Tender Care Learning Center-Hermitage

The files for child #1 and #3, preschoolers, had a health assessment that was dated over 12 months between assessments.

The file for staff person #5 had current pediatric first-aid/CPR training with a completion date of 4-3-25 that was after the February 2025 expiration of the prior training.

Staff person #1 had mandated reporter trainings dated 3-16-20 and 5-20-25 that were over 60 months between trainings. Staff person #2 had mandated reporter trainings dated 3-11-20 and 5-20-25 that were over 60 months between trainings. Staff person #3 had mandated reporter trainings dated 3-3-20 and 5-23-25 that were over 60 months between trainings. Staff person #4 had mandated reporter trainings dated 2-23-20 and 5-22-25 that were over 60 months between trainings.

The file for child #2 had an emergency contact form that lacked the telephone number of the child's physician.

The file for staff person #5 lacked two written, nonfamily references.

In the pre-k/preschool room, the handle on the toy fridge door was loose with the screw at the top of the handle missing resulting in the handle not being secure. In the pre-k/preschool room, there were two rest mats that had tears in the fabric exposing the foam inside. On the outdoor preschool play space, the frog bouncer embedded equipment nearest the outside fence had a crack that was a few inches long on the right side of the equipment.

In the preschool room, the water temperature at the sink in the room was 122° F.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

In the toddler room at approximately 11:40 a.m., staff person #2 was observed changing a child's diaper at the changing table that faces the back right wall and was unable to see a 2 year old child that was around the corner from the staff person. After changing the child's diaper, staff person #2 walked with the child to wash their hands in the bathroom across the room and was unable to see the other five children in the room that were 2-3 year olds in the staff person's group for about 15-20 seconds while the staff person was in the bathroom with the child.

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

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

On the outdoor preschool/pre-k play space, the art table had blue paint peeling in multiple areas.

In the infant room with 3 young toddlers that were 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 children after diapering to wash their hands. In the toddler room with multiple 2 year olds that were 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 children after diapering to wash their hands.

The file for child #1, a 5 year old, child #2, a 3 year old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

The most recent emergency drill conducted on 4-7-23 had documentation that lacked the time to complete the drill, special accommodations the facility used for infants and toddlers, and the problems encountered or observations during the drill.

The file for staff person #1 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks.

In the toddler room, there was a large bottle of hand sanitizer next to the sink labeled "Keep out of reach of children" that was accessible to children.

The first-aid kit in the young toddler room lacked tape.

In the young toddler room, the trash can next to the sink in the corner lacked a lid.

On the older toddler/preschool play space, the poured-in-place surface had small beads coming apart in multiple areas on the surface that were less than 1 inch in diameter and were accessible to 2 year olds that use the play space and are still placing objects in their mouths.

In the infant room, the refrigerator that contained children's bottles lacked a thermometer.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

The file for child #1, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #3 had a health assessment that exceeded 24 months between assessments.

In the infant room, child #3, an infant, lacked an infant feeding schedule.

According to the log, the interconnected smoke detectors were not manually tested at least once every 30 days between 1-6-22 to 2-11-22 and 2-11-22 to 3-21-22.

The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved curriculum.

The files for child #1 and #2 had an emergency contact form that lacked the work address and telephone number of the enrolling parent.