Lancaster Recreation Commission

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

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.

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

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.

The following toxic and/or hazardous items were observed stored in areas accessible to the children in the downstairs pre-k counts classroom: "Goo Off", White out, hand sanitizer spray, hand sanitizer, gorilla glue, batteries, sharp adult scissors, a sharp tool, and an adult's medication. (CORRECTED ON SITE)

The following toxic plants were observed growing along the edge and into the preschool playground: Pokeweed, Morning Glories, and Bittersweet. The following toxic plants were observed in the downstairs pre-k counts classroom: Pothos, and a snake plant (Sansevieria).

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.

The pediatric first aid and CPR training on file for staff persons 3 and 7 expired at the end of February 2024, but were not updated until 9/12/24. The pediatric first aid and CPR training on file for staff person 6 expired at the end of June 2024, but was not updated until 9/12/24.

The written evaluation for staff person 3 was due in June of 2024, but was not completed until July of 2024.

Staff person 2 is serving as an assistant group supervisor at the facility. The staff person's record did not include documentation of 2 years of child care experience.

Staff person 4 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training on file was dated 147 days after the date of hire.

After the renewal inspection (SIN-00231328), the facility replaced ceiling tiles that showed evidence of a water leak. New water stains appeared on the replaced tiles, showing there is still an active leak.

Staff person 1 worked beyond the 45-day provisional hire period with incomplete clearances on file. The FBI clearance on file was dated 85 days after the staff person's start date.

Children in the school age space were observed walking out of the Brandon room without staff supervision. A child was observed walking from the Brandon room to the restroom without staff supervision, and other children were observed walking out of the Brandon room and around the corner to the baskets where they keep their belongings without staff supervision.

The emergency plan parent letter did not contain information about accommodations for children with disabilities and children with chronic medical conditions.

Cleaning materials and other toxic materials were observed in areas accessible to the children in the downstairs preschool room. Hand sanitizer and an essential oil spray were observed on the desk/counter. The cabinet that stored cleaning products (Clorox, sanitizer, disinfectant, multi-surface cleaner, etc) was unlocked and items were stored within reach for the children in the room.

The first aid kit in the downstairs preschool room did not contain soap.

Ceiling tiles in the Brandon room showed evidence of a water leak.

A toilet seat was missing from the toilet in the downstairs preschool bathroom.

A handwashing sign was not posted in the upstairs boys restroom.

Three sinks (equipment used by children) in the downstairs preschool room were working. (CORRECTED ON SITE)

The downstairs preschool room has a child enrolled that has an Epi-pen. The facility did not have a medication log on file (including written consent for administration of the medication).

The health assessment on file for staff person 4 was 24 months old in May of 2023, but was not updated until 9/29/23.

The facility did not have documentation on file that an emergency drill had been completed in the past year.

According to the logs on file at the time of inspection, individual rooms are completing fire drill separately. Facility wide fire drills are not being completed (all facility persons and children in attendance participate in the fire drill).

The facility has not been manually testing the fire detection system at least once every 30 days. The system was being placed on test mode, but not actually tested (sounded).

Staff persons 1, 2, 3, and 6 did not complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person 1 - The 10 hour health and safety training was completed 132 after the date of hire, and pediatric first aid and CPR training was completed 172 days after the date of hire. Staff person 2 - Pediatric first aid and CPR training was completed 172 days after the date of hire. Staff person 3 - Pediatric first aid and CPR training was completed 215 days after the date of hire. Staff person 6 - More than 45 days have passed since the date of hire and the staff person's record did not contain documentation of completing professional development in Pediatric first aid and pediatric cardiopulmonary resuscitation.

Staff person 5 and 6 are serving as assistant group supervisors at the facility. Their staff records did not include verification of 2 years (2,500 hours) of child care experience.

A written plan of daily activities was not posted in the school age space (Brandon Room).

The emergency contact information on file for child 1 did not include the health insurance policy number.

The record for child 2 did not contain signed parental consent for emergency medical care for the child, nor signed parental consent for administration of minor first-aid procedures by facility staff.

Financial agreements (part of child's file) were observed in unlocked bags in both preschool rooms.

At the time of inspection, the facility had not yet added a continuity of operations plan to their emergency plan.

The first aid kit in the downstairs pre-k counts room did not contain soap.

Two areas of peeling paint were observed in the downstairs pre-k counts room. (CORRECTED ON SITE)

The immunization records on file for children 1 and 2 were not in accordance with the ACIP guidelines. Exemption notes were not on file. Child 1 - No annual flu vaccine on file, incomplete Hep B series on file Child 2 - No annual flu vaccine on file

The TB test results on file for staff person 1 were more than 12 months old at initial service.

According to the fire drill log on file in the downstairs pre-k counts classroom, a fire drill was completed on 12/14/2021, and subsequently on 6/28/22. More than 60 days lapsed between fire drills.

At the time of inspection, the operator was unable to provide documentation that the fire detection devices were being tested at least once every 30 days.

The only pediatric first aid and CPR training on file for staff person 1 was dated more than 90 days after hire. The pediatric first aid and CPR training on file for staff person 2 expired 2/27/2022, and the certification was not renewed until 9/13/22.

Staff person 3 is serving as an aide at the facility. The staff person's file includes documentation of completing 8th grade, but does not include documentation of 2 years (2,500 hours) of child care experience.