Luthercare for Kids Reamstown

On 9/10/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a child abuse clearance on file that expired on 9/27/24 that was not updated until 12/27/24. Staff person 1 had a FBI clearance on file that expired on 9/25/24 that was not updated until 12/14/24. Staff person 1 had a mandated reporter training on file that expired on 7/8/25 that was not updated until 8/14/25. Staff person 2 had a mandated reporter training on file that expired on 7/17/25 that was not updated until 7/29/25. Staff person 4 had a child abuse clearance on file that expired on 1/29/25 that was not updated until 8/8/25. Staff person 4 had a NSOR (National Sex Offender Registry) certificate on file that expired on 2/19/25 that was not updated until 8/1/25. All clearances and mandated reporter trainings must be updated every 60 months.

On 9/10/25, it was observed that the outlet at the counter by the radio in the back of the room was uncovered. CORRECTED ON SITE.

On 9/11/25 it was observed that the ceiling and vents were not clean. The ceiling tiles in the Preschool/School Age classroom were observed to have water stains. The ceiling air vents in the Preschool/School Age, Two's, and T1 classrooms were observed to have a visible layer of dust with particles fanning out onto the adjacent ceiling tiles.

On 9/10/25, it was observed that there was a large spot of peeling paint at the cubbies in the Two's classroom.

On 9/10/25, it was observed that child 4 did not have record of a Hepatitis A vaccine which would have been required for their age according to the recommendations of the ACIP.

On 9/10/25, it was observed that staff person 2 had a health assessment on file which was not updated timely. Staff person 2 had a health assessment on file that expired on 9/26/24 which was not updated until 11/5/24.

On 9/10/25, it was observed that staff evaluations were not completed every 12 months. Staff person 2 last had an evaluation completed on 6/14/24. No updated evaluation was available. Staff person 3 had an evaluation on file dated 5/29/24 and the next evaluation was completed on 9/5/25, which was more than a 12 month gap between evaluations.

On 9/10/25, it was observed that the emergency contact information for child 2 did not include information regarding the child's special needs.

On 9/10/25, it was observed that the emergency contact information for children 1 and 4 did not include a health insurance policy number.

On 9/18/24, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 2 and 5 were currently employed at the facility and did not have a Child Abuse clearance on file. Staff persons 2 and 5 may not return to work until completed Child Abuse clearance is on file.

On 8/18/24, it was observed that there was an Amaryllis plant, which is toxic, on the windowsill in the Pre-K classroom.

On 9/18/24, it was observed that the ceiling tile in the Pre K classroom had water stains.

On 9/18/24, it was observed that the changing table in the Two's classroom was dirty. It was observed that there was debris under the mat and hardened dirt in the creases along the edge of the mat.

On 9/18/24, it was observed that child 3 did not have record of a Hepatitis A vaccine on file, which is required for their age.

On 9/18/24, it was observed that staff person 4 had a health assessment on file that expired on 9/14/24.

On 9/18/24, it was observed that the bottles and sippy cups in the refrigerator in the infant room were not labeled with the child's name.

On 9/18/24, it was observed that child 5 had been enrolled longer than 60 days and did not have a health assessment on file. Only immunization records were present.

On 9/18/24, it was observed that staff persons 1 and 2 had been employed longer than 90 days and did not have documentation of completed Mandated Reporter training on file. Staff person 1 was observed working alone in the one year old classroom.

On 9/18/24, it was observed that staff persons 1 and 2 had been employed for longer than 90 days and did not have record of completion of pediatric first aid and CPR training on file. Staff person 1 was observed working alone in the ones classroom.

On 9/18/24, it was observed that staff persons 3 and 4 had pediatric first aid and CPR certification on file that expired on 8/31/24.

On 9/18/24, it was observed that staff persons 3 and 4 did not have an evaluation completed in the previous 12 months. The last evaluation recorded for both staff persons was 6/6/23.

On 9/18/24, it was observed that the emergency contact information for child 3 did not include any special needs information.

On 9/18/24, it was observed that the emergency contact and financial agreement for child 3 had not been updated in the previous 6 months. The last recorded update was on 10/5/22.

On 9/18/24, it was observed that staff person 5 had documentation of education from a foreign country that had not been evaluated for United States equivalency.

On 4/10/24, it was observed that staff person 1 did not have 2 written non-family references on file. Only 1 reference was available.

On 10/20/23, it was confirmed that children at the facility were not vaccinated according the ACIP recommendations. Child 1 only had 2 out of 3 required HiB vaccines Child 3 only had 4 out of 4 DTAP vaccines, 2 out of 3 Pneumococcal vaccines, 3 out of 4 Polio vaccines, and 0 out of 2 Hepatitis A vaccines. Child 4 only had 3 out of 4 Polio vaccines, 0 out of 1 Varicella vaccines, and 0 out of 2 Hepatitis A vaccines. Child 6 had 0 out of 2 Hepatitis A vaccines. Child 9 only had 2 out of 3 DTAP vaccines, and 2 out of 4 HiB vaccines Child 10 only had 2 out of 3 DTAP vaccines, and 2 out of 4 HiB vaccines

On 10/20/23, it was confirmed that children 1, 3, 4, 6, 9, and 10 were in attendance at the facility without the required vaccines or exemption letters on file. Children must be removed from care until vaccines are in compliance.

On 9/27/23, it was observed that staff person 5 had a child abuse clearance on file for volunteers. Staff clearances must be for employment. Staff person 5 may not work until a child abuse clearance for employment is on file.

On 9/27/23, it was observed that staff health assessments were not updated in a timely manner. Staff person 1 had a health assessment on file that expired on 9/25/23. An updated health assessment was not on file. Staff person 3 had a health assessment on file that expired on 1/12/23 that was not updated until 9/11/23. Staff person 4 had a health assessment on file that expired on 8/12/23. An updated health assessment was not on file.

On 9/27/23, it was observed that staff person 1 did not complete the Health and Safety update training as required before 12/30/22.

On 9/27/23, it was observed that staff person 2 had a first aid and CPR training on file that did not indicate that it was a pediatric training or that it was conducted by an approved instructor.

On 9/27/23, it was observed that staff persons 1, 3, and 4 did not have verification available of completion of 12 training in the previous 12 months.

On 3/22/23, it was observed that cleaning sprays were accessible to children in the unlocked cabinets under the changing tables in the older and younger toddler classrooms.

On 9/30/22, it was observed that staff person 1 had a health assessment on file that expired on 9/16/21 that was not updated until 9/25/21. Health assessments must be updated every 24 months.

On 9/30/22, it was observed that child 4 did not have the name, address and telephone number for their physician or source of medical care on file.

On 9/30/22, it was observed that child 4 did not have health insurance coverage or a policy number on file.

On 9/30/22, it was observed that child 5 did not have addresses on file for their release persons.