Tender Care Learning Center/Robinson TWP

Based on video recording, Staff Person #1 was observed in the Young Toddler Room grasping a child by the wrist and pulling the child across the room toward their cot. As the child was being pulled, the child's legs lost balance, and the child landed on their hands and knees. Then, Staff Person #1 pushed the child onto their back causing the child's head to make contact with the back of the cot.

Based on staff statements, multiple staff persons were reported to interact with children using an aggressive and harsh tone of voice. It was determined multiple staff persons screamed in children's faces and made statements such as, "You're a bad kid! Go sit down! Go lay down! Stop crying! Enough."

Based on video recording, on 6/17/25 at approximately 12:13pm in the Young Toddler Room, Staff Person #2 was occupied with a diaper change in the restroom and out of view of the children. During this time, Staff Person #1 was observed with their back turned to the children and their head facing downward while placing a sheet on rest equipment. As a result, 9 children in the room were momentarily not under active supervision.

Based on staff statements, Child #1, a toddler, was not provided with individual rest equipment and instead slept in a chair while in care at the facility. Staff indicated that a cot was never assigned because the child's parent did not provide a sheet, as required by the facility.

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed sweeping the floor with a broom and then used the broom that had been visibly soiled to sweep food off tables where children were seated and eating.

Based on video recording, on 6/17/25 in the Young Toddler Room, a container of Swiffer wet pads that are labeled Keep Out of Reach of Children was accessible to children in care. Multiple children were also observed playing with a mop that had a Swiffer wet pad attached and were observed pushing the mop around the room.

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed changing diapers without washing their hands or assisting the children with handwashing. Handwashing also did not occur between diaper changes.

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Person #2 was observed discarding a soiled diaper without using a hands-free covered trash can at approximately 12:22pm and then again at 12:35pm.

The disclosure statement in the file for Staff Person #9 was not witnessed. The disclosure statement in the file for Staff Person #11 was dated after the staff person's first day working in child care. The NSOR Certificate in the file for Staff Person #15 was dated more than 45 days after the staff person's first day working in child care. The most recent State Police, Child Abuse, FBI Clearances and NSOR Certificate in the file for Staff Person #6 exceeded 60 months between clearances/certificate. The most recent NSOR Certificates in the files for Staff Person #1, 5, 13 and 21 exceeded 60 months between certificates. (See LIS Code Sheet).

The door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made uncovered outlets on the surge strip located in this room accessible to children.

The door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made disinfectant wipes, which were located on a table in the room, accessible to children.

Observed a nail protruding from the window frame in the turf playground.

Observed flaking green paint near the classroom entrances in the turf and climber playgrounds.

Observed wobbly kitchen playsets in the climber and turf playgrounds and a wobbly toy shelf in the middle playground, which presents potential toppling hazards for children in care.

The file for Child #1, a young toddler, does not contain an updated health report conducted within the past six months.

The most recent updated health reports in the file for Child #2, a preschool child, exceeded one year between reports.

The most recent immunization record in the file for Child #1 (Young Toddler, 15 months) did not include documentation of the following immunizations recommended by the ACIP or a letter of exemption from the parent or physician: HepB: 2nd and 3rd doses, DTAP: 2nd, 3rd and 4th doses. HIB: 1st, 2nd and 3rd doses. Pneumococcal: 2nd, 3rd and 4th doses. Polio (IPV): 1st, 2nd and 3rd doses.

The file for Staff Person #8 did not include an initial health assessment and TB screening. The files for Staff Person #18, 19 and 21 do not include an updated health assessment conducted within the past 24 months. The initial health assessment and TB screening in the file for Staff Person #12, 14, 17 were conducted after the staff persons' first day working in child care. The initial health assessment in the file for Staff Person #15 was conducted after the staff person's first day working in child care. The most recent health assessments in the files for Staff Person #6, 13 and 22 exceeded 24 months between assessments. (See LIS Code Sheet).

The most recent health assessment in the file for Staff Person #20 does not include an examination for communicable diseases and the results of that examination.

The initial health reports in the files for Child #4 and 5 were conducted more than 60 days after the child's first day of attendance at the facility. The file for Child #3, who has been enrolled for more than 60 days, lacks an initial health report.

The most recent Pediatric First Aid/CPR Certifications in the files for Staff Person #19 and 20 were acquired after the previous certifications had expired.

The most recent Fire Safety Trainings in the files for Staff Person #1, 2, 3, 4, 5, 6, 7, 10, 16, 18 and 22 exceeded 12 months between trainings.

The Health and Safety Training in the files for Staff Person #14, 17 and 18 were conducted more than 90 days after the staff persons' first day working in child care. (See LIS Code Sheet).

Staff person #8, 14 and 15 have not completed the following required pre- service training within 90 days of their date of hire Staff Person #8 and 15: Health and Safety Training. Staff Person #14: Pediatric First Aid/CPR (see LIS code sheet):

The most recent Mandated Reporter Trainings in the files for Staff Person #1, 2, 6 and 10 exceeded 60 months between trainings. The Mandated Reporter Training in the file for Staff Person #14 was conducted more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet).

