Christ Lutheran Child Development Center

It was observed on 12/13/2024 in the upstairs hallway bathroom, screws at the bottom of the toilet are exposed and protruding upwards posing a hazard to children.

It was observed on 12/13/2024 the T-shaped safety straps for all the highchairs located in the infant room and the eating area by the kitchen have been removed.

The record for staff person #1 (DOH see LIS code sheet) contains a health assessment dated 10/5/2024, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for staff person #2 (DOH see LIS code sheet) contains a health assessment dated 11/11/2024, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for staff person #3 (DOH see LIS code sheet) who works with food preparation does not contain a written report of an initial health assessment, including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The record for staff person #5 (DOH see LIS code sheet) who provides direct care to children does not contain a written report of an initial health assessment, including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The record for staff person #6 (DOH see LIS code sheet) who provides direct care to children does not contain a written report of an initial health assessment…

Staff Person #2 (DOH see LIS code sheet) has not completed professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #4 (DOH see LIS code sheet) did not complete professional development within 90 days of hire as listed in subsections (f)1-10. This is evidenced by the required health and safety training certificate being dated 12/29/2024, which exceeds 90 days of hire.

The record for facility person # 5 (DOH see LIS code sheet) does not include verification of child care experience or proof of education prior to service at the facility. The record for facility person # 6 (DOH see LIS code sheet) does not include verification of child care experience or proof of education prior to service at the facility.

The record for facility person # 2 (DOH see LIS code sheet) only includes one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person # 5 (DOH see LIS code sheet) does not include two (2) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person # 6 (DOH see LIS code sheet) does not include two (2) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person # 1 (DOH see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for Staff Person #4 DOH (see LIS code sheet) contains PSP clearances dated 12/14/15 and 10/18/21 and Child Abuse clearances dated 2/16/16 and 11/18/21, which exceeds the CPSL requirement that all clearances must be updated every 60 months. The file for Staff Person #5 DOH (see LIS code sheet) contains FBI clearances dated 6/7/2018 and 11/20/2023, which exceeds the CPSL requirement that clearances must be updated every 60 months.

It was observed on 12/11/2023 in the Panda Bears room plastic bags were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

The medication log for Child #1 does not include the dates the medication is to be administered.

The file for Staff Person #1 contains health assessments dated 11/10/2020 and 12/7/2022, which exceeds 24 months following the date of signature. The file for Staff Person #3 contains health assessments dated 7/9/2020 and 9/8/2022, which exceeds 24 months following the date of signature. The file for Staff Person #6 contains health assessments dated 9/27/2020 and 10/14/2022, which exceeds 24 months following the date of signature.

Facility Person #2 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

The file for Staff Person #7 DOH (see LIS code sheet) contains documentation of completing Lifeguarding with CPR/AED for Professional Rescuers and First Aid, which is not an approved curriculum in pediatric first aid and pediatric cardiopulmonary resuscitation.

The file for Staff Person #2 DOH (see LIS code sheet) contains mandated reporter training dated 3/7/2015 and 1/8/2021, which exceeds the CPSL requirement the training is updated every 60 months. The file for Staff Person #5 DOH (see LIS code sheet) contains mandated reporter training dated 4/5/2015 and 1/15/2022, which exceeds the CPSL requirement the training is updated every 60 months. The file for Staff Person #6 DOH (see LIS code sheet) contains a PSP clearance dated 11/27/2022, which is beyond the 45- day provisional hire period and is not in compliance with the CPSL. The file for Staff Person #6 also contains a Child Abuse clearance dated 11/28/2022 which was not obtained at time of initial hire and is not in compliance with the CPSL. The file for Staff Person #7 DOH (see LIS code sheet) contains mandated reporter training dated 1/2/2015 and 1/7/2022, which exceeds the CPSL requirement the training is updated every 60 months. The file for Staff Person #8 DOH (see LIS code sheet) contains PSP clearances dated 6/16/2017 and 11/7/2022 and Child Abuse clearances dated 9/20/2017 and 11/16/2022, which exceeds the CPSL requirement that clearances are updated every 60 months.

It was observed on 12/14/2022 in the 2A classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content.

