Friedens Lutheran Church Child Care Center
Quick Facts
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Contact Information
📞 (610) 987-6165Reviews
These people have taken the place as the Child Abuse wing of the democratic party, an uptick of 29 cases and 0 deaths and they have reinstated their own mask "mandates" citing the CDC as the source of the authority to mask our children. However, they left out the part where it was not mandated, and have refused to site any scientific evidence that supported their decisions. Do not put your kids in these child abusers supervision if you actually love your children and want them to be healthy.
Love this place. The people want to be there, they pay attention to and get to know your child. They’re super flexible with food and work to develop your child’s skills while having fun. They do art projects, play outside, practice hygiene and eating skills, and in the summer have water days for the kids. My son loves going, and I have total peace of mind sending him. Can’t recommend this place enough.
I was nervous putting my first child in preschool and worried that he wouldn't be protected. Everything was great the first few months until my child started being bullied. Not just a kid being mean to him. Multiple occasion of this child putting his hands on my child and leaving marks, including drawing blood. Their suggestion to us was to have our child, who was the victim, moved to a different class! Take him away from all his friends and a teacher he adored because he is being bullied? My son became afraid to go to school and hand nightmares concerning this child. We made the decision to move him to a different school do to the school inability to provide a safe environment for my child to learn like their mission statements says!
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About the Provider
Hours of Operation
- Monday6:00 AM - 5:30 PM
- Tuesday6:00 AM - 5:30 PM
- Wednesday6:00 AM - 5:30 PM
- Thursday6:00 AM - 5:30 PM
- Friday6:00 AM - 5:30 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2025-11-06 | Unannounced Monitoring | 3270.151(b) - Conducted by physician, PA or CRNP | Compliant - Finalized |
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Regulation: 3270.151(b) Description: Conducted by physician, PA or CRNP Noncompliance Area: Continued non-compliance: During a renewal inspection on 9/24/25-9/25/25 Facility Person 3's health assessment dated 7/31/2024 was signed, but the signature did not include the individual who complete the form's professional title. The facility's acceptable plan of correction indicated the correction would be implemented by 10/31/2025. On 11/6/2025 an unannounced inspection was conducted. IT was reported that Facility Person 3's health assessment was not updated, nor did Facility Person 3 obtain a new acceptable health assessment. Facility Person 3 was observed to have direct contact with children on 11/6/25. Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Person 3 will obtain an acceptable health assessment. On 11/6/25 Facility Person 3 was immediately sent to the office to wait for transportation to leave the facility and left the facility. Until an acceptable health assessment is received Facility Person 3 will not return to the facility nor will they have direct contact with children/provide care to children. Directors will not let Facility Person 3 into the facility nor will they have direct contact with children/provide care to children until an acceptable health assessment is received. Correction date updated to 11/6/25 per request of provider on 11/6/25. |
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| 2025-09-24 | Renewal | 3270.101(a) - Age appropriate | Non Compliant - Finalized |
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Regulation: 3270.101(a) Description: Age appropriate Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed Rooms 1, 3 and 5 did not have play equipment and materials for school age children children. It was reported these rooms would be used by the school aged children. Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. |
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Provider Response: (Contact the State Licensing Office for more information.) Developmentally appropriate play materials will be purchased to use in classrooms 1, 3, and 5. |
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| 2025-09-24 | Renewal | 3270.107 - Refrigerator | Non Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed the refrigerator in Room A/B registered at 46° F. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) Refrigerator was defrosted and checked to ensure temperature was below 45° F. The fridge has maintained temperature that was at or below 45° F. |
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| 2025-09-24 | Renewal | 3270.111(b) - Posted in group space | Non Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed Rooms 1, 2, 3 , 5, and 6 did not have the daily schedule posted. 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.) A generic facility Schedule will be created and posted in rooms 1, 2.3,5 and 6. |
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| 2025-09-24 | Renewal | 3270.123(a)(2) - Date fee to be paid | Non Compliant - Finalized |
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Regulation: 3270.123(a)(2) Description: Date fee to be paid Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 Children 1 and 9's fee agreements did not specify the date which the fee is to be paid. Correction Required: An agreement shall specify the date on which the fee is to be paid. |
