Trinity Lutheran Church and School DBA Trinity Lutheran Preschool

Orientation Training

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.A.B.: Based on record review and interview at 1:30 p.m., S1 failed to have documentation that 1 of 12 staff on the premises and accessible to the children have current certification in infant, child and adult CPR through training approved by the Department. S8’s date of hire is 03/19/2025 and their CPR certification expired on 04/18/2026. S1 stated a CPR class will be completed no later than 06/12/2026.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review and interview at 1:30 p.m., S1 failed to have documentation that 1 of 12 staff on the premises and accessible to the children have current certification Pediatric First Aid through training approved by the Department. S8’s date of hire is 03/19/2025 and their Pediatric First Aid certification expired on 04/18/2026. S1 stated a Pediatric First Aid class will be completed no later than 06/12/2026.”

Rule 1723.C.

End-of-Day Check

“1901.C.: Based on record review at 1 p.m., S1 failed to document that the entire center and play yard is checked after the last child departs to ensure that no child is left unattended at the center. The last End of Day Visual Check was completed on 05/05/2026.”

Rule 1901.C.

Critical Incidents and Required Notifications

“1103.A.4.5.C.2: S1 failed to notify Child Welfare of the following critical incident : On 10/13/2025, S1 met with O1 and O2. O1 informed S1 that C1, two-years-old, told her S9 put her finger in his face and placed her finger on his forehead on 10/08/2025. After S1 allowed O1 and O2 to watch video footage, O1 stated she did not like the way S9 put her hands on C1. S1 reported the incident to the Department on 10/13/2025; however, it was not reported to Child Welfare.”

Rule 1103.A.-C.

Behavior Management Policy - Time Out

“1509.A.8.c.: Based on record review and interviews at 10:30 a.m., S9 used a prohibited method of Time Out as on 10/08/2025, C1, two-years-old, was subjected to time out and the length of time exceeded 1 minute per year of age of child. C1 was in time out from 4:37 p.m.- 5:03 p.m.”

Rule 1509.A.8.c.

Child to Staff Ratio

“1711.D.: Based on observations at 9:15 a.m., S1 failed to meet the required child to staff ratio for children of the following ages: The Specialist observed 9 one-year-olds, in the classroom with S7. The required ratio for children of this age is 7 children per 1 staff person. Ratio was met prior to the Specialist departure.”

Rule 1711.A.&B.&D.&E.

Health Services - Parental Notification

“1915.B.: Based on interviews at 10:30 a.m., S1 failed to have documentation of unusual behavior display by C1, two-years-old. On 10/08/2025, S9 informed O2, upon pick-up, that C1 had a bad day and threw a book, which was not normal for C1. S9 did not document this unusual behavior.”

Rule 1915.B.&C.

Tornado Drills

“1921.E. Based on interviews at 11:00 a.m., S1 failed to have documentation of tornado drills that were conducted at least once per month during the months of March, April, May, and June. Tornado drills were not conducted in March, April, May, and June.”

Rule 1921.E.

CCCBC-Based Determinations of Eligibility for Child Care Purposes Required for Volunteers and Staff

“1807.B.: Based on Record Review/Interview on 8/28/2025, at 11:00 a.m., S1 failed to obtain a CCCBC-based determination of eligibility for S10. S10 was present at the center on 8/11/2025, 8/12/2025, 8/14/2025, 8/15/2025 and 8/19/2025, performing child care duties without an eligible background check.”

Rule 1807.B.

Orientation Training

“1719.A.-C. Orientation Training - Based on record review and interviews at 10:00 a.m., S2 failed to provide documentation that 1 of 11 staff, completed Mandated Reporter Training within seven days of the first day present at the center and prior to having sole responsibility for any children. S2 did not have documentation of training for S3, whose first day present at the center was 07/31/2025. S2 stated S3 will have proof of mandated reporter training by 08/22/2025.”

Rule 1719.A.-C.

Orientation Training

Rule 1719.A.-C.

Orientation Training

Rule 1719.A.-C.

Continuing Education Training

“1721.A.-C. Continuing Education Training - Based on record review/interviews at 01:00 p.m., S1 failed to provide documentation that all staff who are left alone with children, or who have supervisory or disciplinary authority over children, have obtained a minimum of 12 clock hours of continuing education per center anniversary year. S9 (DOH 08/31/2023) failed to obtain the minimum requirements of 12 clock hours required for the 2024 anniversary year. S9 obtained 9.5 hours.”

Rule 1721.A.-C.

Child Neglect and Abuse Mandatory Reporter Training

“1509.A.1. Mandated Reporter: Based on record review/interview at 01:00 p.m., S1 failed to ensure all staff members completed the Mandated Reporter training annually. 3 of 14 staff members, S5, S7, and S10, did not have current certification. S1 stated each staff member will have proof of Mandated Reporter Training by 01/22/2025.”

Rule 1727.A.-C.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A: Based on record review and interviews at 11:30 a.m., S1 failed to provide documentation that 5 of 11 staff completed the online child abuse and neglect Mandated Reporter Training provided by DCFS annually. S1 provided training certificates for S1 and S4, however, their training was expired. S2, DOH 9/13/2024, S6, DOH 10/16/2024, and S9, DOH 9/13/2024, are new hires.”

Rule 1727.A.-C.

End-of-Day Check

“1901.C.: Based on record review and interviews at 11 a.m., S1 failed to document daily that the entire center and play yard is checked after the last child departs to ensure that no child is left unattended at the center. The end-of-day checks have not been completed since 10/18/2024.”

Rule 1901.C.