St Josephs Hill Lutheran Church Day Care Cente

3270.36(b)/3270.192(2)(iv) Assistant Group Supervisor qualifications/Transcript, diploma and letters

“During a renewal inspection on 9/9/26-9/10/26 Staff Person 2 had a high school diploma on file. It was reported in other documentation in the file that Staff Person # 2 had a Bachelor of Arts in Education, however there was not acceptable verification of this available in the file. Additionally it was reported in Staff Person 2's file that Staff Person 2 had previous Child Care experience, however this was self reported by the staff, and not verified by a a representative of the experiential, educational or training entity. Staff Person 2 has been working as an AGS.”

Correction date in the state record: Sep 10, 2026

3270.181(c)/3270.181(d) Emergency info/agreement updated 6 mos/Dated signature affixed

“During a renewal inspection on 9/9/26-9/10/26 Child 2's most recent parent review of emergency contact information and fee agreement was dated 1/19/26, which is more than 6 months ago. Child 5's most recent emergency contact information did not have a parent signature following the review, or a date the review was completed so it's unknown if this was more than 6 months ago.”

Correction date in the state record: Sep 25, 2026

3270.135(b) Surfaces cleaned

“During a renewal inspection on 9/10/26 Cert rep observed tears in the edges of the diaper changing mat in the Tykes Room (Room 2). These tears prevent proper sanitation as the interior foam is exposed.”

Correction date in the state record: Sep 10, 2026

3270.133(3)/3270.133(5) Name on bottle/Original label

“During a renewal inspection on 9/10/26 Cert rep observed Honest brand diaper rash cream exp date 2/2022, and Butt Paste exp date 12/2025 in the 2's Room(Room 4). Additionally Cert rep observed a child's Children's Motrin which was not labeled with the child's name in the 2's Room(Room 4).”

Correction date in the state record: Sep 10, 2026

3270.123(a)(1)/3270.123(a)(6) Amount of fee/Admission date

“During a renewal inspection 9/9/26-9/10/26 Child 2's fee agreement did not have the fee amount. Additionally Children 4, 5, 6, 7, & 9's fee agreements did not list the children's date of admission.”

Correction date in the state record: Sep 25, 2026

3270.124(b)(2)/3270.124(b)(3) Physician name, address, phone/Parent home/work address, phone

“During a renewal inspection 9/9/26-9/10/26 the following information was not included on the respective children's emergency contact forms: Child 2: name, address and telephone number of the child's physician or source of medical care & parent's work address and work phone number Child 4: address of the child's physician or source of medical care & parent's work phone number Child 6: parent's work phone number Child 8: parent's work phone number”

Correction date in the state record: Sep 25, 2026

3270.124(a)/3270.124(b)(7) Each child emergency contact person/Name/address/phone release person

“During a renewal inspection 9/9/26-9/10/26 Child 3's emergency contact did not have Emergency contact persons names, and Children 3 & 6's emergency contact did not have phone numbers or contact information for any emergency contacts. Child 3's emergency contact form did not have release person names, addresses, and phone numbers, and Child 6's emergency contact form did not have release person phone numbers.”

Correction date in the state record: Sep 25, 2026

3270.123(a)(5) Designated release persons

“During a renewal inspection 9/9/26-9/10/26 Children 1, 3 & 5's fee agreement did not have the release persons listed.”

Correction date in the state record: Sep 25, 2026

3270.123(a)(3) Services proceeded

“During a renewal inspection 9/9/26-9/10/26 Child 2 did not have a DHS approved assessment of the child's grow and development, or Child Service Report. Child 2 has been enrolled for more than 6 months. See LIS code sheet for Date of admission.”

Correction date in the state record: Sep 16, 2026

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“During a renewal inspection on 9/9/26-9/10/26 it was noted that the emergency plan did not address the roles and responsibilities of the facility volunteers. It was reported by the operator that the facility does have volunteers currently.”

Correction date in the state record: Sep 9, 2026

3270.27(d) Plan posted

“During a renewal inspection on 9/9/26 Cert Rep observed the facility emergency plan was not posted in a conspicuous location at the facility.”

