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Child Care Center ✓ Licensed

Luthercare For Kids Reamstown

Reamstown, PA · Lancaster County
58 S Reamstown Rd, Reamstown, PA 17578
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Quick Facts

Capacity
80 children
Languages
English, English
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (717) 336-3233
58 S Reamstown Rd
Reamstown, PA 17578
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✓ Licensed Child Care Center
Active License
License Number
CER-00247179
License Issued
Dec 4, 2025
Active Through
Dec 4, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 10

Reviews

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About the Provider

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Luthercare for Kids provides a safe, nurturing environment where children can be kids, students, athletes and artists… where they can explore, learn, thrive and grow. Give your child a great start by enrolling them in a Luthercare for Kids Early Learning Center with five locations in Lancaster and Lebanon counties.

Hours of Operation

  • Monday6:30 AM - 5:30 PM
  • Tuesday6:30 AM - 5:30 PM
  • Wednesday6:30 AM - 5:30 PM
  • Thursday6:30 AM - 5:30 PM
  • Friday6:30 AM - 5:30 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2025-09-10 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: 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.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Parent filled out the information about child 2 and any special needs.
2025-09-10 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: 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.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Asked parent for insurance policy numbers to be fille out on the emergency contact form.
2025-09-10 Renewal 3270.131(e)/3270.131(e)(3) - ACIP recommended immunization record /Dismissal policy Compliant - Finalized

Regulation: 3270.131(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: 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.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
Child 4 had not been at the center since 9/5/25. We were informed that the child would not be returning as of 9/12/25.
2025-09-10 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: 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.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Health Assessment will be kept up to date.
2025-09-10 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: 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.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
All clearances and Mandated Reporter trainings will be updated every 60 months for staff.
2025-09-10 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: 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.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 2 had an evaluation done on 9/17/25.
2025-09-10 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: 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.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
Outlet cover was replaced.
2025-09-10 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 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.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
Ceiling tiles were replaced. Ceiling air vents were cleaned.
2025-09-10 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

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

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
Room was repainted.
2024-09-18 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: 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.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will have the classroom teacher deep clean the diaper table and diaper table mat with soap/water, and disinfectant.
2024-09-18 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

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

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will reach out to family to have them complete this area of the emergency contact form. If no special needs information is needed, N/A can be written on the line.
2024-09-18 Renewal 3270.131(a) - Health information Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: 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.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will communicate directly with the family to obtain a copy of the child's health assessment and immunization record in total. Provider will then place the copy into the child's file.
2024-09-18 Renewal 3270.131(e)/3270.131(e)(3) - ACIP recommended immunization record /Dismissal policy Compliant - Finalized

Regulation: 3270.131(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: 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.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
Provider will reach out to parent of child regarding the necessary vaccine. If they choose not to have their child receive the vaccine, they must have a hand-written letter in their file stating that (dated and signed). Otherwise, the parent can have their child receive the vaccine. Child will be removed from attendance until correction is made.
2024-09-18 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

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

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will reach out to HR to collect the updated health assessment for Staff person 4 and place it in their file.
2024-09-18 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: 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.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Provider Response: (Contact the State Licensing Office for more information.)
Provider had classroom teachers place the labels on the sippy cups and bottles that were kept in the refrigerator.
2024-09-18 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: 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.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will have the family of child 3 update their emergency contact and financial agreement immediately.
2024-09-18 Renewal 3270.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: 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.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will work with accepted evaluators to determine the US equivalency of staff person 5's documentation of education. That documentation will then be kept in the staff person's file. Until US Equivalency is on file, Staff person 5 will be placed on Volunteer status and will not count towards ratio or be left alone with children.
2024-09-18 Renewal 3270.21/3270.31(f)(10) - General Health and Safety/Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.21/3270.31(f)(10)

Description: General Health and Safety/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: 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.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons #1 and 2 will have until 10/14/24 to complete the required training. Until such time as the required training has been completed, staff persons #1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and 2, staff person #1 and 2 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will have staff persons complete their Pediatric CPR/First Aid training and place their certificate on file. Staff persons without this will be supervised at all times by someone who holds their certificate. Pediatric CPR/First Aid training will be completed by 10/14/24.
2024-09-18 Renewal 3270.21/3270.32(a) - General Health and Safety/Comply with CPSL Compliant - Finalized

