Tender Learning Care

LPA learned through observation and documentation that there are pests and droppings in the classrooms. This poses a potential health, safety, and personal rights risk to children in care.

102423 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as 1 Staff conduct a training on children's personal rights with the provided DSS video. Training will also include the enforcement of the parent handbook to make sure an extra pair of clothes are brought by parents and are available for children at all times. evidenced by: Based on observation and interview, the facility did not comply with the section above. C1 was not changed out of blood contaminated clothing following an injury which poses a potential health, safety, or personal rights risk to children in care. 8 Meeting minutes will be submitted to LPA along with staff signatures through email.

101226 Health-Related Services(a)... licensee shall immediately notify the child's ...representative if the child...sustains an injury more serious than a minor cut or scratch...shall obtain instructions from...representative regarding action to be taken. This requirement was not met as 1 Staff conduct a training on notifying parents immediately of serious injuries and documenting incidents. Meeting minutes will be submitted to LPA along with staff signatures through email. evidenced by: Based on observation and interview, the facility did not comply with the section above. A child's family was not immediately notified of a serious injury that happened at the facility which poses a potential health, safety, or personal rights risk to children in care. 8

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff files did not have copies of immunizations which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff files had expired mandated reporter certificates which poses a potential health, safety or personal rights risk to persons in care.

Licensee did not ensure the facility was free from pests.

Staff left child in blood contaminated clothing.