Correction date in the state record: Sep 9, 2026

3270.31(f) Health and Safety Training

“During a renewal inspection on 9/9/26-9/10/26 Staff person 1 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. This is evidenced by Pediatric First Aid and CPR training certificate dated 1/20/26. Staff Person 1 was reported to work as staff between their 90th day of hire, and 1/20/26.”

Correction date in the state record: Sep 9, 2026

3270.75(b) Inaccessible to children

“During a renewal inspection on 9/10/26 Cert rep observed the first aid kit in the Tyke's Room (room 2) was on an accessible shelf.”

Correction date in the state record: Sep 10, 2026

3270.107 Refrigerator

“During a renewal inspection on 9/10/26 Cert rep observed the refrigerator in the 3's room (Room 5) did not have a thermometer.”

Correction date in the state record: Sep 10, 2026

3270.121(b) Given parents in writing

“During a renewal inspection on 9/9/26-9/10/26 it was reported that the daily schedule was not being provided to parents in writing at the time of enrollment.”

Correction date in the state record: Sep 10, 2026

3270.131(b)(1) Infant: updated health report every 6 months

“During a renewal inspection on 9/9/26-9/10/26 Infant Child 2's most recent health report was dated 2/18/26, which is more than 6 month ago. See LIS code sheet for date of birth.”

Correction date in the state record: Sep 10, 2026

3270.123(a)(5)/3270.123(a)(6) Designated release persons/Admission date

“During a renewal inspection on 9/17/25 Child 6 did not have the release persons on their fee agreement. Children 3, 4, 5, 7, 8, and 10's fee agreements did not list their date of admission.”

Correction date in the state record: Sep 17, 2025

3270.27(c) Training regarding plan

“During a renewal inspection on 9/11/25 Staff 9 had emergency plan trainings dated 6/10/24 and 7/18/25, which is more than 12 months between trainings.”

Correction date in the state record: Sep 11, 2025

3270.151(a) 12 months prior to service and every 24 months thereafter

“During a renewal inspection on 9/11/25 it was noted the following staff had more than 24 months between their health assessments. Staff 2 (2/7/23 & 3/17/25), Staff 3 (3/23/23 & 5/8/25), Staff 4 (3/6/23 & 4/21/25), Staff 8 (7/22/22 & 8/23/24), Staff 10 (2/3/23 and 3/24/25), and Staff 15 (6/8/22 & 8/22/25). Staff 15 was on leave from 8/23/24-6/2/25 and returned to providing care 6/9/25. It was reported Staff 2, 3, 4, 8, and 10 worked in a childcare role between the date when their previous health assessment expired and when the new health assessment was obtained.”

Correction date in the state record: Sep 11, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“During a renewal inspection on 9/11/25 Facility Person 16 had FBI clearance dated 11/17/24 and NSOR clearance dated 2/11/25, which are after the volunteer's first day with children. Volunteer 16 had FBI request date 11/15/24(after first day with children), and NSOR request dated 10/16/24(before first day with children), however Facility Person 16 was working as a volunteer and was not able to be provisionally hired. (See LIS code sheet for first day with children).”

Correction date in the state record: Sep 11, 2025

3270.34(a)(6) Staff evaluations

“During a renewal inspection on 9/11/25 Cert rep noted the following staff had more than 12 months between their staff evaluations: Staff 1(9/1/23 & 9/1/25), Staff 5 (11/28/23 & 8/29/25), Staff 7 (9/3/23 & 9/3/25), Staff 11 (11/20/23 & 8/7/25), Staff 12 (12/7/23 & 8/28/25), and Staff 15 (5/13/24 & 9/5/25).”

Correction date in the state record: Sep 11, 2025

3270.74/3270.111(b) Emergency Numbers Posted/Posted in group space

“During a renewal inspection on 9/11/25 Cert rep observed the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in Room 1. Cert rep observed the daily schedule was not posted in Rooms 1 and 6.”

Correction date in the state record: Sep 17, 2025

3270.31(a) Age and Training

“During a renewal inspection on 9/11/25 it was noted Facility Person 17 is a volunteer and was 15 years old at date of hire. See LIS code sheet for Date of hire and date of birth.”

