Lancaster Rec Child Care at McCaskey HS

The unused PreK Counts room showed evidence of damaged walls/drywall that also included damaged paint areas within the childcare space.

Upon inspection of the outdoor play space being used by young toddlers, it was observed that several [3] small objects less than 1 inch in diameter were on the ground around the play equipment in areas accessible to the children at play.

Upon inspection of the details of the incident, it was confirmed that Child #1 was left unsupervised by Staff Person #1 and Staff Person #2 on 4.29.25 at 0818. It was confirmed that Child #1 was unsupervised for 3 minutes and 15 seconds and further that Staff Person #2 was not aware of the fact that Child #1 was missing from her primary care group until the child was returned to the group. Finally, it was confirmed that the child was left alone on an exterior play space with open access to any person and the serious risk of the child being able to leave the space and enter a potentially busy parking area.

Upon inspection of the facility fire safety records, it was found that the following test interval exceeded the maximum of 30-days between required tests: 1.2.24/1.2.25 [31d].

Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Provider had on file the previously used 10-hour health & safety training dated 8.10.20, but did not have the required 1-hour health & safety training 2022 updated on file.

Upon investigation, rodent droppings were observed around the perimeter of the space used to store and/or prepare food. Both the facility director and the director of Early Childhood Education verbally confirmed that at least one mouse had been observed in the childcare facility.

During a staff break transition, the coverage staff person left the childcare space while in ratio, which left the childcare space out of ratio for approximately one minute.

Upon reinspection of each childcare space within the facility to verify implementation of corrective plans, the following was found: chipped paint is still present near the changing table of the 2-year-old childcare space AND there is chipped paint on the rear wall of the Infant room near the cribs.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training Topics AND Pediatric First Aid/CPR training from an approved trainer.

The file of facility person #1does not contain a completed NSOR verification. The file does contain copies of request for the clearances/verification which is dated 4.29.26. The file of facility person #4 does not contain a completed DHS required FBI clearance The file does not contain copies of the request for the clearances/verification required for provisional hiring under the CPSL. Facility Person #4 was observed working with children unsupervised during the renewal inspection.

Upon the inspection of each childcare space within the facility, it was observed that during outdoor play, three staff persons were grouped together in the center of the space talking amongst themselves [Staff Person #1, #2 and #3]. During this time [minimum of 2 minutes of observation], these Staff Persons did not move from that position, nor conduct supervision of the children playing throughout the space.

Upon the inspection of each childcare space within the facility, the following was found: one ceiling tile was loose in the 1-year-old room; one ceiling tile was damaged in the 2-year-old room AND two ceiling tiles were loose in the PreK Counts room.

Upon the inspection of each childcare space within the facility, the following was found: there is chipped paint near the restroom of the 2-year-old room AND there is chipped paint on the rear wall of the Infant room.

Upon inspection of children's records, it was found that the health assessment on record and presented for inspection for Child #4 was dated 3.13.24 [expired on 9.13.24].

Upon inspection of children's records, it was found that the health assessment on record and presented for inspection for Child #5 was dated 3.21.23 [expired on 3.21.24].

Upon inspection of children's records, it was found that the immunization report on record and submitted for inspection for Child #4 contained two DTAP vaccinations [3 required for age of child] AND contained two Pneumococcal vaccinations [3 required for age of the child].

Upon the inspection of each childcare space within the facility, it was observed that during diaper changes in the 1-year-old childcare space, the staff person used a hand wipe only to wipe the children's [3 children] hands before returning them to the play area, instead of using soap and water handwashing.

Upon inspection of personnel files, it was found that the health assessment on file for Staff Person #1 was a partial print out of a discharge summary with no signature or professional title of the health professional completing the assessment [dated 5.29.24].

Upon inspection of the facility's fire safety records, it was found that the following fire drill dates exceeded the maximum of 60-days between required fire drills: 9.24.24 - 11.26.24 [63d].

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 1. Health & Safety Training Topics and 2. Pediatric First Aid/CPR training from a PQUAS approved trainer [training from an unapproved trainer dated 1.31.24 was on file]. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 1. Health & Safety Training Topics [one hour update training dated 1.24.23 was on file] and 2. Pediatric First Aid/CPR training from a PQUAS approved trainer [training from an unapproved trainer dated 1.31.24 was on file].

Upon inspection of children's records, it was found that the most current document submitted for inspection for Child #2, #4 and #5 was missing the signature of the facility operator.

Upon inspection of children's records, it was found that the date of the child's admission was missing from the most current record submitted for inspection for Child #1, #2, #4, #5 and #6.

Upon inspection of children's records, it was found that for Child #1, the emergency contact information was last reviewed on 5.30.24 [expired on 11.30.24] and the parental agreement was last reviewed on 5.30.24 [expired on 11.30.24]. Further it was found that for Child #6, the emergency contact information was last reviewed on 5.20.24 [expired on 11.20.24] and the parental agreement was last reviewed on 5.20.24 [expired on 11.20.24].