Regulation: 3270.21/3270.32(a)

Description: General Health and Safety/Comply with CPSL

Noncompliance Area: 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.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1 and 2 will have until 10/14/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and 2--, staff persons #1 and 2 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will have staff persons print their completed Mandated Reporter trainings. If they are out of date, Provider will have the staff persons re-take the training to ensure that it is updated and kept in the staff file. Trainings will be completed by 10/14/24.
2024-09-18 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: 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.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons #3 and 4 will have until 10/14/24 to complete the required training. Until such time as the required training has been completed, staff persons #3 and 4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and 4, staff persons #3 and 4 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will have staff persons complete their Pediatric CPR/First Aid training and place their certificate on file. Staff persons without this will be supervised at all times by someone who holds their certificate. Pediatric CPR/First Aid training will be completed by 10/14/24.
2024-09-18 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: 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.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #2 and 5 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will immediately run the Child Abuse clearance for staff person 2 and staff person 5. They will be removed from work until the completed clearance is on file. Staff person 5: completed and on file as of 9/20; Staff person 2: completed and on file as of 9/25
2024-09-18 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: 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.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will complete an evaluation on staff person 3 and staff person 4. Provider will set a meeting with each staff member to go over the evaluation. Evaluations will be dated and signed.
2024-09-18 Renewal 3270.66(d) - Toxic plants not permitted Compliant - Finalized

Regulation: 3270.66(d)

Description: Toxic plants not permitted

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

Correction Required: Toxic plants are not permitted in a child care space.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will remove the plant from the classroom immediately.
2024-09-18 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

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

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will replace the ceiling tile with one that does not have water damage. Provider will also reach out to the church to have someone check for any possible additional damage.
2024-04-10 Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: 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.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Provider Response: (Contact the State Licensing Office for more information.)
Center Director will ensure that two written, non-family references are placed in the facility person's file.
2023-10-10 Complaints- Legal Location 3270.131(d)(5) - Immunization record Compliant - Finalized

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: 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

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Provider Response: (Contact the State Licensing Office for more information.)
Center Director will reach out to the families to have them update their children's immunizations according to the recommendations of the ACIP. If the families have strong moral or religious objections to the vaccines, a handwritten letter signed and dated will be collected. If the child is on a medical make-up schedule, a note from the doctor will be collected. These will be placed in the child's file at all times.
2023-10-10 Complaints- Legal Location 3270.131(e)(3) - Dismissal policy Compliant - Finalized

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: 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.

Correction Required: The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
Children without required vaccines or exemption letters will be removed from care until vaccines are in compliance with the ACIP recommended schedule. Center Director will ensure that families understand the importance of the recommended schedule and collect any exemption letters, as needed. Updated immunization records and/or exemption letters will be placed in the child's file and updated as needed.
2023-09-27 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall require all child care staff have verification of completion of the updated health and safety trainings within the given timeframe issued by OCDEL.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 1 will complete the Health and Safety update training as required. Center director will verify that it is completed.
2023-09-27 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: 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.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Staff members will update health assessments immediately. Center director will ensure that the updated health assessments are on file at all times. Staff person 1: 10/3/2023 Staff person 4: 10/10/2023
2023-09-27 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: 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.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff members will update/verify the number of yearly training hours (12 hours or more). Center director will ensure that verification of completion is on file and that all staff members have completed the required 12 hours of training within the past 12 months. Staff 1: 9/28/2023 Staff 3: 10/2/2023 Staff 4: 10/18/2023
2023-09-27 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: 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.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 2 will sign up and complete an updated Pediatric First Aid/CPR training by an approved instructor. Staff person 2 will not be alone with children until training is completed.
2023-09-27 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: 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.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Center Director and staff person 5 will re-run child abuse clearance to reflect employment rather than volunteer. Until proper clearance is on file, staff person 5 may not work.
2023-03-22 Allocated Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 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.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will ensure that all toxics are kept in an area that is inaccessible to children. Provider will also ensure that checks are done frequently to make certain that all areas are locked and remain inaccessible to the children. Provider will remind team members to lock changing tables after each use. Assistant Director communicated this information to team members on the same day, correcting the issue.
2022-09-30 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will contact parent to gather information regarding child's physician. If child has no physician, N/A will be marked on the line by the parent.
2022-09-30 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

