First Impressions Ecdc

3270.27(c) · 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.

The file for staff #1 was observed to lack documentation of training regarding the emergency plan at the time of initial employment.

Corrected by Apr 21, 2026

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

The facility was observed to be storing cleaning materials and other toxic materials under the sink in the pre-school room that was not locked or otherwise inaccessible to children. A tube of hand cream and a bottle of white out both labeled keep out of the reach of children were observed in an area accessible to children.

Corrected by Apr 21, 2026

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The facility was observed to have a first-aid kit in the Toddler room that lacked scissors.

Corrected by Apr 21, 2026

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Child #6 was observed resting in a crib that lacked at least 2 feet of space on three sides of the crib.

Corrected by Apr 21, 2026

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

The facility was observed to lack a written plan of daily activities posted in the pre-school room.

Corrected by Apr 21, 2026

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3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for children #2, #3 and #5 were observed to contain financial agreement forms that lacked the date of the child's admission.

Corrected by Apr 21, 2026

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 was observed to contain an emergency contact form that lacked the enrolling parent's work address and telephone number.

Corrected by Apr 21, 2026

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #1 was observed to contain an emergency contact form that lacked information on the health insurance coverage provider and policy number.

Corrected by Apr 21, 2026

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for child #2 a young toddler was observed to lack a health report updated at least every 6 months. This was evidenced by no health report present in Child #2's file a period of 107 days since enrollment.

Corrected by Apr 21, 2026

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The files for children #4 and #5, both preschoolers were observed to lack an updated health report at least every 12 months. This was evidenced by a health report dated 2/6/24 present in child #4's file and a health report dated 1/19/23 present in child #5's file.

Corrected by Apr 21, 2026

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3270.135(c) · The diapering area may not be used for food preparation or food service.

The sink in the diapering area of the infant room was observed being used for both hand and dish washing.

Corrected by Apr 20, 2026

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

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

Corrected by Apr 21, 2026

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3270.192(3) · 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.

The file for staff person #1 was observed to lack a written health assessment.

Corrected by Apr 15, 2026

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff person #1 was observed to lack documentation of competency in pediatric first aid and pediatric cardiopulmonary resuscitation. This was evidenced by no CPR/First Aid certificate present in the file, a period of 344 days since hire.

Corrected by Apr 30, 2026

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3270.131(a)/3270.182(1) · 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.

The file for child #2 was observed to lack an initial health report that was provided no later than 60 days following the first day of attendance. This was evidenced by no health report present in the file.

Corrected by Apr 30, 2026

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3270.135(c) · The diapering area may not be used for food preparation or food service.

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

Corrected by Apr 4, 2025

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

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.

Corrected by Apr 4, 2025

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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.

Corrected by Apr 4, 2025

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3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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.

Corrected by Apr 4, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

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.

Corrected by Apr 4, 2025

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3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

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.

Corrected by Apr 4, 2025

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3270.75(a) · A first-aid kit shall be in a child care space.

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.

Corrected by Apr 4, 2025

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3270.76 · 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.

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.

Corrected by Apr 4, 2025

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3270.107 · 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.

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

Corrected by Apr 4, 2025

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3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

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

Corrected by Apr 4, 2025

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3270.124(b)(3) · Emergency contact information must include the home, and work addresses and telephone numbers of the enrolling parent.

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.

Corrected by Apr 4, 2025

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3270.124(b)(4)/3270.182(3) · Emergency contact information must 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 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.

Corrected by Apr 4, 2025

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3270.124(b)(5) · Emergency contact information must 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 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.

Corrected by Apr 4, 2025

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Corrected by Apr 4, 2025

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3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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.

Corrected by Apr 4, 2025

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3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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.

Corrected by Apr 4, 2025

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

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.

Corrected by Apr 4, 2025

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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.

Corrected by Apr 4, 2025

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3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

Corrected by Apr 4, 2025

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3270.95(a) · 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 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,

Corrected by Apr 4, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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.

Corrected by Apr 4, 2025

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 and #4 must be supervised by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #5, staff person #1 and #5 may not work in a child-care position at the facility.

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.

Corrected by May 1, 2024

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3270.27(c) · 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.

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

Corrected by May 1, 2024

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3270.31(f) · Staff person(s) #1, #3, #4 and #5 shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f)(1-10), or 3290.31(g)(1-10) within 90 days of hire. Staff persons #1,#3,#4, #5 will have until April 30, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1, #3, #4, #5 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #3, #4, #5 staff person #1, #3, #4, #5 may not work in a child-care position at the facility.

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

Corrected by May 1, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #1 will have until April 39, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #1must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility person/volunteer #1, staff person/facility person/volunteer #1may not work in a child-care position at the facility.

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).

Corrected by May 1, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). *LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Facility Person #1may not work in a child care position at the facility.

*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.

Corrected by May 10, 2024

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3270.66(d) · Toxic plants are not permitted in a child care space.

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

Corrected by Apr 26, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

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

Corrected by May 1, 2024

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

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

Corrected by Apr 26, 2024

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3270.124(b)(5) · Emergency contact information must 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 emergency contact on file for children #1 and #2 was observed not to contain information on the child's special needs or disabilities.

Corrected by Apr 26, 2024

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

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

Corrected by Apr 29, 2024

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3270.181(c) · 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.

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

Corrected by Apr 26, 2024

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Corrected by Apr 26, 2024

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3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

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

Corrected by May 1, 2023

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

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.

Corrected by Mar 20, 2023

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3270.123(a) · An agreement shall be signed by the operator and the parent.

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

Corrected by Mar 20, 2023

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

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

Corrected by Mar 20, 2023

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3270.151(c)(1) · An adult health assessment must include a physical examination.

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

Corrected by Apr 3, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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.

Corrected by Mar 20, 2023

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3270.192(4) · 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.

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

Corrected by Mar 20, 2023

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Corrected by Mar 20, 2023

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