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Provider Response: (Contact the State Licensing Office for more information.) The parent agreements will be updated to reflect the center's payment agreement schedule. Missing information was added to the forms. |
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| 2025-09-24 | Renewal | 3270.124(b)(2)/3270.124(b)(6) - Physician name, address, phone/Insurance coverage information | Non Compliant - Finalized |
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Regulation: 3270.124(b)(2)/3270.124(b)(6) Description: Physician name, address, phone/Insurance coverage information Noncompliance Area: During a renewal inspection 9/24/25-9/25/25 Children 1, 2, 3, 4, 5, 6, 7, 8, & 9 did not have the address of the child's source of medical care listed on their emergency contact form. Child 1 did not have the insurance policy number listed on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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.) The medical care address will be updated on the emergency contact information sheets and the insurance policy number will also be updated. Missing information was added to the forms. |
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| 2025-09-24 | Renewal | 3270.124(b)(3)/3270.124(b)(7) - Parent home/work address, phone/Name/address/phone release person | Non Compliant - Finalized |
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Regulation: 3270.124(b)(3)/3270.124(b)(7) Description: Parent home/work address, phone/Name/address/phone release person Noncompliance Area: During a renewal inspection 9/24/25-9/25/25 Child 5 did not have the parents' work addresses, and Children 1, 3, 5, 6, & 8 did not have their parents' work phone numbers on their respective emergency contact forms. Child 1's emergency contact form did not have the addresses for all of the child's release persons. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 work address and phone number will be updated on the emergency contact forms along with the addresses and phone numbers of all emergency contacts. Missing information was added to the forms. |
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| 2025-09-24 | Renewal | 3270.131(d)(7)/3270.131(d)(8) - Free from contagious/communicable disease/Age appropriate screenings complete | Non Compliant - Finalized |
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Regulation: 3270.131(d)(7)/3270.131(d)(8) Description: Free from contagious/communicable disease/Age appropriate screenings complete Noncompliance Area: During a renewal inspection 9/24/25-9/25/25 Child 8's health assessment dated 9/3/25 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Child 8's health assessment also did not include a statement that age-appropriate developmental screenings were conducted since the child's previous health report. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. 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.) The health report will be completed in entirety by the child's physician. |
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| 2025-09-24 | Renewal | 3270.133(3) - Name on bottle | Non Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed a bottle of Benadryl in Room K that did not have a child's name on it. It was reported that the Bendryal was Child 8's medication. Correction Required: 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.) The bottle was labeled at the time of inspection. |
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| 2025-09-24 | Renewal | 3270.133(5) - Original label | Non Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed the following expired Sunscreens, diaper creams, and medications were present in the noted child care rooms: Sunscreen (exp. date 11/2024) in Room A/B , Butt Paste (exp.date 6/2024) in Room C/D, Child's Epipen (exp. date 7/2025), Sunscreen (exp. date 11/2024) in Room H, and Aquaphor (exp. dates 12/2023 and 7/2025) in Room J. 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.) The items were disposed of upon discovery of each item. |
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| 2025-09-24 | Renewal | 3270.133(6) - Written consent | Non Compliant - Finalized |
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Regulation: 3270.133(6) Description: Written consent Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep reviewed a medication log for Child 9's Tylenol in which it was noted this medication was administered to Child 9 on 6/24/25. The was no parental consent documented on the medication log, with the medication, or in the Child's file for the administration of this medication to this child. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will make sure all medicine logs are signed by the a parent. The medicine was not on the premises - the log was removed and a new log will be filled out appropriately should the medicine be required. |
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| 2025-09-24 | Renewal | 3270.133(7)(iv)/3270.133(7)(vii) - Amount to administer/Staff initials | Non Compliant - Finalized |
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Regulation: 3270.133(7)(iv)/3270.133(7)(vii) Description: Amount to administer/Staff initials Noncompliance Area: During a renewal inspection on 9/24/25 the medication log for Child 10's "Pataday" medication did not list the amount of the medication that was administered or the initials of the staff who administered the medication for the documented administration of the medication on 5/1/25. Correction Required: A medication log shall include the amount of medication administered. A medication log shall include the initials of the staff person who administered the medication. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will ensure they completely fill out the medicine logs. |
