Trinity Evangelical Lutheran Ch
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About the Provider
As a community service, the Child Care Center provides a safe facility, nurturing environment, and developmental education for children from six weeks of age up to and including the sixth grade.
As an outreach ministry, the Child Care Center provides a Christian environment and education that is consistent with the mission standards and doctrines of Trinity Lutheran Church, The Allegheny Synod and The Evangelical Lutheran Church of America.
Hours of Operation
- Monday5:30 AM - 6:00 PM
- Tuesday5:30 AM - 6:00 PM
- Wednesday5:30 AM - 6:00 PM
- Thursday5:30 AM - 6:00 PM
- Friday5:30 AM - 6:00 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 |
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| 2025-12-09 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed a large green block with a peeling cover in the gross motor room. Observed a lego table with a loose leg in the preschool 2 room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Have maintenance fix items and use a protective layer to cover any holes in the play mats. |
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| 2025-12-09 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: Observed child file #1 contained an updated health assessment which was obtained 13 months after the previous valid health assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Continue to give the parents ample warning for any health reports are due. Continue to send reminders on app and then refuse care if health reporter is not turned in. |
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| 2025-12-09 | Renewal | 3270.131(d)(8) - Age appropriate screenings complete | Compliant - Finalized |
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Regulation: 3270.131(d)(8) Description: Age appropriate screenings complete Noncompliance Area: Observed child file #2 contained an updated health assessment which did not have a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report. Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. |
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Provider Response: (Contact the State Licensing Office for more information.) Not sure how to control the doctor's office to doing their job. But if turned in without what is needed, ask the parents to take back the form and try again. Parents to get the form filled out correctly. |
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| 2025-12-09 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: Observed staff file #2 contained an updated health assessment which was dated 25 months after the previous valid health assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Tell staff members 1 year in advance in hopes they can get an appointment closer to the time needing to be seen. Staff #2 has a current valid health assessment at this time. |
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| 2025-12-09 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Observed in the infant room, a loose crib/pack n play sheet in the rest equipment used by an infant. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Ask parent to buy new sheets that will have a tighter fit. |
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| 2025-12-09 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Observed staff file #5 who has been employed for more than 90 days (See LIS code sheet), did not contain documentation of completion of the professional development listed in subsection (f)1-10. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Do not allow that staff member to work until trainings are completed. |
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| 2025-12-09 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Observed staff file #1 contained an updated criminal background clearance which was dated more than 60 months after the previous valid criminal background clearance. Observed staff file #1 contained updated mandated reporter training which was dated more than 60 months after the previous valid training. Observed staff file #3 contained updated criminal background clearance, child abuse clearance, and mandated reporter training which were all dated more than 60 months after the previous valid clearances or training. Observed staff file #4 contained CPSL required mandated reporter training which was dated more than 90 days after staff #4 began in a childcare position (See LIS code sheet). Observed staff file #5 contained the NSOR verification letter which was dated after staff #5 began in a childcare position (See LIS code sheet). Observed staff file #5, who has been employed more than 90 days (See LIS code sheet) did not contain documentation of completing the CPSL required mandated reporter training. Observed staff file #6 did not contain a valid NSOR verification letter and staff has started in a childcare position (See LIS code sheet). Observed staff file #6, who had resided outside of Pennsylvania within the previous 5 years, did not contain a Florida Child Abuse clearance. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -6- may not work in a childcare position at the facility until a valid Florida child abuse clearance is obtained. |
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Provider Response: (Contact the State Licensing Office for more information.) Have staff members complete items needed. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #6 has obtained the required out of state clearance. |
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| 2025-12-09 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Observed an electrical outlet which did not have a protective receptacle cover, on an extension cord next to the refrigerator in the preschool 2 room. Observed in the school age room, in which children age 5 receive care, an electrical outlet which did not have a protective receptacle cover. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Added covers to those electrical outlets in the listed spaces. |
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| 2025-12-09 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Observed disinfecting wipes, accessible to children in the men's rest room. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Put wipes in locked cleaning cabinet. |
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| 2025-12-09 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: Observed in the preschool 1 room, cleaning supplies stored on the same shelf as cereal and other food items. Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. |
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Provider Response: (Contact the State Licensing Office for more information.) Organized shelves for one to hold food items and one to hold cleaning items. |
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| 2025-12-09 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed the cabinet door under the sink in the preschool 1 room, did not close completely creating a pinch point. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Maintenance tighten the screws so that the clasp would keep the door closed. |
