Lancaster Recreation Commission

3270.95(b) Director or designated staff person ensure compliance

“The time between the testing of the fire detection devices exceeded the permitted at least every 30 days' timeframe (10/9/26, 11/18/26), (5/7/26, 6/30/26).”

Correction date in the state record: Aug 20, 2026

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“On 10/15/25, a child needed emergency medical care for an illness. An illness report was not given to the parent on the day of the illness. The report was given to the parent 2 days later.”

Correction date in the state record: Oct 17, 2025

3270.32(a) Comply with CPSL

“The DHS FBI clearance on file for staff person #5 was incomplete as it did not include the rap sheet. (CORRECTED ON SITE)”

Correction date in the state record: Oct 15, 2025

3270.31(e)(4)(ii) Fire safety - 1 yr.

“Staff person #2 completed the initial fire safety training 13 months after start date. Staff person #6 completed fire safety training in August of 2024 and subsequently more than 12 months later in September of 2025.”

Correction date in the state record: Oct 15, 2025

3270.34(a)(6) Staff evaluations

“The initial staff evaluation on file for staff person #2 was dated 13 months after the employee's start date.”

Correction date in the state record: Oct 15, 2025

3270.27(c) Training regarding plan

“Staff persons #1, #2, #3, #4, and #6 were trained on the emergency plan in August of 2024 and subsequently more than 12 months later in September of 2025.”

Correction date in the state record: Oct 15, 2025

3270.75(b) Inaccessible to children

“The first aid kit in the school-age room was stored in an unlocked backpack in an area accessible to the children in care. (CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2025

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“Staff persons #1 and #2 were present with a group of 15 preschoolers. When staff were asked to identify their care groups, only 13 of the 15 children were accounted for.”

Correction date in the state record: Oct 14, 2025

3270.124(b)(7) Name/address/phone release person

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

Correction date in the state record: Oct 20, 2025

3270.192(5) Two written references

“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.”

Correction date in the state record: Oct 20, 2025

3270.27(a)(5)/3270.27(e) Emergency plan/Letter to parents

“The emergency plan parent letter did not address accommodations as required in subsection a (3270.27a5).”

Correction date in the state record: Oct 20, 2025

3270.95(a) Devices must be compliant

“According to the logs on file at the time of inspection, the fire detection system has not been tested at least every 30 days. The system was tested on 5/29/25. The facility was then closed until 8/19/25. Upon returning, the system was not tested until 9/26/25.”

Correction date in the state record: Oct 15, 2025

3270.32(a) Comply with CPSL

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

Correction date in the state record: Feb 20, 2025

3270.27(c) Training regarding plan

“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.”

Correction date in the state record: Nov 1, 2024

3270.31(e)(4)(i) Age and Training

“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.”

Correction date in the state record: Nov 1, 2024

3270.34(a)(6) Staff evaluations

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

Correction date in the state record: Nov 1, 2024

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“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.”

Correction date in the state record: Oct 23, 2024

3270.66(a)/3270.76 Locked or inaccessible/Building Surfaces

“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)”

Correction date in the state record: Oct 22, 2024

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“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.”

Correction date in the state record: Oct 30, 2024

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“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.”

Correction date in the state record: Nov 1, 2024

3270.66(d) Toxic plants not permitted

“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).”

Correction date in the state record: Nov 1, 2024

3270.76 Building Surfaces

“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.”

Correction date in the state record: Dec 8, 2023

3270.95(a) Devices must be compliant

“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).”

Correction date in the state record: Oct 20, 2023

3270.94(a)(7) Participation

“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).”

Correction date in the state record: Nov 2, 2023

3270.27(a)(6) Emergency plan

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

Correction date in the state record: Nov 1, 2023

3270.183(a) Locked cabinet

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

Correction date in the state record: Oct 20, 2023

3270.182(3)/3270.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“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.”

Correction date in the state record: Nov 2, 2023

3270.27(e) Letter to parents

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

Correction date in the state record: Oct 22, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“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.”

Correction date in the state record: Oct 30, 2023

3270.31(f) Health and Safety Training

“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.”

Correction date in the state record: Nov 1, 2023

3270.133(6)/3270.133(7) Written consent/Medication log

“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).”

Correction date in the state record: Nov 8, 2023

3270.124(b)(6) Insurance coverage information

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

Correction date in the state record: Oct 31, 2023

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“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.”