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| 2025-09-24 | Renewal | 3270.151(b) - Conducted by physician, PA or CRNP | Non Compliant - Finalized |
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Regulation: 3270.151(b) Description: Conducted by physician, PA or CRNP Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 Facility Person 3's health assessment dated 7/31/2024 was signed, but the signature did not include the individual who complete the form's professional title. Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. |
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Provider Response: (Contact the State Licensing Office for more information.) The physical will be taken to the doctor to complete. Should it be necessary a new physical will be conducted. Should it not be done by 10/31/25 the Facility Person will not return until it is. |
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| 2025-09-24 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 Staff 2's file did not contain acceptable verification that the staff completed at least 8th grade. Staff 2 had a letter from a representative of the educational entity that verified Staff 2's enrollment in a training curriculum described at § 3270.31(c) (relating to age and training) was present, however this did not verify that Staff 2, had completed at least 8th grade. Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. |
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Provider Response: (Contact the State Licensing Office for more information.) A copy of Staff 2's high school transcript will be obtained. |
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| 2025-09-24 | Renewal | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 Staff 1's file had 0 references available for Cert rep review. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) 2 letters of recommendation will be obtained for the staff member's file. |
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| 2025-09-24 | Renewal | 3270.27(e) - Letter to parents | Non Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 the emergency plan letter to the parents did not include the facility lock down procedures and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility lock down procedures and accommodations for infants, toddlers, and children with disabilities and children with chronic medical conditions will be added to the Emergency Plan Letter. |
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| 2025-09-24 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: During a renewal inspection on 9/24/25-9/25/25 Staff 1 did not have fire safety training available to review from 2023 or 2024. Staff 1 completed fire safety training 6/24/25 which is more than 12 months since their previous fire safety training. Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members will have fire safety training with in the first12 months of hire and then annually. Staff 1 has a valid fire safety training dated 6/24/25. |
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| 2025-09-24 | Renewal | 3270.66(a)/3270.75(b) - Locked or inaccessible/Inaccessible to children | Non Compliant - Finalized |
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Regulation: 3270.66(a)/3270.75(b) Description: Locked or inaccessible/Inaccessible to children Noncompliance Area: During a renewal inspection on 9/24/25 Cert rep observed multiple bottles of Dawn dish soap in an open box on the floor and bottle of Mr. Clean on a table in Room 3. These items were labeled keep out of reach of children. Cert rep also observed the First aid kit in room 1 was on an accessible table and the first aid kit in Room 2 was on an accessible shelf. While their were no children present in Rooms 1, 2, and 3, these items and first aid kits were observed to be in areas that would have been accessible to the children that would have been receiving care in those rooms. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Dawn and Mr. Clean will be removed from the classroom and the First Aid Kits will be moved to an inaccessible location. Until the Dawn and Mr. Clean are removed and the first aid kits are moved, children will not have access to these rooms |
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| 2025-05-07 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: Self reported non-compliance investigation on 5/7/25 verified that on 5/1/25 at approximately 5:32PM Child 1 was left alone and unsupervised inside the gated outdoor playground for 6 minutes until Child 1 was found by a parent. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2.The legal entity must update their existing supervision policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision when transitioning to and from the playground. This policy must include the use of name-to-face checks as a means of maintaining proper supervision. This policy must address procedures for staff when there is a discrepancy regarding if all assigned children are present and accounted for. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when this portion of the plan will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. Staff member was placed on suspension on 5/2/25, and later put on a 3 month probation where she can not be alone. Correction date: 5/7/25 Verified 6/26/25 2. The center's supervision policy will be updated to include name to face checks and proper supervision during transitions. The supervision policy will be sent to the Regional office Cert rep for approval. Once the policy is approved by the Regional Office, the policy will be reviewed with all staff. Staff will sign off that the understand and will follow the supervision policy and this sign off will be kept in their files. Correction date 6/20/25 Verified 6/26/25 |
