T And K Childcare - Latrobe PA Child Care Center

Noncompliance Area: Some of the numbered cots were reportedly being used in the Preschool Area of the Classroom however a chart identifying which number belonged to which child was not in place. In the Infant Area of the Classroom an Infant was observed to be sleeping in a pack and play that had been labeled for another child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: An emergency contact form was missing for a School Age Child receiving care in the School Age area of the classroom.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: In the Young Toddler medication cabinet one expired Acetaminophen was observed. In the Older Toddler medication cabinet two expired Acetaminophen's were observed. In the Preschool medication cabinet one expired Ibuprofen was observed.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The FBI clearance on file for Staff Person#1 was completed for DOE purposes and not acceptable for Child Care Employment. The file for Staff Person #1 also lacked a current valid State Police Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: A small bottle of white out was observed in a small drawer set in a cubby outside the S/A area.

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: In the Preschool Classroom a Preschool Age child was observed to be sleeping on the floor. In the Older Toddler Classroom a Older Toddler was observed to be sleeping on the bottom shelf of a bookshelf. The children were not sleeping on appropriate rest equipment.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The file for Staff Person #1 lacked verification that they had received emergency plan training at the time of initial hire.

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: The files for Staff Person's #1, #2 and #3 lacked a request for their NSOR clearance prior to starting in a child care taking position and the Operator does not have a Waiver for Provisional hiring at this time. The file for Staff Person #2 also lacked a signed Disclosure Statement. The file for Staff Person #3 also lacked a completed Child Abuse Clearance and Mandated Reporter Training and they have exceeded 90 days in a child care taking position at this time.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2 and #3 may not work in a child care position at the facility.

Noncompliance Area: A Staff Person in the Older Toddler room was observed to use hand sanitizer following diapering a child. The child's hands were not washed. When asked why the staff and child's hands were not washed it was reported that the portable sink in the classroom had run out of water the day before.

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: The portable sink used for handwashing in the Older and Younger Toddler Classroom areas was reported to be out of water which did not allow for a source of running water to be present at the diapering areas.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: At approximately 10:30am an infant was observed to be sleeping in an infant seat in the Infant Area of the Main Classroom. This seat did not allow for the infant to be placed in the sleeping position recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: In the gross motor classroom one cracked bin with sharp edges was observed.

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 tote bag containing prescription medications and a nonprescription children's ibuprophen was observed on a stand and could be accessible to children in the space.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The lid to the garbage can at the changing table in the Older Toddler area of the facility was observed to be in disrepair as it was not lifting with the hands free foot pedal to allow for appropriate disposal of soiled diapers.

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: A lunch meat sandwich was observed in a lunch box in a child's cubby outside the preschool area of the facility. The sandwich was reported to be intended for a child in care.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.