Tender Touch Nursery

Staff Records - Retention

“1715.C.: Based on record review at 1:00 p.m., S1 failed to ensure 6 of 11 staff names, hire date, first day onsite working with children, and initial and annual mandatory reporter training documentation was maintained in the LDOE electronic system. S3, S5, S6, S7, S8, and S9 failed to be in the system. This was not corrected prior to the Specialist’s departure.”

Rule 1715.B.&C.

Daily Attendance Records - Staff and Owners

“1507.B.2.: Based on record review and observation at 12:00 p.m., S1 failed to ensure the center’s daily attendance record for staff and owners accurately reflected the staff members on the center premises at any given time. S3 was on the premises but was not signed in on the log. This was corrected prior the Specialist’s departure.”

Rule 1507.B.

Child to Staff Ratio

“1711.A.&B.&C.&D&E.: Based on observation at 11:45 a.m., S4 failed to meet the required child to staff ratio. The Specialist observed S4 supervising 6 children, ages 4-months to 2-years-old, alone. There needed to be 1 additional staff. This was corrected prior to the Specialist’s departure.”

Rule 1711.A.&B.&D.&E.

Infants Held While Bottle Fed

“1919.H. Based on observations at 12:00 p.m., S3 failed to ensure children shall not be placed lying down in a crib holding his bottle. The Specialist observed 2 of 4 infants with bottles in their cribs, while lying down. This was corrected prior to the Specialist’s departure.”

Rule 1919.H.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review and observation at 9:00 a.m., S1 failed to ensure the center’s staff and owner’s daily attendance record accurately reflected persons on the child care premises at any given time. S4 and S6 were on the premises, but were not signed in on the attendance log. This was corrected prior to the Specialist’s departure.”

Rule 1507.B.

Supervision

“1713.A. Based on observation at 9:10 a.m., S6 failed to ensure the children were supervised at all times. Upon entrance into building #2, S6 was asleep. There were 8 children in the building, ages 2-3-years-old. 7 of the children were sitting at the table and 1 child was sitting behind a shelf. This was corrected prior to the Specialist’s departure.”

Rule 1713.A.&B.&C.

Staff Records and Personnel Files

“1715.3.: Based on record review at 10:20 a.m., S1 failed to document upon termination or resignation of employment, the last date of employment, reason for leaving, for staff S7, S8, S9, S10, and S11. This was not corrected prior to the Specialist’s departure.”

Rule 1715.A.1,3.&4.

Required Staffing - Director/ Director Designee

“1707.A.1.2.: Based on observation/record review/interview at 10:00 a.m., S1 failed to have a qualified Director or Director Designee who is an on-site full time staff person at the center during the day time hours of operation (prior to 9:00 p.m.) and responsible for planning, managing, and controlling the center’s daily activities, as well as responding to parental concerns and ensuring that minimum licensing requirements are met. This was not corrected prior to the Specialist’s departure.”

Rule 1707.A.1.&2.

Independent Contractors Records

“1717.A.: Based on record review at 10:15 a.m., S1 failed to have documentation for O1, O2, and O3 that included person’s name, address, phone number, list of duties performed while at the center. S1 failed to have documentation of a fingerprint based satisfactory criminal background check dated prior to the individual being present at the center for O1, O2, and O3. This was not corrected prior to the Specialist’s departure.”

Rule 1717.A.

Orientation Training

“1719.A.: Based on record review at 10:00 a.m., S1 failed to have documentation that S5 completed the DCFS Online Mandated Reporter Training within 7 days of the first day present at the center. S5’s first day present at the center was 9/8/2025. The DCFS online mandated reporter training should have been completed by 9/15/2025. This was not corrected prior to the Specialist’s departure.”

Rule 1719.A.-C.

Daily Reports for Infants

“1911.E.: Based on record review at 9:45 a.m., S5 failed to have a daily infant report, whether written or electronic, for C4, 8-month-old, C6, 5-months-old, C7, 5-months-old, and C8, 2-months-old. This was not corrected prior to the Specialist’s departure.”

Rule 1911.E.

Health Services - Observation

“1915.A.: Based on record review at 10:00 a.m., S1 failed to document observations when something was observed on children upon arrival to the center. Results including an explanation from parent and/or child were not documented. This was not corrected prior to the Specialist’s departure.”

Rule 1915.A.

