T and K Childcare

Facility self-reported that when Staff Person #1 had a group of 10 preschoolers in line to use the restroom, one child started to climb on a shelving rack. While Staff Person #1 was removing the child from the shelving rack, three children exited the back of the facility through the emergency push bar door. Staff Person #1 immediately called for help to take their group and ran out the door after the children. Child #1 and Child #2 were standing in the empty lot and Staff Person #1 saw Child #3 run into a back door of a business a few doors down. Staff Person #1 gathered Child #1 and Child #2 and then proceeded through the business to look for Child #3. An employee of the business next door took Child #3 directly back to the main facility, as Staff Person #1 returned to the preschool area with Child #1 and Child #2.

The fire drill log on file contained dates of fire drills from 11/1/24-1/10/25, and 1/10/25-4/1/25 which are more than 60 days between fire drills.

Staff Person #1 has not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR, and Part 1 and Part 2 of Health and Safety trainings.

Staff Person #1 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Staff Person #3 includes State Police Clearances dated 2/4/20 and 2/5/25, Child Abuse Clearances dated 2/13/200 and 3/5/25. The file for Staff Person #4 includes FBI Clearances dated 9/26/19 and 1/30/25, all more than 60 months apart.

It was observed in the bathrooms by the preschool area that there was a garbage can without a lid.

It was observed that in the locked medicine box in the toddler area that there was a bottle of cough medicine that was not labeled for a specific child.

While observing a diaper change in the toddler area, it was observed that the children's hands were not washed following the diaper change.

The two most recent health assessment on file for Staff Person #4 are dated 6/16/22 and 1/27/25, for Staff Person #6 are dated 3/22/22 and 1/31/25, for Staff Person #9 are dated 11/8/22 and 1/31/25, for Staff Person #10 are dated 3/29/21 and 2/13/24, for Staff Person #11 are dated 3/20/21 and 2/13/24, and for Staff Person #12 are dated 2/20/22 and 1/16/25. All more than 24 months apart.

The file for Child #5 who has been enrolled longer than 60 days (see LIS code sheet for enrollment date) does not contain a child health report with current immunizations.

The files for Staff Person #1, #3, #4, #5, #6, #8, and #12, includes verification of Pediatric First Aid/CPR training dated 1/11/25, after the expiration date of 5/31/24. The file for Staff Person #14, includes verification of Pediatric First Aid/CPR training dated 1/11/25, after the expiration date of 4/30/24. The file for Staff Person #15, includes verification of Pediatric First Aid/CPR training dated 1/11/25, after the expiration date of 12/31/24. The file for Staff Person #13, includes verification of Pediatric First Aid/CPR training dated 10/16/24, after the expiration date of 5/31/24.

Staff Person #2, Staff Person #7 and Staff Person #16 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 10/16/24 for Staff Person #2 and Staff Person #16 and on 2/10/25 for Staff Person #7. Staff Person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Staff Person #2 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 6/27/24. The two most recent mandated reporter training certificates on file for Staff Person #6 are dated 9/29/19 and 1/13/25, more than 60 months apart.

The two most recent updates on the emergency contact information and the financial agreements are dated for Child #1 12/14/23 and 12/17/24, for Child #2 11/20/23 and 1/2/25, for Child #3 11/20/23 and 9/23/24, for Child #4 1/31/24 and 9/17/24, for Child #6 11/20/23 and 12/10/24, for Child #7 10/19/23 and 9/19/24, and for Child #8 11/27/23 and 9/27/24. Which are all updated more than 6 months apart.

At approximately 11:20 AM it was observed that Staff Person #1 and Staff Person #2 were in the preschool side of the facility with 15 preschoolers. Staff Person #1 named and identified 9 children and Staff Person #2 named and identified 2 children, leaving 4 children unaccounted for. Given a second attempt Staff Person #1 named and identified 9 children and Staff Person #2 named and identified 4 children, again leaving 2 children unaccounted for.

When child #1 becomes physically aggressive to children and staff, staff #1 and 2 have put the child in the top of the tree house in the Toddler Room or in the diaper changing area of the Toddler room where staff sit at the opening and child #1 is not permitted to leave said area.

At approximately 10:35 AM, it was observed that 90 children, ranging in age from infant to school age, were accounted for in the Main Room where the capacity of the Main Room is 84.

The NSOR on file for Staff Person # 2 was dated 2/2/24 and Staff Person #9 was dated 2/7/24 both more than 45 days after their start dates (see LIS code sheet). The disclosure statements on file for Staff Person #4 was dated 1/30/24, Staff Person #5 was dated 1/28/24, Staff Person #11 was dated 1/31/24, Staff Person #13 was dated 1/29/24, and Staff Person #14 was dated 1/28/24 all after their start dates (see LIS code sheet). The file for Staff Person #7 did not contain a child abuse clearance. The file for Staff Person #10 includes criminal history clearance and child abuse clearance dated 2/1/24, which is after start date (see LIS code sheet). The file for Staff Person #14 includes a child abuse clearance dated 1/4/24, which is after start date (see LIS code sheet).

