Staff #3 was observed to have documentation of a child abuse clearance that was for a volunteer. *The file for Staff person #3 and #5 were observed to not have documentation of an NSOR clearance 90 days after hire. This is evidenced by staff #3 DOH 10/11/23 and staff person #5 DOH 10/3/23.

The file for Staff Person #1 and Staff person #2 were observed not to have completed emergency plan training at date of hire.

It was observed that a Holly tree with berries and prickly leaves growing into the outdoor play space.

The concrete block wall attached to the outdoor fence was observed to have chipped and peeling paint.

Mulch was observed in the toddler area of the outdoor play space with a diameter of less than 1 inch.

The files for Staff Person #1 and #2 were observed not to have documentation of a health assessment.

Staff person #1 and #5 have not completed the Health and Safety training within 90 days of their date of hire. This is evidenced by staff #1 DOH 8/21/23 and staff #5 DOH 10/3/23.

Staff person #1, #3, #4 and #5 has not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Pediatric CPR/First Aid

Staff person/facility person/volunteer #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The emergency contact on file for children #1 and #2 was observed not to contain information on the child's special needs or disabilities.

The emergency agreement and the financial agreement on file for child #2 was observed not to be reviewed in a 6 month period.

The file for staff person #5 was observed not to have documentation of a second reference letter.

The file for staff person # 1 and #2 were observed not to contain a disclosure statement.

While child #2 was observed napping in his/her pack and play, the pack and play was observed not to have at least 2 feet of space on 3 sides.

The files for Staff Person # 3 and #5 were observed not to contain documentation of a Health Assessment.

The facility's emergency plan was observed not to list accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was reported by the owner/operator that the facility does not have a dismissal policy.

The file for child #1 was observed not to contain an agreement form.

The agreement form on file for child #2 was observed to not contain the date of the child's admission.

The file for staff #2, #3, and#4 did not have documentation of verification of childcare experience and training prior to service at the facility.