Tender Care Learning Center/Scott TWP

The updated health assessment on file for child #2 was dated 11/4/20 and 10/5/23 which were more than 12 months apart for a preschool child.

The 2 most recent health assessments on file for Staff person #3 were dated 9/30/21 and 10/3/23, more than 24 months apart. The health assessment on file for staff person #4 was completed more than 12 months prior to providing initial service in childcare setting, dated 9/11/22 (SEE LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #5 were dated 10/29/21 and 10/31/23, more than 24 months apart.

The health assessment on file for staff person #4 did not state whether or not they had a communicable disease, and their previous TB test was not completed at initial employment.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 6/18/2024.

The emergency contact form on file for child #1 was missing the Health Insurance/MA policy #.

The file for Staff #1 contained State Police Clearances dated 1.22.18 and 4.17.23, Child Abuse Clearances dated 1.22.18 and 4.12.23, and FBI Clearances dated 2.2.18 and 8.29.23, which exceeded the 60-month renewal requirement.

Emergency phone numbers were not posted by the telephones in the Preschool and School-Age/PS Rooms.

Handwashing signs were not posted at either of the two (2) toilets in the Preschool Room.

Broken, metal window blinds (7 slats), on the far left window by the door in the Young Toddler Room, which could be used by children to look outside, were sharp, and created a scraping/cutting hazard for children in care.

The file for Staff #1 contained Health Assessments dated 3.2.21 and 3.15.23, which exceeded the 24-month renewal requirement. The file for Staff #2 contained Health Assessments dated 3.1.20 and 10.1.22, which exceeded the 24-month renewal requirement.

The file for Staff #1 contained written evaluations dated 12.21.21 and 12.22.22, which exceeded the 12-month requirement. The file for Staff #2 contained written evaluations dated 12.20.21 and 12.22.22, which exceeded the 12-month requirement.

The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's work address or work phone number.

The Emergency Contact form, in the file for Child #2, did not contain the health insurance policy number.

A written, Emergency Transportation Plan was not displayed in the School-Age Room.

As reported by the operator, the school for Staff #3 burned down, and the file for Staff #3 did not contain verification of education.

The file for Staff #1 contained Child Abuse Clearances dated 3.3.17 and 8.31.22, which exceeded the 60-month renewal requirement. The file for Staff #2 did not contain the NSOR Certificate, and the application was dated 7.29.22 (see IS Code Sheet).

In the unlocked, "Adults Only" restroom off the Toddler #1 room, three (3), 1-gallon containers of Pro-Tech RTU Disinfectant, which stated "Keep out of reach of children" were located on the floor, and they were accessible to children in care.

In the new refrigerators, recently purchased, operating thermometers were not placed in the refrigerator in the Toddler #1 room, two refrigerators in the preschool room, or in a refrigerator in the School-Age/PK room.

The Immunization Record, in the file for Child #1, did not contain documentation of the Influenza Vaccine according to the ACIP recommendations.

The Disclosure statement on file for Staff person #6 did not include a witness signature.

In Preschool 3 there were broken floor tiles by the windows. There was a hole in the wall with exposed plaster in the Young Toddler room under the 3rd window.

The most recent influenza vaccination on file for Child #1 is dated 11/6/19, more than 1 year ago.

The most recent health assessment on file for Staff person #1, dated 9/27/21, is dated more than 24 months after the previous health assessment dated 5/22/19.

The initial tuberculosis test on file for Staff person #4 is dated 10/21/19, more than 12 months prior to her hire date of 1/11/21.

The file for Staff person #3, with a hire date of 5/26/20, includes verification of pediatric First Aid/CPR training dated 8/20/21, more than 180 days following the implementation of the current regulations. The file for Staff person #4, with a hire date of 1/11/21, includes verification of completed pediatric first aid/CPR dated 8/20/21, more than 90 days after hire, as required following the implementation of the current regulations. The file for Staff person #5, with a hire date of 3/8/21, includes verification of completed pediatric first aid/CPR dated 8/20/21, more than 90 days after hire, as required following the implementation of the current regulations.

The 2 most recent fire safety trainings on file for Staff person #1, #2 are dated 2/20/20 and 9/26/21, more than 1 year apart. The initial fire safety training on file for Staff person #3, with a hire date of 5/26/20, is dated 9/26/21, more than 1 year after hire.

The emergency contact form on file for Child #2 does not include the address or telephone number for the enrolling parent's place of employment.

The facility did not have verification of notifying parents of how to access the regulations electronically.