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| 2025-12-09 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Observed two times in the previous 12 months (7/25/25-8/29/25 and 9/26/25-10/31/25) the fire alarm testing log revealed that the fire alarms were tested more than 30 days apart. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) I will start to check the fire alarm system, ensuring it gets done every 30 days, not just a day on the calendar. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.102(c) - Outdoor equip.- protective surfacing | Compliant - Finalized |
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Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: 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. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) The church members have a work day that they will be adding more wood chips to the playground area. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: 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. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Put items onto a high shelf and out of the reach of children. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.66(e) - Arts and crafts non-toxic | Compliant - Finalized |
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Regulation: 3270.66(e) Description: Arts and crafts non-toxic Noncompliance Area: Observed shaving cream, labeled "keep out of the reach of children", in the arts and crafts area of the school-age room. Correction Required: Arts and crafts materials shall be nontoxic. |
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Provider Response: (Contact the State Licensing Office for more information.) Sent shaving cream home with staff member that brought it in and reminded them that we can not use it in the classrooms. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Carpet was glued back down. Anchors were hammered back in. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.91(a) - Stairs, exits, etc. unobstructed | Compliant - Finalized |
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Regulation: 3270.91(a) Description: Stairs, exits, etc. unobstructed Noncompliance Area: Observed multiple items in the main hallway which were partially blocking the egress. Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. |
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Provider Response: (Contact the State Licensing Office for more information.) Cleaned up the hallway and put items back where they belonged. |
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| 2025-06-03 | Allocated Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: Observed the most recent documented fire drill was conducted on 1/7/25 which is more than 60 days ago. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) Did a fire drill with the kids and staff. |
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| 2024-12-16 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed large blocks with peeling covers and exposed foam in the gross motor room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Will cover any exposed areas or will dispose of items. |
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| 2024-12-16 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Observed a plastic bag accessible to the older toddlers in a low bin in the hallway by their door. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Will remind staff to keep items in their bags either child safe or out of the reach of kids. |
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| 2024-12-16 | Renewal | 3270.106(f) - 2 feet apart | Compliant - Finalized |
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Regulation: 3270.106(f) Description: 2 feet apart Noncompliance Area: Observed in the infant room, pack n plays which were in use and did not have 2 feet of space on three sides. Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. |
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Provider Response: (Contact the State Licensing Office for more information.) Rearranged room in order to store beds not in use in the corner and pull out the ones needed for the day. |
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| 2024-12-16 | Renewal | 3270.123(b) - Parent receives original | Compliant - Finalized |
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Regulation: 3270.123(b) Description: Parent receives original Noncompliance Area: Observed original agreements in children's file #2 and #3. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Will make a copy and hand the original to the parents. |
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| 2024-12-16 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Talk to the parent to get address added to the form. |
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| 2024-12-16 | Renewal | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: Observed an expired Epi pen in the medication box in the preschool room. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) Gave expired pen back to parent and asked for an updated one. |
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| 2024-12-16 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Observed an infant's pack n play which had a loose sheet which was a hazard which increases the infant's risk of SIDS. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Will inform parents the need for new bedding. |
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| 2024-12-16 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: 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. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Will sign staff up for a first aid and CPR class in order to have what is needed. |
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| 2024-12-16 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: 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. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1, 2, 3, and 6- may not work or volunteer in a childcare position at the facility until all required valid clearances are obtained. |
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Provider Response: (Contact the State Licensing Office for more information.) Will have staff members complete clearances before returning to work. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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| 2024-12-16 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: Observed electrical outlets which did not have protective receptacle covers on an extension cord in the learning academy and in the preschool room. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Added outlet covers onto extension cords. |
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| 2024-12-16 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: 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. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Put all sanitizers out of reach of children. |
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| 2024-12-16 | Renewal | 3270.66(e) - Arts and crafts non-toxic | Compliant - Finalized |
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Regulation: 3270.66(e) Description: Arts and crafts non-toxic Noncompliance Area: 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. Correction Required: Arts and crafts materials shall be nontoxic. |
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Provider Response: (Contact the State Licensing Office for more information.) Throw out non-toxic bingo daubers and keep the ones that are non-toxic. Take all shaving cream out of the classrooms. |
