First Friends Preschool And Day Care

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: It was verified through staff interviews that there was an incident at the facility on 5/26/2026 where Staff #1 restricted the movement of Child #1 by holding the child's hands on their lap while the child was sitting in a chair. The child was confined in a chair for at least a few minutes due to Staff #1 holding the child's hands down and not allowing the child to get up from the chair.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties, straps, their own hands or any of their own body parts to restrict a child's movement or to keep the child in a confined space, closet, locked room or place, including a chair. This portion of the plan shall have an immediate correction date. 2. The legal entity must develop a behavior management policy and procedures to be implemented in the facility. The written policy must address that a staff person may not restrain a child or restrict a child's movement in any way by using bonds, ties, straps, their own hands or any of their own body parts to keep a child in a confined space, closet, locked room or place, including a chair. The policy must also contain strategies for staff to use when managing children with difficult behaviors. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. The operator shall provide a date for when this will be completed.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: On 6/9/2026, Staff #2 had an updated health assessment on file dated 4/21/2026. However, this was after the first day of initial service in a childcare setting as a rehire. Staff #2 had a previous health assessment on file that was dated 5/28/2024, but this more than 12 months prior to their rehire date. See LIS code sheet.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 6/2/2026, the fire drill/fire detection log showed that the smoke detectors in the facility had not been manually tested since 5/1/2026. On 6/9/2026, the fire drill/fire detection log was up to date.

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. Fire detection systems must be manually tested at least once every 30 days.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: On 12/4/2025, Child #1 did not have an initial health report on file. See LIS code sheet.

Correction Required: 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.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: On 12/4/2025, Staff #1 had a health assessment on file dated 9/6/2024. Staff #2 had a health assessment on file dated 4/30/2024. See LIS code sheet.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 12/4/2025, Staff #1 did not have any written, nonfamily references on file. See LIS code sheet

Correction Required: 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.

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: Staff #1 was hired as an assistant group supervisor (AGS). On 12/4/2025, Staff #1 had verification of more than 15 college credits in the early childhood education field on file but did not have verification of at least 1 year of experience with children on file to be qualified as an assistant group supervisor (AGS). See LIS code sheet.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 10/29/2025, the fire drill/fire detection log showed that the fire alarm system was manually tested on 10/23/2025. The operator reported that the facility started operating on 9/22/2025.

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. The fire alarm system must be manually tested and documented at least once every 30 days.

Noncompliance Area: Rep observed a table on the outdoor play ground that is broken and has sharp edges and splinters.

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.

Noncompliance Area: Rep observed vinyl gloves on the infant changing table that are accessible to children when being changed.

Correction Required: 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.

Noncompliance Area: The operator has not notified the local traffic authorities in writing of the program's use of pedestrian and vehicle routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: Facility person #4 began working 10/23/19 does not have proof of education on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Facility person #1 does not have 2 written references on file. Facility persons #5, #7, #8 have each have only 1 written reference on file.

Correction Required: 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

Noncompliance Area: Facility person #1 started working on 7/8/19 and received emergency plan training on 7/29/19 which is more than one week from start date. Facility person #3 last had emergency plan training on 2/6/19, which is more than 1 year ago.

Correction Required: 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.

Noncompliance Area: Facility person #6 does not have fire safety training and began working in February 2019 ,more than 1 year ago.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: Facility person #1 began working on 7/8/19 and has mandated reporter training dated 1/30/20, which exceeds the 90 day provisional period. Facility person #2 had mandated reporter training dated 12/18/14 and 1/24/2020. The training was not renewed before it expired. Facility person #3 has mandated reporter training dated 1/9/15, which is older than 60 months and expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Facility person #6 began working in February 2019 and does not have a written evaluation on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Facility person #1 has a diploma on file that indicates she has an Assoc. of Science but does not indicate the course of study so human service credits cannot be evaluated. Facility person #1 has 1 year of experience documented.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Noncompliance Area: The first aid kit used for excursions in the fox room does not contain water. The Dog classroom was visiting the Apple room and the backpack with the first aid kit was on the table which is accessible to children.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: During an unannounced visit on 9/25/19, it was reported that on 9/23/19 one staff person was supervising 6 children, including 3 young toddlers by herself in the Cat room at 2:45pm. This was confirmed by attendance sheets from that day.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: Rep observed vinyl covered foam chairs in the Fox Room that had torn coverings exposing the inner foam.

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.

Noncompliance Area: Rep observed plastic around the legs of the low table in the Elephant room where infants receive care. The plastic was accessible to children and easily torn.

Correction Required: 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.

Noncompliance Area: During a complaint investigation, it was observed that children in the young toddler (Cat) room were not being supervised adequately by facility persons #1 and #2. Facility persons #1 & #2 were unaware of children climbing on table and reaching into garbage can. These facility persons also acknowledged that on another occasion neither of them saw a child get bitten at the lunch table. Supervision in other rooms was in compliance.

