Shepherd of the Hills Lutheran

Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.

Resolution: Corrected: 2026-03-31

Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.

Resolution: Corrected: 2026-03-31

Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.

Resolution: Corrected: 2026-03-31

Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.

Resolution: Corrected: 2026-03-31

Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.

Resolution: Corrected at inspection

Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.

Resolution: Corrected at inspection

Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.

Resolution: Corrected: 2025-09-25

Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.

Resolution: Corrected: 2025-09-25

Required telephone numbers were not visibly posted.

Resolution: Corrected: 2025-09-03

The operation's most recent fire inspection was completed on July 2, 2024.

Resolution: Corrected: 2025-09-17

The Parent Notifiation Poster was not visably posted.

Resolution: Corrected: 2025-09-03

The operation's most recent fire inspection was completed on July 2, 2024.

Resolution: Corrected: 2025-09-17

The Parent Notifiation Poster was not visably posted.

Resolution: Corrected: 2025-09-03

Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.

Resolution: Corrected: 2025-09-17

Required telephone numbers were not visibly posted.

Resolution: Corrected: 2025-09-03

The operation did not have a current gas inspection.

Resolution: Corrected: 2025-09-17

The operation did not have a current gas inspection.

Resolution: Corrected: 2025-09-17

Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.

Resolution: Corrected: 2025-09-17

Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.

Resolution: Corrected at inspection

Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-10-17

There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

Two of the ten staff files did not have training certificates available for review for the most recently completed training year.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

An individual required to have two hours of transportation did not have certificates available for review.

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-11-21

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.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

Two of the ten staff files did not have training certificates available for review for the most recently completed training year.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

An individual required to have two hours of transportation did not have certificates available for review.

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-11-21

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.

Resolution: Corrected: 2024-10-17

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.

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-10-17

There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2024-10-17

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

Resolution: Corrected: 2024-07-01

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

Resolution: Corrected: 2024-07-01

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

Resolution: Corrected: 2024-07-01

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

Resolution: Corrected: 2024-07-01

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

Resolution: Corrected: 2024-05-28

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

Resolution: Corrected: 2024-05-29

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

Resolution: Corrected: 2024-05-28

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

Resolution: Corrected: 2024-05-29

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

Resolution: Corrected: 2023-10-27

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

One file did not include current immunization records.

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

One file did not include current immunization records.

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-10-27

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

Resolution: Corrected: 2023-11-06

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-11-06

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

Resolution: Corrected: 2023-10-09

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

Resolution: Corrected: 2023-10-09

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.

Resolution: Corrected: 2023-08-10

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.

Resolution: Corrected at inspection

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.

Resolution: Corrected: 2023-08-10

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.

Resolution: Corrected at inspection

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.

Resolution: Corrected: 2023-07-25

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.

Resolution: Corrected: 2023-07-25

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.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-07-10

Caregivers have been using yelling as a form of discipline.

Resolution: Corrected: 2023-07-10

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.

Resolution: Corrected: 2023-07-10

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

Resolution: Corrected: 2023-07-10

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.

Resolution: Corrected: 2023-07-10

Caregivers have been using yelling as a form of discipline.

Resolution: Corrected: 2023-07-10

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

Resolution: Corrected: 2023-05-24

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

Resolution: Corrected: 2023-05-24

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

Resolution: Corrected: 2023-05-24

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.

Resolution: Corrected: 2023-05-24

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.

Resolution: Corrected: 2023-05-24

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

Resolution: Corrected: 2023-05-24

A caregiver used corporal punishment with a child.

Resolution: Corrected: 2023-04-26

A caregiver used corporal punishment with a child.

Resolution: Corrected: 2023-04-26

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

Resolution: Corrected: 2023-04-26

A caregiver was heard yelling at children.

Resolution: Corrected: 2023-04-26

A caregiver was heard yelling at children.

Resolution: Corrected: 2023-04-26

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

Resolution: Corrected: 2023-04-26

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2022-07-01

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

Resolution: Corrected: 2022-06-24

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

Resolution: Corrected: 2022-07-18

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.

Resolution: Corrected: 2022-07-08

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2022-07-01

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

Resolution: Corrected: 2022-06-24

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

Resolution: Corrected: 2022-07-18

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.

Resolution: Corrected: 2022-07-08

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.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-09

One infant is missing feeding instructions.

Resolution: Corrected: 2021-09-02

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

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-02

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

Resolution: Corrected: 2021-09-16

Three infants do not have updated feeding instructions on file.

Resolution: Corrected: 2021-09-02

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-09

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.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-09

One infant is missing feeding instructions.

Resolution: Corrected: 2021-09-02

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

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-02

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

Resolution: Corrected: 2021-09-16

Three infants do not have updated feeding instructions on file.

Resolution: Corrected: 2021-09-02

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2021-09-09