Lancaster Recreation Commission

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The time between the testing of the fire detection devices exceeded the permitted at least every 30 days' timeframe (10/9/26, 11/18/26), (5/7/26, 6/30/26).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 10/15/25, a child needed emergency medical care for an illness. An illness report was not given to the parent on the day of the illness. The report was given to the parent 2 days later.

Correction Required: 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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were present with a group of 15 preschoolers. When staff were asked to identify their care groups, only 13 of the 15 children were accounted for.

Correction Required: 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child #1 did not include a phone number for a listed release person.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #7 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: 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.

Regulation: 3270.27(a)(5)/3270.27(e)

Description: Emergency plan/Letter to parents

Noncompliance Area: The emergency plan parent letter did not address accommodations as required in subsection a (3270.27a5).

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. A5 -The facility shall have an emergency plan that provides for accommodations for children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1, #2, #3, #4, and #6 were trained on the emergency plan in August of 2024 and subsequently more than 12 months later in September of 2025.

Correction Required: 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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #2 completed the initial fire safety training 13 months after start date. Staff person #6 completed fire safety training in August of 2024 and subsequently more than 12 months later in September of 2025.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The DHS FBI clearance on file for staff person #5 was incomplete as it did not include the rap sheet. (CORRECTED ON SITE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The initial staff evaluation on file for staff person #2 was dated 13 months after the employee's start date.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the school-age room was stored in an unlocked backpack in an area accessible to the children in care. (CORRECTED ON SITE)

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the logs on file at the time of inspection, the fire detection system has not been tested at least every 30 days. The system was tested on 5/29/25. The facility was then closed until 8/19/25. Upon returning, the system was not tested until 9/26/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The NSOR on file for facility person #1 expired on 1-19-2025. An updated clearance was not on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The TB screening on file for staff person 1 was more than 12 months old at the time of initial employment. The initial health report on file for staff person 6 was not dated within the 12 months prior to initial service in the childcare setting. The health assessment was dated 14 days after start date.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: According to documentation on file at the time of inspection, staff person 5 was trained on the emergency plan in January of 2023, and then more than a year later in August of 2024.

Correction Required: 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.