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

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will contact family to collect health insurance coverage/policy number information for the child. If there is no insurance, parent will write n/a on the line until coverage is received. Parent will update the information as soon as there are any changes.
2022-09-30 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

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

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will contact family to gather the address for the release persons on the child's emergency contact form.
2022-09-30 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: 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.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will provide proper notice to facility persons regarding the due date of their health assessment and ensure that it is completed within the 24-month time frame.
2020-10-02 Renewal 3270.111(b) - Posted in group space Compliant - Finalized

Noncompliance Area: It was observed in the school-age room that a schedule was not posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Provider Response: (Contact the State Licensing Office for more information.)
The schedule will be posted where families and visitors have visual access. Moving forward, the schedule will remain posted at all times.
2020-10-02 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: Files for staff person#1 and #3 contained a physical dated 9/21/18 and 9/20/18 respectively, but no updated physicals completed within the last 24 months was observed on file for either staff person.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Director will obtain an updated physical for each staff person and will place it on file. Moving forward, the Director will make certain that all facility persons obtain an updated physical within 24 months of their previous physical. These will remain on file at all times.
2020-10-02 Renewal 3270.18(a) - On file at facility Compliant - Finalized

Noncompliance Area: It was observed that a current copy of comprehensive general liability insurance was not on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Director will retain a copy of the current liability insurance and update the posting on the wall. Moving forward, the Director will create a more efficient system for requesting and retaining a copy so that a current copy is on file at all times. Director will also discuss with upper management the possibility of moving up the inspection date.
2020-10-02 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Noncompliance Area: Files for staff person #1, #2, and #3 contained written documentation of completion of emergency plan trainings dated 1/24/19 and 3/10/20. These trainings were not completed within the annual timeframe as required.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Director will ensure that Emergency Plan trainings are completed within the annual timeframe. Moving forward, the Director will ensure that written verification of Emergency Plan trainings, within the required annual timeframe, are completed and placed on file at all times.
2020-10-02 Renewal 3270.31(e) - Annual 6 hrs. training Compliant - Finalized

