New School of Lancaster

At the time of inspection, the operator was unable to provide documentation of an emergency drill that took place during the previous 12 months. (CORRECTED ON SITE)

31 days lapsed between manual tests of the fire detection system on 7/30/24 to 8/30/24, and then from 8/30/24 to 9/30/24.

Annual written evaluations for staff persons #5 and #6 were due in January of 2025, but were not completed until February of 2025.

The financial agreement on file for child #1 was signed and dated by a parent in February of 2024, and subsequently more than 6 months later in January of 2025. The financial agreement on file for child #2 was most recently updated/signed by a parent in August of 2024. The financial agreement on file for child #3 was most recently signed in January of 2024.

The record for staff person #4 (AGS) did not include verification of child care experience. The record for staff person #10 (AGS) did not include verification of child care experience. (CORRECTED ON SITE)

Per documentation on file at the time of inspection, staff person #5 complete 10.5 clock hours of child care training during the previous training year.

30 younger and older toddlers were present on the toddler playground with five staff. 1st group - 17 younger and older toddlers with 3 staff. The staff person that was responsible for the younger toddlers had 6 children. 2nd group - 13 older toddlers with 2 staff.

At the time of the follow up visit to verify corrections for SIN-00243571 (unannounced monitoring from 4/26/24), it was observed that the plan of corrections for the violation citing 3270.113a1 had not been fully implemented. On 4/25/24, 24 toddlers were present on the toddler playground. Four staff that were assigned the responsibility for supervision of specific children accounted for 21 of the children. When and additional staff person joined the playground with 2 additional children, the five staff were able to account for all 26 children. On 5/31/24, five older toddlers were present on the toddler playground, while the staff person assigned responsibility for their supervision was inside the building. The 5 staff persons present on the playground accounted for 25 of the 30 children present on the playground.

At the time of the follow up visit on 5/31/24, continued non-compliance was observed. The plan of corrections for the violation citing 3270.102c on SIN-00243571 had not been fully implemented. On 3/11/24, mulch was observed to have washed onto the toddler playground. (SIN-00240789). On 4/26/24, mulch was observed to have washed onto the toddler playground. Toddlers were also observed (while playing) entering onto the space where mulch is used on the preschool playground. (SIN-00243571) On 5/31/24, mulch was observed to have washed onto the toddler playground. Toddlers were observed to have access and were playing with mulch that was accessible to them at the edge of the toddler playground.

24 toddlers were present on the toddler playground. Four staff that were assigned the responsibility for supervision of specific children accounted for 21 of the children. When and additional staff person joined the playground with 2 additional children, the five staff were able to account for all 26 children.

At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.1023 on SIN-00240789 had not been fully implemented. On 4/26/24, mulch was observed to have washed onto the toddler playground. Toddlers were also observed (while playing) entering onto the space where mulch is used on the preschool playground.

According to documentation on file at the time of inspection, staff person #1 began working in a child care position at the facility with incomplete clearance paperwork on file. The staff person's record did not contain completed out of state clearance information required under the CPSL and did not contain a copy of request for the required out of state clearances required for provisional hiring under the CPSL.

The emergency plan was not posted in a conspicuous location in the facility. (CORRECTED ON SITE)

The heater vents in the infant rooms measured at a surface temperature of 178° F (nap room) and 133° F to 144° F (awake room). The heaters are in areas accessible to the children.

Mulch was observed to have washed onto the toddler playground.

The refrigerator located in room 115 did not contain a thermometer. (CORRECTED ON SITE)

The health assessments on file for child 1 (young toddler) were dated 2/23/23 and subsequently more than 6 months later on 1/3/24.

Epi-pens were on site for children 1 and 2. A medication log was not on file for either child's medication. The facility did not have written consent for administration of the epi-pen for child 2.

A staff person was observed changing a diaper and then did not wash the child's hands at the sink. The staff person stated that they use wipes to clean hands after diaper changes until the child is about 18 months old.

According to documentation on file at the time of inspection, more than 12 months lapsed between fire safety training for staff person 3. The trainings were dated in November of 2022 and then subsequently in February of 2024.

