Christ Luthern Church

3270.14/3270.21 · 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. Amend the facility emergency plan to include this information. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not include a statement about the continuity of operations emergency preparedness and response planning as outlined in 45 CFR § 98.41(a)(1)(vii), including the Robert T. Stafford Disaster Relief and Emergency Assistance Act.

Corrected by Apr 5, 2025

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3270.27(c) · 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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

One facility person's record did not include written verification that the emergency plan training was completed at the time of initial employment.

Corrected by Apr 5, 2025

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3270.34(b)/3270.34(b)(3) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

The facility director's record did not contain written verification of education and experience for their director position. (#1)

Corrected by Apr 5, 2025

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3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Reallocate and/or designate available space so that the facility has either indoor or outdoor play space as required in these regulations.

The facility lacked indoor or outdoor play space as required.

Corrected by Apr 5, 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. Amend the facility emergency plan to include accommodations children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for accommodations for children with disabilities, and children with chronic medical conditions.

Corrected by Apr 5, 2025

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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. Provider must install a fire detection system in accordance with Act 62.

It was observed that the facility lacked a fire detection system in accordance with Act 62.

Corrected by Apr 5, 2025

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