TENDER YEARS INC

Supervised at all times (3270.113(a))

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. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Correction: Upon completion of the investigation and review of classroom video footage, it was determined that Staff Person #1 and Staff Person #2 were not actively engaged in supervision of the children in the young toddler classroom at the time of the incident. As a result, Child #1 was able to climb onto a step stool used for handwashing without staff assistance, which led to the child falling and sustaining a head injury. To establish and maintain regulatory compliance, the following corrective actions have been implemented: · Staff Person #1 and Staff Person #2 were terminated at the beginning of their shifts on April 22, 2026. · All classroom staff have been retrained on hazard awareness, supervision during transitions and routines, and ensuring that equipment such as step stools are only used with direct staff assistance. · Classroom procedures have been updated to require staff to remain within close proximity during handwashing routines and other activities involving climbing equipment or stools. · Management conducted a full classroom safety review to identify and minimize potential hazards accessible to children when not directly supervised. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: The facility has acknowledged that accommodation was not noted to include infants, toddlers, and children with disabilities or chronic medical conditions. The facility will revise its emergency plan to clearly include specific accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. These updates will ensure that individual needs are considered during all types of emergency situations, including evacuation, shelter-in-place, and reunification procedures. All staff will be trained on the updated emergency plan and the importance of following individualized accommodations during emergencies Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

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. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: The facility acknowledges that the staff in the young toddler classrooms were not appropriately utilizing the hands-free covered trash cans in the bathrooms. All staff have been retrained on proper diapering procedures, including the requirement that all soiled disposable diapers must be discarded immediately in a plastic-lined, hands-free covered can. The appropriate receptacles are located in each classroom and will be used consistently. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

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. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: The facility acknowledges that a Magic Eraser in the Dragonfly and Pre-K classrooms was not stored in its original labeled container or in a properly labeled container. The Magic Erasers were placed in a Ziplock bag labeled with the specific content and labeled for Teacher Use ONLY. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

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. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: The facility acknowledges that Staff Person #1's pediatric first aid and CPR certification was not renewed prior to the expiration of the previous certificate dated 2/22/24. The staff member has since completed the required training, and a current certification dated 3/10/26 is now on file. The facility acknowledges that Staff Person #2's pediatric first aid and CPR certification was not renewed prior to the expiration of the previous certificate dated 2/22/24. The staff member has since completed the required training, and a current certification dated 3/10/26 is now on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3270.27(a)(4))

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. Requirement: The facility shall have an emergency plan that provides for 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. Correction: The facility acknowledges the emergency plan did not include a way to notify parents that the emergency has ended. The facility will maintain an emergency plan that includes a clear method for notifying parents when an emergency has ended. The plan will also provide specific instructions to ensure parents can safely and efficiently reunite with their children. Notification methods may include phone calls, text messages, email alerts, or updates through approved communication platforms. Designated staff will coordinate the reunification process to ensure the safety and accountability of all children during dismissal. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

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. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Parents were contacted to sign the form at pickup in which they did. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

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. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Correction: We have obtained a copy of the health care summary the day the physical was given. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

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. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: When a clearance comes to its expiration date, even if we are waiting for it to come back, the staff will be suspended until the clearance is received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

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. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: We have contacted the company who does the repairs for the playground surfacing. Due to the requirements of the temperature and needing to stay dry for a consecutive number of days, the company will complete the repair no later than July 2nd, 2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date of administration/Time of administration (3270.133(7)(v)/3270.133(7)(vi))

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. Requirement: A medication log shall include the date of administration. A medication log shall include the time of administration. Correction: Parents were contacted and medication logs were filled out completely. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).