The file for Staff Person #8 did not include documentation of education and experience.

The most recent written evaluations in the file for Staff Person #10 exceeded one year between evaluations.

The emergency contact form in the file for Child #2 did not include the work address and phone number of the enrolling parent.

The emergency contact form in the file for Child #5 did not include the health insurance policy number.

The most recent parent update for the emergency contact form in the file for Child #6 exceeded 6 months between updates. The most recent parent update for the fee agreement in the file for Child #3 exceeded 6 months between updates. The emergency contact forms in the files for Child #3, 5 and 7 have not been updated by the parents in the past six months.

The file for Staff Person #14 included only one letter of reference.

The files for Staff Person #6 and #13 did not include documentation of 12 annual hours of child care training for the most recent full years of service. Each file contained 9 annual hours of training.

The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

The file for staff person #6 lacked FBI clearance results. The file for staff person #6 contained documentation of NSOR application dated 4/22/24, which was after the staff person's date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 lacked out of state clearances for the state of West Virginia where the staff person resided in the 5 years prior to employment. The file for staff person #12 was observed not to contain documentation of application of the PA State Police clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The PA State Police clearance results in the file are dated 5/2/24. The file for staff person #12 lacked NSOR clearance results. The file was observed to contain an application for the NSOR clearance that was dated 4/22/24, which was after the staff person's date of hire. The file for staff person #17 was observed not to contain valid NSOR clearance results.

The file for staff person #1 was observed to have documentation of PA State Police Clearance results that were not renewed before the expiration date of the most current certification: 12/13/18 and 1/18/24. The files for staff persons #2 and #3 were observed to have documentation of PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification: 12/19/18 and 1/16/24. The file for staff person #9 was observed to have documentation of PA State Police and PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification. PA State Police: 12/24/18 and 1/16/24. PA Child Abuse: 12/26/18 and 1/17/24. The file for staff person #13 was observed to have documentation of PA Child Abuse clearance results that were not renewed before the expiration date of the most current certification: 12/11/18 and 1/18/24. The file for facility person #14 completed the following required pre-service training on 4/25/24 but was not completed within 90 days of their date of hire (See LIS CODE SHEET): Mandated Reporter training. The file for staff person #18 was observed to have documentation of PA State…

The two recent emergency plan trainings in the files for staff persons #15 and #16 were observed to be more than 12 months apart.

The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

The resting mats in the PreK, PS 2, and PreK Readiness rooms were observed to be ripping and not in good repair.

The diaper changing pad in the Newborn Room was observed to be torn exposing the children to foam interior, which poses a choking hazard to the children in the room who are still placing objects in their mouths.

Staff person #3 has not had a health assessment conducted within the last 24 months: 4/12/21. The two most recent health assessments on file for staff person #4 are dated more than 24-months apart: 3/5/21 and 11/17/23. Staff person #5 has not had a health assessment conducted within the last 24 months: 4/14/22. The file for staff person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. The health assessment on file is dated 4/25/24. Staff person #11 has not had a health assessment conducted within the last 24 months: 6/22/21. Staff person #18 has not had a health assessment conducted within the last 24 months: 10/1/21.

The file for staff person #6 has a TB screening dated 4/25/24, but was not at initial employment.

The health assessment on file for staff person #2 lacked the physician's assessment of the staff person's suitability to provide child care.

The facilities documentation of annual testing of the fire detection system from a fire safety professional exceeded 12 months between testing: 3/7/23 and 5/1/24.

The files for children #1 and #3, who have been enrolled at the facility for more than 60 days, lack an initial health report.

The file for staff person #17 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The file for staff person #18 had documentation of completion of the pre-service training, Pennsylvania Health and Safety Update 2022, on 7/24/23, but was not completed on the required date of December 30, 2022.

The file for staff person #8 had documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification: 3/2/20 and 3/8/23.

The two most recent fire safety trainings in the files for staff persons #7, #8, #9 and #17 exceeded 12 months between trainings. The file for staff person #18 has not completed fire safety training within the last 12 months. The most recent fire safety on file was dated 1/16/23.

The file for staff person #6 lacked documentation of education to qualify in a position in the facility.

The file for staff person #8 included an associate's degree from an accredited university in early childhood but lacked 2 years' experience with children to qualify for the position.

The emergency contact form on file for child #2 lacked the health insurance coverage and policy number for the child. The emergency contact form on file for child #3 lacked the health policy number for the child.

The file for staff person #6 lacked one of two written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person. The file for staff person #10 lacked two written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

The file for facility person #7 was observed not to contain a valid FBI and NSOR clearance within 45 days of hire (See IS CODE SHEET). The file for facility person #9 lacked documentation of FBI clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The FBI clearance on file was observed to be through the PDE. The file for facility person #9 was observed not to contain criminal history clearance results from the state of South Carolina where the facility person resided in the 5 years prior to employment (See IS CODE SHEET).