The emergency plan training on file for Staff Person #2, Staff Person #12, Staff Person #13 and Staff Person #14 was not completed within 90 days of starting at the facility. The training was completed for Staff Person #2 on 2/1/24, for Staff Person #12 on 1/28/24, for Staff Person #13 on 1/29/24 and Staff Person #14 on 1/28/24 (see LIS code sheet for start dates).

The first aid kit in the indoor play space where children were in care was located on a low cubby making it accessible to the children.

The first aid kit in the indoor play space was lacking an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

In the back preschool space it was observed that there were magnetic tile blocks that were cracked and not in good repair and a toy cash register that was broken.

It was observed in the school age space that there was a office chair that had a rip in the cushion and the foam padding was exposed.

The health assessment on file for Staff Person #1 is dated 1/14/22 which is more than 24 months ago. The health assessment and TB screening on file for Staff Person #10 is dated 3/2/22 which is more than 12 months before hire date (see LIS code sheet).

The initial health assessment for Child #8 was dated 1/29/24 and was received more than 60 days after enrollement date (see LIS code sheet).

The one-hour health and safety professional development update for Staff Person #8 was dated 2/7/24, which is after the deadline of 12/30/22.

The file for Staff Person #2, Staff Person #7, and Staff Person #9, was observed not to have completed the required pre-service training within 90 days of their hire date (see LIS code sheet): Get Started with Center-based Care; Building Blocks for Quality Revised 2022. Staff Person #2's certificate was dated 9/24/23, Staff Person #7 dated 9/1/23, and Staff Person #9 dated 10/23/23. Staff Person #12 and Staff Person #14 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care; Building Blocks for Quality Revised 2022. Staff Person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Staff Person #2, Staff Person #7 Staff Person #8, and Staff Person #9 did not complete their mandated reporter training within 90 days of their date of hire (see LIS code sheet), the trainings were completed on 9/25/23 for Staff Person #2, on 9/8/23 for Staff Person #7, on 2/9/24 for Staff Person #8, and on 2/5/24 for Staff Person #9. Staff Person #12 and Staff Person #14 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Staff Person #6, who was identified as an GS, lacked verification of Bachelor's degree in Education or a related human services; or a Bachelor's degree with 30 credit in education or a related human service field and 1 year of verified child care experience; or an Associates' degree in Education or a related human service field and 2 years child care experience. The file for Staff Person #7 and Staff Person #12 who were identified as an AGS, lacked verification of 2500 hours of child care experience to qualify them for the position. The file for Staff Person #2 and Staff Person #3, who was identified as an AIDE, lacked verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience.

The file for Child #4, Child #5, Child #6 and Child #7, lacked a signed and dated child service report, providing information to the family about the child's growth and development in the context of the services being provided

The emergency contact form for Child #1 was lacking 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.

Child #9's emergency contact form was not in the childcare space in the Pre-K classroom where the child was receiving care.

The emergency contact forms for Child #2, Child #3, Child #4, Child #5, and Child #6, has not being updated within the past 6 months.

The financial agreements on file for Child #2, Child #3, Child #4, Child #5, and Child #6, have not being reviewed and updated within the past 6 months.

It was observed that the child files were located in the office in a unlocked cabinet.

The file for Staff Person #2 lacked a Child Abuse Clearance that had been completed for employment purposes. The Child Abuse Clearance on file was completed for Volunteer purposes and is not acceptable for employment in a child care facility. The mandated reporter training on file for Staff Person #2 was not completed within 90 days of starting at the facility. The training was completed 137 days after starting at the facility. The mandated reporter training on file for Staff Person #3 was not completed within 90 days of starting at the facility. The training was completed 125 days after starting at the facility. The file for Staff Person #4 lacked a signed disclosure statement prior to starting in the facility. The disclosure statement on file was dated 155 days after starting in the facility. The file for Staff Person #5 lacked a signed disclosure statement prior to starting in the facility.

The emergency plan on file lacked continuity of operation as required by Federal Regulations. The files for Staff Persons # 6 and #7 lacked the required 1 hour health and safety training update by 12.30.22. The health and safety training update on file for Staff Person #7 was dated 1.10.23.

The file for Staff Person #1 lacked emergency plan training within 12 months prior to 2.2.23. The emergency plan training on file for Staff Person #3 was not completed within 90 days of starting at the facility. The training was completed 125 days after starting at the facility. The documented emergency plan trainings on file for Staff Persons #6, #7, #8 and #9 exceeded 12 months between review. Staff Person #6 completed training on 4.27.21 and 2.3.23. Staff Persons #7 and #8 completed training on 4.27.21 and 2.1.23. Staff Person #9 completed training on 4.27.21 and 2.2.23.

The file for Child #1, a young toddler, lacked a current health assessment. The last health assessment on file was dated 12.6.21.

The file for Child #2, a preschool age child, lacked a current health assessment. The last health assessment on file was dated 7.7.21.

The file for Child #2 lacked one of their four recommended Pneumococcal vaccinations. The file for Child #4 lacked documentation of a current influenza vaccination. The last documented influenza vaccination was 11.15.21. Written exemptions were not on file for the children.

