Love Me Tender Childcare INC · Closed

The first aid kit in the Toddler room and in the 2nd floor Front room did not include tape. The first aid kit in the 2nd floor small room did not include soap.

There was an outlet by the sink in the 2nd floor bathroom that was missing an outlet cover and was accessible to children.

There was an unlidded trashcan in the preschool/school-age that contained an empty soda bottle and an empty yogurt tube container.

The first aid kit in the Gross Motor room did not include tweezers.

There was a missing toilet bolt cover in the Girls preschool classroom.

During the SAN UM on 8.27.25, the SIN:00268303 dated 6.17.25, was not posted in a conspicuous location used by parents and has not been finalized compliant.

RECITED FROM SIN-00265044: The files for Staff Persons #1 lacked verification that their qualifications on file qualified them for the position of Assistant Group Supervisor they were observed to be performing, working unsupervised. The documentation on file for Staff Person #1 lacked 30 credits in education or a related human services field; or 15 credits in education and 1 year of verified childcare experience; or 2 years of verified childcare experience, allowing them to work unsupervised.

The disclosure statement on file for Staff person #1 did not include a witness signature, making it invalid (See LIS code sheet).

At 10:50 AM the certification representative observed Child #1, a preschool child, sitting in a highchair. At 11:02 the certification representative observed that Child #1 was still in the highchair but was not eating or engaged in any activity that would support a need for the child to be in the highchair.

Box fans, which were operating, were observed in the preschool/school-age classroom and the infant/toddler classroom, on the floor, accessible to children, with no safety guard installed, posing a hazard to children.

There was an uncovered outlet by the sink in the girl's bathroom in the preschool/school-age classroom that was accessible to children.

While assessing supervision and ratio in the preschool/school-age classroom, there were 14 children present with 2 staff members. Staff person #1 named 4 school-age children and Staff person #2 initially named 1 school-age child and 9 preschool children. When the CR pointed out that one child was not named, Staff person #2 claimed responsibility for the remaining child, making Staff person #2 over ratio with 2 school-age children and 9 preschool children.

While assessing supervision and ratio in the preschool/school-age classroom, there were 14 children present with 2 staff members. Staff person #1 named 4 school-age children and Staff person #2 named 1 school-age child and 9 preschool children, for a total of 13 children, leaving 1 child unnamed.

During the inspection, the CR observed dog feces on the 2nd floor of the childcare facility in the hallway which would be used by children to access the measure childcare spaces on the second floor.

SAN monitoring inspection, SIN-00267001 dated 5.28.25 was not finalized and was not posted in the facility at the time of inspection on 6.17.25.

Upon entering the facility at 2:30 PM, there were 13 children (1 YT, 4 OT, and 8 Preschool) and 3 staff present in the Infant/Toddler classroom that has a measured capacity of 11 children.

The file for Staff person #1 includes child abuse clearances dated 3.25.20 and 3.27.25, more than 60 months apart.

During the inspection, a preschool child was observed leaving the gross motor room, walking through the preschool room, unaccompanied, and entering the Infant/Toddler classroom in front of the building. No staff person was present to maintain ratio requirements.

During the inspection, Child #1 was observed leaving the gross motor room in the rear of the facility where they were in a group of 2 older toddlers and 2 preschool children being supervised by Staff person #1. Child #1 was unsupervised for approximately 15-30 seconds while the child walked through the preschool room to the Infant/Toddler room at the front of the building, where Staff person #2 was supervising a group of 2 young toddlers and 2 older toddlers.

Child #1, a preschool child, was alone and unsupervised for a period of approximately 15-30 seconds after leaving the gross motor room and walking through the preschool room into the Infant/Toddler room. Neither Staff person #1 or #2 was present with the child while the child was walking through the preschool room.

The files for Staff Persons #1 lacked verification that their qualifications on file qualified them for the position of Assistant Group Supervisor they were observed to be performing, working unsupervised. The documentation on file for Staff Person #1 lacked 30 credits in education or a related human services field; or 15 credits in education and 1 year of verified childcare experience; or 2 years of verified childcare experience, allowing them to work unsupervised.

There were stained ceiling tiles from a recent leak in the gross motor room and in the 2nd bathroom in the preschool room. There were broken ceiling tiles in the 1st bathroom in the preschool bathroom, with pieces of the tile missing.

The inspection summary (SIN-00260271) from the monthly monitoring under appeal visit dated 1.29.25 was not posted in a conspicuous location used by parents and was still requiring verification of the implementation of the plan of correction.

During the inspection the CR observed Staff person in the front classroom who claimed to be responsible for 2 young toddlers and 2 older toddlers while Staff person #2 claimed to be responsible for 1 older toddler and 4 preschool children. Staff person #1 received a phone call on their personal cellphone and stepped out of the room to answer the call, leaving Staff person #2 in the classroom, with all 10 children for a period of approximately 15 seconds.