Health Services - Parental Notification

“1915.C.: Based on record review at 11:00 a.m., S1 failed to have documentation of immediate notification to the parent when the following occurred to a child: On 8/8/2025, at 9:00 a.m., C5, 2-years-old, collided with another child during morning exercises. C5’s right eye and cheek were slightly bruised and swollen. The parent was notified at 9:58 a.m. The parent signed the incident report on 8/11/2025.”

Rule 1915.B.&C.

Field Trip - Record

“2105.E. Based on record review/interview at 11:30 a.m., the center’s record of all field trips taken was inaccurate and incomplete, the correct names of the children being transported in the vehicle, staff members in the vehicle, names of other adults who joined the field trip at the destination to assist with supervision of children, the presence of each child each time the children enter or exit the vehicle. This could not be corrected.”

Rule 2105.E.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on observation/record review at 11:30 a.m., S1 failed to ensure the daily attendance record for staff and owners is maintained and accurately reflects the staff members and owners on the center premises at any given time. S1 and S4 were not on the premises but were signed in. S6 was on the premises but was not signed in. This was partially corrected prior to the Specialist departure.”

Rule 1507.B.

Child to Staff Ratio

“1711.A.B.: Based on observation at 11:15 a.m., S5 failed to meet the required child to staff ratio. The Specialist observed S5 supervising 7 children: ages 1-month-old to 2-years-old.”

Rule 1711.A.&B.&D.&E.

CPR and First Aid Certifications

“1723.A.B.: Based on record review/observation at 11:45 a.m., S1 failed to have documentation for 1 of 10 staff members on the premises and accessible to children had current certification in adult, infant, and child CPR through training approved by the department. S5 failed to have the current certification. This was not corrected prior to the Specialist departure.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.A.B.: Based on record review/observation at 11:45 a.m., S1 failed to have documentation for 1 of 10 staff members on the premises and accessible to children had current Pediatric First Aid through training approved by the department. S5 failed to have the current certification. This was not corrected prior to the Specialist departure.”

Rule 1723.C.

Medication Management Training

“1725.A.-C.: Based on record review at 11:15 a.m., S1 failed to have at least one staff member on the premises trained in medication administration. This was corrected when S1 and S4 arrived at the center 11:34 a.m.”

Rule 1725.A.-C.

Daily Reports for Infants

“1911.E.: Based on record review at 11:30 a.m., S5 failed to have documentation that included the liquid intake, food intake, disposition, bowel movements and eating and sleeping patterns for C1 (3-month-old) and C2 (one-month-old).”

Rule 1911.E.

Daily Attendance Records - Staff and Owners

“1507.B.2.: Based on observation/record review at 9:15 a.m., S4 failed to ensure the daily attendance record for staff and owners is maintained and accurately reflects the staff members and owners on the center premises at any given time. Upon arrival at the center S3 was present and on the premises. S3 failed to sign in and out on the center’s attendance log. This was corrected prior to the Specialist departure.”

Rule 1507.B.

Orientation Training

Rule 1719.A.-C.

Continuing Education Training

“1721.A.-C.: Based on record review at 10:00 a.m., S4 failed to provide opportunities for continuing education of staff members who are left alone with children, or who have supervisory or disciplinary authority over children. 1 of 4 staff did not have 12 continuing education hours. This was not corrected during inspection.”

Rule 1721.A.-C.

Medication Management Training

“1725.A.-C.: Based on record review at 10:00 a.m.,S4 failed to have at least one staff member present trained in medication administration whether the early learning center administers medication or not. The center has four staff members trained in medication administration training, but 0 of 4 staff were present at the center. This was corrected when S4 arrived at the center at 9:30 a.m.”

Rule 1725.A.-C.

Daily Reports for Infants

“1911.E.: Based on record review at 9:30 a.m., S1 and S9 failed to have accurate documentation that included the liquid intake, food intake, disposition, bowel movements and eating and sleeping patterns for one infant, 3 months old. The daily infant reports were already completed for the entire day of 3/25/2025.”

Rule 1911.E.

Daily Attendance Records - Children

“1507.A.: Based on observations/record review at 9:45 a.m., S1 failed to ensure the daily attendance record for children accurately reflected the children on the child care premises at any given time as 17 children were present and 18 children were signed in on the log. S1 corrected the attendance log for the children while the Specialist was present.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on observation/record review at 9:45 a.m., S1 failed to ensure the daily attendance record for staff and owners is maintained and accurately reflected the staff members and owners on the center premises at any given time as 2 of 6 staff present were not signed in. S1 and S6 failed to sign in on 1/7/2025 but were on the premises. This was corrected prior to the Specialist departure.”

Rule 1507.B.