The file for Child #2 lacked one of their four recommended Pneumococcal vaccinations. The file for Child #4 lacked documentation of a current influenza vaccination. The last documented influenza vaccination was 11.15.21. Written exemptions were not on file for the children. The files for Children #1, a young toddler, #2, a preschool age child, and #5, a young school age child, lacked current health assessments for the children. The last health assessment on file for Child #1 was dated 12.6.21. Updated reports are required every 6 months for a young toddler. The last health assessment on file for Child #2 was dated 7.7.21. Updated reports are required yearly for a preschool age child. The last health assessment on file for Child #5 was dated 11.30.20. The child was in need of a 5 year old assessment as acceptable by a school.

The file for Staff Person #3 lacked an initial health assessment within 12 months prior to starting at the facility. The health assessment was dated 125 days after starting. The updates to the health assessment on file for Staff Person #6 exceeded 24 months between examinations on 10.18.19 and 12.14.21. The updates to the health assessments on file for Staff Person #7 exceeded 24 months between examinations on 12.18 and 3.20.21.

In the Front Classroom in the new Suite a lunchbox containing a bologna sandwich was observed in a child's cubby. The bologna sandwich needed to be refrigerated.

At 10:45am, 17 preschool age children were observed in the indoor gross motor space. The indoor gross motor space has a measured capacity of 11 preschool age children. The indoor space was over the measured capacity.

The file for Staff Person #6 lacked verification of current fire safety training. The last documented fire safety training on file was dated 2.10.22.

The files for Staff Persons #2 and #3 lacked completion of their 10 hour health and safety trainings within 90 days of starting at the facility. The 10 hour health and safety training on file for Staff Person #2 was completed 137 days after starting. The 10 hour health and safety training on file for Staff Person #3 was dated 125 days after starting.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(10).

The file for Staff Person #3, who was identified as an AGS, lacked verification of 2500 hours of child care experience to qualify them for the position. The file only included 909.3 hours of child care experience. Without the verification of experience Staff Person #3 qualifies as an Aide.

The written staff evaluations on file for Staff Person's #1, #6, #7 and #9 exceeded 12 months between evaluations. Staff Person #1's evaluations were dated 2.18.21 and 2.2.23. The last documented Staff evaluations were dated 2.18.21 for Staff Person #6, #7 and #9. The file for Staff Person #8 lacked a written evaluation.

The files for Children #1, #2, #3 and #4 lacked child service reports that had been completed within the last 6 months.

The file for Child #5, a young school ager, lacked a current health assessment for the child. The last documented health assessment was completed when the child was 3. The child is in need of a health assessment at 5 years of age.

The Pediatric First Aid and CPR training on file for Staff Person #2 was not completed within 90 days of starting at the facility. The training was completed 125 days after starting.

The file for Staff Person #8 lacked 1 of their 12 hours of child care training during their respective training year.

The file for Facility Person #1 lacked out of state clearances that were required to be on file in accordance with the CPSL. The updates to the State Police, Child Abuse and FBI clearance requests for Facility Person's #1 and #3 exceeded 60 months between update. The file for Facility Person #8 lacked a completed NSOR within 45 days of starting at the facility. The file for Facility Person #6 lacked verification that they had requested their NSOR certificate prior to starting in a child care position at the facility. A completed certificate was not on file upon starting.

The last dated review of the emergency plan on file was 2/14/21.

The updates to the emergency plan training on file for Facility Person #2 exceeded 12 months.

Several of the sleeping bags intended for use of children in the Front PS classroom were not labeled to identify the name of the child.

The file for Child #1 lacked verification of a current dated health assessment for the child.

The file for Child #4 lacked documentation of a current influenza vaccination. A written exemption was not on file at the time of review.

The updates to the health assessments for Facility Person #1 and #2 exceeded 24 months between examinations.

The files for Facility Person's #1 and #4 lacked verification that they had completed updated Pediatric First Aid and CPR training in an approved Curriculum.

The file for Facility Person #3 lacked current fire safety training within the last 12 months.

The required health and safety training for Facility Person #8 was not completed within 90 days of hire.

The file for Facility Person's #5 and #6 lacked completion of their mandated reporter training within 90 days of starting at the facility.

The updates to the written evaluations for Facility Person #3 exceeded 12 months between evaluations.

The current enrollment agreement for Child #2 lacked the fee amount.

The file for Children #1 and #4 lacked a current Child Service Report for the child.

The updates to the Emergency Contact and Financial Agreement form for Child #3 exceeded 6 months since last review.

The file for Facility Person #7 lacked verification of education and experience to qualify them for a position at the facility.

The file for Facility Person #4 was missing their prior health assessment. The assessment was reported to have been misplaced but had been reviewed at a previous inspection by this Certification Representative.

The file for Facility Person #5 lacked Pediatric First Aid and CPR training with an approved provider within 90 days of starting at the facility. The training on file for Facility Person #5 was completed online. The file for Facility Person #6 and #8 lacked Pediatric First Aid and CPR training within 90 days of starting at the facility.

At the time of enrollment the original agreement was not provided to the parent of Child #1.