Trinity Evangelical Lutheran CH

All of the following items are labeled "keep out of the reach of children". Observed mineral oil and bleach water accessible to children on a low counter in the young toddler room. Observed hand sanitizer accessible to children in the preschool room. Observed hand sanitizer and sunscreen accessible to children in a low shelf in the learning academy room. Observed bleach water accessible to children on the floor in the indoor gross motor room. Observed hand sanitizer accessible to children on a low shelf in the school-age room.

Observed shaving cream, labeled "keep out of the reach of children", in the arts and crafts area of the school-age room.

Observed a spot of frayed carpet in front of the older toddler room entrance door. Observed mulch border anchoring stakes which were sticking up above the mulch border creating a visible hazard.

Observed multiple items in the main hallway which were partially blocking the egress.

Observed in the outdoor play area with embedded equipment that there were several spots under the slides which did not have the required 9 inches of loose impact absorbing material and were showing torn ground cover material.

Observed the most recent documented fire drill was conducted on 1/7/25 which is more than 60 days ago.

Observed an infant's pack n play which had a loose sheet which was a hazard which increases the infant's risk of SIDS.

Observed staff file #1 contained a child abuse clearance (6/11/19) and an FBI fingerprint clearance (2/27/29) which are both dated more than 60 months ago making them invalid. Observed staff file #2 contained a volunteer criminal background clearance and a volunteer child abuse clearance which are not valid to work in a childcare position. Observed staff file #3 contained a department of education FBI clearance which is not acceptable for childcare employment. Observed staff file #4 contained updated state police and FBI fingerprint clearances which were obtained more than 60 months after the previous valid clearance. Observed facility person #6 did not contain a NSOR verification letter and did not complete the required mandated reporter training.

Observed electrical outlets which did not have protective receptacle covers on an extension cord in the learning academy and in the preschool room.

Observed hand sanitizer labeled "keep out of the reach of children" on the windowsill of the school-age room, on a low shelf in the learning academy, and on a low shelf in the older toddler room.

Observed dab o ink bingo daubers which did not have the non-toxic symbol and were labeled "keep out of the reach of children" in the learning academy and in the older toddler room. Observed shaving cream, labeled "keep out of the reach of children", stored with the arts and craft supplies in the learning academy and the preschool room.

Observed large blocks with peeling covers and exposed foam in the gross motor room.

Observed a plastic bag accessible to the older toddlers in a low bin in the hallway by their door.

Observed in the infant room, pack n plays which were in use and did not have 2 feet of space on three sides.

Observed an expired Epi pen in the medication box in the preschool room.

Observed the fire alarm testing log revealed that one time in the previous 12 months the fire alarm testing was conducted more than 30 days apart.

Observed original agreements in children's file #2 and #3.

Observed the emergency contact information for child file #1 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed staff file #3 contained training in first-aid and CPR which was not one of the approved pediatric first-aid and pediatric cardiopulmonary resuscitation courses. Observed staff file #5, who has worked in a child care position for more than 90 days, did not contain documentation of training in pediatric first-aid and pediatric cardiopulmonary resuscitation.

The facility was observed to have an emergency plan that did not provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

An Antibacterial Foam cleaner was observed to be accessible to children in the facility's Pre-School II room.

The facility was observed to have a Medication Log for child #3 that did not include the name of the medication to be administered.

The facility was observed to have an emergency plan that failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's Indoor Play space and School-Age rooms were observed to lack the written plan of daily activities posted in the group spaces.

The file for Child #2 did not contain a Child Service Report

The file for Child #1 was observed to contain an emergency contact that failed to include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

The files for Children #1 and #2 contained emergency contact forms, and Agreement forms that had not been updated once in a 6-month period as evidenced by Emergency contact forms dated 04/19/23 present in the file.

The urinal and toilet in the boy's bathroom were observed to lack a handwashing sign. The 2 toilets in the toddler room downstairs were observed to lack handwashing signs.

The file for child #2 was observed to contain an immunization record from a physician, that lacked verification that an Influenza vaccine was administered.

Square shaped foil packets of the medication Montelukast Sodium stored in a plastic baggie were observed in the infant room (downstairs). These foil packets lacked their original container, a label that identified the name of the medication and the name of the child for whom the medication is intended.

The facility was observed to have an emergency plan that lacked a statement regarding Continuity of Operations. The facility was observed to lack a written policy regarding Prevention of Shaken Baby Syndrome, Abusive Heath Trauma, and Child Maltreatment.

The file for child #3 was observed to contain an emergency contact form that lacked the address of the child's physician or source of medical care.

The files for children #1, #2, #4 & #5 were observed to contain an emergency contact form that lacked the enrolling parent's work address. The emergency form for child #2 & #3 also lacked the enrolling parent's home phone number. The emergency form for child #1, #4 & #5 also lacked the enrolling parent's work phone number.

The file for child #1 was observed to contain an emergency contact form that lacked to indicate no disability existed or to provide information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

The file for child #4 was observed to contain an emergency contact form that lacked the telephone number of the individual designated by the parent to whom the child may be released. The file for child #5 was observed to contain an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The pre-school room (upstairs) and the infant room (downstairs) were observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

On 12/21/21 observed staff file #7 contained the CPSL required mandated reporter training which was completed more than 90 days after the staff started in a child care position. Observed staff file #14, a provisional hire, has worked beyond 45 days without a valid NSOR verification letter. Observed staff file #12 contained a volunteer child abuse clearance which is not valid for child care employment. Observed staff file #2, a provisional hire who has worked more than 45 days, contained an incomplete criminal background clearance.

On 12/13/21 observed cocoa butter and hand sanitizer, labeled keep out of the reach of children, accessible to children on a table in the older toddler room. Observed hand sanitizer accessible to children on a low shelf in the school age room.

On 12/13/21 observed the first aid kit in the learning academy room did not contain tweezers.

Observed on 12/13/21 the upstairs boys bathroom did not have a hand washing sign by the urinal.

On 12/13/21 observed a loose crib screw in the infant room. Observed televisions which were not securely anchored to there stands in the preschool 2 room and the learning academy room. Observed a changing table and a filing cabinet not securely anchored in the older toddler room. Observed large blocks with exposed foam and a loose back on a toy house keeping stove in the gross motor room.

On 12/13/21 observed child file #1 and #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

On 12/13/21 observed the toddler room did not have a medication log for baby tooth oil which was stored at the facility.

On 12/21/21 observed staff file #1, 2, and 7, who have already started providing initial service in a child care setting, did not contain a valid initial health assessment. Observed staff file #3, 4, 5, 6, and 8 contained updated health assessments which were dated more than 24 months after the previous valid health assessment.

On 12/13/21 observed a bottle in the infant room was not labeled with the child's name.

On 12/13/21 observed 2 pack n plays in the infant room had loose fitting sheets which poses a risk to the sleeping infants.

On 12/21/21 observed staff file #7 and 11 contained documentation of completion of the required health and safety trainings which was completed more than 90 days following the start date in a child care position.

On 12/21/21 observed staff file #10 did not contain documentation of a high school diploma or a general educational development certificate.

On 12/21/21 observed staff file #7, 11, 12, and 13, who have all been employed for more than 90 days, did not contain documentation of completion of pediatric first aid and pediatric cardiopulmonary resuscitation.

Observed on 12/13/21 the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Observed staff file #9, contained 3 clock hours of child care training completed between 12/19/20 and 12/19/21.