During the inspection, the CR observed dog feces on the 2nd floor of the childcare facility in the hallway which would be used by children to access the measure childcare spaces on the second floor.

A diaper change was observed in the infant/toddler room after which the staff did not ensure that an able-bodied toddler did not wash their hands. Prior to serving lunch, it was observed that none of the children washed their hands before eating.

During a diaper change in the infant/toddler room, Staff person #1 did not immediately place the soiled disposable diaper into a plastic-lined hands-free can; the diaper was placed in an individual plastic bag.

Cooked macaroni & cheese that was sent from home and was served to a child in the facility was not refrigerated.

During the unannounced inspection, it was observed that the negative sanction letter, dated 7.25.24, was not posted in the facility in a conspicuous location used by parents

The file for Staff person #1, a facility person who prepares meals, does not include documentation of a health assessment and Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET).

The fire alarm 30-day test log includes test dates 10.1.24-11.1.24, more than 30 days apart.

SAN monitoring inspection, SIN-00254772 dated 10.30.24, was not finalized and was not posted in the facility at the time of inspection on 11.21.24.

Upon arrival, while assessing ratio, Staff person #1 was in the preschool room and identified 2 preschool aged children she is responsible for. Staff person #2 was in the toddler room and identified 4 young toddlers and 2 older toddlers she was responsible for, making Staff person #2 over ratio.

There was a toy baby crib in the rear gross motor room that had a piece of plastic on the top of the toy that had been broken, leaving sharp edges that a child could be hurt on.

The file for Staff person #1 does not include a signed disclosure statement (See LIS Code Sheet).

There was a red plastic toy bin in the room that was cracked, creating a pinch hazard.

The file for Staff person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

When the certification representative entered the facility, Staff person #1was present in the front room with 1 Infant,, 1 Young Toddler, 2 Older Toddlers, and 1 Preschool Child.

While assessing supervision and ratio, Staff person #2, in the Preschool/School-age room did not know the name of one of the children in her assigned group.

There was a missing outlet cover in the bathroom in the Preschool/School-age room on the first floor.

There was peeling paint on the baseboard under the fire alarm pull on the first floor.

The notice regarding the Negative Sanction was not posted in a conspicuous location used by parents. The relevant Inspection Summaries were posted.

The staff file for Staff person #1 lacked a signed disclosure statement.

During a review of child files, an Emergency Contact form and at least three attestations for six-month parental reviews were discovered to have been signed by someone other than the enrolling parent. In interviews, the enrolling parent confirmed that neither the parent nor the spouse had signed the form or reviews. This also includes the signatures for consent for emergency medical care, administration of minor first-aid, walks and trips, and transportation.

The first aid kit located in the Infant/Toddler Room was observed to lack tweezers.

A floor vent in the Grossmotor Room was observed to be detached from the wall and had the head and threads of a screw protruding out from the vent causing a visible hazard.

The portable hand sink located in the Infant/Toddler Room was observed to lack soap for the young toddlers and staff to wash their hands.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 8/4/23 - 9/4/23 (41 days), 10/4/23 - 11/15/23 (42 days), 11/15/23 - 1/5/24 (51 days).

The child file for Child #5 lacked a child service report every 6 months; a completed report was on file but it was not signed or dated by the staff who completed the report therefore it cannot be determine if it was done timely to meet regulatory requirements.

The child file for Child #1 and Child #4 contained a current financial agreement form that lacked their admission date.

The child file for Child #2 and Child #5 contained a current emergency contact information form that lacked the health insurance policy number.

Parent signature and dated six- month reviews on the Emergency Contact Form and attestation of six-month parental reviews were deemed invalid due to parent confirming that neither parent nor spouse had signed either form for at least three of the review periods.

Parent signature and dated six- month reviews on the Emergency Contact Form and attestation of six-month parental reviews were deemed invalid due to parent confirming that neither parent nor spouse had signed either form for at least three of the review periods.

The facility's certificate of compliance that was posted in a conspicuous location was observed to not be current and expired as of 7/18/23.

The staff file for Staff person #1 was observed to lack a National Sex Offender Registry (NSOR) certificate and the documentation of application for the NSOR certificate was dated 3/31/23 which was not dated prior to working with children (See IS CODE SHEET) as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 contained a current Child Abuse clearance dated 8/10/22 and a current FBI clearance dated 6/20/22 both of which were not renewed within 60 months of the previously dated 6/23/17 Child Abuse clearance and 8/8/17 FBI clearance expiring.

*Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person #3 was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room when she left to go answer the door thus resulting in a staff: child ratio 0:6.

**Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person #3 was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room when she left to go answer the door thus resulting in a staff: child ratio 0:6.

*Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person #3 was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room at that time. As a result, the children who were left in the Preschool/SA Room were unsupervised as Staff person #3 was not present to properly see, hear, direct, and access those children.

**Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person #3 was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room at that time. As a result, the children who were left in the Preschool/SA Room were unsupervised as Staff person #3 was not present to properly see, hear, direct, and access those children.

*Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person #3 was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room at that time. As a result, Staff person #3 was not physically present with their six children that they were responsible for supervising in the Preschool/SA Room.

**Upon this certification reps. arrival at approximately 10:00am, Staff person #3 answered the door, allowing this certification rep. inside the facility. At the onset of supervision/ratio check, upon entry into the Preschool/SA Room, Staff person # was observed alone with 6 children of mixed ages (3 PSA and 3 OT). When asked to name the children whom they were responsible for Staff person #3 named all 6 children. Staff person #3 was then asked if there was another staff present in the room at the time they had left to go answer the front door and Staff person #3 disclosed that there was not another staff person present in the room at that time. As a result, Staff person #3 was not physically present with their six children that they were responsible for supervising in the Preschool/SA Room.

Upon review of the facility's emergency plan, it was observed to lack a method for facility persons to contact parents when an emergency situation arises, once the emergency has ended, and instructions on how to reunite with their children.

Staff person #5 disclosed that the emergency plan is reviewed annually however those reviews are not being documented in writing and kept on file at the facility.

The facility's emergency plan was not posted in a conspicuous location.

Upon review of the facility's emergency plan, it was observed to lack a letter explaining the emergency procedures that is to be provided to the parents of each enrolled child.

The half door leading to the Preschool/School Age Room contained a barrel slide bolt lock that was observed to be partially detached and hanging from the door causing it not to be in good repair. In the Gross Motor Room an electrical outlet wall plate cover was partially detached from the wall causing a visible hazard.

In the Front Room - Upstairs, the backing of a 6-cube organizer shelving unit was observed to be partially detached from the unit exposing tiny sharp screws.

In the Infant/Toddler Room, two Pack 'n Play Playards were observed to not be labeled for use of a specific child.

The child file for Child #3, was observed to lack an updated health report; the most recent health report on file is dated 10/15/20. The child file for Child #4, was observed to lack an updated health report; the most recent health report on file is dated 9/17/20.

The child file for Child #4 lacked a flu shot for 2022.

The facility's annual emergency plan drill documentation lacked pertinent information childcare facilities must use when conducting and documenting the emergency drill, per announcement C-22-04, had not been documented.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 7/29/22 -- 8/29/22 (31 days), 8/29/22 -- 9/29/22 (31 days), 10/28/22 -- 11/28/22 (31 days).

Upon review of the facility's emergency plan, it was observed to lack information regarding shelter in place at the facility and shelter at locations away from the facility premises.

Upon review of the facility's emergency plan, it was observed to lack accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Upon review of the facility's emergency plan, it was observed to lack documentation of the initial emergency plan submission to the appropriate local and county emergency management agencies as well as updates made by the facility during review of the emergency plan.

The facility had not developed a handwritten policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment by 4/29/22 per announcement C-22-03; a policy and procedure was developed in March 2023. Staff person #3 and Staff Person #4 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06; Staff person #3 completed the one-hour training on 3/38/23 and Staff person #4 completed the one-hour training on 3/29/23.

The child file for Child #1 contained a financial agreement form that lacked an admission date.

The child file for Child #1 contained an emergency contact information form that lacked the health insurance policy number.

The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent review and updates for the financial agreement and the emergency contact information form were 4/6/22 and 4/3/23. There was a date of October 2022 written down however there was no parent signature next to the date and when asked Staff person #5 self-disclosed that they had written down that date. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last date of the most recent review and update for the financial agreement and the emergency contact information form was 1/4/21.

At approximately 10:30am, a preschool age child was heard running up the stairs to the second floor of the facility and observed in the hallway area between the office and Middle Room by himself unaccompanied by a staff person. Therefore, ratio was 0:1.

At approximately 9:34am, in the Infant/Toddler Room, one staff and 8 children of mixed ages (1 young toddler, 6 older toddlers, and 1 preschool age child) were observed. Therefore, ratio was 1:8.

At approximately 10:30am, a preschool age child was heard running up the stairs to the second floor of the facility and observed in the hallway area between the office and Middle Room by himself unaccompanied by a staff person.

At approximately 9:42am, in the Preschool/School Age room, 3 staff and 15 children were observed. When asked to name the children whom they were responsible for, Staff person #1 identified and named 7 children. Staff person #2 indicated she was just a floater, and Staff person #3 identified and named 6 children thus leaving two children unaccounted for. Staff were given a second opportunity to name the children whom they were responsible for and Staff person #1 identified and named 8 children and Staff person #3 identified and named 6 children thus leaving one child unaccounted for. On a third opportunity all 15 children were accounted for. Also at approximately 10:00am, Staff person #1, who was responsible for 9 children, was observed leaving the Preschool/School Age room to answer the door causing Staff person #1 not to be physically present with the children in their group. Also, at approximately 10:30am, a preschool age child was heard running up the stairs to the second floor of the facility and observed in the hallway area between the office and Middle Room by himself unaccompanied by a staff person.

