Tender Loving Care Place LLC

2025

1. Medium-High risk7/8/2025

   Within 3 months, then 12 months (3290.151(a))

   The file for Staff #1 was lacking a health assessment and TB test. 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 on file at the facility. Correction: Staff #1 has completed a Health Assessment and TB test, and the documentation is on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/19/2025
2. Medium risk7/8/2025

   Within 60 days (3290.131(a))

   The file for Child #1, 2, 3, and 4, all of whom have been enrolled more than 60 days were all lacking initial child health reports. Requirement: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. Correction: All Children turned in initial child health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/1/2025
3. Medium-High risk7/8/2025

   Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

   The files for Child #1, 2, 3 and 4, all of which have been enrolled for more than 6 months, were all lacking six month updates of their emergency contact forms and agreement forms. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: All emergency contact forms and agreements were reviewed and signed by the parents for accuracy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/1/2025
4. Medium-High risk7/8/2025

   Services provided (3290.123(a)(3))

   The file for Child #1 was lacking the services provided to the child while in care at the facility. The files for Child #1, 2, 3, and 4, who were all enrolled for more than 6 months, were lacking child service reports. Requirement: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e). Correction: Child Service Reports will be completed for all children enrolled more than six-months and copies will be provided to families. Services were added to Child #1's agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/1/2025
5. Medium-High risk7/8/2025

   Refrigerator (3290.106)

   The thermometer in the refrigerator was not operable at the time of the renewal inspection. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: The refrigerator thermometer was replaced with a new operable thermometer capable of maintaining accurate readings. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/9/2025
6. Medium-High risk7/8/2025

   Has all items (3290.73(c))

   The first aid kit was lacking scissors, tape, soap and gloves. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: The first aid kit was restocked immediately with scissors, tape, soap and disposable gloves. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/9/2025
7. Medium-Low risk4/10/2025

   System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

   The fire detection devices have not been tested within the past 30 days. Documentation of the fire detection device tests show more than 30 days between testing from 2/7/25 to 3/10/25. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met. Correction: All fire detection devices were tested on 4/10/2025. Results were logged and signed. I reviewed the monthly testing requirement and created a standing reminder in my calendar. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 4/10/2025
8. Medium-High risk4/10/2025

   Vet's certificate required (3290.117(c))

   A veterinarian's certificate of current rabies immunization was not on file for dog, Angel. Angel is present during child care hours. Per staff statements, the dog received a current rabies immunization that was administered by Staff #1. Requirement: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present. Correction: A current rabies immunization certificate from Angel's veterinarian was obtained Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/12/2025
9. Medium risk4/10/2025

   Pet in good health/friendly (3290.117(a))

   Per staff statements, on 3/18/25, Staff #1 was holding Child #1, an Infant, when the staff sat on the couch with the infant, the 11-month old dog, Angel, came into the room. The dog was excited to see staff #1 and tried to jump into the staff's lap. When the dog jumped, the dog's nail scratched the infant's forehead. The scratch left two pink raised lines, 2 -3 inches long down the infant's forehead and between the infant's eyebrows. Requirement: A pet or animal present at the facility, indoors or outdoors, shall be in good health and known to be friendly to children. Correction: After the incident, Angel was immediately removed from the care space. The area where children are present is now pet-free during operating hours. Per Angel's vet she remains in good health and continues to be friendly to children. Per infant's mother, "He's fine. I understand these things happen". Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/18/2025