The Childrens Garden of St Johns Lutheran Churc

3270.181(c) Emergency info/agreement updated 6 mos

“The files of children #1, #2, #3, #4, #5, #6, #7, #8, and #9 did not contain evidence of the agreement forms being reviewed and updated every 6 months.”

Correction date in the state record: Jul 2, 2026

3270.34(a)(6) Staff evaluations

“The files of staff person #1, #5, #6, #7and #10 did not contain evidence of annual written evaluations.”

Correction date in the state record: Jul 2, 2026

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

“At the time of the inspection, it was observed that the file of staff person #1 did not contain a complete state police clearance and their child abuse clearance, DHS FBI clearance, and NSOR were obtained after they started working with children. At the time of the inspection, it was observed that the file of staff person #4 did not contain a signed disclosure statement or an NSOR clearance. At the time of the inspection, it was observed that the file of staff person #8 had a receipt for their DHS FBI clearance on file, but the clearance had not been returned, and they were outside of their 45-day provisional hire date. At the time of the inspection, it was observed that staff person #9 obtained their DHS FBI clearance and NSOR certificate after they began working with children.”

Correction date in the state record: Jul 2, 2026

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The file of staff person #7 did not contain evidence of fire safety training.”

Correction date in the state record: Jul 2, 2026

3270.31(e)(4)(i) Age and Training

“The file for staff person #1 did not contain evidence that they renewed their pediatric first aid and CPR training before the expiration of the most current one on file, 1/4/23.”

3270.27(c) Training regarding plan

“The files of staff persons #5, #7, and #10 did not contain evidence of annual emergency plan training and are outside of their 90-day provisional hire period.”

Correction date in the state record: Jul 2, 2026

3270.14/3270.31(f) Pertinent Laws & Regulations/Health and Safety Training

“The files for staff persons #1#3, #4, #6, and #10 did not contain evidence of completing health and safety training and were outside of their 90- day provisional hire period.”

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

“The emergency plan did not address continuity of operations. (Corrected on site.)”

Correction date in the state record: Jul 2, 2026

3270.104(a) Clean, good repair, proper size

“The play couch in the YT classroom had peeling fabric on the corners of the arms.”

3270.76 Building Surfaces

“It was observed that in the bathroom across from PK-2 the step stools had an excessive build-up of dirt. There were also stained ceiling tiles near the sinks. It was observed that in the bathroom labeled 'Men' near the entrance of the building the step stools had an excessive build-up of dirt. It was observed that in the bathroom labeled 'Women' near the entrance of the building, the toilet seats in stalls 1, 2, 3, and 4 had stains and were peeling. It was observed that the air vents in PS- 3 had an excessive build-up of dirt. It was observed that the return vents in YT (on the right in infant room), PS-2, and both OT classrooms had an excessive build-up of dirt on them. It was observed that the ceiling lights in YT (on the right in infant room), PS-2, had an excessive build-up of dirt on them.”

3270.106(j) Prohibit items in crib

“It was observed in the infant room that a sound machine was hanging on the side of a crib.”

Correction date in the state record: Jul 2, 2026

3270.123(a)(3) Services proceeded

“The files of children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 did not contain evidence of child service reports being completed every 6-months.”

Correction date in the state record: Jul 2, 2026

3270.131(e)/3270.182(1) ACIP recommended immunization record /Initial and subsequent health reports

“The file for child #1 did not contain evidence of an initial health assessment, nor written verification of immunizations within 60 days of enrollment.”

Correction date in the state record: Jul 2, 2026

3270.192(2)(iv) Transcript, diploma and letters

“The files for staff persons #1, #8, and #10 did not contain evidence of education at the time of the inspection. The files for staff persons #1, #3, #5, #8 and #10 did not contain evidence of experience at the time of the inspection”

Correction date in the state record: Jul 2, 2026

3270.192(3) Health assessment, TB test

“It was observed that the file of staff person #1 did not have evidence of obtaining a health assessment every 24 months. The last one on file was dated 6/16/23. It was observed that the file of staff person #10 did not have evidence of obtaining a health assessment every 24 months. (5/24/2206/15/26)”

Correction date in the state record: Jul 2, 2026

3270.192(5) Two written references

“The files of staff persons #1, #2, #9 did not contain evidence of two written, nonfamily references, they had one. The files of staff persons #3and #4 did not contain evidence of two written, nonfamily references.”