Staff person 3 moved from an aide to an assistant group supervisor during the previous year and was observed working alone with children. The record did not include verification of childcare experience following the outset of service at the facility, which was needed to document the change to assistant group supervisor. (CORRECTED ON SITE)

The record for staff person 1 did not include clearances from a state the individual resided in during the past 5 years. The record for staff person 2 did not include a criminal history clearance from a state the individual resided in during the past 5 years. In addition, the NSOR on file for the staff person was not obtained within the 45 day provisional hire period (dated 63 days after start date). Staff person 3 was previously a volunteer at the facility and had volunteer clearances on file. Upon start date as a staff person, the facility did not have complete provisional hire paperwork on file. The record did not include the employment child abuse clearance at start date, either a completed employment PA state police clearance or the DHS FBI clearance, nor documentation that the requests had been submitted for the remaining clearances. -NSOR requested late (9 days after start date), and received 15 days after start date. -Employment child abuse clearance obtained 30 days after start date -Employment PA state police clearance obtained 20 days after start date -DHS FBI clearance obtained 15 days after start date. The record for staff person 6 included a volunteer child abuse…

The 3 staff persons in room 114 were not assigned the responsibility of supervision of specific children. There were 9 children in the space.

Windows in the indoor playspace (4th floor) opened more than 6 inches.

Children in room 117 did not wash hands before having their morning snack.

Initial health assessments on file for staff persons 2 and 3 were not dated within the 12 months prior to initial service at the facility. Staff person 2 - The health assessment was obtained 175 days after start date. Staff person 3 - The health assessment was obtained 27 days after start date. Health assessments updates for staff persons 4 and 5 were not obtained timely (within 24 months) during the previous year. Staff person 4's health assessments were dated 6/26/20 and subsequently 2/16/23. Staff person 5's health assessments were dated 8/21/20 and subsequently 3/6/23.

The record for staff person 1 did not include tuberculosis screening at initial employment. The results on file were from 2017.

The health assessment on file for staff person 7 did not include results of an examination for communicable diseases.

Infant bottles were not labeled with the child's name in room 114.

Staff person 8 is serving as an aide at the facility. Staff person 8's record did not include the required documentation of education and experience to justify the role she is serving in. The staff person's record included documentation of 1 year of childcare experience and transcripts from an international technical school (unable to determine what the education is equivalent to in the United States).

The facility was not using the Department's approved form (Child Service Report, or any of the approved alternatives) to provide information to the families about the child's growth and development in the context of the services being provided.

The record for staff person 6 did not include documentation of education.

Facility person 1 began employment on 9/13/21. The facility person's record did not include an NSOR at the time of initial employment as required by the CPSL. The NSOR on file staff person 1 was dated 2/22/22. Facility person 2 began employment on 9/13/21. The facility person's record did not include any of the four required clearances at the time of initial employment as required by the CPSL. The PA State police clearance was dated 9/24/21, the Child Abuse clearance was dated 9/19/21, the FBI clearance was dated 9/29/21, and the NSOR certificate was dated 10/5/21. Facility person 3 began employment on 10/20/21. The facility person's record did not include an NSOR at the time of initial employment as required by the CPSL. The NSOR on file staff person 1 was dated 12/13/21. Facility person 4 began employment on 1/6/22. The facility person's record did not include an NSOR at the time of initial employment as required by the CPSL. The NSOR on file staff person 1 was dated 3/7/22. Facility person 5 began employment on 11/1/21. The facility person's record did not include an NSOR, or the FBI clearance at the time of initial employment as required by the CPSL. The NSOR on file staff…

Room 117 - A peace lily was present in the child care space.

Room 117 - The edge of 2 carpets were rolled up, creating a tripping hazard.

Room 117 - Two of the shelves in the room were not anchored and tipped forward easily when they were pulled on.

Room 117- Children's hands were not being washed after diaper changes.

The record for facility person 2 did not include a health assessment (complete with TB test results) at the time of initial service in the child care setting. The staff person was hired 9/13/21, but her initial health assessment was not obtained until 3/3/22. The record for facility person 4 did not include a health assessment (complete with TB test results) at the time of initial service in the child care setting. The staff person was hired 1/6/22, but her initial health assessment was not obtained until 1/14/22.

Room 117- Potentially hazardous foods (chicken nuggets, red meat crumbles or meat alternative) and fruits/veggies in children's lunchboxes were not being refrigerated.

The facility was unable to provide proof and date of purchase of their interconnected fire detection device. The manual tests of the fire detection system were not happening at least every 30 days during the previous year (Dates of testing - 9/24 to 10/26, 12/16 to 1/21, 1/21 - 2/22).