Luthercare for Kids Annville

The file for staff person #2, #3 and #4 included NSOR clearances which were not updated within 60 months of the previous clearance. The current NSOR clearance for staff person #2 was dated 02/19/2025 with the previous clearance dated 02/15/2020. Staff person #2 was not removed from a child care position until the clearances were returned. The current NSOR clearance for staff person #3 was dated 02/21/2025 with the previous clearance dated 02/10/2020. Staff person #3 was not removed from a child care position until the clearances were returned. The current NSOR clearance for staff person #4 was dated 02/21/2025 with the previous clearance dated 02/10/2020. Documentation of staff person #4 being removed from a child care position until the clearances were returned was not on file. The file for staff person #5 included an NSOR, Child Abuse and FBI clearance which were not updated within 60 months of the previous clearance. The current NSOR clearance was dated 02/11/2025 with the previous clearance dated 02/10/2020. The current child abuse clearance was dated 01/28/2025 with the previous clearance dated 01/13/2020. The current FBI clearance was dated 03/26/2025 with the previous…

The file for staff person #1 did not include documentation of training regarding the emergency plan at the time of initial hire (see LIS code sheet).

The director or designated staff person did not ensure a fire drill was conducted at least once every 60 days; the fire drill conducted between 12/04/2024 and 02/21/2025 exceeded 60 days.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days; the tests conducted between 12/04/2024, 01/07/2025 and 02/21/2025 exceeded 30 days.

The file for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Observed a small blue couch in the older toddler classroom which with tear exposing the foam cushion inside. Observed a nut missing from the bolt in the water play table located in the preschool classroom, causing the legs to wobble.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a varicella immunization.

Observed leftover food that had been previously served was not discarded, the food was placed in the child's lunchbox and the lunchbox was placed in the child's cubby to return to the parent.

The annual firesafety training for staff person #1 was not completed within 12 months of the previous training, the current training was completed on 11/18/2024 the previous training was completed on 10/04/2023.

The most recent written evaluation for staff person #1 was completed on 09/12/2023 with no subsequent evaluation within the subsequent 12 months.

The emergency contact form for child #1 was last reviewed on 04/10/2024, with no subsequent review within 6 months. The financial agreement for child #2 was last reviewed on 02/23/2024, with no subsequent review within 6 months. *Corrected at the time of the inspection.

The emergency plan does not include a Continuity of Operations plan.

The operator did not ensure staff person #1 and #2 received training regarding the emergency plan annually. The current emergency plan training for staff person #1 was completed on 12/07/2023 with the previous training completed on 01/10/2022. The current emergency plan training for staff person #2 was completed on 12/05/2023 with the previous training completed on 11/17/2022.

Observed a broken latch on a drawer located in the toddler 1 classroom which contained power cords. Observed a broken latch on a drawer located in the PreK classroom which contained batteries.

The file for child #2 included an updated health report which was not completed at least every 6 months for an infant or young toddler (see LIS code sheet). The current health report on file was dated 12/08/2023 with the previous completed on 04/03/2023.

The file for child #4 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

The Director or designated staff person did not ensure a fire drill was completed at least once every 60 days, fire drills exceeded 60 days on the following dates: 05/23/2023 - 08/18/2023.

The Director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; a test of the fire detection system exceeded 30 days on the following dates: 01/11/2023 - 02/16/2023 - 03/28/2023 - 04/28/2023; 05/03/2023 - 06/05/2023 - 09/18/2023.

The file for child #1 did not include an initial health report with immunization record within 60 days of enrollment (see LIS code sheet). The file for child #4 did not include an initial health report within 60 days of enrollment (see LIS code sheet); the file included an immunization record dated 08/11/2023.

The director did not complete a written evaluation for staff person #1 within a minimum of every 12 months; the current evaluation was completed on 09/12/2023 with the previous evaluation completed on 08/31/2021.

The emergency contact information for child #3 did not include the complete work address for the enrolling parent or the complete address for the individuals designated by the parent to whom the child may be released.

Emergency contact information for child #6 and #8 were not present in the Kindergarten/School-Age classroom while receiving care in the space. Emergency contact information for child #9 and #10 were not present in the PreK classroom while receiving care in the space.

