Tender Care Learning Center/New Castle

The file for Staff #3 contains two child abuse, two FBI and two NSOR clearances that are all more than 60 months apart.

Both first aid kits in the Pre-K Room were lacking soap.

Peeling paint was observed on the bottom of the wall in the first stall of the Rainbow Restroom in the Preschool Room and on the bottom of the wall in the first and second stall of the Sunshine Restroom in the Preschool Room.

The foam blocks in the toddler room have bite marks in them. The Little Pigs Stem Kit foam pieces in the Preschool Room have bite marks in them.

The file for Child #3 contains a child health report that was obtained more than 60 days after the child's enrollment date.

The file for Child #1 contained an immunization record that was lacking 1 dose of rotavirus, 1 dose of DTAP, 1 dose of HIB, 1 dose of Pneumococcal and 1 dose of Polio.

The file for Staff #1 contained two health assessments that were more than 24 months apart.

The file for Staff #2 contained a health assessment that had communicable diseases checked yes with no explaination.

Two fire drills were conducted 11.13.24-1.15.25 which is more than 60 days between the two drills.

The file for Staff #2, who was serving as an AGS at the facility was lacking 1 year documented child care experience.

The file for Child #2 contained an agreement form that was lacking the persons to whom the child may be released.

The file for Child #1 contained an emergency contact form that was lacking the child's medical insurance policy number.

The file for Child #1 contained an emergency contact form that was lacking the address of one of the persons to whom the child may be released.

The file for Staff #1 contained a State Police Clearance that was still pending and was still in need of Ohio Child Abuse and Sex Offender Clearances.

The first aid kit in the Preschool Room was lacking sterile gauze pads.

There were numerous nap mats in the closet that had tears in them with stuffing coming out.

The file for Child #1 contained an emergency contact form that was lacking the child's medical insurance policy number.

The PA state police clearance of facility person #7, dated 12/22/2022 was not a completed clearance as it was "under review" and did not contain a dissemination date.

At approximately 1:25 pm, facility person #9 was supervising 11 children at naptime in the toddler classroom. The children napping was a mixed age-group of young and older toddlers making the nap ratio 1 staff to 10 children.

The letter provided to the parent of each enrolled child did not contain the emergency procedures for lockdown procedures or accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions in the event of an emergency.

Hand sanitizer labeled "keep out of the reach of children" was accessible to children on the table at the entrance to the facility.

A health assessment for child #6, identified as a young toddler (see coded LIS sheet), contained an initial health assessment dated 10/7/2022 and another health assessment lacking a date making it unable to be determined if the child had an updated health assessment with 6 months of the previous.

Documentation of fire drills exceeded 60 days from 9/7/2022 to 11/7/2022.

The initial health assessment of child #3 was dated 4/4/2023 which is more than 60 days from their first day at the child care facility (see coded LIS sheet).

The files of facility person #1, #4, #5, #6, #8 and #9, who took the acceptable 6- or 10-hour health and safety training prior to 10/4/2022, did not contain documentation of the one-hour updated health and safety training course, "Pennsylvania Health and Safety Update" and the file of facility person #2 and 3 contained documentation of the 1-hour training dated 5/19/2023, which was after the required completion date of 12/30/2022.

The facility had the original financial agreements in the files of child #1, #2, #3, #4, #5 and #6 when the parent is to receive the original and the facility is to retain a copy.

The emergency contact form of child #3 and #5 did not contain the full work address of the enrolling parent.

The emergency contact form of child #3 did not contain complete information on the child's as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #4 did not contain the health insurance policy number for the child.

The emergency contact form of child #4 contained a person designated by the parent to whom the child may be released but did not include the person's address.

An emergency contact form was not present in the preschool classroom for a school-age child receiving care in said classroom.

The file of child #1, a preschooler, contained a health assessment dated 1/24/20219 and an updated health assessment dated 5/27/2022, exceeding 12 months.

The file of child #2, who has been enrolled more than 60 days, was observed to be in care at the time of inspection, but did not have an initial health assessment on file.

The file of facility person #2 contained a current health assessment dated 12/30/2021 with the previous health assessment being dated 12/21/2019, exceeding 24 months.

A bottle was observed on the shelf in the infant room. When asked, the facility person stated the child drinks in small amounts and they try to give the bottle to the child over the course of an hour. If they child does not drink the contents in that hour, it is then discarded.

The facility had documentation of an emergency drill on 6/1/2022, but did not contain an annual emergency drill between 12/19/2020 and 12/19/2021.

Documentation of testing of the fire detection system exceeded 30 days on the following occasions: 8/3/2021 to 9/3/2021, 10/1/2021 to 11/1/2021, 4/29/2022 to 6/1/2022.

The file of child #2 did not contain an initial health assessment which was required to be on file within 60 days following the first day of attendance.

The emergency contact form of child #1 did not contain the name and address, and child #3 did not contain the name, address and telephone number, of each child's physician or source of medical care.

The emergency contact form of child #1 did not contain the work address and telephone number of the enrolling parent.

The emergency contact form of child #1 and 4 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this did not apply to the child.

Documentation of completion of acceptable pediatric first aid and pediatric CPR for facility person #1 was dated more than 90 days from their start date at the facility.

The six-hour Health and Safety Basics training of facility person #2, 3, 4 was taken prior to 9/30/2016, and is no longer a valid training.

The facility did not have information for the parents on how to access the Chapter 3270 child care center regulations electronically.

The file of facility person #2, 3 and 4 contained 5 of the 12 hours of professional development between the required time frame of 12/19/2020 and 12/19/2021, lacking 7 hours. The facility persons each contained the additional 7 hours after 12/19/2021: 3 hours of training on 1/17/2022 and 4 hours on 5/27/2022 (facility person #2) and 5/17/2022 (facility person #3 and 4).