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| 2024-12-16 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: 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. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. |
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Provider Response: (Contact the State Licensing Office for more information.) To inform the church sexton that it can not go over 30 day period for testing. |
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| 2023-12-19 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: 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. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) Added schedules to the rooms needed. |
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| 2023-12-19 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for Child #2 did not contain a Child Service Report Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) Found the report behind other papers in the childs folder. |
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| 2023-12-19 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) To encourage parents to fill out all information or mark N/A. |
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| 2023-12-19 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: 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. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Found the papers in their folders behind older papers. |
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| 2023-12-19 | Renewal | 3270.133(7)(i) - Name of medication | Compliant - Finalized |
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Regulation: 3270.133(7)(i) Description: Name of medication Noncompliance Area: The facility was observed to have a Medication Log for child #3 that did not include the name of the medication to be administered. Correction Required: A medication log shall include the name of the medication. |
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Provider Response: (Contact the State Licensing Office for more information.) Returned medication to the parents to take home. |
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| 2023-12-19 | Renewal | 3270.27(a)(4) - Contact when ended | Compliant - Finalized |
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Regulation: 3270.27(a)(4) Description: Contact when ended Noncompliance Area: 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. Correction Required: The facility shall have an emergency plan that provides for 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Added the information needed to emergency plan: ATTACHMENT 6 ¿ COMMUNICATIONS WITH PARENTS/GUARDIANS Parents and guardians need to be informed of provisions in the Emergency Plan. This letter will provide the information that they need. A copy of this letter is in all children¿s rooms plus the director¿s office. To the Parent (s)/Guardian (s): This letter is to assure you of our concern for the safety and welfare of children attending Trinity Lutheran Child Care and Learning Center. Our Emergency Plan provides for response to all types of emergencies. Depending on the circumstance of the emergency, we will use one of the following protective actions: ¿ Immediate evacuation Students are evacuated to a safe area on the grounds of the facility in the event of a fire, etc. ¿ In-place sheltering Sudden occurrences, weather or hazardous materials related, may dictate that taking cover inside the building is the best immediate response. ¿ Evacuation Total evacuation of the facility may become necessary if there is a danger in the area. In this case, children will be taken to a re-location facility at Maple Ridge Elem. School or Mt. Calvary Lutheran Church. ¿ Modified Operation, May include cancellation/postponement or rescheduling of normal activities. These actions are normally taken in case of a winter storm or building problems (such as utility disruptions) that make it unsafe for children but may be necessary in a variety of situations. ¿ Trinity Lutheran Child Care and Learning Center closes only at the discretion of extreme inclement weather, fire, any emergency, etc. Parents and staff will be notified by the Procare System. This system is set up to provide parents and staff with a text message and an email. ¿ When emergency has ended, the director and/or acting director will inform care givers through Procare System on how to safely pick-up their children. ¿ Continuity of Care; if our building would be destroyed by any disaster it will be up to the discretion of the congregation to when and if we reopen. Again information will be shared through the Procare System with updates. |
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| 2023-12-19 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: 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. Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Updated emergency plan to have all items required. ¿ Special medical, Physical or Behavioral Needs ¿ Accommodations for Infants- in the case of evacuating our building, like during a fire. Infants will be placed into the `evacuation crib¿ and pushed to safety. ¿ Accommodations for toddlers- in the case of evacuating our building, like during a fire. Toddlers will be escorted out of their door by holding onto hands of staff or a rope, to help keep them all moving in the same direction. ¿ Accommodations for infants/toddlers in case of an interior shelter, pack¿n¿plays will be set up in the hallways to keep children in a safe contained area. (ex: high winds/tornados) ¿ The child care facility will maintain a current listing of any children or staff who have condition that may require special accommodations or action to allow that person to take appropriate protective measures during an emergency. (see attachment 18) ¿ A staff member will be assigned responsibility to ensure that those individuals take the appropriate protective measures (evacuate or shelter in place.) ¿ If special needs include mediations or any physical equipment, a staff member will be assigned responsibility to ensure that the medications or equipment accompany the individual with special needs. ¿ If the necessary specialized equipment requires batteries or supplies, those will be stocked and moved as well. ¿ The listing of special needs personnel and medicine/equipment will be provided to local and county EMA along with the annual plan review. |
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| 2023-12-19 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: An Antibacterial Foam cleaner was observed to be accessible to children in the facility's Pre-School II room. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Put foam cleaner back on top of the cabnet, to be out of reach of children. |
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| 2022-12-27 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: 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. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) I will help the parents look up the addresses of their doctors office so they can have all needed information. |
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| 2022-12-27 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: 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. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) When meeting with the families to introduce them to our program, I will go more in depth on how to fill out the forms properly. I meet with each family that enters our program and hopefully once I introduce it to them the first time, we can better have them fill it out in the future. |