Noncompliance Area: File for staff person #1 and #3 did not contain verification of obtaining an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Provider Response: (Contact the State Licensing Office for more information.)
Director will make certain that staff persons obtain the annual minimum 6 hours of child care trainings. Moving forward, the Director will create a training tracker to ensure that a minimum of 6 hours of child care training annually is obtained for each staff person. Verification will be kept on file at all times.
2020-10-02 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Noncompliance Area: The file for staff person #1, hired 9/2016, contained an NSOR certificate dated 7/31/2020. This was required to be on file for current staff on or before 7/01/2020. The file for staff person #2, hired 01/2005, contained a PA State Police Clearance and Child Abuse clearances dated 12/10/14 and an updated PA State Police and Child Abuse clearance dated 02/17/2020, a FBI clearance dated 12/15/14 and an updated FBI clearance dated 1/22/2020. These updated clearances were completed more than 60 months from their previous clearances. The file for staff person #2 also contained a NSOR verification certificate dated 8/17/2020, but this was required to be on file for current staff on or before 7/01/2020. The file for staff person #3, hired 8/2016, contained an NSOR certificate dated 7/31/2020. This was required to be on file for current staff on or before 7/01/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Provider Response: (Contact the State Licensing Office for more information.)
Clearances will be updated in a more timely manner and a copy of all current clearances will be kept on file at all times. Moving forward, the Director will make certain that clearances for all staff persons are updated within 60 months of the previous clearances. Copies of the requests and copies of completed clearances will be kept on file at all times.
2020-10-02 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Noncompliance Area: Files for staff person #1 and #3 did not contain a written evaluation completed within 12 months from their prior evaluations on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Director will complete the evaluations for staff persons, have the staff persons sign off, and place signed evaluations in their files. Moving forward, the Director will create a more efficient schedule for completing a minimum of 1 staff evaluation per year for each staff person. Signed evaluations will be kept on file at all times.
2020-10-02 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Noncompliance Area: It was observed that an outlet was uncovered next to the refrigerator in the preschool room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
Receptacle cover will be replaced in outlet. Moving forward, the Director and classroom teachers will confirm that daily checks have been completed and that all receptacle covers remain in place at all times.
2020-10-02 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: It was observed that ceiling vents were dusty/dirty in the school-age room and the 3-year-old room. It was observed that the kitchen door was left open while the oven was on and no staff person was present causing a visible hazard. It was observed that the stalls in the women's restroom were rusty leaving them not in good repair. It was observed in the staff bathroom that a front loading washer and dryer would be accessible to children in care creating a visible hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
Ceiling Vents: Ceiling vents will be cleaned. Moving forward, the Director will schedule more frequent cleanings and classroom teachers will assess cleanliness on a weekly basis during classroom checks. Kitchen Door: The Kitchen door will remain closed when a staff person is not present. Moving forward, a lock will be placed on the doorknob to ensure inaccessibility. Director will monitor for efficiency and will discuss with building owner the possibility of installing a half-door. Restroom Stalls: Stalls will be painted and coated with a sealer. Moving forward, the Director will monitor for effectiveness and cleanliness until such time that the building owner can replace the stalls. Washer/Dryer: Locks will be placed on the doors of the washer and dryer to ensure inaccessibility to children. Moving forward, locks will be monitored for effectiveness. If found to be ineffective, a lock will be placed on the restroom door.
2019-12-03 Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: It was observed that carpets throughout the facility, particularly in the older infant, older toddler, young preschool, and school age rooms were visibly dirty. Continued deficiency from inspection completed on 10/31/19.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Schedule to have carpets cleaned throughout the building (to be done on 12/6/19). Plan to maintain: Schedule more frequent cleanings, as needed, including spot treatment. Floors shall be kept clean and carpets replaced, if needed.
2019-10-31 Renewal 3270.102(a) - Clean and good repair Non Compliant - Finalized

Noncompliance Area: It was observed that the inside of the refrigerators, used by the children in the older toddler room and school age room, were visibly dirty. It was observed that bins in the older toddler room were cracked and broken and bins in the school age room were visibly dirty.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Fridges - clean out refrigerators. Bins - Replace broken bin and clean/sanitize bins. Plan to maintain: Fridges and bins: Create a more efficient schedule for cleaning/replacing - post schedule as a visual reminder. All items used by children will be kept clean and in good repair.
2019-10-31 Renewal 3270.111(a) - Written plan Non Compliant - Finalized

Noncompliance Area: It was observed that a schedule was not posted in the preschool room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Post schedule where families and visitors have visual access. Plan to maintain: monitor placement of schedule and update, as needed. Schedule will remain posted at all times.
2019-10-31 Renewal 3270.123(b) - Parent receives original Non Compliant - Finalized

Noncompliance Area: Files for child #1, #2, #3, #4, and #6 all contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Copy original agreements and provide the originals to the families - retain copy in files. Plan to maintain: create a more efficient system for making certain originals go to parents - example: blue ink.
2019-10-31 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Non Compliant - Finalized

Noncompliance Area: File for child #4 did not contain an updated physical completed within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Contact parent and have them provide an updated physical. If parent does not provide physical by 12/4/19, care will be suspended until updated physical is on file. Plan to maintain: Create a master list of due dates for more efficient and timely updates for physicals. Also, pay close attention to well visit date, not date form signed. Physicals will be updated according to regulation.
2019-10-31 Renewal 3270.134(d) - Liquid or powdered soap Non Compliant - Finalized

