Lititz Rec Center Child Care

Sunscreen was observed in areas accessible to the children (in backpacks). A child had a bottle of perfume in her backpack and was observed sharing it with other children.

Child #3 - The child's inhaler was not in the original container and did not contain a prescription label (did not include written instructions from the individual who prescribed the medication).

Child #1 - There was no medication log on file for the child's pain reliever medication. Child #2 - There was no medication log on file for the child's inhaler.

Emergency contact forms were not present with the preschool/kindergarten group. (CORRECTED ON SITE)

The bathroom off the Rec Zone was not equipped with a lidded waste receptacle. The trash can did not have a lid. (CORRECTED ON SITE)

The depth of the rubber mulch surrounding the embedded equipment did not meet the recommendations of the United States Consumer Product Safety Commission The mulch measured at 3-4 inches in depth near the tall slide. (CORRECTED ON SITE)

The most recent health report on file for child #3 was more than 12 months old.

An epi-pen was on site for child #1. The facility did not have a med log, nor written parental consent for administration of the medication.

The health assessment on file for staff person #1 stated "yes" to the question that asked in the individual has a communicable disease.

The most recent health assessment on file for facility person #3 was dated more than 24 months ago (May of 2022) and is past due to be updated. The record for facility person #4 did not include a health assessment (complete with results of a TB test). The individual has been working as a facility person that comes into contact with children since October of 2024. The health assessments on file for facility person #5 were dated in August of 2022 and subsequently more than 24 months later in January of 2025.

According to the written log on file at the time of inspection, more than 30 days had lapsed since the most recent manual test of the fire detection system (1/6/25). (CORRECTED ON SITE)

Staff person #5 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those…

The most recent written evaluation on file for staff person #1 was dated more than 12 months ago in January of 2024. The written evaluations on file for staff person #2 were dated in September of 2023, and subsequently more than 12 months later in November of 2024. The written evaluations on file for staff person #3 were dated in July of 2023, and subsequently more than 12 months later in November of 2024. The written evaluations on file for staff person #6 were dated in January of 2024, and subsequently more than 12 months later in February of 2025.

The agreements on file for children #2, #3, and #4 did not specify the date of the child's admission, and were not signed by the operator. (CORRECTED ON SITE)

The emergency contact forms on file for child #4 and child #5 were signed by the parents in February of 2024, and subsequently more than 6 months later in January of 2025.

The emergency contact forms had been updated in the master files, but were not updated in the emergency contact folder in the school-age space.

The record for facility person #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #5 has not completed pediatric first aid and CPR within 90 days of their date of hire (see LIS code sheet).

The record for staff person 3 did not include a completed disclosure statement. (CORRECTED ON SITE)

A health report was in staff person 3's file, but the form did not include the name of the person who the health report was completed for.

The children's lunchboxes in the Bonfield room were not stored in a refrigerator.

The record for staff person 2 did not include the 1 hour Pennsylvania health and safety updated training.

The first aid training on file for staff person 2 expired at the end of June 2024.

The most recent fire safety training on file for staff person 2 was more than 12 months old (dated 5/2023).

The most recent written evaluation on file for staff person 2 was more than 12 months old (dated in June of 2022).

The record for staff person 1 did not include documentation of education.

The record for staff person 2 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A container of hand sanitizer was observed hanging from a child's backpack in an area accessible to preschoolers.

Staff person 7 sent a preschooler unsupervised into a space that was being used for another purpose unrelated to the childcare being offered to use the other group's restroom (the space is used for "drop in care"). Staff person 6 was assigned the responsibility of the child at the time, and the staff person was unaware of the child's whereabouts.

The telephone number of the nearest hospital, fire department, ambulance and poison control center were not posted by the telephones in the preschool room, nor the "fun zone".

The backpack containing the first aid kit was placed on the floor in an area accessible to the children upon returning to the room.

An area of peeling paint was observed next to the soap dispenser in the bathroom across from zone 2.

Hand washing signs were not posted near multiple sinks throughout the facility.

The toilet areas were not equipped with lidded trash cans.

According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 10/13/23 to 12/14/23 to 1/16/24.

The record for staff persons 1 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022.

Staff person 3's written evaluation was due in March of 2023, but was not completed until January of 2024. Staff person 4 did not have a written evaluation on file from the previous 12 months.

A written plan of daily activities was not posted in the "fun zone".

The agreement on file for child 1 did not specify the date of the child's admission. The agreement was not signed by the operator.

The emergency contact information on file for child 1 did not include the work addresses and telephone number for the enrolling parent.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the preschool room, nor in the "fun zone".

Staff person 5's record did not include verification of child care experience, and education prior to service at the facility.

The rubber mulch surfacing around the embedded equipment did not meet the depth recommendations of the United States Consumer Product Safety Commission (6 inches). The mulch measured at approximately 3 inches in multiple spots.

The health assessment on file for facility person 1 did not include an examination for communicable diseases and the results of that examination, nor the physician's or CRNP's assessment of the person's suitability to provide child care.

Uncovered outlets were observed in the hallway that is used by preschoolers.

The immunization record on file for child 1 (preschooler) was not in accordance with the schedule recommended by the ACIP. The record did not include documentation of an annual flu vaccine, nor an appropriate exemption note.

According to the log on file at the time of inspection, more than 60 days lapsed between the following fire drills: 4/4/22 - 7/1/22 and 7/1/22-9/27/22

The agreement on file for child 2 did not specify the child's arrival and departure times.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall was not displayed conspicuously in the school age room.

Multiple emergency contact forms present in the preschool room had not been updated in the past 6 months (most recent parent signatures were more than 6 months old).

The record for facility person 1 included just 1 written, nonfamily references from an individual attesting to the person's suitability to serve as a facility person.

Facility person 1 has been employed by the facility since 1/18/2019. Her record did not include an NSOR certificate and the DHS FBI clearance on file had expired on 9/13/2019, and an updated FBI clearance was not obtained until 2/1/22.

Hand sanitizer was observed in an area accessible to preschoolers (CORRECTED ON SITE). Hand sanitizer was observed mounted on the wall in the school-age room.

The depth of the rubber mulch on the playground did not meet the recommendations of the United States Consumer Product Safety Commission. The depth measured at less than six inches in multiple spots near the embedded playground equipment.

The record for child 1 (preschooler) did not include documentation of an annual flu vaccine (as recommended by the ACIP guidelines). The record did not include any written exemptions.