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| 2025-04-28 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2025-01-03 | Incident Investigation | 3270.70(a) - 65º F minimum | Compliant - Finalized |
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Regulation: 3270.70(a) Description: 65º F minimum Noncompliance Area: During an incident inspection on 1/3/25 Staff reported that childcare rooms A-K were not able to maintain an indoor temperature of at least 65° F because a fire has made the boiler inoperable. Cert rep observed these rooms were not able to reach at least 65° F. Correction Required: The indoor temperature shall be at least 65° F. Child Care will not be provided in Rooms A-K until such time as the rooms are able to maintain an indoor temperature of at least 65° F. |
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Provider Response: (Contact the State Licensing Office for more information.) Rooms A-K will not be used to provide Child Care until the heat is fixed and the rooms are able to maintain at least 65° F. Rooms 1, 2, and 3 were added as Child Care space. The Multipurpose room was changed from PlaySpace to Child Care space. |
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| 2025-01-03 | Incident Investigation | 3270.70(a) - 65º F minimum | Compliant - Finalized |
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Regulation: 3270.70(a) Description: 65º F minimum Noncompliance Area: During an incident inspection on 1/3/25 Staff reported that childcare rooms A-K were not able to maintain an indoor temperature of at least 65° F because a fire has made the boiler inoperable. Cert rep observed these rooms were not able to reach at least 65° F. Correction Required: The indoor temperature shall be at least 65° F. |
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Provider Response: (Contact the State Licensing Office for more information.) Operator will complete all required steps as determined by the fire company so the chimney and boiler are operable and safe. These repairs will allow the heat to be used in Rooms A-K so they can reach an indoor temperature of at least 65° F. |
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| 2025-01-03 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2024-10-04 | Renewal | 3270.124(b)(3)/3270.124(b)(6) - Parent home/work address, phone/Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(3)/3270.124(b)(6) Description: Parent home/work address, phone/Insurance coverage information Noncompliance Area: During the inspection on 10/4/24, child #1 through child #8 and child #10's emergency contact form did not include the work address of the enrolling parent. The emergency contact form for child #4 also did not include the health insurance policy number for the child. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.) Emergency contact information will be updated for children #1 through #8 and child #10 to include employer address. Additionally, health insurance policy number for child #4 will be retrieved. |
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| 2024-10-04 | 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: During the inspection on 10/4/24, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the gym. 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.) Director will post the evacuation plan and medical emergency plans in the MPR (gym). |
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| 2024-10-04 | 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: During the inspection on 10/4/24, the operator did not have a policy and procedure in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of 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. To maintain compliance with 45 CFR 98.41(a)(1)(vi), child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment. |
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Provider Response: (Contact the State Licensing Office for more information.) A policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment will be created and placed in the employee handbook. Additionally, all current employees will sign off on new policy. |
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| 2024-10-04 | 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: During the inspection on 10/4/24, the emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. |
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Provider Response: (Contact the State Licensing Office for more information.) FLCCC will create and add the plan for continuity of operations during and after an emergency to their emergency plan. |
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| 2024-10-04 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: During the inspection on 10/4/24, volunteer #4, #15, #22, #23, #24, #25, #27, #29, #30, #31, #35 from Berks CTC did not have a TB screening conducted within 12 months of initial service in the facility. This is evidenced by the TB screening on file dated 8/22/22, 8/29/22, 8/26/22, 7/31/23, 7/16/21, 8/1/22, 8/5/23, 10/12/22, 6/1/23, 8/15/22 and 8/18/22, respectively. (see LIS code sheet for date of volunteering). Volunteer #4, #15, #23, #27, #30 did not have a health assessment conducted within 12 months of initial service in the facility. This is evidenced by the health assessment on file dated 8/19/22, 8/30/22, 7/24/23, 8/3/23, 5/30/23, 8/15/22 and 8/11/22, respectively (see LIS code sheet for date of volunteering). 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) All BCTC students who have a physical or Tb test dated more than 12 months prior to initial volunteering must complete a new physical or TB test respectively by the date provided or they will not be able to return until it is received. |