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| 2022-12-27 | Renewal | 3270.124(b)(5) - Information re: special needs | Compliant - Finalized |
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Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When meeting with the families to introduce them to our program, I will go more in depth on how to fill out the forms properly. I meet with each family that enters our program and hopefully once I introduce it to them the first time, we can better have them fill it out in the future. |
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| 2022-12-27 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) To rewrite numbers on each line of the emergency contact. All phone numbers are listed above with the contact name - so we will just write the number again on each line. |
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| 2022-12-27 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: 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. Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. |
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Provider Response: (Contact the State Licensing Office for more information.) To understand what is being looked for. Our "MEDICAL EMERGENCY PROCEDURE,' is displayed in every classroom. |
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| 2022-12-27 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The file for child #2 was observed to contain an immunization record from a physician, that lacked verification that an Influenza vaccine was administered. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) To have the parent return to the doctor and have them write a note explaining why he is not getting the vaccines reccomended by the CDC. |
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| 2022-12-27 | Renewal | 3270.133(1)/3270.133(3) - Original container/Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(1)/3270.133(3) Description: Original container/Name on bottle Noncompliance Area: 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. Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. |
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Provider Response: (Contact the State Licensing Office for more information.) Parent provided orignal container to keep that medication here at school. |
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| 2022-12-27 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) To update emergency plan to have continuity of care and send that out in the parent letter. To update the staff handbook with policy regarding prevention of shaken baby syndrome and strategies to help. |
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| 2022-12-27 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: 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. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) I hung more signs above each toilet. |
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| 2021-12-13 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The church maintenance staff will help to keep items together. All items listed were repaired or removed from the childcare spaces. |
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| 2021-12-13 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: 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. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents wrote a letter of exemption, stating that they wish to not have their child vaccinated against the flu. |
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| 2021-12-13 | Renewal | 3270.133(7) - Medication log | Compliant - Finalized |
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Regulation: 3270.133(7) Description: Medication log Noncompliance Area: On 12/13/21 observed the toddler room did not have a medication log for baby tooth oil which was stored at the facility. Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. |
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Provider Response: (Contact the State Licensing Office for more information.) The medicine was returned to the parents. |
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| 2021-12-13 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members turned in needed health assessment paperwork. |
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| 2021-12-13 | Renewal | 3270.166(4) - Bottles labeled | Compliant - Finalized |
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Regulation: 3270.166(4) Description: Bottles labeled Noncompliance Area: On 12/13/21 observed a bottle in the infant room was not labeled with the child's name. Correction Required: Disposable nursers and bottles shall be labeled with the child's name. |
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Provider Response: (Contact the State Licensing Office for more information.) Remind staff to write names on every part of the bottle, lids included. |
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| 2021-12-13 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: 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. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Sent home any large sheets and specifically ask for pack n play sheets. |
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| 2021-12-13 | Renewal | 3270.25(a) - Availability of certificate of compliance and applicable regulations | Compliant - Finalized |
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Regulation: 3270.25(a) Description: Availability of certificate of compliance and applicable regulations Noncompliance Area: 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. Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. |
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Provider Response: (Contact the State Licensing Office for more information.) Added information to the parent bulletin board and parent handbook. |
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| 2021-12-13 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Observed staff file #9, contained 3 clock hours of child care training completed between 12/19/20 and 12/19/21. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Inform staff members that they are now required to have 12 hours of training each year and that their 3 hour classes of first aid and CPR, no longer counts towards that. |
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| 2021-12-13 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: 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. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Require all staff to complete pediatric first aid and pediatric CPR. |
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| 2021-12-13 | Renewal | 3270.31(f)/3270.31(g) - Health and Safety Training/Professional development certificate | Compliant - Finalized |
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Regulation: 3270.31(f)/3270.31(g) Description: Health and Safety Training/Professional development certificate Noncompliance Area: 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. Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will be in charge of completing their training within 90 days or they will not be allowed to continue to work. |