Staff person #2's FBI clearance is dated 12/4/23, which was after the accepted 45 days' provisional hire timeframe, and worked without this clearance on record for a period of time. SEE CODE SHEET

It was observed that the space where the rest mats are stored is accessible to children and contains many stacked boxes, which can create a climbing/falling hazard for them.

It was observed, in the PreSchool room, that there was peeling paint (approx 3 inches) on the wall to the right of the craft/art supply room (approx 6 inches up from the floor) (corrected during inspection)

It was observed, in the Pre-K (double room) that the diaper changing pad had several tears with foam exposed.

Child #3's most recent health assessment on record is dated 2/3/22 (initial), which exceeds the acceptable one year timeframe between health assessments for a child of this age. SEE CODE SHEET.

Child #3's health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

Child #3 has no record of having received the Hepatitis A immunization. SEE CODE SHEET

In the Preschool room, one child's medication log (Child #1) had no end date listed for the dates of administration of the medication. In the Pre-K room, one child (child #2) had medication in the classroom, but the medication log was not completed by the parent.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility. (corrected during inspection)

There is no proof of purchase of the interconnected fire detection system on record at the facility.

There was no record of the operator sending last year's updated emergency plan to the local municipality.

Staff person #1's most current certification in pediatric first aid and CPR was not completed on or before the expiration of the most recent certification (4/10/21, 7/23/23).

Child #6's agreement does not specify the amount of the fee to be charged. Child #4's agreement does not specify the date on which the fee is to be paid.

The agreements of child #3, #4, #5, and #6 do not specify the services which are to be considered as extra.

Child #3 and #5's emergency contact information and financial agreements were not updated at least once in a 6-month period. SEE CODE SHEET

Staff person #4's record does not include verification of child care experience and education.

Staff person #3's record did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person (contained only 1).

The facility does not have the Certificate Of Occupancy on record.

The file of facility person #3 does not contain out of state clearances [Nebraska Criminal]. The file does not contain copies of request(s) for the clearances/verification.

Upon inspection of the facility fire safety logs, it was found that a gap from 2.16.23 through 4.28.23 existed in which no fire drill was logged. There was an emergency drill logged during that timeframe. Therefore, the minimum of 60 days between required fire drills was exceeded.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour health and safety training course. Staff person #2 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Upon inspection of the one-year-old childcare space, it was found that multiple areas accessible to children had peeling paint, although no children were in care in the space at the time of inspection.

It was found that child #4 and #5 each did not have a record of an influenza vaccination and did not have an acceptable written exemption on file.

Upon inspection of the children's files, it was found that an original copy of the parental agreement was on file for child #1, #2 and #3.

It was found during complaint investigation that staff person #1 was targeting specific children at various times with either harsh or demeaning treatment while in her care.

It was found during complaint investigation that staff person #1 was using loud, harsh and/or abusive language to address children on a frequent basis.

Upon inspection of staff person files, it was found that staff person #1 had completed the health and safety basics course prior to 9.30.16 [2013] and was working unsupervised with children; And that staff persons #3, #4 and #5 [all employed greater than 90 days] had not completed pediatric first aid/CPR prior to working unsupervised with children.

The file of staff person #2 does not contain a DHS required FBI clearance. Further, it was found that the file for staff person #1 contained a mandated reporter training dated 4.27.17, which was expired on 4.27.22.

Upon inspection of the facility emergency plan, it was found that a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises was not specified in the provided plan.

Upon inspection of the facility emergency plan, it was found that a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. was not specified in the plan document.

Upon inspection of each of the child care spaces, it was found that the kit in the pre-kindergarten room was missing nonporous gloves AND the kit in the preschool room was missing gauze pads.

Upon inspection of the child care spaces, it was found that there was paint and/or damaged plaster on the accessible walls within the one year old and the pre-kindergarten spaces.

Upon inspection of the exterior play space designated for use by infants and toddlers, it was found that there were multiple small objects less than one inch in diameter on the ground within the space.

Upon inspection of the child immunization records, it was found that child #3 and #4 did not have influenza vaccination records on file.

Upon inspection of the child care spaces, it was found that the medication for child #1 was not accompanied with a prescription label.

Upon inspection of the child care spaces, it was found that medication was present for child #2, but was not accompanied with written consent for administration.

Upon inspection of staff person files, it was found staff person #1 [hired on 7.28.21] did not have documentation for the completion of the professional health and safety training course.

Upon inspection of the pre-kindergarten room, it was found that child emergency contact information was not present there while children were in care.

Upon inspection of staff person #1 - #5, it was found that verification of child care experience was not verified.