Tender Years Inc - Hershey PA Child Care Center

Noncompliance Area: A peace-lily was observed in a preschool room.

Correction Required: Toxic plants are not permitted in a child care space.

Noncompliance Area: A few bolts were elevated and exposed (caps had broken off) along the plastic mulch barrier located on the preschool playground.

Correction Required: 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.

Noncompliance Area: At the time of inspection, pieces of mulch (less than an inch in diameter) were observed on the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: At the time of inspection, two Oball rattles were observed in the infant child care space. The Oballs (with plastic discs filled with beads) have been recalled by the Consumer Product Safety Commission. (CORRECTED ON SITE)

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: At the time of inspection, the thermometer located in the refrigerator in GBK was reading at 50 F. (CORRECTED ON SITE)

Correction Required: 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.

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 2 did not include the enrolling parent's work address nor the work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 1 did not include the child's health insurance and policy number. (CORRECTED ON SITE)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: According to documentation on file at the time of inspection, staff person 3 began employment on 7/23/2018. The initial health assessment on file did not include results of a TB test. The TB test results have since been obtained (dated 3/29/19).

Correction Required: 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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: According to documentation on file at the time of inspection, staff person 2 worked for a period of time without current/valid clearances on file. Her state police clearance expired 2/20/2019, and an updated clearance was not obtained until 3/5/2019. Her Child Abuse clearance expired on 3/2/2019, but was not updated until 3/17/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: According to documentation on file at the time of inspection, staff person 1 has not received a written evaluation during the previous 12 months. (CORRECTED ON SITE)

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: At the time of inspection, staff persons in a mixed 2 and 3 year old classroom stated that they use the preschool playground. Two 2 year old children are playing in an area where they have access to mulch. Pieces of mulch were observed on the two year old playground (near the gate, around the edge adjacent to the preschool playground, and in the ladybug located on the tree climber). Pieces of chalk (less than an inch in diameter) were observed in a low / unlocked cabinet in an area accessible to mobile infants.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: At the time of inspection, the facility did not have any child service reports on file for child 1 (school age child who attends more than 15 hours per week.) The child began in care 4/2017.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).When a school-age child attends the facility 15 hours or less per week, the operator is not required to complete 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 referenced at Section 3270.124(a)(3).

Noncompliance Area: At the time of inspection, a staff person in the ducklings classroom was observed changing a diaper. The staff person placed the diaper onto the counter, and then later, into the trashcan. The surface where the diaper was placed was not cleaned after the diaper was thrown away. (CORRECTED ON SITE)

Correction Required: 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: According to the documentation on file at the time of inspection, staff persons 1 and 2 both completed the required mandated reporter training more than 90 days after their employment date. Staff person 1 was employed on 11-2-17 and the training was dated 4-18-18. Staff person 2 was employed on 9-25-17, and her training was dated 4-18-18. The Child Abuse clearance on file for staff person 2 is a ''volunteer'' clearance and not the required employment clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: At the time of inspection, an electrical outlet located in the boys restroom was not covered with an outlet cover. (CORRECTED ON SITE)

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.