ST Johns Lutheran Day Care Center

Multiple staff acknowledged that while on walks outside of the facility, most specifically on June 18th, Staff Person #1 would leave the children that they were responsible for in the supervision of other staff who were not specifically assigned to those children, to enter coffee shops. The Director and other staff also acknowledged that Staff Person #1 was constantly on their cell phone and not properly supervising children while in the classroom. Staff person #1 has been terminated from the facility as of 8/20/25. During another inspection on 8/20/25, video footage was viewed from an incident that occurred on 8/18/25 between 4:36 - 4:40pm. On the footage, Child #2 and other children were observed to be building a tower with Magna Tiles. They were all observed to then knock down the tiles together, and the other children started throwing the Magna Tiles at Child #2. Child #2 was observed to rebuild the tower, which was knocked down again by the other kids. Child #2 and the other children in the Magna Tile group started throwing the tiles at each other. One tile hit Child #2 in the face, and he was observed laying on the floor, visibly upset. Throughout the incident, Staff Person…

Multiple staff acknowledged that Staff Person #1 was observed to grab children by the arms and forcefully place them into chairs or push them forcefully to the ground, often times leaving red marks on the children's arms. Staff Person #1 has been terminated from the facility as of 8/20/25.

Multiple staff acknowledged that Staff Person #1 would tell specific children that they hate them and grab by the children by the arms and push them forcefully to the ground. Staff Person #1 has been terminated from the facility as of 8/20/25.

Multiple staff acknowledged that Staff Person #1 was observed to withhold food from children when they were not listening and then proceed to eat the food that was being withheld from the children. Staff Person #1 has been terminated from the facility as of 8/20/25

At the time of the inspection on 6/25/25, the last documented fire drill that was conducted was done on 4/21/25 and not every 60 days as required.

On 8/20/25, there was no daily written plan of activities and routines, including a time for free play, posted in the school-age room. Staff acknowledged that there is not structure in the classroom, that they do not have a daily schedule and there is too much downtime for the kids, therefore, resulting in negative behaviors in the classroom and children getting injured due to those behaviors.

During the inspection on 6/25/25, it was determined that for a previous incident that occurred to child #1 which caused bruising on the arms, there was no incident report created or provided to the parent. Staff acknowledged this incident occurred in April.

Staff persons #11 and #17 were observed to be caring for children unsupervised. Staff persons #11 and #17 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

At the time of the inspection, the PA State Police clearance dated 5/4/23 for staff person #6 stated "Request Pending" and did not contain a dissemination date, making this an incomplete clearance. Staff person #12 had PA State Police and Child Abuse clearances of volunteer status and not employment purposes at time of hire and was observed having direct contact and routine interaction with children. (see LIS code for date of hire). Staff person #14 did not have a completed NSOR certificate on file and was observed having direct contact and routine interaction with children.

At the time of the inspection, the television on the shelf in the preschool room was wobbly and not secured to a surface posing a tipping hazard.

At the time of the inspection, the health assessment on file for staff person #6 was checked "yes" to communicable diseases with no additional documentation to describe the conditions and the risk it might pose to others exposed to this individual, as required. The health assessment for staff person #9 did not include an examination for communicable diseases and the results of that examination.

At the time of the inspection, child #9 and child #10 did not have an initial health assessment on file within 60 days following the first day of attendance at the facility. This is evidenced by the health assessments dated 3/27/25 and 3/19/24, respectively (see LIS code sheet for date of admission).

Staff person #17 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR Also, for staff person #17, the health and safety training part 1 and part 2 were taken on 4/25/25 and not within 90 days of hire.

At the time of the inspection, staff person #16 did not update mandated reporter training every 60 months prior to the current certificate's expiration. This is evidenced by the current certificate on file dated 3/12/25 and the previous certificate on file dated 3/3/20.

At the time of the inspection, staff person #11 did not have documentation of 1 year (1,250 hours) of experience with children to accompany the high school diploma and college credits and therefore, could not qualify as an assistant group supervisor.

At the time of the inspection, staff person #1 did not update the FBI clearance every 60 months as required. This is evidenced by the current FBI clearance on file dated 8/16/24 and the previous FBI clearance on file dated 8/1/19.

At the time of the inspection, in the preschool room, the trash can did not contain a lid. It appeared to have been contaminated by human excrement as wipes/tissues were observed.

At the time of the inspection, two shelves in the infant room were wobbly, not secured to a surface and were able to be tipped over. In the nursery underneath the changing table mat, there were food crumbs and pieces of paper indicating under the mat has not been cleaned.

At the time of the inspection, there was no TB screening at time of hire on file for staff person #2 (see LIS code sheet for date of hire).

At the time of the inspection, the health assessments for staff person #2 and staff person #3 was checked "yes" to communicable diseases with no additional follow up documentation describing the conditions and the risk it might pose to others exposed to this individual, as required.

At the time of the inspection, staff person #2 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file at time of hire (see LIS code sheet for date of hire).

Staff person #16 had a FBI clearance on file that was from PA Dept of Education and not approved to be used in childcare. Staff person #16 did not have documentation of obtaining fingerprinting for the FBI clearance through DHS approved IDentogo and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

In the PS1 room, in the bottom unlocked filing cabinet there were bottles of sunscreen and diaper cream observed. In the office area, there were cans of Barbasol shaving cream, Dawn Dish Soap, Borax, and Alka-Seltzer on a shelf. All of these items stated, "keep out of reach of children" and were accessible to children in the PS1 room.

The changing table pads in both the young and older toddlers were torn and inside foam was exposed. This prevents the pad from being properly cleaned with a sanitizing solution after each use.

Prescription Hydrocortisone cream for child #11 was observed in the PS1 classroom. There was no written consent from the parent for administration of the medication.

Staff person #1, staff person #11 and staff person #16's health assessment did not contain an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide childcare.

The emergency contact form for child #2, child #8 did not contain the work address of the enrolling parent. It also did not include the address of the individual designated by the parent to whom the child may be released. Child #9's emergency contact form did not include the address of the individual designated by the parent to whom the child may be released.

The emergency contact form for child #9 did not include the health insurance coverage and policy number for the child.

Provider stated that 2 emergency drills have been done, but there was no written documentation of any emergency drill.

STAFF #1, an assistant group supervisor, had verification of 2 years' experience working with children, but did not have verification of education in file.

On 11/29/22 cert rep viewed video footage from a self-reported incident that occurred at the facility on 11/17/22 at 11:45 am. In the video, cert rep observed STAFF #1 grab 4 older toddlers by the upper arms, drag them and forcefully put them on their nap mats.

During renewal inspection on 5/25/22 cert rep reviewed several staff files. STAFF # 1 does not have a completed NSOR in file. See code sheet for date of hire. NSOR application was submitted on 9/23/21.

During onsite renewal inspection on 6/1/22, cert rep observed damaged paint/plaster in the SA room by the rubber cove molding by the door where the clock is.