Shepherd of the Hills Lutheran

Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.

One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.

A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.

When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.

There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.

Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.

When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.

Proof of one of the vehicles purchases was not available for review.

Six of the ten staff files were reviewed did not have current CPR/First aid certification.

It was determined through an investigation that caregivers were using food items as a reward for good behavior.

It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.

Outlets in Pre-K rooms were observed to be uncovered.

A television was observed to be sat on top of crate on a shelf and was not anchored.

Two of the ten staff files did not include the employment affidavit.

The ten files reviewed did not include the date of admission.

One file did not include current immunization records.

The ten files reviewed did not include necessary information for the listed emergency contact.

Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.

The operational polcies/Parent handbook did not include the emergency prepardness plan.

Seven of the ten staff files did not include employment begin dates.

Ten of the children's files did not include emerceny care authorization.

The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.

Children who are toilet learning, were sent home in soiled diapers.

In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.

Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.

Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.

A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.

After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.

Two children were reported to be sent home in soiled clothing after having a toileting accident.

Caregivers have been using yelling as a form of discipline.

After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.

After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.

After interviews, three individuals confirmed caregivers using personal devices while caring for children.

After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.

A caregiver was heard yelling at children.

A caregiver used corporal punishment with a child.

There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.

There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.

There was not an electronic child safety alarm that was installed in the bus used to transport children.

There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.

There was a thermometer that was missing from the first aid kit located on the bus used to transport children.

No documentation on file that smoke or carbon monoxide detectors are being tested monthly.

A caregiver's purse was open and placed on the diaper changing station. This was corrected when caregiver removed the purse. The electric cord of a portable fan was plugged in and accessible to children in the classroom. This was corrected when all portable fans were removed from classrooms.

One infant is missing feeding instructions.

A caregiver without a cleared background check had access to children.

During naptime, two classrooms were too dark to allow adequate supervision of children. This was corrected at inspection when caregivers uncovered windows to allow enough lighting to see children in the room.

Three infants do not have updated feeding instructions on file.

Loose fill in each playground used by children measured less than 6 inches in depth. Loose fill measured 1-3 inches around landing zones.

The sheet in a play yard used by infants was too large for the matress. This was corrected at inspection when the sheet was removed and fitted sheet was used instead.

The following records were missing from files: -Two children were missing immunization records -One child was missing a health care statement

Multiple cans and bottles of cleaning solutions and other toxic materials were stored in an unlocked cabinet under the children's handwashing sink. Materials were accessible to young children. This was corrected during inspection when the teacher removed all the cleaning supplies from the cabinet.

The following records were missing from personnel files: -two affidavits are missing notarization -several employees are missing proof of background check eligibility status letters -three employees are missing orientation statements