Friedens Lutheran Church Child Care Center

During a renewal inspection on 9/24/25-9/25/25 Facility Person 3's health assessment dated 7/31/2024 was signed, but the signature did not include the individual who complete the form's professional title.

During a renewal inspection on 9/24/25-9/25/25 Staff 1 did not have fire safety training available to review from 2023 or 2024. Staff 1 completed fire safety training 6/24/25 which is more than 12 months since their previous fire safety training.

During a renewal inspection on 9/24/25 Cert rep observed Rooms 1, 2, 3, 5, and 6 did not have the daily schedule posted.

During a renewal inspection on 9/24/25-9/25/25 Children 1 and 9's fee agreements did not specify the date which the fee is to be paid.

During a renewal inspection 9/24/25-9/25/25 Children 1, 2, 3, 4, 5, 6, 7, 8, & 9 did not have the address of the child's source of medical care listed on their emergency contact form. Child 1 did not have the insurance policy number listed on the emergency contact form.

During a renewal inspection 9/24/25-9/25/25 Child 5 did not have the parents' work addresses, and Children 1, 3, 5, 6, & 8 did not have their parents' work phone numbers on their respective emergency contact forms. Child 1's emergency contact form did not have the addresses for all of the child's release persons.

During a renewal inspection on 9/24/25-9/25/25 Staff 2's file did not contain acceptable verification that the staff completed at least 8th grade. Staff 2 had a letter from a representative of the educational entity that verified Staff 2's enrollment in a training curriculum described at § 3270.31(c) (relating to age and training) was present, however this did not verify that Staff 2, had completed at least 8th grade.

During a renewal inspection on 9/24/25-9/25/25 Staff 1's file had 0 references available for Cert rep review.

Self reported non-compliance investigation on 5/7/25 verified that on 5/1/25 at approximately 5:32PM Child 1 was left alone and unsupervised inside the gated outdoor playground for 6 minutes until Child 1 was found by a parent.

During an incident inspection on 1/3/25 Staff reported that childcare rooms A-K were not able to maintain an indoor temperature of at least 65° F because a fire has made the boiler inoperable. Cert rep observed these rooms were not able to reach at least 65° F.

During the inspection, volunteer #4, volunteer #22 through volunteer #36 from Berks CTC did not have a signed disclosure statement at time of volunteering. This is evidenced by the disclosure statements on file dated 8/17/22, 8/29/22, 7/23/23, 8/31/21, 8/20/22, 7/16/23, 7/12/23, 6/15/23, 2/27/24, 8/23/23, 8/22/22, 6/28/23, 7/29/22, 8/22/22, 8/19/22 and 8/23/23, respectively. (see LIS code sheet for date of volunteering).

During the inspection on 10/4/24, the emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

During the inspection, volunteers #21, #24, #25, #28, #31, #32, #34 were not trained in the emergency plan when it was updated in September 2024.

During the inspection on 10/4/24, there was no visual strip or other visual identification on the glass in the older toddler room.

During the inspection on 10/4/24, volunteer #4, #15, #22, #23, #24, #25, #27, #29, #30, #31, #35 from Berks CTC did not have a TB screening conducted within 12 months of initial service in the facility. This is evidenced by the TB screening on file dated 8/22/22, 8/29/22, 8/26/22, 7/31/23, 7/16/21, 8/1/22, 8/5/23, 10/12/22, 6/1/23, 8/15/22 and 8/18/22, respectively. (see LIS code sheet for date of volunteering). Volunteer #4, #15, #23, #27, #30 did not have a health assessment conducted within 12 months of initial service in the facility. This is evidenced by the health assessment on file dated 8/19/22, 8/30/22, 7/24/23, 8/3/23, 5/30/23, 8/15/22 and 8/11/22, respectively (see LIS code sheet for date of volunteering).

During the inspection on 10/4/24, the operator did not have a policy and procedure in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

During the inspection, staff person #1, staff person #6, staff person #9, staff person #14 and staff person #17 did not have a written evaluation on file every 12 months. This is evidenced by the current evaluations on file dated 6/13/24, 6/12/24, 6/17/24, 6/12/24, 6/12/24, respectively. The previous evaluations are dated 4/28/23, 4/24/23, 9/17/22, 4/19/23, 4/25/23, respectively.

During the inspection on 10/4/24, child #1 through child #8 and child #10's emergency contact form did not include the work address of the enrolling parent. The emergency contact form for child #4 also did not include the health insurance policy number for the child.

During the inspection on 10/4/24, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the gym.

During the inspection, volunteer #32 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye.

Staff person #1 has been named as a perpetrator in a founded/indicated report of child abuse.

On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye. Staff #1 reported on the incident report that the child slipped out of her hands causing him to fall.

On 2/22/2024, Staff #2 was observed working at the facility. Staff #2 did not have a current DHS FBI clearance on file and also did not have verification of being fingerprinted for the DHS FBI clearance prior to beginning employment. See LIS code sheet.

Staff #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

An unannounced inspection was conducted on 3/15/2023. It was discovered that Child #1 received emergency room treatment on 11/28/2022 after having an allergic reaction to peanut butter while in care at the facility. The Northeast regional office had not been notified of this incident.

On 9/22/2022, peeling paint was observed on the seats of the seesaw on the playground.

Staff #2, #3, #4, #5 and #6 have not completed fire safety training within the previous 12 months. See LIS code sheet.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Staff #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR)

Renewal Inspection was conducted on 9/28/2021. A plastic storage shelf on the infant/toddler playground had cracks on both sides of the bottom area. This left sharp edges exposed.