Correction date in the state record: Sep 11, 2025

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“During a renewal inspection on 9/17/25 it was noted that the most recent health report for Child 8, an older toddler, was dated 4/23/24, which is more than 12 months ago.”

Correction date in the state record: Sep 26, 2025

3270.181(c) Emergency info/agreement updated 6 mos

“During a renewal inspection on 9/17/25 it was noted Child 2's emergency contact form and fee agreement were most recent reviewed by the child's parent on 2/11/25, which is more than 6 months ago.”

Correction date in the state record: Sep 19, 2025

3270.124(e)/3270.175(c) Written emergency plan posted/Manufacturer's instructions used

“During a renewal inspection on 9/11/25-9/17/25 Cert rep observed Rooms 1 and 6 did not have the facility emergency medical transportation plan posted. Cert rep observed the Ford Transit 350 did not have the emergency medical transportation plan present. It was reported staff would not have been taking the emergency medical transportation plan with them when using the Ford Transit 350 to transport children to and from school. Cert rep observed the Ford Transit 350 did not have the manufacture instructions present for the child booster seats that were used in this vehicle.”

Correction date in the state record: Sep 17, 2025

3270.31(f) Health and Safety Training

“During a renewal inspection on 9/11/25 the following staff did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff 6 (Pediatric first aid and CPR), and Staff 14 (PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2). Staff 6 completed Pediatric first aid and CPR on 1/8/25, and Staff 14 completed PA Required Health and Safety for Centers-Group Child Care Part 1 on 4/22/25 and Part 2 on 6/1/25.”

Correction date in the state record: Sep 11, 2025

3270.103 Small Toys and Objects

“During an unannounced inspection on 4/30/25 Cert rep observed Plastic bags and gloves on the changing table in the infant room. Children in this room may still be putting things in their mouths. These items would be accessible while the children are being changed.”

Correction date in the state record: Apr 30, 2025

3270.31(f) Health and Safety Training

“During unannounced inspection on 4/30/25 Staff person 1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety training. This is evidence by PA Required Health and Safety training dated 10/2/24”

Correction date in the state record: Apr 30, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“During an unannounced inspection on 4/30/25 Cert rep noted 3 incidents of more than 30 days between fire detection testing: 10/9/24-12/9/24, 12/9/24-2/7/24, and 3/5/25-4/30/25.”

Correction date in the state record: Apr 30, 2025

3270.66(a) Locked or inaccessible

“During an unannounced inspection on 4/30/25 Cert rep observed Desitin and butt paste in an unlocked accessible cabinet under the changing table in the infant room and Start Right water conditioner and Sludge destroyer in an unlocked cabinet under the sink in the big room. These items are labeled "keep out of reach of children."”

Correction date in the state record: Apr 30, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Staff person #1 has a volunteer state police clearance dated 8/23/23, and a volunteer child abuse clearance dated 8/29/23.”

Correction date in the state record: Sep 26, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility does not have a policy to address continuity of operations.”

Correction date in the state record: Oct 1, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“On 9/5/2023, the review of staff files showed that the FBI clearance for Staff #1 was not requested until 8/25/2023. The child abuse clearance on file was for Staff #1 was dated 8/29/2023. The completed National Sex Offender Registry (NSOR) clearance on file for Staff #2 was dated 8/23/2023. See LIS code sheet.”

Correction date in the state record: Aug 29, 2023

3270.32(a) Comply with CPSL

“Staff person #2 and #3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).”

Correction date in the state record: Sep 21, 2022

3270.95(a) Devices must be compliant

“The fire detection log at the facility is currently up to date. However, the log shows that the system has not been getting tested at least once every 30 days during the previous 12 months.”

Correction date in the state record: Sep 21, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Staff #1 had all required clearances on file except the National Sex Offender Registry (NSOR) at the time of hire. The NSOR was requested prior. However, the completed NSOR clearance still had not been received as of 9/21/2022. Staff #1 is well beyond the 45 day provisional hire period. See LIS code sheet.”

Correction date in the state record: Sep 21, 2022

3270.31(f) Health and Safety Training

“Staff person #2 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 date in the state record: Sep 21, 2022