Tender Care Learning Center-Monroeville

The picnic table in the preschool play area has peeling paint on the surface. The cabinet under the changing table in the toddler room had chipping paint on the surface.

The toilet in the last stall of the restroom has a loose toilet seat.

There are areas on the outdoor play equipment with excessive dirt and moss on it. The soft blocks/pillows in the toddler room have rips/tears in the corners.

On the shelf next to the tables in the toddler room, there were several items accessible to the younger and older toddlers that were labeled for children ages 3 and up, including play dough and ink pads. The small gray couch in the toddler room has a tear on the arm exposing foam to children who are still placing objects in their mouths.

During nap time ratio check, the mats in the transitional preschool space were less than 2 feet apart.

The children in the transitional preschool group were not observed to wash their hands before eating lunch.

Staff person #1 did not immediately dispose of the soiled diaper when changing the child's diaper.

Staff Person #2 was not observed to wash their hands before serving lunch to the transitional preschool group.

Testing of the fire alarm system exceeded 30 days between 4/5/24 and 5/8/24 and between 5/8/24 and 6/10/24.

The file for Child #1 lacked a current child service report. The most recent report was dated January 2024.

The disclosure statement in the file for staff person #2, who began working with children on (SEE LIS CODE SHEET), was dated 10/24/22, which was after the individual began working with children. The disclosure statement in the file for staff person #3 was not dated, so timeliness could not be assessed. The last two state police clearances in the file for staff person #8 were dated 8/9/17 and 6/12/23. The last two child abuse clearances in the file for staff person #8 were dated 8/14/17 and 9/12/22.

In the rear left side of the toddler room, the garbage can next to the refrigerator had visible small stains that looked like liquid had dripped down the outside of it. The side of the regrigerator had food stuck to the side of it, as well as, what tooked like small areas of liquid had splashed. The front surface of the cabinet door under the diaper table in the front of the toddler room was peeling.

The door leading from the infant room to the main bathroom was locked from the other side, so it could not be opened from inside the infant room. The bathroom serves as a means of egress to the front room of the facility.

The last two health reports in the file for child #5, who is a preschooler, were 12/30/21 and 6/2/23.

The last two health assessments in the file for staff person #1 were dated 5/21/21 and 6/9/23. The last two health assessments in the file for staff person #7 were dated 11/12/20 and 11/22/22.

The health assessment in the file for staff person #6 did not include an examination for communicable diseases and the results of that examination.

The health assessment in the file for staff person #6 did not include an assessment of the person's suitability to provide child care.

There was one time in the last year when the smoke alarms were tested 31 days apart: 7/7/23 and 8/7/23.

The 1 hour health and safety training in the file for staff person #8 and #9, both hired before 10/4/22, were dated 7/24/23 and 7/14/23 respectively.

The last two fire safety trainings in the file for staff person #4 were dated 3/14/22 and 5/10/23. The last fire safety training in the file for staff person #5 was 8/19/22.

The 10 hour health and safety training in the file for staff person #2, hired on (SEE LIS CODE STREET), was dated 3/14/23, which was more than 90 days beyond their first day working with children.

The last mandated reporter training in the file for staff person #5 was dated 8/9/18. The last two mandated reporter training in the file for staff person #8 were dated 9/3/17 and 9/29/22.

The agreement in the file for child #1 through #4 did not list the release persons.

The most recent emergency contact information in the file for child #2 did not include signed parental consent for emergency medical care.

The most recent emergency contact information in the file for child #2 did not include signed parental consent for emergency medical care.

At approximately 2:30 pm, 46 children were observed in the preschool room, which has a capcity of 40. 14 preschoolers were eating snack, 10 preschoolers were lined up at the bathroom and 22 school-agers were reading or playing.

A small bottle of bubbles was observed in the back left corner of the preschool room in an unzipped bookbag. A small bottle of hand sanitizer was observed in an unlocked wooden locker at the rear of the preschool room. Both items included instructions to keep out of the reach of children and were accessible to the preschoolers and schoolagers in care at the time.

In the toddler room, there were sponge paint brushes, sponge letters and foam peg boards on low shelves, making them accessible to the toddlers in care at the time. Teeth marks could be seen on the peg boards. In the infant room, there were a few loose foam puzzle pieces on the floor, making them accessible to the mobile infants who were in care at the time.

There was no evidence of a flu shot for child #1, who is older than 6 months. The file did not include a written statement of exemption by a parent.

The last two health assessments in the file for staff person #1, #2 and #3 were dated more than 24 months apart.

Based on review of the facility's emergency plan, there were no accomodations for infants and toddlers.

There was one time in the last 12 months where the fire detection system was tested at slightly more than 30 days.

The first-aid/CPR training in the file for staff person #6 was dated beyond their first 90 days at the facility.

There was a bachelor of science diploma in the file for staff person #5, who held the title of GS, but the diploma did not specify what the degree was in.

The most recent agreement in the file for child #2 did not specify the date of admission.

The emergency contact form in the file for child #2 appeared to be dated ahead of time by staff with the date of 6.30.22, and the parents then added their signature, therefore, timeliness of the parental review could not be determined.

The file for staff person #4 did not include two letters of reference.