Tender Years INC · Mechanicsburg

At the time of the investigation after reviewing video footage, it was determined that staff person #1 and staff person #2 were not actively engaged in supervising children in the young toddler classroom. Child #1 (see CODE sheet for DOB) climbed onto a step stool used for handwashing unassisted by staff resulting in Child #1 falling causing a head injury to the child.

The facility's emergency plan does not provide a method for facility persons 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 Dragonfly classroom, a Magic Eraser being stored in the cabinet above the sink was not in its original labeled container or in a container that specifies the content. It was observed in the Pre-K classroom, a Magic Eraser being stored in the cabinet above the sink was not in its original labeled container or in a container that specifies the content.

It was observed in the Ladybug classroom that soiled diapers are disposed of into a non-hands-free trash can. It was observed in the Bumblebee classroom that staff were not appropriately utilizing the hands-free covered trash can by removing the trash can lid and placing the lid under the trash can.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The file for staff person #1 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 3/10/26 and the previous first-aid and CPR training certificate was dated 2/22/24. The file for staff person #2 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 3/10/26 and the previous first-aid and CPR training certificate was dated 2/22/24.

On 4/21/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 2 had a child abuse clearance on file that expired on 10/15/19 and an updated clearance was not completed until 11/24/24. Clearances must be updated every 60 months.

On 4/21/25, it was observed that the poured rubber surfacing of the playground was torn posing a tripping hazard for the children. 3 spots were observed near the red climber on the preschool playground. 1 spot was observed on the bike track in the middle of the playground.

On 4/21/25, it was observed that child medication logs were not filled out completely. Child 2 had a medication log that did not include dates for the medication to be administered. CORRECTED ON SITE, Child 5 had a medication log that did not include times for the medication to be administered.

On 4/21/25, it was staff health assessments were incomplete and not updated every 24 months. Staff person 1 had a health assessment on file that expired on 1/24/25 that was not updated until 2/6/24. Staff person 4 had a health assessment on file that expired on 10/27/24 that was not updated until 12/27/24. Staff person 3 had a health assessment on file that did not include a date of the physical exam.

On 4/21/24 it was observed that child 3 and 4 did not have signed parental consent on file for emergency medical care and minor first aid.

As previously cited on 4/17/24: During the time of inspection, it was observed that there was standing water in a red outdoor sensory table. There was also debris and dead bugs in the red circular portion of the outdoor sensory table.

Documentation of the emergency plan on file did not include continuity of operations.

Documentation of all pertinent information was not present in the parent letter.

During the time of inspection, it was observed that there was standing water in a red outdoor sensory table.

It was observed at all diaper changing stations that soiled diapers are disposed of into non-hands-free trash cans.

Documentation of the health assessment on file for facility person #1, #2, #3, and #4, was not updated after 24 months of their prior health assessment.

Documentation of the facilities emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Documentation of the facilities emergency plan did not include lockdown procedures.

Documentation of the facilities emergency plan and subsequent plan updates were not sent to the local municipality.

Child #1 and child #2 did not have arrival and departure times on their agreement.

Video footage showed staff #1 interacting with children on the playground. Staff was observed throwing a large snowball at a child, kicking at children at three different occasions, and picking children up by the front of their jacket and putting them in the snow. She also was observed pushing a child to the ground by putting her foot on the child's chest.

Upon reviewing the video footage and interviewing staff, it was determined that staff person #1 singled out child #1 on the playground and in the classroom.

Manual fire detection testing was not conducted every 30 days. Documentation of manual testing was listed as 10/30/2023 and 12/5/2023, 36 days had lapsed between testing dates.

On 8/14/2023, staff person #1 completed a 'boo-boo' check for child #1 and found visible markings on child's lower back, leg (knee and shin) and right side of face and nose. Staff #1 reported markings to Staff #2 and sent photos to both parents using a childcare app. Facility staff did not make a report to ChildLine.