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| 2021-12-13 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: 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. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2, 12, and 14- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -2, 12, and 14- may not work in a child care position at the facility until all valid clearances are obtained. Staff will be in charge of completing training within the first 90 days of employment or they will not be allowed to continue to work. |
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| 2021-12-13 | Renewal | 3270.36(b)(5) - HS/GED + 2 yrs | Compliant - Finalized |
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Regulation: 3270.36(b)(5) Description: HS/GED + 2 yrs Noncompliance Area: On 12/21/21 observed staff file #10 did not contain documentation of a high school diploma or a general educational development certificate. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff provided diploma for her file. |
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| 2021-12-13 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: 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. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) All items listed were made inaccessible to children. Remind staff that all personal items need to be kept out of reach of children. |
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| 2021-12-13 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: On 12/13/21 observed the first aid kit in the learning academy room did not contain tweezers. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Bought new tweezers to add to the bag. |
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| 2021-12-13 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: Observed on 12/13/21 the upstairs boys bathroom did not have a hand washing sign by the urinal. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Added sign to the bathroom. |
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| 2019-12-10 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: Observed a plastic set of drawers on a table, contained multiple small objects with a diameter of less than 1 inch, which were accessible to children in the older toddler room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Set of drawers were moved onto the shelf above the desk, far out of the reach of children. |
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| 2019-12-10 | Renewal | 3270.124(b)(4)/3270.182(5) - Written consent/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Noncompliance Area: Observed the emergency contact information for child #2 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Written consents were signed by the parent of child #2. Check and ensure that parents are signing all lines that we have permission for. |
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| 2019-12-10 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: Observed the emergency contact information for child #1 did not contain the address of the individual designated by the parent to whom the child may be released. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Had parent label all extra people on the back of the form. Will continue to check papers and have parents label any extra items on it. |
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| 2019-12-10 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: Observed child file #1 contained an updated health assessment which did not contain updated written verification of ongoing vaccines administered to the older toddler. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Physician office faxed over the record needed to attach to health assessment. Will ensure that vaccines are attached when health record is turned in. |
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| 2019-12-10 | Renewal | 3270.133(7) - Medication log | Compliant - Finalized |
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Noncompliance Area: Observed the facility did not have an established medication log for infant teething tablets, and for 2 tubes of nyastatin cream. Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. |
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Provider Response: (Contact the State Licensing Office for more information.) Any and all items listed and brought into the program will have a medication log filled out for it. Staff members all informed face to face of this new implementation. |
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| 2019-12-10 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Noncompliance Area: Observed staff file #2 contained an updated health assessment which was obtained more than 24 months after the previous valid health assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 has a current valid health assessment. A list will be kept updated monthly of who needs items, and staff members will be reminded. |
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| 2019-12-10 | Renewal | 3270.31(e) - Annual 6 hrs. training | Compliant - Finalized |
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Noncompliance Area: Observed staff file #1did not contain documentation of an annual minimum of 6 clock hours of child care training. Staff file #1 had documentation of 3 hours. Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Have a message to red cross to get certificates to show staff members additional training hours for CPR. In the future the required annual training will be completed within the anniversary year. |
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| 2019-12-10 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Noncompliance Area: Observed staff file #3, contained an updated child abuse clearance which was dated more than 60 months after the previous valid child abuse clearance. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member already got a new one. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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| 2019-12-10 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Noncompliance Area: Observed electrical outlets which did not have protective receptacle covers on a power cord on a table in the older toddler room. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Placed outlet covers on power cord where they will remain. |
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| 2019-12-10 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Noncompliance Area: Observed cleaning supplies accessible to children in an unlocked cabinet in the school age room. Observed petroleum jelly, tooth paste, and surface sanitizer, which are all labeled keep out of the reach of children, accessible to children in low cubby's in the entrance way. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Got a new lock on the doors and all items in cubby's were returned to parents or placed in locked cabinets. Cleaning materials and toxic items will remain inaccessible to children. |
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| 2019-12-10 | Renewal | 3270.66(e) - Arts and crafts non-toxic | Compliant - Finalized |
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Noncompliance Area: Observed in the preschool craft area, Dab O Inc bingo markers which did not have the non toxic symbol and were labeled keep out of the reach of children. Correction Required: Arts and crafts materials shall be nontoxic. |
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Provider Response: (Contact the State Licensing Office for more information.) Bingo markers were removed. Staff was informed in writing and at staff meeting to check all art items for safety code and or non-toxic words. |