Noncompliance Area: It was observed that the liquid soap, used by children in the bathroom, was empty.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Refill soap dispenser and place by sinks. Plan to maintain: Check soaps on a more consistent basis and refill, as needed. Provide a re-fill soap in locked cabinet for emergency re-fills.
2019-10-31 Renewal 3270.18(a) - On file at facility Non Compliant - Finalized

Noncompliance Area: It was observed that a copy of the current liability insurance was not found on file at facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Retain a copy of the current liability insurance and update the posting on wall. Plan to maintain: Create a more efficient system for requesting/retaining this in a timely manner so that a current copy is on file at all times.
2019-10-31 Renewal 3270.27(c) - Training regarding plan Non Compliant - Finalized

Noncompliance Area: File for staff person #2 and #4 did not contain verification that emergency plan training was completed.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Verify completion of training (done within first 7 days of hire). Have staff #2 and #4 sign verification form. Emergency plan training was completed at hire but written verification of training was not placed on file. Plan to maintain: Ensure that the verification form is in hand during EOP training and signed upon completion. Written verification of training will be kept on file.
2019-10-31 Renewal 3270.32(a) - Comply with CPSL Non Compliant - Finalized

Noncompliance Area: Staff person #2 was hired after 10/1/19, and their file did not contain verification of applying for the required National Sex Offender Registry clearance. Staff person #4 was hired provisionally but the required provisional hire paperwork was not on file on or before initial start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Apply for NSOR clearance (staff #2). Place the application verification in file. Plan to maintain: Place verification of applying for all clearances directly into file before start date. Also create master list of forms requiring signatures for new hires to keep in files.
2019-10-31 Renewal 3270.34(a)(6) - Staff evaluations Non Compliant - Finalized

Noncompliance Area: File for staff person #1 and #3 did not contain a written evaluation, completed by the director, within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Complete evaluations for staff, have them sign, and place into their files. Plan to maintain: Create a more efficient schedule for completing staff evaluations in a timely manner, a minimum of one per year. Set a consistent date for all evaluations.
2019-10-31 Renewal 3270.75(b) - Inaccessible to children Non Compliant - Finalized

Noncompliance Area: It was observed in the young preschool room that the first aid kit was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Move first aid kit to an inaccessible area. Plan to maintain: Continue to monitor to make sure first aid kit remains inaccessible at all times.
2019-10-31 Renewal 3270.76 - Building Surfaces Non Compliant - Finalized

Noncompliance Area: It was observed that carpets throughout the facility, particularly in the older infant, older toddler, young preschool, and school age rooms were visibly dirty. It was observed in the school age room that the ceiling vent was dirty and falling and the portable wall separating both sides of the room was bent and leaning. As of 12/3/19, part of the portable wall was removed and the rest was repositioned and is now straight and in good repair and the vent was cleaned and secured.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
Plan of correction: Carpets - schedule to have carpets cleaned throughout the building. Vent/wall - clean and re-set vent placement; remove partition wall. Plan to maintain: Carpets - schedule more frequent cleanings, as needed, including spot treatment. Vent/wall - monitor for cleanliness, stability, and effectiveness, reassess if needed.
2019-04-01 Allocated Unannounced Monitoring 3270.103 - Small Toys and Objects Compliant - Finalized

Noncompliance Area: It was observed in the young toddler room that the bottom drawer on the wall unit contained rolls of large plastic garbage bags accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
Plastic bags were removed. Moving forward all plastic bags will be kept out of reach of mouthing children at all times.
2018-12-03 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: Bin in Kindergarten classroom was broken and not in good repair.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
Bin was immediately removed from classroom. Moving forward all toys and equipment used by children will be kept in good repair at all times and anything broken will be removed immediately from classroom.
2018-12-03 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Noncompliance Area: Emergency contact form for child #1 did not contain child's health insurance policy name or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Health insurance information was obtained while DHS was still at facility, information was added to form, and parent resigned and dated emergency contact form. All parents will be required to fully complete emergency contact forms at all times.
2018-12-03 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Noncompliance Area: Emergency contact form for child #4 did not contain release person's address.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Release person's address will be added to form and resigned and dated by parents. Moving forward all emergency contact forms will be completed fully at all times.
2018-12-03 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: Staff person #1 had a previous health assessment on file dated 6/22/16 and the updated health assessment currently on file is dated 9/20/18. Staff person #1 did not get an updated health assessment within the 24 month requirement.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 currently has an updated health assessment on file. Moving forward all staff will be required to obtain an updated health assessment not more than 24 months from the current assessment on file.
2018-12-03 Renewal 3270.75(c)/3270.75(d) - Has all items/On excursions Compliant - Finalized