A review of the emergency contact and financial agreement for child #2, #3, #4 and #7 was not completed within 6-months of the previous review. The emergency contact information for child #2 was reviewed on 08/15/2023 and previously reviewed on 12/02/2022. The financial agreement for child #2 was reviewed on 10/12/2023 and previously reviewed on 12/02/2022. The emergency contact information for child #3 was reviewed on 06/2023 and previously reviewed on 09/21/2022. The financial agreement for child #3 was reviewed on 10/20/2023 and previously reviewed on 12/22/2022. The emergency contact information for child #5 was reviewed on 10/13/2023 & 07/21/2023 and previously reviewed on 12/12/2022. The financial agreement for child #2 was reviewed on 10/13/2023 and previously reviewed on 03/24/2022. The emergency contact information for child #7 was reviewed on 09/14/2023 and previously reviewed on 12/02/2022. The financial agreement for child #7 was reviewed on 06/12/2023 and previously reviewed on 10/12/2022.

Staff person #3 was observed to be caring for children in the Toddler 1 classroom unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-Based Care: Building Blocks for Quality. Staff person #5 was observed to be caring for children in the infant classroom unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-Based Care: Building Blocks for Quality.

Observed an electrical outlet in the preschool bathroom without a protective receptacle cover.

Observed a ceiling tile in the corner of the Toddler 1 classroom which was water damaged and sagging. Observed a metal air vent cover in the preschool bathroom which was rusty.

Observed a child size vinyl couch in the Toddler 2 classroom which was torn, exposing the foam padding inside.

The file for child #1 included an After Visit Summary report which did not include the signature of the physician, physician's assistant or a CRNP that completed the report.

The file for child #1 included an "After visit summary" that did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The file for child #3 included a child health report where the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease was left blank on the form. The file for child #4 included an old version of the child health report from which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of PCV13, a 2nd dose of Hep A and an influenza immunization. The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

The file for staff person #2 included a health assessment which was not conducted within 12 months prior to providing initial service in a child care setting (see LIS code sheet). The current health assessment on file was dated 06/16/2022; no prior health assessments were on file. The file for staff person #5 included a health assessment which was not updated at least once every 24 months. The current health assessment on file was dated 10/19/2021; the previous health assessment was dated 06/22/2019.

The director or designated staff person did not ensure a fire drill was conducted at least once every 60 days. Fire drills which exceeded 60 days were documented on the following dates: 05/05/2022 - 07-07-2022, 07/07/2022 - 09/22/2022 and 09/22/2022 - 11/22/2022.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests exceeding 30 days were documented on the following dates: 05/05/2022 - 06/13/2022, 08/02/2022 - 09/22/2022, 10/18/2022 - 11/22/2022, and 11/22/2022 - 12/28/2022.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. Their training was completed on 11/01/2022. Staff person #3, #4, #5 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality. Staff person #3, #4, #5 and #6 completed the 6-hour Health and Safety Basics prior to 09/30/2016 and did not complete the updated training. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality.

The emergency contact information for child #2 did not include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information for child #1 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #4 did not include the work address of the enrolling parent.

On 02/10/2022, observed the health report for child #3, a 5-year-old, was not updated at least once every 12 months for a preschool child; the current health report on file for child #3 was completed on 12/06/2021 and the previous was dated 10/23/2020.

On 02/10/2022, the health report for child #1, #3, and #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease; the health report was an older form which did not include this information on the form.

On 01/21/2022, observed the emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 01/21/2022, observed a lapse of greater than 60 days on the fire drill log between fire drills conducted on 10/29/20210 - 01/10/2022.

On 01/21/2022, observed a test of the fire detection system was not being documented at least once every 30 days.

On 02/10/2022, the director did not ensure a written evaluation of staff persons were completed at least once every 12 months. The most recent evaluation for staff person #1 was completed on 01/12/2022 with the previous evaluation completed on 12/30/2020. The most recent evaluation for staff person #2 was completed on 01/14/2022 with the previous evaluation completed on 08/15/2020. The most recent evaluation for staff person #2 was completed on 01/14/2022 with the previous evaluation completed on 08/17/2020.

On 02/10/2022, observed the agreement forms for children #1, #2, #3, #4, #5 and #6 did not include the services to be provided to the family and the child. The agreement form created by the facility does not include this information on the agreement form.

On 02/10/2022, the emergency contact information for child #1 and #3 did not include the complete address of the child's physician or source of medical care.

On 02/10/2022, the emergency contact information for child #1 did not include the health insurance policy number. The emergency contact information for child #2 and #5 did not include the information for health insurance coverage or the policy number.