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| 2018-12-11 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: Observed in the toddler outdoor play area, the steps to a slide house were detached from the house. Observed cubbies used by the children, in the upstairs and downstairs hallway, which were not securely anchored to prevent them from falling. Observed in the school age room a refrigerator was unstable where it was placed on top of a microwave. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Steps to slide were fixed. The cubbies will be screwed together to provide more stabilbilty to them. The refrigerator was moved to the floor. Toys and equipment will continue to be monitored by staff. |
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| 2018-12-11 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Noncompliance Area: Observed the infant, young toddler, preschool, and school age rooms did not have a written plan of daily activities shall be posted in the group space. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) Posted each rooms schedule onto the wall, so parents can see the daily activities. Schedules will remain posted. |
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| 2018-12-11 | Renewal | 3270.119 - Infant sleep position | Compliant - Finalized |
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Noncompliance Area: Observed child file #4 did not contain documentation from a physician of the medical reason why the infant was not in the sleeping position recommended by the American Academy of Pediatrics . Childs head was being supported by a medical pillow. Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Parent took pillow home. Written documentation will be obtained as needed in the future. |
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| 2018-12-11 | Renewal | 3270.123(b) - Parent receives original | Compliant - Finalized |
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Noncompliance Area: Observed child file #1 and #2 contained original agreements. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents of child #1 and #2 were given the original agreement. I will continue to ensure that all papers are in the folder needed to start at our program. |
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| 2018-12-11 | Renewal | 3270.124(b)(4)/3270.182(5) - Written consent/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Noncompliance Area: Observed child file #3 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff. Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Had parent sign her name to each line, giving us permission. Signatures will be obtain at admission in the future. |
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| 2018-12-11 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Noncompliance Area: Observed child file #4 did not contain the health insurance coverage and 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Had parent write insurance information upon pick-up of her child. I will continue to check over paperwork to ensure everything is filled out. |
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| 2018-12-11 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Noncompliance Area: Observed the older toddler room did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the child care space. Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Posted emergency transportation procedure into the room where it will remain. |
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| 2018-12-11 | Renewal | 3270.131(e) - ACIP recommended immunization record | Compliant - Finalized |
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Noncompliance Area: Observed child file #4, who has been in attendance for more than 60 days, did not contain documentation that the child was administered immunizations in accordance with 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The doctors office faxed over immunization record. Immunization records will be obtained as required by regulation. |
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| 2018-12-11 | Renewal | 3270.133(1) - Original container | Compliant - Finalized |
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Noncompliance Area: Observed in the infant room, an unlabeled bottle of spray and in the young toddler bathroom, an unlabeled tub of diaper cream which were accepted in containers other than the original container. Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. |
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Provider Response: (Contact the State Licensing Office for more information.) Items sent home with parents, added into our handbook that all items must be in their original containers. |
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| 2018-12-11 | Renewal | 3270.133(7) - Medication log | Compliant - Finalized |
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Noncompliance Area: Observed the facility did not have an established medication logs for saline spray and gas drops which were in the infant room. Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. |
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Provider Response: (Contact the State Licensing Office for more information.) Parents filled out medication log for saline spray and gas drops. Medication logs will be filled out when a medication is accepted by the facility. |
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| 2018-12-11 | Renewal | 3270.151(c)(3) - Exam communicable disease | Compliant - Finalized |
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Noncompliance Area: Observed the health assessment for staff file #2 did not contain documentation of an examination for communicable diseases and the results of that examination. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. |
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Provider Response: (Contact the State Licensing Office for more information.) The doctors office filled out our paperwork needed. I will in the future make sure staff uses our paperwork provided. |
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| 2018-12-11 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Noncompliance Area: Observed staff file #1 and #2 contained criminal background check receipt page and not the required criminal background clearance page with the seal. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 and 2- may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Printed off clearances with seal on it for staff #1 and #2. I will have our seasonal staff members apply for new clearances under DHS before coming back to work. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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| 2018-12-11 | Renewal | 3270.36(b)(5) - HS/GED + 2 yrs | Compliant - Finalized |
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Noncompliance Area: Observed staff file #2 did not contain documentation of 2 years experience with children(2500 hours). Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member will get written documentation from previous employers explaining hours worked. I will continue to check up on hours of staff members who are hired. |