Correction date in the state record: Jul 2, 2026

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“It was observed that the file for staff person #9 did not contain evidence of completing their pediatric first aid and CPR certification and were outside of their 90-day provisional hire period.”

Correction date in the state record: Jul 2, 2026

3270.151(c)(2) Mantoux TB

“It was observed that the files for staff persons #1 and #6 did not contain evidence of a TB test at initial employment.”

3270.111(c) Promote development

“It was observed that in the older toddler classroom that the physical environment and daily activities provided by staff persons #1 and #2 do not promote the development of skills, social competence and self-esteem.”

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“It was observed that two incidents occurred with child #1 where incident reports were either not written or was not given to the parent.”

3270.113(a) Supervised at all times

“in the older toddler classroom child #1 was able to push over a bookshelf and bite peers while being supervised by staff persons #1 and #2.”

3270.111(c) Promote development

“It was observed that in the older toddler classroom that the physical environment and daily activities provided by staff persons #1 and #2 do not promote the development of skills, social competence and self-esteem.”

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“It was observed that two incidents occurred with child #1 where incident reports were either not written or was not given to the parent.”

3270.113(a) Supervised at all times

“in the older toddler classroom child #1 was able to push over a bookshelf and bite peers while being supervised by staff persons #1 and #2.”

3270.111(c) Promote development

“Staff #1 stated they carried Child #1 to the office while the child flailed, kicked, and would not walk. Staff #1 held the child on their lap and restrained the child's movement for a minimum of 10 minutes. During this timeframe, Staff #1 stated the child was yelling and kicking.”

Correction date in the state record: Apr 24, 2026

3270.111(c) Promote development

“Self- report investigation revealed that during naptime in the young toddler classroom, staff #1 was observed patting child #1 in an aggressive manner and laying their arm across them to keep child #1 on their cot. Child #1 was also observed to have their head covered by a blanket.”

Correction date in the state record: May 8, 2026

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

“Documentation shows that the fire detection system was not tested every 30 days. 12/3/25 and 1/7/26 (35 days)”

Correction date in the state record: Jan 8, 2026

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“Staff persons #1, #2, and #3 were observed working with children and did not have a current health assessment on file nor did they have a TB test at initial employment on file.”

Correction date in the state record: Jan 22, 2026

3270.113(a)(1) Staff assigned to specific children

“Child #1 in PK-1 was left in the bathroom for approximately 2-5 minutes by staff persons #1 and #2 when the class went back to the classroom. Child #1 was discovered by another teacher when their class was in the bathroom. Child #1 was never alone in the bathroom.”

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

“Documentation shows that the fire detection system was not tested every 30 days. 12/3/25 and 1/7/26 (35 days)”

Correction date in the state record: Jan 8, 2026

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“Staff persons #1, #2, and #3 were observed working with children and did not have a current health assessment on file nor did they have a TB test at initial employment on file.”

Correction date in the state record: Jan 22, 2026

3270.113(a)(1) Staff assigned to specific children

“Child #1 in PK-1 was left in the bathroom for approximately 2-5 minutes by staff persons #1 and #2 when the class went back to the classroom. Child #1 was discovered by another teacher when their class was in the bathroom. Child #1 was never alone in the bathroom.”

3270.113(a)(1) Staff assigned to specific children

“In the PK-2 classroom staff member #1 was unable to name the children in their primary care group.”

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“Child #1 had scratch marks and red marks on their cheek, and an incident report was not written nor given to the parents the day of the incident.”

3270.113(a) Supervised at all times

“An altercation took place between child #1 and child #2 in the PK-2 classroom. Staff persons #1 and #2 were unable to give an amount of time that the altercation took place or the amount of time it took for them to notice the altercation.”

3270.113(a)(1) Staff assigned to specific children

“It was observed that in the OT classroom staff persons 1 and 2 named 12 of 17 children. It was observed that in the PK-2 classroom, staff person #3 was unable to name the children in care during nap time. It was observed that in the PS-1 classroom there were 14 children and staff persons 4 and 5 named 13 children. It was observed that in the PK-1 classroom, staff person #6 was working alone during nap time, but only named the children in their care group not all the children in the classroom.”

Correction date in the state record: Nov 24, 2025

3270.51 Similar Age Level

“On 11/18/25, the kindergarten classroom with 22 five-year-olds and the PK-2 classroom with 16 four and five-year-olds were out of ratio for 25 to 30 minutes as one staff person was left supervising the children in each of the aforementioned classrooms.”

Correction date in the state record: Nov 19, 2025