It was observed on 12/14/2022 in the back section of the 2B classroom numerous ceiling tiles were missing and/or had water stains on them. It was observed on 12/14/2022 in the back corner of the Pre-KB classroom a ceiling tile had water stains and was not in good repair.

It was observed on 12/14/2022 a hand washing sign was not posted by the sink in the Young Toddler Room.

It was observed on 12/14/2022 in the Toddler Playground a plastic lawn mower was broken and had rough edges. (CORRECTED ON SITE)

It was observed on 12/14/2022 in the Infant Room a sensory bottle containing objects with a diameter of less than 1 inch had a lid that was removeable and was also a diameter of less than 1 inch was accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 12/14/2022 in the 2B classroom (2 year old room), Matchbox cars with removable parts that have a diameter of less than 1 inch, were accessible to children who are still placing objects in their mouths.

The file for Staff Person #3 DOH (see LIS code sheet) contains a health assessment dated 11/3/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #6 DOH (see LIS code sheet) does not contain a written health assessment, including the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Upon review of the facility's fire drill log it was noted that manual testing of the fire detection system was conducted on 8/5/2022 and 9/21/2022, which was 47 days apart and does not meet the requirement to manually test the fire detection system every 30 days. A lapse of 46 days was also noted between 10/6/2022 and 11/21/2022.

Staff Person # 1 DOH (see LIS code sheet) has not completed professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person # 3 DOH (see LIS code sheet) has not completed professional development within 90 days of hire as listed in subsections (f)1-10.

Emergency contact information for Child # 2 does not include the telephone number of the child's physician or source of medical care.

Emergency contact information for Child #1 does not include the work address and telephone number of the enrolling parent.

Staff Person #6 DOH (see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically nor did they provide instructions for contacting the appropriate regional child care office.

On 3/30/22 at approximately 2pm Staff Person # 1 picked up Child #1 and carried the child from the preschool room located on the second floor of the facility downstairs to the office. Child #1 was reported to have been distraught and was kicking and screaming while being carried by Staff Person #1. Upon entry to the office, Child #1 braced themselves with their arms in the door jam trying to prevent being taken into the office. Staff Person #2 pried Child #1's hands away from the door jam so the child could be taken into the office. Staff Person #2 then locked the office door and stood in front of it to block Child #1 from eloping from the office. Staff Person #1 and Staff Person #2 remained in the office with Child #1 until the child's father arrived to pick up the child approximately 15 minutes after he was notified. Staff Person #1 stated that they have used a "safe hold" numerous times to get a child to calm down, which restricts a child's movement.

The file of staff person #2 contains PSP clearances dated 12/14/2015 and 10/18/2021 and Child Abuse clearances dated 2/11/2016 and 12/14/2021, all of which are more than 60 months apart and are not in compliance with the CPSL. The file of staff person #3 contains PSP clearances dated 12/14/2015 and 10/18/2021 and Child Abuse clearances dated 2/11/2016 and 11/18/2021, all of which are more than 60 months apart and are not in compliance with the CPSL. Staff Person #3 also has mandated reporter training dated 6/29/2015 and 11/20/2021, which is also more than 60 months apart and is not in compliance with the CPSL. The file of staff person #4 contains DHS required FBI clearances dated 2/10/2015 and 11/11/2021, which is more than 60 months apart and is not in compliance with the CPSL. The file of staff person #5 contains PSP clearances dated 12/14/2015 and 10/18/2021 and Child Abuse clearances dated 2/16/2016 and 12/20/2021, all of which are more than 60 months apart and not in compliance with the CPSL. The file of staff person #6 contains PSP clearances dated 1/9/2016 and 10/18/2021 and Child Abuse clearances dated 2/16/2016 and 12/14/2021, all of which are more than 60 months apart…

It was observed on 12/17/2021 in the 3A classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the contents. (CORECTED ON SITE)

It was observed on 12/17/2021 the bathroom/sink area in the Infant room was not equipped with a lidded waste receptacle.

The file for Facility person #1 with a start date of 6/7/2021 contains a health assessment dated 8/21/2018, which is more than 12 months prior to providing initial service in a child care setting and is no longer valid.

It was observed on 12/17/2021 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space. (CORRECTED ON SITE)