Tender Care Learning Center-Hampton

The file of staff #2, identified as an assistant group supervisor, did not contain documentation of at least 2500 hours of experience to qualify them for the position.

The file of staff #1 contained one written nonfamily reference, lacking a second.

The file of staff #1 contained a child abuse clearance dated 11/21/2024, which was after their start date with children.

The unlocked changing table in the l-shaped toddler classroom made the children's diaper creams (labeled "keep out of the reach of children") accessible to children.

The entry way glass doors did not have a visual strip or other visual identification.

The file of child #1 contained documentation of the administered immunizations of child #1 which were not in accordance with the recommendations of the ACIP. An acceptable exemption was not on file.

According to the fire drill log, a current fire drill has not been conducted within the last 60 days as of 4-8-24, with the last fire drill being conducted on 1-26-24.

According to the log, the operator did not manually test the interconnected fire detection system in the facility within the last 30 days as of 4-8-24, with the last test being completed on 1-26-24.

The files for staff person #2 and #3 lacked a current state police clearance updated within the last 60 months.

In the older toddler room, the cabinet under the changing table was unlocked and contained multiple diaper creams that were accessible to children.

In the bathroom between the preschool and young toddler rooms, there was a hands-free covered can next to the changing table that is used for discarding diapers with a lid that was not operating correctly and closing to function as a hands-free covered can.

The file for staff person #1 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results of the examination.

The file for staff person #1 had an FBI clearance with a record that lacked dispositions. (See LIS CODE SHEET) The file for staff person #2, hired provisionally, had proof of fingerprinting for the FBI clearance at their start date and lacked the FBI clearance within 45 days of their start date as required for a provisional hire and requires a current FBI clearance. (See LIS CODE SHEET) The file for volunteer #6 lacked a state police clearance, child abuse clearance, and had a Department of Education FBI clearance and lacked a DHS FBI clearance. (See LIS CODE SHEET) The file for volunteer #7 had a Department of Education FBI clearance and lacked a DHS FBI clearance. (See LIS CODE SHEET)

The emergency plan lacked requirements for volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

On 11-10-22 at approximately 10 a.m. in the pre-k room with a capacity of 11 children, there were 24 children observed in the room, resulting in the room being overcapacity.

In the bathroom between the young toddler transition room and the preschool room, there were multiple diaper creams and a bottle of MicroBan Sanitizing Spray labeled "Keep out of reach of children" that were in an unlocked cabinet under the changing table and were accessible to children.

In the young toddler transition room with 1 year olds that are walking and able to wash their hands, the sink next to the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

In the bathroom between the young toddler transition room and the preschool room, a handwashing sign was not posted by the changing table.

The door between the young toddler transition room and the bathroom was blocked partially by the changing table preventing the door from opening.

The files for child #1 and #2, young toddlers, lacked a current health assessment updated within the last 6 months.

The file for child #1, a 22 month old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for volunteer #7, observed to have direct contact with children, lacked a health assessment prior to volunteering at the facility in a child care setting and requires a current health assessment.

The file for volunteer #7, observed to have direct contact with children, lacked a tuberculosis screening by the Mantoux method prior to volunteering at the facility in a child care setting and requires a current tuberculosis screening by the Mantoux method.

The file for volunteer #6, observed to have direct contact with children, had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

The files for staff person #1, #4, and #5 had current pediatric first-aid and CPR training with a completion date of 7-1-21 that was after the April 2021 expiration of the prior training.

The files for volunteer #6 and #7 lacked two written, nonfamily references.

In the one year old room, it was observed that the first- aid kit lacked scissors.

It was observed in the Pre-k classroom that the couch was torn on the corners.

The immunization record for child #1 and child #2 lacked an influenza vaccination in accordance with the ACIP.

The facility lacked an emergency plan that provides accommodations for infants and toddlers.

The facility's 30 day testing log allowed for more than 30 days to pass between tests on 2/8/21-3/15/21, 4/12/21-5/17/21, and 7/19/21-8/19/21.

Facility lacked an emergency plan that provides accommodations for shelter of children during an emergency lock-down.

The file for facility person #2 and facility person #3 completed pediatric first-aid and CPR training on 4/3/19 and 7/1/21, which is after the expiration date.

The file for facility person #1, with a hire date of 7/16/21, lacked pediatric first-aid and CPR training.

The emergency contact form for child #3 lacked the enrolling parent's work address and work phone number.