Tender Touch Nursery II

Orientation Training

“1719.A.: Based on record review at 12:00 p.m., S1 failed to have documentation that S7 and S8 completed the DCFS online Mandated Reporter Training with seven days of the first day present at the center. S7 and S8’s first day present at the center was 8/31/2026. The training should have been completed by 9/7/2026. This was not corrected prior to the Specialist’s departure.”

Rule 1719.A.-C.

Medication Management Training

“1725.B.: Based on record review/interview at 12:00 p.m., S1 failed to have at least two staff members trained in medication administration whether the early learning center administers medication or not. This was not corrected prior to the Specialist’s departure.”

Rule 1725.A.-C.

Daily Attendance Records - Children

“1507.A.: Based on record review/observations at 12:15 p.m., S1 failed to ensure the daily attendance record for children accurately reflected the children on the child care premises at any given. There were 21 children present and 9 were signed in on the log. This was not corrected prior to the Specialist’s departure, due to S1 being in the classroom.”

Rule 1507.A.

Staff Records - Retention

“1715.C.: Based on record review at 12:30 p.m., S1 failed to ensure 4 of 8 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. S2, S4, S7, and S8 failed to be in the system. This was not corrected prior to the Specialist’s departure.”

Rule 1715.B.&C.

Continuing Education Training

“1721.A.: Based on record review at 12:30 p.m., S1 failed to provide opportunities for continuing education for 1of 8 staff members who are left alone with children, or who have supervisory or disciplinary authority over children. S2 failed to have 12 continuing education hours. This was not corrected prior to the Specialist’s departure.”

Rule 1721.A.-C.

Pacifier Attached

“1911.G. Based on observations during the walkthrough, S1 failed to ensure that pacifiers attached to strings or ribbons were not attached to the clothing of the children. The Specialist observed, 4 of 7 infants with pacifiers attached to their clothing in S1’s classroom. This was corrected during the inspection.”

Rule 1911.G.

Office of Public Health, State Fire, City Fire Approval

“713.A.: Based on record review at 10:30 a.m., S1 failed to have documentation of current approval from the State Fire Marshal. The State Fire Marshal visited the center on 2/6/2026, but there were citations that needed correcting before approval could be given. The Fire Marshal was supposed to return by 3/6/2026. This was not corrected prior to the Specialist’s departure.”

Rule 713.A.

Independent Contractors Records

“1717.A.: Based on record review at 9:30 a.m., S1 failed to have documentation on file for O1 that included the person’s name, address, phone number, and list of duties performed while at the center. This was not corrected prior to the Specialist’s departure.”

Rule 1717.A.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.&B.: Based on record review at 9:15 a.m., S1 failed to have documentation that S7 completed the online child abuse and neglect Mandated Reporter Training provided by DCFS annually. S7’s training expired on 2/24/2026. This was not corrected prior to the Specialist’s departure.”

Rule 1727.A.-C.

Notification of Temporary or Permanent Closure

“907.B.: Based on observation/interview at 9:00 a.m., S1 failed to notify the Department prior to making changes that may have an effect on the license, such as structural changes. While at the center, S1 informed the Specialist that only half of the center is presently being used, due to the other half being renovated. S1 stated the Department has not been notified of the renovations. The floors are being done and classrooms are being painted, and any thing else that needs to be done to the building.”

Rule 907.B.

Emergency Medical Treatment

“1515.A.2.: Based on record review at 11:30 a.m., S1 failed to have a signed and dated parental authorization to secure emergency medical treatment for C4, 1-year-old, and C5, 1-year-old. This was not corrected prior to the Specialist departure.”

Rule 1515.A.2.

Releasing of Children

“1515.A.3.: Based on record review at 11:30 a.m., S1 failed to have written authorization signed and dated by the parent noting the first and last name of individuals to whom the child may be released other than the parents, including any other early learning centers, transportation services, and any person or persons who may remove the child from the center for C4, 1-year-old, and C5, 1-year-old. This was not corrected prior to the Specialist departure.”

Rule 1515.A.3.

CPR and First Aid Certifications

“1723.A.B.: Based on record review at 11:00 a.m., S1 failed to have documentation for 1 of 9 staff members on the premises and accessible to children had current certification in adult, infant, and child CPR through training approved by the department. S4 failed to have the current certification. This was not corrected prior to the Specialist departure.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C: Based on record review at 11:00 a.m., S1 failed to have documentation for 1 of 9 staff members on the premises and accessible to children had current certification in Pediatric First Aid through training approved by the department. S4 failed to have the current certification. This was not corrected prior to the Specialist departure.”

Rule 1723.C.

Free of Hazards

“1903.C. Based on observation at 10:00 a.m., S1 failed to ensure the indoor area is free of hazards. Specialist observed the ceiling tile in S8’s classroom has mold and one tile is falling, which could cause serious injury to the children.”

Rule 1903.C.

CPR and First Aid Certifications

“1723.F. Based on observation at 9:45 a.m., S1 failed to ensure that prior to assuming sole responsibility for any children, each staff member shall have current certification in pediatric first aid and CPR. During this period, caregivers and teachers who provide direct care for children must be supervised until training is completed. Specialist observed S7 alone supervising 4 children, ages ranging 9 months - 13 months. There needed to be an additional staff in the classroom with current certification.”

Rule 1723.F.

Free of Hazards

“1903.C. Based on observation at 10:00 a.m., S1 failed to ensure the indoor area is free of hazards. Specialist observed the ceiling tile in S8’s classroom has mold and one tile is falling, which could cause serious injury to the children.”

Rule 1903.C.

Infants - Car Seats

Rule 1909.D.

Rest Time - Minimum Child to Staff Ratio

“Based on observation/interview at 12:15 p.m., S2 failed to have the required staffing present in the building during rest time to satisfy child/staff ratio as evidenced by 16 children age 2 were present with 1 staff. S3 stated she had two classrooms combined and the other staff was on break. This was corrected when S2 arrived at 12:27 p.m.”

Rule 1711.F.

Items That Can be Harmful to Children

“Based on observations at 12:15 p.m., S2 failed to ensure items that can be harmful to children, such as medications, poisons, cleaning supplies and chemicals, and equipment, tools, knives and other potentially dangerous utensils, were not kept in a locked cabinet or other secure place that ensures they are inaccessible to children. Specialist observed a closet across the hallway from the children’s restroom was unlocked and open. Cleaning supplies and garbage bags were accessible to children.”

Rule 1901.J.&K.

Free of Hazards

“Based on observation at 12:15 p.m., S2 failed to ensure the indoor and outdoor area were not free of hazards as Specialist observed a mop bucket with water inside by the door. This was not corrected.”

Rule 1903.C.