Tender Care Learning Center/Wexford

The staff file for Staff person #1 was observed to lack a valid disclosure statement.

At approximately 1:25pm, during naptime in the PS Readiness Room where staff was positioned in the room they could not adequately supervise one of the napping children due to a child's wooden shelving unit obstructing the Staff's ability to see and assess that child who was napping on the other side of that shelving unit.

In the PreK Room and Preschool Room a total of twenty-eight bingo daubers used for arts and crafts were labeled 'Keep Out of Reach of Children' and observed on shelving units within reach of the preschool age children in care.

The refrigerator in the PreK Room was observed to lack a thermometer.

In the PS Readiness Room, a bottle of child's acetaminophen was observed to lack the name of the child for whom the medication was intended for.

In the PS Readiness Room, a bottle of child's ibuprofen was observed to have expired as of 11/2024.

The child file for Child #1 was observed to contain a current financial agreement form that lacked the child's admission date.

The FBi clearance obtained at hire for Staff person #1 was obtained though the PA Department of Education, not DHS, making it invalid; a valid FBI clearance was obtained on 5/19/23. The out of state, South Carolina, Criminal history clearance on file for Staff person #1 was not obtained within the 45 days provisional hire period; but was dated 5/18/23. The file for Staff person #2 includes criminal history clearances dated 7/21/18 and 9/8/23; child abuse clearances dated 7/13/18 and11/28/23; and FBI clearances dated 7/10/18 and 11/29/23, all more than 60 months apart.

The first aid kit in the Preschool room was hanging on a low hook, making it accessible to children in care.

There were Magna tiles and a lego block in the 3-year-old preschool room that were cracked.

There were rest mats from the Toddler 1 room that had tears in the plastic covering, exposing foam and pieces of the torn plastic fabric smaller than 1 inch, presenting a choking hazard.

The thermometer in the refrigerator in the Pre-K room, where milk is stored, measured 48 degrees Fahrenheit.

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 10/24/22 and 11/22/23, more than 12 months apart. The two most recent health assessments on file for Child #2, who is an older toddler, are dated 8/19/20 and 12/15/23, more than 12 months apart. The most recent health assessment on file for Child #3, a preschool-age child, is dated 12/20/21, more than 12 months ago.

The health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

The Health and Safety professional development training update on file for Staff person #3 is dated 10/3/23, more than 90 days after hire (See LIS Code sheet).

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The two most recently completed Mandated reporter training certificates on file for Staff person #2 are dated 7/5/18 and 12/12/23, more than 60 months apart. Staff person #3 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was completed on 9/13/23.

The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

There was no written daily activity schedule in the Toddler ll room.

There was a metal shelving unit with plastic drawers in the Preschool room that was wobbly and in danger of falling apart.

The rest mats in the Kindergarten and Pre-K Rooms were not labeled for use by an individual child.

There was an EpiPen and a bottle of Tylenol in the Young Toddler Room without written parental permission to administer.

A staff person in Preschool Readiness was observed opening the hands free can to dispose of a diaper with their hand, rather than the foot pedal.

The 2 most recent fire safety training certificates on file for Staff person #2 are dated 8/31/21 and 9/28/22, more than 1 year apart.

Staff person #1, #3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The emergency contact form on file for Child #1 does not include the telephone number for the child's pediatrician/source for medical care.

There was a child receiving care in the Preschool Readiness Room without the child's emergency contact form being in the classroom.

The file for Staff #3 contained a state police clearance which lacked a seal, making it invalid. The file for Staff #3 contained FBI and NSOR clearances dated after the first day of employment in child care, with no receipts or applications in the file.

Toxic Tide pods were observed to be accessible in an unlocked closet of the bathroom in the PS room.

The first aid kit in the PS room was observed to lack band-aids. The first-aid kit in the Pre K Room was observed to lack gloves.

A crib with a sleeping infant lacked 2 feet of space on 3 sides in the Infant Room.

During an observed diaper change, staff failed to use the hands-free mechanism to discard the soiled diaper.

The file for Staff #1 contained a health assessment which lacked the medical provider's assessment of the person's suitability to provide child care.

The observed emergency plan was reported to have been sent to the County EMA but not to the local municipality.

The file for Staff #2, an existing staff member, contained certification in pediatric first-aid and CPR which had expired.

During the complaint investigation, interviews with staff and documents obtained report Staff #1 slapped a child's forearm as physical punishment for the child's actions.