The poured-in-place surface on the PS playground and Playground A was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

A handwashing sign was not posted at the toilet in restroom one and restroom two in Room 6.

The files for children #2, #3, and #5 lacked an updated health report conducted within 12 months of previous health report. The most recent health report on file for child #2 is dated 10//6/20, child #3 is dated 3/22/22 and child #5 is dated 1/13/21.

The file for facility person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 12/17/19 and 10/18/22. Facility persons #3 and #4 have not had a health assessment completed within the last 24 months. This is evidenced by the previously documented health assessment on file being dated 9/1/20 for facility person #3 and 3/5/21 for facility person #4. The files for facility persons #6 and #7 do not have documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #8 has documentation of a health assessment being completed on 4/24/23, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #9 has documentation of a health assessment being completed on 10/20/22, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet).

The files for facility persons #6 and #7 were observed not to have documentation of a tuberculosis screening at initial employment (See LIS code sheet). The file for facility person #8 has documentation of a tuberculosis screening being completed on 4/24/23 but was not at initial employment (See LIS code sheet). The file for facility person #9 has documentation of a tuberculosis screening being completed on 10/20/22 but was not at initial employment (See LIS code sheet).

The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility. The file for child #4 had an initial health assessment that was dated over 60 days after the child's start date.

The files for facility persons #3 and #4 did not complete the required pre-service training by 12/30/22: Pennsylvania Health and Safety Update 2022. Facility person #3 completed the training on 4/21/23 and facility person #4 completed the training on 12/31/22. The file for facility person #10 did not complete the following required pre-service training by 12/30.22: Pennsylvania Health and Safety Update 2022.

The files for facility persons #1, #2, #3, and #4 had fire safety training that exceeded a year between trainings.

Facility persons #5 and #7 did not complete the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Health and Safety training. Facility person #5 completed the training on 12/7/22. Facility person #7 completed the training on 3/17/23.

Facility person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/19/17. The file for facility person #7 was observed not to contain documentation of completion of Mandated Reporter training within the first 90 days of hire (See LIS CODE SHEET). The training on file for facility person #7 was dated 5/16/23.

The emergency contact forms on files for children #2 and #3 lacked the enrolling parent's work address and telephone number.

The file for facility person #6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Facility persons #5, #7, and #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Facility person #5, #7, and #9 completed the training on 3/8/23.

The file for staff #2 and #3 was observed to lack documentation of NSOR results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. Staff person #3 did not completed the mandated reporter training within 90 days of their date of hire (See IS CODE SHEET). Staff person #3 has documentation of mandated reporter training dated 4/25/22.

In the Pre-K/PS 2 room, four pairs of adult scissors were observed on desks which were accessible to children under the age of 5.

In the PS 1/PS Readiness room, it was observed a preschool child was laying down, resting on a mat in the same group space as preschool children participating in small muscle activity.

In the Toddler 3 room, according to staff statement the Isopropyl Alcohol is used for crafts where staff mix it with paint and have the children use Q-tips to dip it in and paint with.

In the PS 1/PS Readiness room, a window was observed to be ripped and not in good repair.

In the Toddler 2 room, the first-aid kit was observed to lack tape.

In the outdoor PS Playground, observed a large cracked cemented wall that was not in good repair.

In the Pre-K/PS 2 room, the toilet paper holder was broken and not connected to the wall and was not in good repair.

In the PS 1/PS Readiness room, it was observed a clear plastic bin was cracked and not in good repair. In the Pre-K/PS 2 room, observed a floor carpet edge was fraying causing a tripping hazard and was not in good repair.

In the School Age room, the refrigerator lacked an operating thermometer.

The file for child #9 lacked an updated health report conducted within 12 months of previous health report.

The file for child #4, #7, and #9 lacked documentation of the yearly Influenza shot with no letter of exemption in file.

In the Infant room, it was observed a child's hands were not washed after being diapered.

In the Infant room, observed a staff diapering a child then used their hands to open a hands-free can to dispose of the diaper. The PS 1/PS Readiness room lacked an operable plastic-lined, hands-free covered can for soiled diapers.

The file for staff #1 was observed to have documentation of a health assessment dated more than 24 months apart. The two most recent health forms are dated 3/11/20 and 4/14/22.

Fire drills were conducted in the same hypothetical location for each drill.

Staff person #2 and #4 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 from a PQAS approved trainer and a PQAS approved curriculum.

The file for child #3, #5, and #8 contained an agreement which lacked the release persons for the child.

In the file for child #6, the agreement form lacked the date of the child's admission.

The file for child #2 lacked the address and telephone number of the child's physician.

The file for child #1 and #9 lacked information on the enrolling parent's work address.

The file for child #1 lacked the address of in the individuals designated by the parent to whom the child may be released.

Emergency contact information was not present for 7 preschool children in the PS 1/PS Readiness room and 8 preschool children in the PS Playground where children were receiving care.

A copy of how to access the DHS regulations electronically was observed not to be posted in a conspicuous place.