Tender Care Learning Center/Ross

The Preschool Readiness Classroom 3 lacked the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone.

The first aid kit located in the Preschool Classroom lacked sterile gauze pads.

In the Preschool Classroom there was a pillowcase that was ripped on three of the four corners and not in good repair. This pillowcase covered a vinyl pillow.

In the Young Toddler and the Preschool Classroom there were multiple rest mats that were ripped and had exposed foam. These items were accessible to the children in are who are still placing items in their mouths.

Although the files for Child #4 and #5, preschool aged children, contained Health Reports at the time of the Renewal Inspection, it was observed that the Health Reports for Child #4 and #5 were updated in an interval greater than 12 months.

The file for Child #8, an infant, lacked a written formula and feeding schedule obtained from the parent.

At approximately 11:00 AM, 9 children were observed receiving care in the Preschool Readiness 2 Classroom space that has a designated maximum capacity of 8.

The Middle Infants Classroom lacked a written plan of daily activities and routines

The Emergency Contact Forms for Child #1, #3, #5, and #6 lacked the enrolling parents work address and telephone number.

The Emergency Contact Form for Child #2 lacked the health insurance coverage policy number for the child.

The Emergency Contact information was not present in the PreK Room for Child #7. The child was present and receiving care in the room.

The Preschool Readiness Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The file for Staff #1 contained transcripts in a foreign language and therefore their credentials could not be determined.

*At approximately 10:25am in the Young Infant Room an 11-month-old infant was observed sleeping on a mat on the floor which was located on the outside of an 'L' shaped room divider made up of multiple column post panels, a solid plywood panel, and a see thru panel. Staff person #1 and Staff person #2 were observed to be inside the 'L' shaped room divider and given how they were positioned inside of the divider, the solid plywood panel on the room divider created a visual barrier impeding both staff's ability to adequately supervise the 11-month-old infant who was sleeping on the opposite side of the 'L' shaped room divider.

**At approximately 10:25am in the Young Infant Room an 11-month-old infant was observed sleeping on a mat on the floor which was located on the outside of an 'L' shaped room divider made up of multiple column post panels, a solid plywood panel, and a see thru panel. Staff person #1 and Staff person #2 were observed to be inside the 'L' shaped room divider and given how they were positioned inside of the divider, the solid plywood panel on the room divider created a visual barrier impeding both staff's ability to adequately supervise the 11-month-old infant who was sleeping on the opposite side of the 'L' shaped room divider.

In the Preschool Readiness Room an electrical outlet located on the wall in the dress up area was observed to lack one protective cover. In the Preschool Room an electrical outlet on the wall in the block area was observed to lack one protective cover.

In the Preschool Readiness Room the first-aid kit was observed to lack scissors.

In the Young Toddler Room six mats used for sleeping were observed to not be labeled for the use of a specific child.

The child file for Child #1, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 9/16/22 and 8/26/21. The child file for Child #2, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 9/21/22 and 2/15/22.

The child file for Child #4, contained an initial health report that is dated more than 60 days after initial enrollment.

The child file for Child #3 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months. The dates of review for the financial agreement form were 8/7/23, 1/1/23, 8/8/22, 12/19/21 and for the emergency contact form were 8/6/23, 1/1/23, 8/8/22, 12/19/21.

According to staff statements, on 5/23/23 at approximately 11:00am, as Staff #1 and #2 transitioned their group of 8-9 young toddlers from the outside playground to return inside, Child #1 separated from the group and was eventually observed outside unsupervised and alone for an undetermined amount of time (3-4 minutes). At this time Staff: Child ratio was 0:1.

According to staff statements, on 5/23/23 at approximately 11:00am, as Staff #1 and #2 transitioned their group of 8-9 young toddlers from the outside playground to return inside, Child #1 separated from the group and was eventually observed outside unsupervised and alone for an undetermined amount of time (3-4 minutes).

According to staff statements, on 5/23/23 at approximately 11:00am, as Staff #1 and #2 transitioned their group of 8-9 young toddlers from the outside playground to return inside, Child #1 separated from the group and was eventually observed outside unsupervised and alone for an undetermined amount of time (3-4 minutes).

*According to staff statements, on 5/23/23 at approximately 11:00am, as Staff #1 and #2 transitioned their group of 8-9 young toddlers from the outside playground to return inside, Child #1 separated from the group and was eventually observed outside unsupervised and alone for an undetermined amount of time (3-4 minutes).

The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 9/21/22 which was conducted more than 6 months from the previously dated 7/29/21 health report on file.

The child file for Child #2, who is a preschool aged child, was observed to lack an updated health report; the most recent health report on file is dated 5/27/21.

In the Young Toddler room, at approximately 11:20am, a soiled diaper was observed on top of the changing table and had not been immediately discarded into a plastic-lined hands-free covered can.

The staff file for Staff person #1 contained current mandated reporter training dated 7/21/21 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 1/23/16.

The child file for Child #3 contained a financial agreement form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the two most recent updates were 8/22/22 and 1/31/20 for the financial agreement

In the pre-K 1 room, there were multiple sleep mats with tears in multiple areas that exposed the stuffing inside.

In the middle infant room, there were two sleep mats with tears in multiple areas that exposed the stuffing inside and had small pieces coming apart that were less than 1 inch in diameter and were accessible to children who are still placing objects in their mouths. On the outdoor toddler play space, the poured-in-place surface had multiple areas with loose beads coming apart from the surface that were less than 1 inch in diameter and were accessible to children who are still placing objects in their mouths.

The facility's emergency plan lacked a plan that provides for accommodations for infants and toddlers.

The file for staff person #1, with a start date of 1-6-21, had pediatric first-aid and CPR training dated 7-11-21 that was over 90 days after their start date.