Tendercare Tot Center, Inc.
A day care center in Ray Brook, New York 12977
39 Quinn Way, Ray Brook, New York 12977. (518) 891-6245.
What New York’s list coversOutside New York City
Programs New York State’s Office of Children and Family Services licenses or registers outside New York City, each county added once it is read in full. Programs in the city’s five boroughs, including the day care centers its Health Department regulates, aren’t here yet.
Watch and the shortlist are kept with a free account, on every device. Your watch list. New York’s own record is on hs.ocfs.ny.gov.
The short answer
Record last released by New York State Office of Children and Family Services on Oct 24, 2026.
- 13 violations in the last three years
- Aug 312026 the latest visit on record
- 40 children, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean4
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 inspections in the last three years, the latest on Aug 31, 2026.
13 violations cited in the last three years.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
When those violations happened
13 violations in 5 months of the last 36. Last cited Aug 2026. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each violation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
Aug 31, 2026: application - Renewal2 violations
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No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child’s medical statement must have been completed within the 12 months preceding the date of enrollment.
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The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.
Feb 25, 2026: annual Unannounced1 violation
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Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.
Dec 3, 2025: monitoring4 violations
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The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program’s health care consultant unless the only medications to be administered are:
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The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times;
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The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children’s individual health care plans; parental consents for emergency medical treatment; child’s medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
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Except for Office approved continuity of care classrooms, children under three years of age may not participate in mixed age groups except for limited periods of time at the beginning and end of the child day care center’s daily operation.
Oct 8, 2025: fire Safety - Renewal3 violations
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The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from service personnel qualified to perform fire suppression systems maintenance, repair and testing showing that fire suppression equipment and systems have been tested and maintained during the current license period in accordance with the applicable requirements of the Fire and Building Code of New York State;
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The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from the local government authority having jurisdiction for determining compliance with the Fire and Building Code of New York State showing that the facility has been inspected and approved once every 12 months during the current license period for compliance with the applicable fire safety provisions of the Fire and Building Code of New York State;
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for children between ages 18 months old and 36 months old: there must be one teacher for every five children;
Aug 30, 2024: documentation Review1 violation
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Each staff person and volunteer must complete a minimum of thirty (30) hours of training every two years. The required thirty (30) hours of training every two years is subject to the following conditions: Fifteen (15) of the required thirty (30) hours of training must be obtained during the person’s first six months at the program.
Aug 21, 2024: monitoring2 violations
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a criminal history record check with the New York State Division of Criminal Justice Services;
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Staff and volunteers must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider:
All 12 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Aug 31, 2026 | Application - Renewal | 2 violations cited |
| Apr 8, 2026 | Monitoring | No violations found |
| Feb 25, 2026 | Annual Unannounced | 1 violation cited |
| Dec 3, 2025 | Monitoring | 4 violations cited |
| Oct 8, 2025 | Fire Safety - Renewal | 3 violations cited |
| Jun 26, 2025 | Annual Unannounced | No violations found |
| Mar 25, 2025 | Self Reported Serious Incident | No violations found |
| Oct 8, 2024 | Monitoring | No violations found |
| Aug 30, 2024 | Documentation Review | 1 violation cited |
| Aug 21, 2024 | Monitoring | 2 violations cited |
| Jun 12, 2024 | Monitoring | No violations found |
| Apr 30, 2024 | Annual Unannounced | No violations found |
Is it licensed?
- Day Care Center, open since Sep 1, 1990.
- School district: Saranac Lake.
- Capacity, in New York’s words: 8 Infants, 15 Toddlers, 17 Preschoolers.
- Keeps epinephrine auto-injectors for emergencies.
- Licence 39552, issued Sep 1, 2026, expires Aug 31, 2030.
- Capacity: 40 children.
New York State Office of Children and Family Services, Child Care Regulated Programs. Released Oct 24, 2026. Updated daily.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
Has New York acted against it?
- No complaints in the last three years.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
New York State Office of Children and Family Services, Child Care Regulated Programs. Released Oct 24, 2026. Updated daily.
Who does the caring?
- New York doesn’t publish staffing levels for individual programs.
Who owns it?
- New York’s open data doesn’t list owners.
How is it rated?
- Takes part in QUALITYstarsNY, New York’s quality rating program.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
How does it compare nearby?
- Among 31 child care providers in Essex County, the middle value for violations cited in the last three years was 1; this one had 13.
New York State Office of Children and Family Services, Program pages: inspection and complaint history. Checked Oct 19, 2026. Updated daily.
| Place | Violations cited in the last three years |
|---|---|
| Tendercare Tot Center, Inc. This child care provider | 13 |
| Adirondack Community Action Programs, Inc. | 3 |
| Rafferty, Jan | 1 |
| Adirondack Community Action Programs, Inc | 0 |
| Dukett, Kristina | 1 |
| Isham, Janette | 2 |
| Adirondack Community Action Program, Inc. | 5 |
| Kids R Us (Main) | 16 |
| LAKE PLACID CHILD CARE COMMITTEE, INC. | 2 |
| Kids R Us 2 | 10 |
| Adirondack Community Action Programs, Inc. | 0 |
| Wee Care Daycare | 1 |
What the record doesn’t say
- New York doesn’t grade violations by severity, so read what was cited.
- New York’s records give the regulation behind each violation, not what the inspector saw.
- New York’s program pages cover four calendar years; this page shows the last three years.
- New York doesn’t publish staffing levels or owners for individual programs.
Sources
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New York State Office of Children and Family Services, Child Care Regulated Programs (cb42-qumz).
Released Oct 24, 2026 and checked Oct 24, 2026. Updated daily. No licence stated.
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New York State Office of Children and Family Services, Program pages: inspection and complaint history.
Checked Oct 19, 2026. Updated daily. No licence stated.
If you believe something here is wrong, a correction starts with the agency whose record this copies: New York State Office of Children and Family Services. New York’s own record is on hs.ocfs.ny.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the provider
The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.