Tender Years INC · Hershey

Documentation was not available in the emergency plan letter to parents regarding accommodations for infants, toddlers, and children with special needs/medical conditions.

In the Rascals room, Clorox stain remover and cans of disinfectant wipes were observed to be accessible to children in the cabinet under the diapering area. Corrected on site.

Gloves were not accessible in the first aid kit in the GBK room. Corrected on site by adding gloves.

In the GBK room, a large rip was observed in the fabric wall covering in the library area. In the Half-Pints room, brown spots were observed on the counter of the diapering area. Corrected on site by wiping up the spots.

In the Half-Pints room, areas of peeling paint on the gate to the bathroom were observed. Corrected on site by covering areas with tape.

The refrigerator in the GBK room was observed to be at a temperature of 48 degrees F.

During the inspection, staff in the Rascals room were heard threatening to withhold food from a child as a form of discipline.

A bottle in the infant room refrigerator was observed to be unlabeled with a child's name.

Documentation showed an emergency drill had been conducted 1/17/24 and again on 3/26/25, exceeding the regulation of there being a maximum of 12 months between emergency drills.

During the inspection, children were observed to be inadequately engaged by teachers and the curriculum causing pushing, fighting, climbing on tables, throwing toys, and crying for much of the observed time.

It was alleged that Staff #1 grabs children, restricts their movements, and yells at them. Allegations include the use of bear hugs to restrict movement and leaving marks and scratches on children. Documentation of injuries and the staff's statement during the interview confirm the allegations.

It was alleged that Staff #1 grabs children, restricts their movements, and yells at them. Allegations include the use of bear hugs to restrict movement and leaving marks and scratches on children. Harsh and loud language with children was confirmed by a number of staff members, including past and present co-teachers.

During mealtime, sausage links were observed to be served to young toddlers in the middle nursery. The links were served whole instead of being cut into small pieces, posing a choking hazard.

During a complaint investigation, it was confirmed by staff that harsh and loud language was being used in the classroom. Prior to the investigation, leadership held a meeting with Staff #1 about their interactions with children. Coaching and classroom management strategies were provided. Staff #1 acknowledged the behavior and has adjusted their tone of voice.

During an unannounced monitoring visit, documentation of an NSOR certificate for Staff #1 was not available. CORRECTED ON SITE.

During an unannounced monitoring visit, documentation of completed emergency plan training was not available for Staff #2 and Staff #3. This was CORRECTED ON SITE.

During an unannounced monitoring visit, documentation showed that fire system testing showed testing dates of 10/18/24 and 11/18/24, which is 31 days apart, exceeding the requirement that fire detection systems be manually tested every 30 days.

It was observed staff in the front infant classroom with children ages 12 months- 15 months, holding a child up to the sink in the classroom by staff using one arm in an unsafe manner and using the other arm to assist child with handwashing.

The emergency plan does not provide a method for the facility to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

It was observed in the middle infant classroom, a bottle of Sani-Tyze cleaning spray was stored in an unlocked cabinet and accessible to children. (corrected on site)

It was observed in the Gingerbread classroom, a Magic Eraser was not stored in an original container or in a container that specifies the contents. (corrected on site)

The first-aid kit for the Ducklings classroom did not contain disposable, nonporous gloves. (corrected on site) The first-aid kit for the Gingerbread classroom did not contain disposable, nonporous gloves and tape. (corrected on site)

It was observed on the preschool outside play space at the tetherball pole, uneven rubber tiles on the ground causing an uneven surface and potential tripping hazard.

It was observed that there is no visual identification on the side glass windows of the door in the middle infant and Gingerbread classrooms.

It was observed in the girl and boy bathrooms used by children, did not have handwashing signs displayed at each toilet and sink.

The medication log for child #1 did not include the amount of the medication to be administered.

The medication log for child #2 did not include the date of administration.

The medication logs for children #1 and #2 did not include the time of administration.

It was observed in the middle infant classroom with children between the ages of 4 months - 9 months, a child did not have their hands washed with soap and running water after being diapered.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 7/19/23-8/31/23, 9/13/23-10/24/23, 10/24/23-11/29/23, 12/15/23-1/31/24, and 2/23/24-3/29/24.

Staff person #1 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 11/9/23 and the previous training was completed on 6/8/18. Staff person #2 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 11/9/23 and the previous training was completed on 7/25/17. Staff person #3 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 11/9/23 and the previous training was completed on 6/13/18. Staff person #4 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 11/9/23 and the previous training was completed on 7/25/17.

Medication for child #1 was left on the counter, accessible to the child. Staff #1 observed child #1 reaching for the medication and removed the medication before it was taken by child #1

Staff #2 had a child abuse clearance for the purpose of "Household Member", which is not accepted. Staff #2 may not work in a child care position until clearance is received and on file. Staff #3 had an NSOR dated 1/4/22, which was outside of the provisional hire period. Mandated reported training was completed on 3/28/23, which was greater than 90 days from the hire date. Staff #3 resided in New York state within the past 5 years and did not have clearances from the state of New York on file. Staff #3 may not work in child care until all clearances are obtained.

On the outdoor playground, the large play structure was observed to have orange chipping paint

In the bathroom located in the Gingerbread classroom, a sharp piece of rust was observed to be exposed underneath the bathroom stall. In the Boys bathroom located in the back of the building, a hole was observed in the drywall behind the door.

In the half pints room (1-2 year old), a sensory bottle was observed to come unsecured, allowing children access to "googly eyes" and pom-pom balls with a diameter of less than an inch.

In the Koala PreK room, a large toy shelf was observed to be on wheels. When leaned on, the shelf moved and rocked, causing the objects on it to shift. The shelf was observed to be a hazard.

Medication for child #5 was not in the original container.

Child #1 had a medication log on file for medication, however, the medication log was missing the dates for administration of the medication. Child #2 had medication on file but there was no medication log on file. Child #3 had a medication log on file for medication. Medication log had dates of administration dating 8/24/20 through 4/2021. Date for administration must cover the current time period. Child #4 had a medication log on file for medication, however, the medication log was missing the dates for administration of the medication.

Staff number 4 had a health assessment dated 9/2/20 and updated on 1/20/23, which is greater than 24 months. Staff #5 had a health assessment dated 10/14/20 and updated on 3/13/23, which is greater than 24 months.

A written transportation plan was observed to be missing in the following rooms; Gingerbread Preschool, 9 month to 1 y/o room, 4 mo to 9 mo room, Koala PreK room, and in the Duckling Young Toddler room.

References for staff #1 did not talk about the staff person's suitability to work with children. Staff person #6 was missing a reference that talked about the staff's person's suitability to work with children. 1 reference was on file that attested to the staff's ability to work with children.