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. Children must be supervised at all times. 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. The legal entity must arrange for all staff to receive a minimum of two hours of PQAS approved, in-person training regarding supervision of children. It does not matter if the PQAS approved training is done through the ELRC. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: Child #2 does not have arrival and departure times listed on agreement.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Child #1 is a 5 month old. Child #1 currently has only 1 dose of Hep B vaccine. ACIP recommendations indicate that a second dose should be administered between age 1-2 months. No exemption letters are currently on file for this child.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: In the Cat Room, Rep observed a staff person change a child's diaper and then direct him to his cot without washing his hands. The staff person then changed her gloves and diapered another child but did not wash her hands in between children.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: In the Cat Room, Rep observed staff person lift the lid of the diaper trash can with her hand to dispose of soiled diaper. The can does have an operable foot pedal.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Facility person #1 began working in child care on 10/1/18 and has a health assessment and TB screening dated 1/11/19 and 1/13/19 respectively. Facility person did work for the legal entity prior to 10/1/18 but was not working with children.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: Facility person #2, #3 and #4 have current health assessments that do not contain results of an examination for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Rep observed a container of Clorox wipes on the changing table while a child was being changed, making it accessible to child. The wipes are labeled "keep away out of reach of children".

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A written record of fire drill was only available from October 2018. The record of fire drills from March 2018- September 2018 was not present for assessment.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Observed an infant sleeping in a pack & play with 3 stuffed toys. Staff reported child's age to be 7 months.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: Observed plastic bags in the bathtub in the Cat Room bathroom. These are accessible to children under two yrs old.

Correction Required: 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.

Noncompliance Area: When Rep arrived at facility at 9:55am, 13 children and 2 staff were present in the Apple Room. One facility person identified primary supervision group to be 1 infant and 2 young toddlers. The other staff identified her primary supervision group as being 2 older toddlers and 5 preschoolers, which is out of the required ratio.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3270.51--3270.55.

Noncompliance Area: When Rep arrived at facility at 9:55am, 13 children and 2 staff were present in the Apple Room. One facility person identified primary supervision group to be 1 infant and 2 young toddlers. The other staff identified her primary supervision group as being 2 older toddlers and 5 preschoolers. Three other children were not identified as being assigned to a staff for supervision. Staff report that another staff person had been present but had to leave for a doctor's appointment.

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.

Noncompliance Area: Observed diaper creams in the Elephant Room that were not labeled with a child's name

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed a facility person's purse, open and on an accessible shelf in the Apple Room. Cigarettes were visible in the purse. .

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Bags of supplies were scattered around the floor of the Bee Room creating a tripping hazard.

Correction Required: 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.

Noncompliance Area: OBSERVED HOLES IN THE COVERS OF THE CUSHION CHAIRS AND PLAYMAT IN THE CAT AND FOX ROOMS

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.

Noncompliance Area: A WRITTEN PLAN OF DAILY ACTIVITIES IS NOT POSTED IN THE BEE AND APPLE ROOMS.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: OBSERVED INFANT BOTTLES THAT WERE NOT LABELED WITH CHILD'S NAME.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: CHILDREN #1 & #2 HAVE AGREEMENTS AND EMERGENCY INFORMATION FORMS THAT HAVE NOT BEEN UPDATED INTHE LAST 6 MONTHS. CHILD #3 HAS A FEE AGREEMENTS THAT HAS NOT BEEN UPDATED IN THE LAST 6 MONTHS.

Correction Required: 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.

Noncompliance Area: EMERGENCY PLAN TRAINING WAS LAST HELD ON 2/28/17 AND THAT IS WHEN STAFF WERE LAST TRAINED. FACILITY PERSON #1, DOH 4/17/17, DOES NOT HAVE EMERGENCY PLAN TRAINING AT INITIAL EMPLOYMENT DOCUMENTED IN THE FILE. STAFF WERE LAST TRAINED ON FIRE SAFETY 2/28/17.

Correction Required: 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. Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: FACILITY PERSON #1, DOH 4/17/17, HAS A DISCLOSURE STATEMENT DATED 4/15/17, A PSP CLEARANCE DATED 4/6/17, A CHILD ABUSE CLEARANCE DATED 4/8/17 AND AN FBI FINGERPRINT CLEARANCE REQUEST DATED 4/28/17 AND FBI CLEARANCE DATED 5/5/18. FACILITY PERSON #1 BEGAN WORKING IN CHILD CARE AS A PROVISIONAL HIRE WITH OUT PROOF OF FINGERPRINTING REQUEST.

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.

Noncompliance Area: OBSEERVED UNCOVERED ACCESSIBLE OUTLETS IN THE DOG AND BEE ROOMS.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: HANDWASHING SIGN WAS NOT POSTED AT THE SINK IN THE ELEPHANT (INFANT) ROOM.

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.

Noncompliance Area: EVACUATION ROUTE AND PLAN FOR EMERGENCY MEDICAL CARE WERE NOT POSTED IN THE BEE ROOM.

Correction Required: Evacuation routes shall be posted. 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.