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| 2024-10-04 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During the inspection, volunteer #32 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Volunteer #32 will provide a second letter of reference to continue volunteering. |
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| 2024-10-04 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During the inspection, volunteers #21, #24, #25, #28, #31, #32, #34 were not trained in the emergency plan when it was updated in September 2024. 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.) The emergency plan will be reviewed with volunteers #21, #24, #25, #28, #31, #32, #34 on October 21, 2024. |
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| 2024-10-04 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During the inspection, volunteer #4, volunteer #22 through volunteer #36 from Berks CTC did not have a signed disclosure statement at time of volunteering. This is evidenced by the disclosure statements on file dated 8/17/22, 8/29/22, 7/23/23, 8/31/21, 8/20/22, 7/16/23, 7/12/23, 6/15/23, 2/27/24, 8/23/23, 8/22/22, 6/28/23, 7/29/22, 8/22/22, 8/19/22 and 8/23/23, respectively. (see LIS code sheet for date of volunteering). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. |
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Provider Response: (Contact the State Licensing Office for more information.) Volunteer #4, volunteer #22 through volunteer #36 from Berks CTC will be given 30 days to complete a new disclosure statement signed by themselves and their parents. Any individual who does not complete their disclosure statement by that time may not return until one is received. |
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| 2024-10-04 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: During the inspection, staff person #1, staff person #6, staff person #9, staff person #14 and staff person #17 did not have a written evaluation on file every 12 months. This is evidenced by the current evaluations on file dated 6/13/24, 6/12/24, 6/17/24, 6/12/24, 6/12/24, respectively. The previous evaluations are dated 4/28/23, 4/24/23, 9/17/22, 4/19/23, 4/25/23, respectively. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will include staff evaluation dates in their staff annual due date spreadsheet to ensure compliance is met. |
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| 2024-10-04 | Renewal | 3270.81 - Glass | Compliant - Finalized |
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Regulation: 3270.81 Description: Glass Noncompliance Area: During the inspection on 10/4/24, there was no visual strip or other visual identification on the glass in the older toddler room. Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space. |
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Provider Response: (Contact the State Licensing Office for more information.) Reflective tape will be placed on the older toddler classroom door. |
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| 2024-10-04 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2024-06-07 | Complaints- Legal Location | 20.71(b)(5) - Perpetrator in an indicated or founded report of child abuse | Compliant - Finalized |
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Regulation: 20.71(b)(5) Description: Perpetrator in an indicated or founded report of child abuse Noncompliance Area: Staff person #1 has been named as a perpetrator in a founded/indicated report of child abuse. Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member was immediately dismissed from the facility and formal termination procedures were implemented. Staff was formally terminated at 12:15pm 6/5/24. |
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| 2024-06-07 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member was immediately dismissed from the facility and formal termination procedures were implemented. Staff was formally terminated at 12:15pm 6/5/24. |
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| 2024-06-07 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must develop a written supervision policy and procedure to be implemented in the facility. The written policy must address all subsections of 3270.113. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files. |
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Provider Response: (Contact the State Licensing Office for more information.) Friedens Lutheran Child Care has a supervision and guidelines for disciplining children policy. All staff sign off after reviewing this policy. FLCCC will continue to review this policy. |
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| 2024-06-07 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye. Staff #1 reported on the incident report that the child slipped out of her hands causing him to fall. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) FLCCC has an accident, injury, incident and illness form that is completed by the staff, signed by a director, and signed by the parent. The parent receives the original, a copy is kept at the facility and another copy goes into the child's file. |
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| 2024-06-07 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: On 6/4/24 staff #1 was sitting on the floor. Child #1 approached staff #1 several times and staff #1 redirected child away. The third time the child approached, staff #1 lifted the child up, aggressively placed him on the other side of her and pushed him from behind causing the child to fall and hit his face on a table resulting in a swollen and black eye. Staff #1 reported on the incident report that the child slipped out of her hands causing him to fall. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. The legal entity must develop a written policy and procedure regarding the writing, reviewing, and filing/distribution of accident/injury reports to be implemented in the facility. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files. |