Noncompliance Area: First aid kit for Kindergarten classroom was missing water in excursion bag and first aid kit in Prek Classroom was missing scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Provider Response: (Contact the State Licensing Office for more information.)
All missing items were added to bags. Moving forward all first aid kits will always contain all 7 items and excursion bags will also contain a bottle of water at all times.
2018-10-25 Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: It was observed in the older toddler room that one purple pillow and one grey pillow each had a hole exposing foam stuffing making it not in good repair and was accessible to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
Pillows were removed from play area and place on top of shelf making them inaccessible to children. Pillows and toys will be checked regularly. Any toys or equipment found not in good repair be removed immediately and made inaccessible to children at all times.
2018-10-25 Unannounced Monitoring 3270.103 - Small Toys and Objects Compliant - Finalized

Noncompliance Area: It was observed in the older toddler room that a plastic bag was left in child's cubby accessible to mouthing children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
Plastic bag was removed immediately. Teachers will check all cubbies daily and will removed any plastic bags immediately. All plastic bags will be kept out of reach of mouthing children at all times.
2018-10-25 Unannounced Monitoring 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Noncompliance Area: It was observed that one outlet on each side of the preschool/school age room was missing outlet covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
Teacher immediately covered outlets in both areas. Moving forward all teachers will check outlets every morning to make sure they are covered. All outlets will be covered at all times.
2018-10-25 Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: It was observed in the older toddler room that a child's backpack contained Benadryl itch gel and nasal spray which was accessible to children. Both items indicated on back "keep out of reach of children", but were not made inaccessible.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
Child's backpack was removed from cubby and placed on top of shelf making items inaccessible to children in room. In the future, bags will be checked every morning to ensure no toxins or hazards are present and will be removed immediately if found. No toxic or hazardous materials will be left accessible to children at any time.
2018-07-25 Unannounced Monitoring 20.71(a)(5) - Mistreatment or abuse of a child/children cared for in facility Compliant - Finalized

Noncompliance Area: Staff person #1 has mistreated or abused clients being cared for in the facility or receiving services from the agency.

Correction Required: The legal entity must arrange for all facility staff to receive training regarding: 1) Indications of abuse and neglect, 2) Managing staff/children's behavior and defining boundaries of appropriate touch. The legal entity must receive DHS approval of the training prior to scheduling. Each staff file for the facility shall maintain a copy of the designated training for a period of 1 year after training is completed. These 2 trainings will be in addition to and cannot count towards the 6 hours of annual training required by staff persons in facility.

