Tender Touch Nursery Highway 4

Child to Staff Ratio

“1711.A.&B.&D.&E.: Based on record review at 11:54 a.m., S1 failed to meet the required child to staff ratio. The Specialist observed S1 supervising 8 children, ages 4-months-old to 4-year-old, alone. There needed to be an additional staff in the classroom. This was corrected when S2 finished preparing lunch and reentered the classroom. At 11:00 a.m., the Specialist observed S4, leave S3 alone in the classroom with 6 children, ages 7-months-old to 3-years-old, for approximately 2 minutes, to get lunch plates. This was corrected when S4 reentered the classroom.”

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

Staff Records - Retention

“1715.C. Based on record review at 11:30 a.m., S1 failed to ensure all current staff names, hire date, first day onsite working with children, and initial and annual mandatory reporter training documentation are maintained in the LDOE electronic system. 6 of 9 staff failed to be in the system. S3, S5, S6, S7, S8, and S9. This was not corrected prior to the Specialist’s departure.”

Rule 1715.B.&C.

Food Service and Nutrition - Menu

“1919.B.3.: Based on observation at 11:00 a.m., S1 failed to ensure menu substitutions were prominently posted, written or electronically, on or near the menu. The posted menu listed hamburgers, fries, apple sauce, and milk. The children were served chicken nuggets, fried rice, peas and carrots, strawberry apple sauce, and milk. S2 stated she would post the substitutions. This was not corrected prior to the Specialist’s departure.”

Rule 1919.A.&B.

Evacuation Pack

“1921.C.: Based on observations at 1:45 p.m., S1 failed to have an evacuation pack that included: 1. a list of emergency contact information and emergency medical authorization for all enrolled children; 2. first aid supplies, wet wipes, and tissue; 3. diapers for children who are not toilet trained; 4. a battery powered flashlight and batteries or a crank flashlight; and 5. disposable cups.”

Rule 1921.C.

Supervision Participation

“1713.E.: Based on observation at 1:45 p.m., S4 failed to devote her time to supervising the children, meeting the needs of the children, and in participation with the children in their activities. The Specialist observed S4 on her phone instead of supervising the children during naptime.”

Rule 1713.E.&F.

End-of-Day Check

“1901.C.: Based on record review and interview at 2:15 p.m., S1 failed to have documentation that the entire center and play yard are checked after the last child departs to ensure that no child is left unattended at the center for the weeks of 3/2/2026 - 3/6/2026, 3/9/2026 - 3/13/2026, 3/16/2026 - 3/20/2026, 3/23/2026, and 3/24/2026. This could not be corrected.”

Rule 1901.C.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on observation/record review at 8:45 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. The Specialist observed S1 and S2 present on the premises, but neither were signed on the center’s attendance log. This was corrected prior to the Specialist departure.”

Rule 1507.B.

Staff Records and Personnel Files

“1715.A.3.: Based on record review at 9:30 a.m., S1 failed to have last date of employment and reason for leaving, upon termination or resignation of employment for S6.”

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

Daily Reports for Infants

“1911.E.: Based on record review at 9:00 a.m., S3 failed to have documentation of daily infant reports that included the liquid intake, food intake, disposition, bowel movements and eating and sleeping patterns of C1, 6-month-old, C2, 10-month-old, C3, 10-month-old, C4, 3-month-old, and C5, 6-month-old. This was corrected prior to the Specialist departure.”

Rule 1911.E.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review at 9:15 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. S8 was signed in on Brightwheel as being present at the center but was not on the premises. S1 stated S8 has been working at another location for about a month, but it still clocks her in at this location. This was not corrected prior to the Specialist departure.”

Rule 1507.B.

Independent Contractors Records

“1717.A.: Based on record review at 11:00 a.m., S1 failed to have documentation on file for O1 and O2 that included person’s name, address, phone number, list of duties performed while at the center. This was not corrected prior to the Specialist departure.”

Rule 1717.A.

Capacity of Vehicle

“2103.A.3.: Based on record review at 12:00 p.m., S1 exceeded the manufacturer’s recommended capacity in the vehicle. On 7/10/2025, 14 children and 3 adults were transported in a 15 passenger vehicle. On 6/18/2025, 17 children and 6 adults were transported in a 15 passenger vehicle. The Specialist had previously observed the field trip documents for 6/18/2025, when the Specialist returned the documents had been changed to make it appear that the van was not over capacity. This could not be corrected.”

Rule 2101.A.3.

CPR and First Aid Certifications

“1723.F.: Based on observation/record review at 10:00 a.m., S1 failed to ensure all staff completed training in pediatric first aid and CPR within 90 calendar days from their date of hire. S5 (DOH: 03/05/2025) failed to have this certification. S1 had until 06/03/2025, to ensure they were trained. This was not corrected prior to the Specialist departure.”

Rule 1723.F.

Daily Reports for Infants

“1911.E.: Based on record review/interview at 10:00 a.m., S3 and S5 failed to have documentation that included the liquid intake, food intake, disposition, bowel movements and eating and sleeping patterns of C1 (seven-month-old), C2 (seven-month-old), C3 (three-month-old).”

Rule 1911.E.

Orientation Training

Rule 1719.A.-C.