The Childrens Garden Of St Johns Lutheran Churc

3270.111(c) · Tiered LIS: 1.Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. This portion of the plan shall have an immediate correction date. 2.The legal entity must arrange for the older toddler classroom staff to receive a minimum of two hours of training and 2 hours of TA regarding classroom environment and programming. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when the training and TA will be completed.

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.

Corrected by May 20, 2026

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3270.113(a) · 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. 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 arrange for the older toddler classroom staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when the training and TA will be completed.

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.

Corrected by May 20, 2026

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3270.182(7) · 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.

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

Corrected by Apr 10, 2026

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3270.111(c) · 1. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. This portion of the plan should have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding appropriate daily activities to use with children. Following the training, the legal entity must arrange for at least two technical assistance (TA) sessions in any classroom that requests TA in using appropriate daily activities. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed.

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.

Corrected by Apr 24, 2026

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3270.111(c) · TIRED LIS: 1. A facility person must use daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. This portion of the plan shall have an immediate correction date. 2. The legal entity shall arrange for all facility staff to receive a minimum of two hours of in-person training regarding appropriate naptime practices. The training must include information about safe sleep and appropriate strategies for assisting children who resist nap time. Following the training, the legal entity must arrange for at least two technical assistance (TA) sessions in the young toddler classrooms and any other staff that requests TA in their classrooms. The legal entity must receive DHS approval of the training content and TA prior to scheduling the training. The operator shall provide a date of when this training and TA will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility is promoting daily appropriate activities during naptime (for example a daily naptime staff observation checklist completed by the director). The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the checklist.

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.

Corrected by May 8, 2026

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3270.113(a)(1) · 1. 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. This portion of the plan should have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed.

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.

Corrected by Feb 27, 2026

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3270.151(a)/3270.151(c)(2) · 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.

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.

Corrected by Jan 22, 2026

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3270.95(a)/3270.95(b) · 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.

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

Corrected by Jan 8, 2026

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3270.113(a) · 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.

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.

Corrected by Dec 16, 2025

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3270.113(a)(1) · 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.

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

Corrected by Jan 7, 2026

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3270.182(7) · 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.

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.

Corrected by Dec 17, 2025

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3270.113(a)(1) · 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.

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.

Corrected by Nov 24, 2025

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

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.

Corrected by Nov 19, 2025

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3270.68(a) · Cigarettes, pipes or cigars may not be smoked in a childcare space, a play space or a food preparation area when children are in care or when food is being prepared.

Facility Self- Reported the following incident occurred on 8/15/25: Facility person #1, employed by an outside agency, was observed to have a vape pen in hand and was actively smoking in the childcare facility.

Corrected by Aug 15, 2025

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff persons #1 and #2 were reported to have used loud tones and impatient language with children.

Corrected by Jul 17, 2025

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

On 1/24/25, it was observed that the health assessment for staff person 1 did not include the results of screening for communicable diseases.

Corrected by Feb 4, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On 1/24/25, it was observed that White Out was accessible to children in the PreK 2 and Preschool 2 classrooms. CORRECETED ON SITE.

Corrected by Jan 24, 2025

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3270.66(b) · 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.

On 1/24/25, it was observed that magic erasers were stored without their original container and were not labeled in the Preschool 2 and Tot classrooms. CORRECTED ON SITE.

Corrected by Jan 24, 2025

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3270.123(a)(3) · 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).

On 1/24/25, it was observed that the agreement forms for children 1, 2, 3, 4, 5, 6, 7, 8, and 9 did not include serveices that would be provided to the children.

Corrected by Jan 24, 2025

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 1/24/25, it was observed that the facility emergency plan did not include a plan for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. CORRECTED ON SITE.

Corrected by Jan 24, 2025

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3270.111(c)/3270.113(e) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

On 8-6-2-23 at approximately 2:23 pm child #1 was strapped into his stroller by staff #1 without any developmentally appropriate stimulation or enrichment activities for a period from 2-5 minutes.

Corrected by Aug 7, 2024

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3270.95(a)/3270.95(b) · 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.

Facility self-report on 8-11-23, while performing 30 day testing of the facility's smoke detection system, the lights flashed but the alarm did not sound.

Corrected by Aug 14, 2023

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3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

It was observed at the time of inspection that the emergency contact information specific to child #1 and child #2 on a swimming excursion, did not accompany a staff person on the excursion.

Corrected by Aug 2, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work at the facility.

It was observed at the time of inspection staff #1, hired on 3-21-23, did not have a National Sex Offender Registry Clearance in their file. Staff #1 was working beyond the provisional hire period of 45 days without a National Sex Offender Registry Clearance .

Corrected by Jun 23, 2023

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3270.20(b) · 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.

A child was injured at the facility on 6-2-2023 at 11:15 am. The incident report was delivered at 4:11 pm on 6-5-2023 more than 72 after emergency room treatment.

Corrected by Jun 21, 2023

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed damaged paint to be present near the exterior door in the PK1 room.

Corrected by Jan 26, 2023

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed the mats used in the PS3 room to be in disrepair with the foam interior exposed on multiple mats.

Corrected by Jan 18, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Children's files were reviewed. Children #1 and #2 do not have updated health assessments on file. Correct child #1 and child #2 folders by contacting parents and receiving new health assessments.

Corrected by Jan 26, 2023

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