ST Johns Lutheran Church Day Care Center

File for staff person #1 contained two state police clearances and two FBI clearances. The state police clearances were dated 1/10/18 and 2/1/23, and the two FBI clearances were dated 2/14/18 and 2/17/23. This written documentation, along with a statement from the staff, verify these clearances were not updated before the 60 month expiration date as stated in the CPSL.

Files for staff person #3 and #4 did not contain a health assessment which included the physician's or CRNP's assessment of the person's suitability to provide child care.

It was stated that food brought from home and served to the children is sometimes returned from the table and sent back home with the children.

It was stated that child #1 had been present and did swim with the facility at the pool, but signed parental consent for swimming was not obtained from the parent.

File for staff person #2 did not contain acceptable verification of education.

It was observed that the toilet in the boy's bathroom on the first floor was not in good repair.

The health report for child #1 did not include a statement that the child is able to participate in child care, appears to be free from contagious or communicable disease, and that the age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

File for staff person #1, (see code sheet for date of hire), contained an initial health report and TB test results dated 8/10/22. The health assessment and TB test was not completed and was not on file at the time of initial hire. File for staff person #2, (see code sheet for date of hire), did not contain documentation showing the results of the TB screening completed within 12 months prior to their initial hire date.

It was observed upon arrival at the pool, 3 staff were present with 14 children all of preschool age. When asked which children they were responsible for, staff person #2 stated they had 5 children, staff person #3 stated they had 4 children, and staff person #4 stated they had no children in their assigned care groups. It was stated that the last group of 5 children were assigned to staff person #1 who was no longer present, and had returned to the facility without their assigned care group.

Emergency contact form for child #1 did not include the child's health insurance coverage name or policy number.

It was observed that the record for child #2 did not contain signed parental consent for swimming, and child #2 was observed present and swimming at the pool.

File for staff person #1, date of hire (see code sheet), verifies that they have lived outside of PA within the last 5 years, and the required out of state child abuse clearance and SOR verification was not observed on file.

It was observed that staff person #1 did not have on file documentation of completion of emergency plan training at initial hire.

It was observed in the basement fellowship hall that outlets were accessible and left uncovered in a space where children under 5 years of age receive care.

It was observed that a prescription medication was present for child #1 but was accepted and stored without it being in its original container.

It was observed that medication for child #1 was not stored according to the manufacturer's recommendations. The medication specified in writing that it was to be stored at 77 degrees Fahrenheit (or between 59 and 86 degrees Fahrenheit), but at the time of inspection the medication was observed to be stored in a refrigerator measuring below 59 degrees Fahrenheit. No additional documentation from a health professional stating refrigeration was required was observed on file.

It was observed and stated by facility that staff person #1 did not complete professional development training in pediatric first aid and CPR and has been employed at the facility for more than 90 days.