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Provider Response: (Contact the State Licensing Office for more information.) A policy will be written sharing the procedure and expectation of writing, reviewing, filing/distribution of accident, incident, injury and illness. |
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| 2024-02-22 | Unannounced Monitoring | 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: Staff #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 3/21/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff person #1, staff person #1 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.) Staff member was already registered to complete Pediatric CPR/First Aid on 2/27/2024. |
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| 2024-02-22 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: On 2/22/2024, Staff #2 was observed working at the facility. Staff #2 did not have a current DHS FBI clearance on file and also did not have verification of being fingerprinted for the DHS FBI clearance prior to beginning employment. See LIS code sheet. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a childcare position at the facility until the completed DHS FBI clearance is on file. |
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Provider Response: (Contact the State Licensing Office for more information.) Employee will not work until her FBI clearance has been completed and the certificate is on file. Employee's last day was 2/22/24 and has yet to return. |
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| 2023-09-19 | Renewal | Renewal | Compliant - Finalized |
| 2023-03-15 | Complaints- Legal Location | 3270.20(a)(1)/3270.20(b) - Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours | Compliant - Finalized |
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Regulation: 3270.20(a)(1)/3270.20(b) Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours Noncompliance Area: An unannounced inspection was conducted on 3/15/2023. It was discovered that Child #1 received emergency room treatment on 11/28/2022 after having an allergic reaction to peanut butter while in care at the facility. The Northeast regional office had not been notified of this incident. Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. |
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Provider Response: (Contact the State Licensing Office for more information.) In the future, FLCCC's directors will notify the appropriate regional office within 24 hours of the child's hospitalization or emergency room treatment and then provide a written report within 72 hours after hospitalization of a child, emergency room treatment, death, or a facility fire requiring a fire department. |
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| 2022-09-22 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: Staff #2, #3, #4, #5 and #6 have not completed fire safety training within the previous 12 months. See LIS code sheet. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. |
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Provider Response: (Contact the State Licensing Office for more information.) We have fire safety training scheduled for all staff on October 15th. This was later rescheduled to October 22nd. |
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| 2022-09-22 | 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: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #1 will have until 10/7/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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.) This was already corrected at the time of the inspection. |
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| 2022-09-22 | 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: Staff #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #1 will have until 10/7/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 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.) Training in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) for Staff #1 and all other staff that are coming due is scheduled for 9/28/2022. |
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| 2022-09-22 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 10/7/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 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.) This was already corrected at the time of the inspection. |
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| 2022-09-22 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: On 9/22/2022, peeling paint was observed on the seats of the seesaw on the playground. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The peeling paint on the seesaw seats will either be sanded and repainted or the seesaws will be removed from the property. |
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| 2021-09-28 | 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: Renewal Inspection was conducted on 9/28/2021. A plastic storage shelf on the infant/toddler playground had cracks on both sides of the bottom area. This left sharp edges exposed. 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 plastic storage shelf was removed from the infant/toddler playground. |
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If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.
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