Tender Years INC · Enola

The file for staff person #4 included a FBI clearance which was not updated within 60 months of the previous clearance. The current FBI clearance is dated 3/18/2024 and the previous was dated 3/13/2019.

Staff persons #1, #2, and #3 were unable to identify the specific group of children to which they were assigned.

It was observed in the Jungle Cub classroom, bleach spray, glass cleaner, and Sani-Spray were stored in a cabinet under the sink that was not locked and accessible to children. (this was corrected on site) It was observed in the Jungle Cub classroom a staff member's personal bag containing Stinging Nettle Supplement was accessible to children. (this was corrected on site.) It was observed in the Discovery Zone classroom a staff member's personal bag containing Ibuprofen, an Epi-pen and an inhaler was accessible to children. (this was corrected on site.)

It was observed in the Discovery Zone classroom, a backpack containing a first-aid kit sitting on the floor accessible to children. (This was corrected on site.)

It was observed in the Jungle Cub classroom, damaged paint under the window and door leading to playground. (This was corrected on site with painter's tape.)

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 3/14/25 - 4/14/25.

The file for staff person #4 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 10/7/2024 and the previous first-aid and CPR training certificate was dated 3/9/2022.

The individual file for staff person #1 does not include verification of child care experience and level of education. The individual file for staff person #2 does not include verification of child care experience.

The file for staff person #1 included a Child Abuse clearance which was not updated within 60 months of the previous clearance. The current Child Abuse Clearance is dated 9/16/24 and the previous was dated 8/6/19. The file for staff person #2 included a Child Abuse clearance which was not updated within 60 months of the previous clearance. The current Child Abuse Clearance is dated 9/23/24 and the previous was dated 9/19/19.

It was stated by staff in the Tiny Foxes classroom that children are being held up to the sink by staff using one arm in to assist children with handwashing. It was observed in the Bumblebee classroom, staff holding children up to the sink using one arm in an unsafe manner and using the other arm to assist children with handwashing.

The facility's written emergency plan and parent letter 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 Jungle Cub classroom, diaper creams were placed in low drawers and accessible to children in both classroom bathrooms. It was also observed in the Jungle Club classroom, Clorox sprays were placed on a low shelf accessible to children in both classroom bathrooms.

It was observed in the Discoverers classroom, cords hanging from a smart board were unsecured causing a potential strangulation hazard and accessible to children.

The facility's emergency plan parent letter does not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility has not conducted an annual emergency drill. The previous emergency drill was documented to have occurred 12/27/23.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 3/15/24-4/17/24, 5/5/24-6/7/24, and 7/5/24-8/7/24.

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

The file for staff person #3 did not include an updated FBI clearance. The current FBI clearance on file expired 5/10/23. The file for staff person #4 did not include an NSOR Certificate.

It was observed in the Little Bears infant classroom, an infant was placed in their crib on their stomach to sleep instead of on their back.

Facility's emergency plan does not include continuity of operations planning.

It was observed in the bathroom in the Monkeys classroom, sanitizing cleaning spray and hand sanitizer on a low shelf that is accessible to children.

It was observed in the Ladybug and Dragonfly classrooms that plastic grocery bags were accessible to toddlers. It was observed in the Grasshopper classroom, a sensory bottle with a lid of less than 1 inch in diameter and was removeable was accessible to children who are still placing objects in their mouths. Sensory bottle also contained objects with a diameter of less than 1 inch. It was observed in the Tiny Foxes classroom exposed foam on a diaper changing pad.

The thermometer in the refrigerator in the Ladybug classroom indicated a temperature of 47° F. The thermometer in the refrigerator in the Monkey classroom indicated a temperature of 52° F.

It was observed in the Monkeys classroom a prescription medication of Diazepam was not stored in a its original container.

File for staff person #2 does not include a completed health assessment at least 24 months after the previous health assessment dated 3/1/21.

Fire drills have not been conducted at least once every 60 days. Fire drills were documented to have occurred 2/20/23, 5/1/23. The last fire drill was January 23rd 2024.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 2/20/23, 5/1/23 and 9/15/23, 10/31/23. The fire system was tested at the time of inspection, January 22nd 2024.

The file for staff person #1 included a pediatric first aid and pediatric CPR which was not updated within 24 months of the previous clearance. The current pediatric first aid and pediatric CPR is dated 8/26/21.

The emergency contact form for child #1 does not include the health insurance policy number.

Facility self-reported and complaint investigation verified the following incident: On 8/1/2023, Staff #1 picked up a toddler child by the wrist/arm and shoved the child at least two times to get child to lay down on rest equipment while trying to transition to nap time.

It was observed that in the toddler room, staff person #2, and staff person # 3 could not identify children in their primary care group. In the discovery room, staff person #4, and staff person # 5 could not identify children in their primary care group. In a toddler room, staff person #6 and staff person # 7 could not identify children in their primary care group.

It was observed that the parent of a child involved in an incident was not notified by the center on the same day of the incident. Cert rep was informed by another agency that the parent was informed of the incident involving the child on 8.10.23 during the course of the 3rd party investigation.

The last documented fire drill at the facility occurred on 2/20/2023 which demonstrates that greater than 60 days elapsed between drills. (Corrected on Site)

It was observed at the time of a complaint investigation that the facility did not test the fire detection system every 30 days as required by standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The last recorded smoke detection test at the facility occurred on 2/20/2023 which demonstrates that greater than 30 days elapsed between manual tests. (Corrected on Site)

It was observed through video footage that staff person #1 grabbed an IPAD from toddler child leading the child to fall onto the floor.

It was observed that staff person #1 did not have a valid Pediatric first aid and CPR certificate training on file. The certificate expired on 2/27/2023.

Staff person #1 did not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Basic Health and Safety: Get Started with Center-Based Care: Building Blocks for Quality. The Health and Safety training certificate: Get Started with Center-Based Care-Revised 2022 on file was dated 12.30.22.

It was observed that spacing of rest equipment in the Forest Friends, Bumblebee, and Lady bug rooms had less than 2 feet of space is required on three sides.

Staff person #11 and Staff person #18 did not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid and CPR. Staff person #16 did not complete the following required pre-service training within 90 days of their date of hire: Health & Safety (certificate was dated 6/12/22).