Orientation Training

“1719.A.-C.: Based on record review at 10:30 a.m., S1 failed to have documentation that S6 completed the DCFS online mandated reporter training within 7 days of the first day present at the center. S6’s hire date and first day present at the center was 6/13/2024. DCFS online mandated reporter training should have been completed by 6/20/2024. This was not corrected prior to Specialist departure.”

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.F.: Based on observation/record review at 10:15 a.m., S1 failed to ensure early learning center staff have current certification in pediatric first aid and CPR within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. Specialist observed S5 (DOH 1/6/2025) supervising 4 children, ages 2 months old to 1- year-old, alone. This was corrected prior to the Specialist departure.”

Rule 1723.F.

Daily Reports for Infants

“1911.E.: Based on observation/interview at 10:00 a.m., S4 failed to have documentation that included the liquid intake, food intake, disposition, bowel movements, eating and sleeping patterns for 2 of 2 infants, which were two-months-old and six-months-old. This was not corrected prior to the Specialist departure.”

Rule 1911.E.

Food Service and Nutrition - Menu

“1919.A.B.: Based on observation/interview at 10:15 a.m., S1 failed to have the weekly menu prominently posted, written or electronically, by the first day of each week and remain posted throughout the week. This was corrected prior to the Specialist departure.”

Rule 1919.A.&B.

Daily Attendance Records - Children

“1507.A.2.: Based on record review at 10:45 a.m., the daily attendance record for children did not accurately reflect the children on the child care premises at any given time as 14 children were present and 16 children were signed in on the log. S1 corrected the attendance record while the Specialist was present.”

Rule 1507.A.

Supervision

“1713.A.: Based on observation at 10:45 a.m., S1 failed to ensure children were under supervision at all times as the Specialist observed a 1-year-old walk out of S3’s classroom and begin to walk to S2’s classroom alone. S4 walked out the kitchen and saw the 1-year-old and walked her back to her classroom.”

Rule 1713.A.&B.&C.

Free of Hazards

“1903.C.: Based on observation at 10:45 a.m., S1 failed to ensure the indoor area was free of hazards as the Specialist observed a fan in S3’s classroom in the reach of the children. This was corrected.”

Rule 1903.C.

Food Service and Nutrition - Menu

“1919.A.: Based on observation/interview at 11:00 a.m., the center’s meals did not contain all the components as specified under the Child Care Food Program of the United States Department of Agriculture as the children were served chicken nuggets, french fries, apple sauce, and water. Milk is required to be served with meals.”

Rule 1919.A.&B.

Daily Attendance Records - Children

“1507.A.1. Based on observation and record review, S1 failed to ensure the daily attendance log for children included the name of the person to whom the child was released. Specialist observed the following:- C2 was released with no person released to signature on 2.23.204, 2.22.2024, and 2.19.2024-C9 was released with no person released to signature on 2.19.2024-C10 was released with no person released to signature on 2.21.2024”

Rule 1507.A.

End-of-Day Check

“1901.C. Based on record review and interview, S1 failed to ensure the end of day check included the date, time of visual check, and signature of the staff conducting the visual check. Specialist observed the following dates with incomplete or missing end of day checks: 2.2.2024, 2.6.2024-2.9.2024, 2.12.2024-2.13.2024, 2.21.2024, and 2.23.2024. This was not corrected while Specialist was present.”

Rule 1901.C.

Daily Reports for Infants

“1911.E.: Based on observations and interview, S1 failed to ensure daily written or electronic reports for infants were maintained and kept current throughout the day. S2 stated parents did not care for them, but the center will start back doing them and keep them on file if parents did not want them.”

Rule 1911.E.

Tornado Drills

“1921.E. Based on record review and interview, S1 failed to ensure documentation of tornado drills were conducted at least once per month during the months of April, May, and June. Specialist only saw documentation for March 2023 tornado drill.”

Rule 1921.E.

Office of Public Health, State Fire, City Fire Approval

“713.A.: Based on record review and interview, S1 failed to have documentation of a current annual inspection and approval from the Office of Public Health. The date of the last approval was 11.4.2022. S1 stated they have been out, but she hasn’t received the report.”

Rule 713.A.

Child to Staff Ratio

“1711.A.&B&D.: Based on observations and at 12:15 p.m., S2 failed to meet the required child to staff ratio. Specialist observed S2 alone supervising 6 children: two 4-month-olds, two 6-month-olds, and two 11-month-olds. She could only supervise 5 children. There needed to be 1 additional staff present. This was not corrected.”

