Lancaster Recreation Commission

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training [9.12.25], however the trainer had not provided documentation that they are PQAS-certified in that training curriculum at the time of the training completion.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for child 2 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child 2 did not include the enrolling parent's work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.133(2)/3270.133(3)

Description: Written instructions/Name on bottle

Noncompliance Area: Medication was on site for child 1. The medication was not labeled with the child's name and was not accompanied by written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Staff person #1 updated her mandated reporter training (9/29/20) beyond the expiration date of the previous training (2/4/15).

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

Noncompliance Area: In the School age room, it was observed that the Ventolin inhaler for child #1 was expired. CORRECTED ON SITE

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Staff person #1's file did not include verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file for staff person #3 (hire date 10/9/19) included an FBI clearance dated 11/6/19 and a PA State Police clearance dated 10/22/19 with no provisional hire paperwork.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for staff person #2 and #3 did not include 2 written nonfamily references. The file for staff person #1 included only 1 written nonfamily reference.

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

Noncompliance Area: It was observed that one outlet in the Gym was missing a receptacle cover. CORRECTED ON SITE

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Peeling paint was observed in the downstairs Pre-K room on the metal doors and on the bottom of the wall near the rug for play cars. CORRECTED ON SITE

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: According to documentation on file at the time of inspection, the health and TB test results on file for staff person 1 were not obtained during the 12 months prior to initial employment. Staff person 1 began employment on 11/12/2018, but the health assessment and TB test results were obtained after the start date (11/27/18 and 11/23/18).

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.

Noncompliance Area: At the time of inspection, the record for staff person 1 did not include documentation of experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: According to documentation on file at the time of inspection, the clearances for staff person 1 were not obtained timely. Staff person 1 began employment on 11/12/2018. The record did not include a signed disclosure statement (CORRECTED ON SITE). The FBI and child abuse clearances were dated 11/19/2018, and the state police clearance clearance was dated 1/2/2019. Staff person 1 is serving as the facility's director, and should have had all three completed clearances on file by start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of inspection, the following was observed: A plastic toy bin and lid located in the orange "science" cabinet in the school age spaced was cracked. In the same room, a large plastic bin located in the "build" cabinet was cracked. A toy bin located in the upstairs pre-k classroom was cracked (contained small colorful blocks).

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: At the time of inspection, the thermometer in the downstairs pre-k refrigerator was not working.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: At the time of inspection, a written plan of daily activities, and the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the school age space (CORRECTED ON SITE), the gym, and the fairview child care spaces.

Correction Required: The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 1 did not include addresses/phone numbers for two of the listed release persons.

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.

Noncompliance Area: At the time of inspection, the most recent health assessment on file for child 2 was date 8-31-2017. Child 2 is a preschooler.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: At the time of inspection, the emergency contact and financial agreements on file for children 2 and 3 were past due to be updated. The forms were most recently signed in March of 2018.

Correction Required: 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.

Noncompliance Area: At the time of inspection, the record for staff person 1 included just one written, non-family reference.

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

Noncompliance Area: At the time of inspection, an outlet strip near the computer in the school age space was missing it's outlet covers. 5 year old children receive care in the space. An outlet was uncovered in the downstairs pre-k classroom (CORRECTED ON SITE).

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: At the time in inspection, the following was observed: Cables were hanging/laying loose in the school age space (connected to the wall/computer/tv) and were creating a tripping hazard. The front surface of the built in desk in the school age space was in poor repair, as the surface was cracked and peeling off. The ceiling area of the overhang in the courtyard was in poor repair. The building surfacing was peeling off/falling down. Areas of the surfacing on the outdoor playground was in poor repair, as there were multiple holes in the rubber.

Correction Required: 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.

Noncompliance Area: At the time of inspection, the trash cans located in the two downstairs bathrooms used by school age, and the upstairs boys bathroom either did not have lids or the lids were broken or not attached.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: On 1-3-17, Child #1 was touched under her clothing in her private area by Child #2. Staff #1 and Staff #2 were physically present in the classroom but did not observe the incident. Adequate supervision was not maintained at all times.

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.