Provider Response: (Contact the State Licensing Office for more information.)
The center has arranged for all staff to receive training regarding: 1) Indications of abuse and neglect, 2) Managing staff/children's behavior and defining boundaries of appropriate touch. The trainings will be conducted by Karen Rucker on 9/11/18 as one training covering both of these points. DHS/OCDEL approved the training. A copy of the training will remain in each staff file for a period of 1 year and will not be counted as part of the 6 hours of annual training required by facility staff persons. The center will not allow/tolerate any mistreatment or abuse of children in facility at any time.
2018-05-22 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Noncompliance Area: It was stated and observed that staff person #1 pulled on child's arm when attempting to catch running child and place her back in time out. Staff person #1 was observed pulling on child's arms in an effort to get child to stand up on both feet when child was repeatedly falling to the ground on purpose to keep from walking with teacher.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Provider Response: (Contact the State Licensing Office for more information.)
Due to the incident, Staff person #1 was suspended for 5 days as a disciplinary action. She was required to review the Guidance section of the Luthercare for Kids manual which clearly states best practice of proper guidance and physical contact with children. She was also required to get training on proper guidance dealing with difficult children. Staff person #1 was reinstated under supervision after the 5 day suspension. As a proactive measure, all teachers also were then required to review the guidance section of the Luthercare for Kids manual and to take the same training staff person #1 did. Luthercare's policy on proper guidance and physical handling of children does not allow physical punishment of children nor does it allow prolonged time-out or harsh punishment of any kind. This policy is introduced to staff at hire then it is reviewed during our mentoring process with each staff. This policy was reviewed once again with all staff members after this incident. Luthercare for Kids Reamstown will not tolerate any violation of this policy.
2018-01-31 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: It was observed in the PreK room the clear hard plastic mat under the discovery table was warped causing a tripping hazard, in the young toddler room the clear hard plastic mat on the floor had a corner which was cracked causing a pinching hazard, in the older toddler room the yellow seat cushion under the cabinet accessible to children was ripped exposing foam, and in the young preschool room two rest mats were ripped exposing foam.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
The clear mat in the PreK/K room was removed. The cracked mat in the young toddler room was taped and moved so the damaged part was covered by a rubber mat. The seat cushion was taped to cover the rip. The rest mats were taped to cover the foam. More attention will be given during the weekly health and safety checks to spot hazards like this and to be sure all mats are undamaged, do not create trip hazards, and are safe for children.
2018-01-31 Renewal 3270.107 - Refrigerator Compliant - Finalized

Noncompliance Area: It was observed in the older toddler room the refrigerator measured at 50 degrees Fahrenheit.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Provider Response: (Contact the State Licensing Office for more information.)
The fridge was defrosted and turned up. Temperature today was 40 degrees. The teacher was instructed to keep the fridge regularly defrosted and to check the temperature daily during food service times and weekly during health and safety checks to be sure it is maintaining temperature.
2018-01-31 Renewal 3270.111(b) - Posted in group space Compliant - Finalized

Noncompliance Area: It was observed in the young infant room there was no daily schedule posted in child care space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Provider Response: (Contact the State Licensing Office for more information.)
A plan was written and posted. The plan is flexible enough to accommodate the individualized feeding and sleeping schedule of each infant. Teachers will check weekly during their health and safety check to be sure the schedule is still posted and director will check monthly.
2018-01-31 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: The agreements for child #3, #4, #5, #6, and #7 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
The agreements will be read over and rewritten to clearly reference the release persons are the same as the emergency contact form. The parents will sign the new agreements agreeing to the policy that the list of persons indicated on their emergency contact form will be their designated release persons on agreement.
2018-01-31 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Noncompliance Area: The emergency contact form for child #1 did not give adequate permission for facility to administer life saving medication or minor first aid in the event of emergency and emergency contact form for child #2 did not give facility adequate permission for staff to administer medications that child receives in facility daily.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
The parents were consulted and they checked the boxes which were overlooked. The director will be more thorough when receiving and checking emergency contact forms at enrollment to be sure all necessary information is included. The assistant director will double check the emergency contacts when filing them. New form will be developed to eliminate the check boxes for first aid, emergency medical care, and prescription medications. Parents will sign off to each item instead of checking boxes.
2018-01-31 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Noncompliance Area: Emergency contact form for child #4 is missing health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
The policy number was added to the emergency contact form. The director will be more thorough when checking the children's enrollment paperwork to be sure all areas are filled out before signing the paperwork. The assistant director will then double check the paperwork before filing.
2018-01-31 Renewal 3270.124(f) - Updated every 6 months Compliant - Finalized