Rule 1711.A.&B.&D.&E.

Orientation Training

“1719.A.-C.Based on record review at 12:30 p.m., S1 failed to have documentation that S6 (DOH 6/26/2023) completed center-specific orientation to the policies and practices of the center and DCFS online mandated reporter training within 7 days of the first day present at the center and prior to assuming sole responsibility for any children. The trainings should have been completed by 7/3/2023.”

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.A.&B.: Based on record review at 12:30 p.m., S1 failed to have documentation 5 of 12 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S5, S6, S7, S8, and S9 failed to have the current certification. S1 stated they have been put on a waiting list for class with the Children’s Coalition.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review at 12:30 p.m., S1 failed to have documentation 5 of 12 staff on the premises and accessible to children have current certification in Pediatric First Aid through training approved by the Department. S5, S6, S7, S8, and S9 failed to have the current certification. S1 stated they have been put on a waiting list for class with the Children’s Coalition.”

Rule 1723.C.

Apparatus or Equipment

“1907.A.1.&2.: Based on observation at 12:15 p.m., S2, S4, and S5 failed to ensure high chair manufacturer’s restraint device were used when children are sitting in a high chair. Specialist observed: two 4-month-olds in bouncer seats, one 11-month-old in a high chair, one 11-month-old in a bouncer seat an no restraints were used.”

Rule 1907.A.1.-2.

Daily Attendance Records - Children

“Based on observation/record review at 9:30 a.m., the center’s daily attendance record for children failed to accurately reflect the children on the child care premises at any given time as 17 children were present and 11 children were signed in on the log. This was corrected.”

Rule 1507.A.

Required Staffing - Director/ Director Designee

“Based on record review/interview at 11:30 a.m., S3 failed to have a qualified Director who is an on-site full time staff person at the center during the day time hours of operation (prior to 9:00 p.m.) and responsible for planning, managing, and controlling the center’s daily activities, as well as responding to parental concerns and ensuring that minimum licensing requirements are met. S8 stated she is the Director but she does not have a Director’s letter. S8 was informed to resubmit her paperwork.”

Rule 1707.A.1.&2.

CPR and First Aid Certifications

“Based on record review at 10:00 a.m., S3 failed to have documentation that all staff members on the premises of the center and accessible to children have current certification in infant, child, and adult CPR through training approved by the department. This was not corrected.”

Rule 1723.A.&B.

Pediatric First Aid

“Based on record review at 10:00 a.m., S3 failed to have documentation that all staff members on the premises of the center and accessible to children have current certification in pediatric first aid through training approved by the department. This was not corrected.”

Rule 1723.C.

Staff Personal Belongings

“Based on observations at 9:15 a.m., S3 failed to ensure personal belongings of S5 and S6 were inaccessible to children. Specialist observed two water bottles containing liquids in the reach of children in S5’s classroom. One water bottle was on a chair next to S5 and the other water bottle was on the toy shelf. This was not corrected.”

Rule 1901.P.

Free of Hazards

“Based on observation at 9:30 a.m., S3 failed to ensure the center was free of hazards. Specialist observed two 5-month-olds in bouncer seats that ha strap but were not being used. This was not corrected.”

Rule 1903.C.

Cribs Free of Toys and Other Soft or Loose Bedding

“Based on observation at 9:30 a.m., S5 failed to ensure the center’s cribs were free of toys or other soft or loose bedding (including comforters, blankets, sheets, bumper pads, pillows, stuffed animals and wedges) while a child was in the crib. Specialist observed a 2 month old in the crib with 2 loose blankets and a boppy pillow.”

Rule 1907.E.2.

Infants Placed on Backs for Sleeping

“Based on observation at 9:30 a.m., S5 failed to ensure all infants were placed on their backs for sleeping. Specialist observed a 2 month old placed on stomach for sleeping.”

Rule 1909.B.

Infants - Positioning Devices

“Based on observation at 9:30 a.m., S5 failed to have written authorization from a physician for 1 of 3 infants to use a positioning device. Specialist observed a 2 month old laying on a boppy pillow. This was corrected.”

Rule 1909.C.

Daily Reports for Infants

“Based record review/interview at 9:45 a.m., S5 lacked a daily written or electronic report for 3 of 3 infants. This was not corrected.”

Rule 1911.E.

Pacifier Attached

“Based on observation at 9:45 a.m., S5 failed to ensure that a pacifier that was attached to strings or ribbons was attached to the clothing of a child. This was not corrected.”

Rule 1911.G.