Tender Years Inc - Mechanicsburg PA Child Care Center

Noncompliance Area: The health assessment on file for facility person #1 indicates that a physical examination was not completed.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: A toilet tank cover was observed to be missing from one of the toilets in the Hoots classroom, which was corrected as of 7/28/2020.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: The file of facility person #1, hired 5/20/19, contained a child abuse clearance with a name that did not match the staff person's legal name.

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

Noncompliance Area: An electrical outlet on a plugged-in cord, accessible to children in the Einsteins room, was observed not to have a protective cover, which was corrected on site.

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

Noncompliance Area: A plug in air freshener was observed to be accessible to children in the Einsteins classroom, which was corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: At the time of inspection, ab Oball rattle was observed in an infant child care space. 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: On 10/30/18, peeling paint and plaster was observed on the wall in the left corner in the K/K-readiness classroom. Continued non-compliance: On 12/27/18, peeling paint and plaster was observed on the wall in the left corner in the K/K-readiness classroom, which was corrected on site.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: A crack was observed in a toy bin in the K/K-readiness classroom, creating a pinch hazard, which was corrected on site.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A plastic bag was observed to be accessible to children in the Forrest Friends refrigerator. Hot wheels cars, with removable parts less than 1 inch in diameter, were observed to be accessible to children in the Tiny Toons, Early Explorers, and Little Einsteins classrooms. Small craft Google eyes were observed to be accessible to children in the Little Einsteins room. All were corrected on site.

Correction Required: 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: It was observed that there was not 2 feet of space on 3 sides of the cribs in which infants were sleeping in the Baby Birds classroom, which was corrected on site.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: There were not written instructions from the individual who prescribed child #1's Albuterol.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: The inhaler, intended for the use of child #2, was labeled for child #4.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: A medication log for child #3 did not include the amount of Gold Bond administered on 6/19/18.

Correction Required: A medication log shall include the amount of medication administered.

Noncompliance Area: A diaper was observed not to be immediately discarded into the hands-free trash can in the Baby Birds classroom.

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.

Noncompliance Area: There was not an acceptable health assessment on file for facility person #5 at the time of inspection. Tuberculosis screening results were on file for staff person #8, however it was dated more than one year prior to the staff person's start date.

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.