Correction date in the state record: Oct 23, 2023

3270.111(b) Posted in group space

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

Correction date in the state record: Oct 20, 2023

3270.102(a) Clean and good repair

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

Correction date in the state record: Oct 20, 2023

3270.82(h) Handwashing signs

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

Correction date in the state record: Oct 20, 2023

3270.82(g) Clean and good repair

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

Correction date in the state record: Nov 2, 2023

3270.76 Building Surfaces

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

3270.75(c) Has all items

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

Correction date in the state record: Oct 20, 2023

3270.66(a) Locked or inaccessible

“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.”

Correction date in the state record: Oct 20, 2023

3270.32(a) Comply with CPSL

“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.”

Correction date in the state record: Oct 31, 2023

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“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.”

Correction date in the state record: Oct 22, 2023

3270.94(a)(1) Every 60 days

“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.”

Correction date in the state record: Oct 21, 2022

3270.75(c) Has all items

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

Correction date in the state record: Oct 14, 2022

3270.37(b)(3)/3270.192(2)(ii) 8th grade + 2 yrs/Exp, educ., training prior to facility

“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.”

Correction date in the state record: Oct 21, 2022

3270.95(a) Devices must be compliant

“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.”

Correction date in the state record: Oct 21, 2022

3270.131(e)(1)/3270.131(e)(2)(i) Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

“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”

Correction date in the state record: Nov 16, 2022

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

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

Correction date in the state record: Oct 29, 2022

3270.77(a) No peeling paint or plaster

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

Correction date in the state record: Oct 14, 2022

3270.14 Pertinent Laws & Regulations

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

Correction date in the state record: Oct 21, 2022

3270.31(e)(4)(i)/3270.31(f)(10) Age and Training/Health and Safety Training - Pediatric First Aid and CPR

“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.”

Correction date in the state record: Oct 21, 2022

3270.76 Building Surfaces

“Operating fans were observed in areas accessible to the children in the gym and in the school-age space. An adult was able to get a finger through the guards at the front of the fans. The poured rubber surfacing on the playground at the rear of the building was in poor repair. The surfacing had multiple cracks, and areas where the surfacing was pulled away completely. An area on the front of a water fountain (outside of men's restroom used by school-age) was rusty and the metal was in poor repair (sharp edges). Ceiling tiles in the Brandon room showed evidence of a water leak. At least 18 tiles had water stains, and 1 tile was bulging. The protective covering along the edge of the sink in the downstairs pre-k counts bathroom was no longer covering the wood. The wood was wet and was starting to expand.”

Correction date in the state record: Dec 20, 2021

3270.77(a) No peeling paint or plaster

“An area of peeling paint was observed in the entryway to the downstairs pre-k counts bathroom. Peeling paint was also observed on the wall near the writing center in the downstairs pre-k counts room. Paint was peeling off the top of a shelf in the upstairs pre-k counts room.”

Correction date in the state record: Oct 25, 2021

3270.107 Refrigerator

“The refrigerator located in the downstairs pre-k counts room did not contain an operable thermometer.”

Correction date in the state record: Oct 19, 2021

3270.133(6) Written consent

“The paperwork on file accompanying a medication that is given to child 1 did not include written consent for administration of the medication.”

Correction date in the state record: Nov 5, 2021

3270.151(a) 12 months prior to service and every 24 months thereafter

“The health assessment updates for staff persons 1-3 were not obtained timely (within 24 months). Staff 1 - Health assessments were dated 8/20/19 and subsequently 9/30/21. Staff 2 - Health assessments were dated 11/27/18 and subsequently 5/5/21. Staff 3 - Health assessments were dated 11/8/18 and subsequently 1/15/21.”

Correction date in the state record: Oct 18, 2021

3270.161(d) Potentially hazardous food refrigerated

“Perishable foods were observed to be stored in lunchboxes in the classroom. The food items were not refrigerated (ex. yogurt, lunchables, etc.).”

Correction date in the state record: Oct 18, 2021

3270.192(2)(ii) Exp, educ., training prior to facility

“The record for staff person 4 did not include documentation of education.”

Correction date in the state record: Oct 19, 2021

3270.66(a) Locked or inaccessible

“The following toxic materials were observed in areas accessible to children. School-age - Disinfectant wipes (CORRECTED ON SITE), spray paint, clear coat acrylic spray, and a container of adult medication. Pre-K counts, downstairs - Hand sanitizer (CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2021

3270.192(5) Two written references

“The record for staff person 4 included just one written, nonfamily reference.”

Correction date in the state record: Oct 18, 2021