Noncompliance Area: Emergency contact form for child #4 was not updated within a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Provider Response: (Contact the State Licensing Office for more information.)
The paperwork for this child was completed well before actual enrollment. When the child actually started, it should have been checked and resigned by the parent to keep current. The signature was over 6 months old at the time of inspection. The director will double check a child's paperwork when they start to be sure the date is current and will not be older than 6 months old at the update period. The assistant director will double check the paperwork to be sure it is current.
2018-01-31 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Noncompliance Area: The health report for child #4 does not clearly indicate if the child is free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
The child's doctor office called the facility. It was confirmed by the doctor's office after speaking with LPN Linda Hinkle that the report should have indicated that the child was free from contagious or communicable disease. The director will double check physical forms when they are received to be sure all information is added and correct. The assistant director will double check these forms as she enters the data and files the forms.
2018-01-31 Renewal 3270.74 - Emergency Numbers Posted Compliant - Finalized

Noncompliance Area: It was observed in the young preschool room the emergency contact numbers were not posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Provider Response: (Contact the State Licensing Office for more information.)
New phone number list was printed and hung up same day of inspection. It was later noticed the original list had just fallen off the wall and was behind book shelf. This would have been noticed during weekly health and safety check by the teacher or the monthly check by director. Director will have a conversation with staff to specifically check their postings regularly and designate a health and safety monitor to triple check compliance in rooms.
2018-01-31 Renewal 3270.75(a) - In child care spaces Compliant - Finalized

Noncompliance Area: It was observed in the PreK Counts and school age room the first aid kit was not in child care space. Director immediately corrected on site placing first aid kit back in room.

Correction Required: A first-aid kit shall be in a child care space.

Provider Response: (Contact the State Licensing Office for more information.)
Two classrooms use this same room. Though the school-age first aid kit was in the room at the time, the emergency bag for the PreK Counts class which contained emergency medication for Prek Counts was not in this room at the time. Director has spoken to all teachers responsible. The lead and assistant teachers were given a memorandum of understanding stating the importance of having this emergency bag and the emergency medication with this child at all times. This memorandum was signed by the teachers and placed in their file. The teachers are taking steps to be sure the bag is remembered. The director has checked daily to see that keeping the emergency bag with the class has become a habit. The teachers have agreed to back each other up by double checking with each other about remembering the emergency bag. The bag is to follow the child throughout the center at all times and first aid kits will be in each child care space at all times.
2017-02-23 Renewal 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Noncompliance Area: In numerous classrooms, staff were unable to specifically identify primary groups. Although the staff knew names of the children, it is important to know which children are in staff's primary group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
Teachers were instructed to carry the picture name tags of their primary care groups on them at all times. Teachers were told to keep their primary care groups as consistent as possible. Teachers are to memorize their primary care groups and be mindful as children arrive or leave, keeping only the tags of the children present on their person. As teachers transition, they will verbally name the children they are handing off to the next teacher as well as handing over the tags of the present children. Director will check numbers about every hour and will ask teachers their primary care groups.
2017-02-23 Renewal 3270.131(b)(2)/3270.131(c) - Toddler/preschool: updated health report every 12 months/Completed or signed by physician, PA, or CRNP Compliant - Finalized

Noncompliance Area: Child #1,2,3 were missing either a physical or a physicians signature on their paperwork. In addition, physician information was missing as well for the children.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency contact forms were filled in with complete information for each child, including physician information if applicable. Physicals were obtained and/or checked for signatures. All are complete. This information will be checked more thoroughly at enrollment and then every 6 months as it is renewed.
2017-02-23 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: Although toxic materials were in a locked cabinet, some of the cabinets were in need of more secure locks so that the toxins could remain in the cabinets. In order to correct this violation, toxins were moved to a higher shelf until all locks can be replaced. CORRECTED ON SITE.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
All doors were checked. Teachers were instructed to tighten them and make sure they are secure each and every time. The diaper creams in the OI room were removed from the drawer and a lock box was purchased to use and be placed on a high shelf when not in use. Will check locks during monthly Healthy and Safety check to make sure they are working. Will replace when necessary. All locks are currently in working order.
2017-02-23 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: Locks in the preschool/school age bathroom needs to be modified on the cabinet outside of the restooms.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
The adhesive on this lock had failed. A new lock was bought and installed. This lock is working securely. All locks will be checked on a monthly basis during the Health and Safety check. If any are faulty, they will be replaced. Lock is currently in working order.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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