HOPE LUTHERAN SCHOOL

Two written references (3270.192(5))

At the time of the inspection, the file of staff person 3 did not include 2 nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff was notified her references were not on file. She brought them in the next day. She thought she had given them to me when she started. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Health assessment, TB test (3270.151(c)(3)/3270.192(3))

At the time of the inspection, the health assessments of staff person 1 and 2 did not include an examination for communicable diseases and the results. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Director notified the two staff members immediately. Both staff members were given the correct form and a copy of the incorrect form to take back to the doctor to fill out the correct form. If the doctor will not fill it out they will have to get a new physical. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

At the time of the inspection, the emergency contact for child 1 was last reviewed by the parent on 5/19/25. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: I found the parent at pick up and had him review emergency contact and sign it. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of the inspection, the vents in the facility were observed with visible debris of dust. The accumulated debris of leaves were observed on the outdoor playground. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: All ceiling vents in the facility have be cleaned and sanitized to remove dust and debris the night after the inspection. If weather permits the leaves will be cleaned up this weekend. If they can not be cleaned on the first dry day the director will clean the leaves. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

At the time of the inspection, in room 110 dishwashing soap and room 111 disinfectant spray was observed in an accessible location to children. Non-compliance was corrected on site. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Provider placed the dishwashing soap and disinfectant spray in a location that is inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the inspection, an incident report was not given to the mother of child #1. Requirement: 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. Correction: Even when parents are called about an incident a report needs to be written right away. Director can be called to help with supervision wile the form is written. Parent will sign report at pick up and a copy will be given to parent. In call cases of children going to hospital or urgent care, director will be notified. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

At the time of the inspection, staff person #1, #2, and #3 admitted to lack of supervision during the incident where child #1 was injured. Requirement: 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. Correction: Staff had a lapse in supervision which did not meet standards. The incident was reviewed with all involved staff. All staff involved did a class on supervision on Penn State Better Kid Care. We reviewed strategies to make sure child were watched at all times. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours (3270.20(a)(1)/3270.20(b))

At the time of the inspection, the operator staff person #4, admitted the incident occurred on April 10th, 2025 and notified and sent documentation to the regional office on April 17th, 2025. Requirement: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. 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. Correction: The director will review of all reportable incidents and will notify DHS within 24 hours. If the director is unsure she will call the parent to get more details on the extent of injury and/or call the DHS representative. Staff have been told to report all incidents to the director for review. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

At the time of the inspection, the file of child #4, #5, and #6 did not include a child service report. Requirement: 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). Correction: All children will have an Ages and Stages completed within the first 45 days of enrollment. At this time we are only doing it at initial enrollment into the center. Children aged 4 month to 42 months will be assessed using the Ounce Scale. Children in Pre-k will be assessed using Work Sampling by Pearson. The assessment is opened in the Fall and closed in the spring. Parents are able to access the assessment in the Lillio App we use. A copy is printed in the spring and gone over during conferences. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the inspection, the shaken baby syndrome, abusive head trauma and child maltreatment policy did not include the prevention and identification of child maltreatment. Requirement: 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. Correction: Provider included the prevention and identification of child maltreatment to the shaken baby syndrome, abusive head trauma and child maltreatment policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bachelor's + 1 yr/Exp, educ., training prior to facility (3270.34(b)(1)/3270.192(2)(ii))

At the time of the inspection, the file of staff person #1 did not include verification of child care experience. Requirement: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Director completed a employment verification. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Associate's + 2 yrs/Exp, educ., training prior to facility (3270.35(b)(3)/3270.192(2)(ii))

At the time of the inspection, the file of staff person #6 did not include the verification of child care experience. Requirement: A group supervisor shall have 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 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Child care employment verification form was completed and verified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

At the time of the inspection, the file of staff person #2, #3, #4, #5, #7, and #8 did not include a verification of child care experience. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Director complete the Office use only section of employee verifications and had the staff who did not have one complete one. Staff number does not have experience beyond babysitting with her siblings and niece. At this time she is only considered an aide. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

At the time of the inspection, room 114 had a bleach spray accessible to children. Non-compliance was corrected on site. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Provider placed the bleach spray in a location that is inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency Numbers Posted (3270.74)

At the time of the inspection, emergency numbers were not observed in room 110. Non-compliance was corrected on site. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: Provider placed emergency numbers in room 110. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

At the time of the inspection, the first aid kit in room 116 did not include a tweezer. Non-compliance was corrected on site. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Provider placed a tweezer in the first aid kit in room 116. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

At the time of the inspection, the file of child #7 did not include a signed agreement. Requirement: An agreement shall be signed by the operator and the parent. Correction: An agreement was signed by the parent and the director. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed /Designated release persons (3270.123(a)/3270.123(a)(5))

At the time of the inspection, the agreement of child #1 did not include the signature of the operator and the name of the person designated by the parent to whom the child may be released. Requirement: An agreement shall be signed by the operator and the parent. An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Director completed and Agreement for the family and mother signed the form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons/Name/address/phone release person (3270.123(a)(5)/3270.124(b)(7))

At the time of the inspection, the agreement of child #3 did not include the name of the designated by the parent to whom the child may be released and the emergency contact of child #3 did not include the address of the person designated by the parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Parent was given both forms to correct. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

At the time of the inspection, the health assessment of child #2 was dated 1/3/24. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Parent was notified an new physical was needed. She informed us his appointment was scheduled for January 16. She turned the form in on the 16. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

At the time of the inspection, the file of staff person #9 did not include two written nonfamily references. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff had a reference sent to the director. The reference was sent to the director's email address. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).