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| 2018-12-11 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Noncompliance Area: Observed the first aid kit in the school age room was in a spot which was accessible to the school age children. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Moved bag onto top rack in the classroom where it will remain. |
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| 2018-12-11 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Noncompliance Area: Observed there was not a posted hand washing sign by the toilet and urinal in the upstairs boys bathroom. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Posted new hand washing signs in the bathroom. Made staff aware to check each night during cleaning to make sure signs are still hanging. |
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| 2017-12-14 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: Observed a staple on the floor under the bulletin board in the older toddler room, which was accessible to children who are still placing objects in their mouths. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Have staff members collect all staples when changing out displays and make sure they throw them into the trash can. Staff members will vacuum daily to ensure any debris is cleaned off the floor. |
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| 2017-12-14 | Renewal | 3270.104(a) - Clean, good repair, proper size | Compliant - Finalized |
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Noncompliance Area: Observed in the older toddler room, several long and narrow shelves which were not securely anchored to prevent them from being able to be pulled over by a child. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) The maintenance worker will cut a long board that can be screwed down the middle of the shelves to make them secure and they will remain secure. |
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| 2017-12-14 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Noncompliance Area: Observed the agreement in children's files #1, #2, #4, and #5 did not include the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Dates of admission were added to children's files #1, #2, #4, and #5. The director will review all paper work that goes into the child's folder to ensure everything is filled out properly. |
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| 2017-12-14 | Renewal | 3270.124(b)(6)/3270.124(b)(7) - Insurance coverage information/Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: Observed child file #3 did not contain the address of the release person or the 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The release person address and health insurance policy number for child #3 will be obtained. The director will review all paper work that goes into the child's folder to ensure it is filled out properly. |
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| 2017-12-14 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Noncompliance Area: Observed the diaper changing area in the older toddler room did not have a plastic-lined, hands-free covered can in which to place the soiled diapers. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) Buy a new hands-free trash can to be used for diapers. Re-train all staff members on proper diapering procedures. The director will continue to monitor and observe staff watching that the proper procedures are being followed. |
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| 2017-12-14 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Noncompliance Area: Observed staff file #3 contained an initial health assessment which was dated more than 60 days after providing initial service in a child care setting. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has a current valid health assessment. Require new staff to have the health assessment completed before being able to start work. Remind current staff when their renewal is needed to ensure they get turned in on time. |
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| 2017-12-14 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Noncompliance Area: Observed staff file #3 did not contain documentation of training in the emergency plan within the first week of initial hire. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Use the state provided sheets to ensure new staff members have all the training necessary before starting to work with children. Initial emergency plan training will be completed and documented within the first week of hire. |
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| 2017-12-14 | Renewal | 3270.31(e) - Annual 6 hrs. training | Compliant - Finalized |
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Noncompliance Area: Observed staff file #1 and #2 did not contain documentation of completion of 6 clock hours of child care training obtained during the previously completed anniversary year. Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and #2 have completed their 6 hours of training. Continue to remind staff when they have items that are due to keep their file updated. Give each staff member opportunities and time to complete personal training. |
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| 2017-12-14 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Noncompliance Area: Observed staff file #3, who had all three valid clearances at the time of initial start in the child care setting, did not have a disclosure statement signed prior to or on the date of initial start in the child care setting. Staff #3 has a disclosure statement in the file which was signed and dated more than 90 days after the date of initial start in the child care setting. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The director will use the state provided checklist to ensure all paperwork is being filled out properly by new staff. |
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| 2017-12-14 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Noncompliance Area: Observed cleaning materials accessible to children in an unlocked cabinet under the sink in the older toddler room. Observed sunscreen labeled keep out of the reach of children, accessible to children in the preschool room in an unlocked cabinet under the sink and accessible to children in the school age room on a low desk and in an outdoor bag which the children could reach. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Moved all cleaning materials and sun screen onto a high shelf out of the reach of children. Store extra toys in the cabinets that are behind the stairs. The director will check to ensure cleaning items are kept out of reach of children. |
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| 2017-12-14 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Noncompliance Area: Observed snacks being stored with the cleaning materials under the sink in the older toddler room. Observed the soap used in the young toddler/infant bathroom was not stored in its original container and the container did not specify the contents. Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. |
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Provider Response: (Contact the State Licensing Office for more information.) We removed the cleaning items to be kept on a high shelf. Staff informed that we are not allowed to store food and cleaning items together. Soap container was labeled with the contents. The director will check to make sure that cleaning items are stored properly. |
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