Staff person #1 admitted that 11 out of the 15 children who were being transported simultaneously were between the ages of 5 and 7 years of age, and there were only 2 age appropriate booster seats were available, thus causing the facility to not be in compliance with Title 75 as it relates to restraint systems.

Based on staff interviews it was reported that school age children have used the front lawn, which is not measured outdoor play space, for gross motor activities.

Staff person #1 admitted that the emergency contact information forms, which contain consent for transportation, were not present in three out of the four vehicles used to transport children on an excursion.

Staff person #1 disclosed that of the 15 children that were transported five of those children were preschool aged children, ages 4 and 5, and there was only one staff per vehicle thus causing the facility to not be in compliance with staff: child ratios while preschool aged children were being transported.

Staff person #1 admitted that three out of the four vehicles used to transport children in care did not have a first-aid kit inside the vehicle while children were being transported.

The emergency contact information form for a preschool age child, who was receiving care in the Infant/Toddler room, was observed to not be present in the child care space.

Fire safety training documentation provided by Staff person #3 (who is the LE) as part of a citation correction was deemed unacceptable because it had not been signed by the fire safety professional, nor was there evidence of the instructor's training credentials. During attempts to verify the training and further questioning of Staff person #3, Staff person #3 disclosed they were aware that the training they submitted documentation for did not meet the regulatory requirements for fire safety training and only included training on fire extinguishers. Staff person #3 submitted a subsequent certificate for proof of fire safety training. Because the dates did not correspond to when Staff person #3 claimed the staff had taken training, the Cert. Rep. asked about the discrepancy. The LE stated that she had taken a certificate she found online and created her own certificate using the information from the prior document. The LE then submitted the first document again, along with a business card stapled to it. The name of the instructor on the business card did not match the instructor's name provided on the certificate, as well as including a different training date than the original…

2ND CITATION: Staff person #2 lacked documentation of having participated in an acceptable fire safety training for 2021. Subsequent documentation was ultimately deemed unacceptable. PREVIOUSLY CITED on 4/6/22.

2nd CITATION: The staff file for Staff person #4 lacked valid mandated reporter training; the current mandated reporter training certificate on file was completed on 8/13/15 and is more than 60 months old. PREVIOUSLY CITED ON 4/6/22.

The staff file for Staff person 4 contained a current Chid Abuse clearance dated 5/19/20 and a current FBI clearance dated 3/17/20 both of which were not renewed within 60 months of the previously dated 2/11/15 Child Abuse clearance and 2/23/15 FBI clearance expiring. The staff file for Staff person #5 lacked a valid State Police clearance; the State Police clearance on file is dated 3/10/17 which is more than 60 months old.

The staff file for Staff person #3 lacked documentation of having received emergency plan training for 2021.

The child file for Child #1 lacked a current health report; the last documented health report on file is dated 2/18/19.

The staff file for Staff person #5 lacked a valid health assessment; the most recent health assessment on file is dated 2/18/20 and is more than 24 months old.

The staff file for Staff person #1 contained a health assessment that lacked a doctor's assessment of the person's suitability to provide child care.

In the Infant/Toddler area of the facility two bottles, which are used by an infant, were observed to not be labeled with the child's name.

Staff person #6 self reported that an emergency drill was conducted; however, it was not documented in writing and on file at time of inspection.

The second floor of the facility was observed to lack a fire evacuation route posting on that floor.

The staff file for Staff person #3 lacked documentation of having participated in fire safety training for 2021.

The staff file for Staff person #3 and Staff person #4 both lacked valid mandated reporter training; the current mandated reporter training certificate on file was completed on 8/13/15 and is more than 60 months old. The staff file for Staff person #6 contained current mandated reporter training dated 10/15/20 which was not renewed within 60 months of the previously dated 8/30/15 training certificate on file.

The staff file for Staff person #2 who is considered a Group Supervisor lacked documentation of two years of experience working with children.

The child file for Child #2 contained a financial agreement form that lacked the fee amount.

The child file for Child #2 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

The child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed and/or updated by the parent at least once in a 6-month period; the financial agreement and emergency contact forms were last reviewed by the parent on 3/2021.

The cabinet used to store the child records and facility persons' records was observed to not be locked at time of inspection.

The staff file for Staff person #1 and Staff person #2 lacked 1 non-family reference.

The staff file for Staff person #3 contained 6 of 12 hours of child care training for 12/19/20 - 12/19/21.