Lititz Rec Center Child Care

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for children #1 and #2 did not include complete information for listed release persons. Child #1 - A release persons address and telephone number were not included. Child #2 - Addresses were not listed for 3 release persons

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The most recent health report on file for child #2 was more than 12 months old (dated in October of 2024).

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information on file for child #1 was most recently updated by the child's parent in July of 2025. The agreement on file for child #3 was signed/dated by the parent in March of 2025, and subsequently more than 6 months later in February of 2026.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The record for facility person #4 did not include documentation that the staff person has been trained on the emergency plan in the past year. The most recent training was from more than 12 months old (dated 1/2025).

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 completed 8.5 training hours during their previous training year. Staff person #2 completed 6 training hours during their previous training year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The record for facility person #5 did not include documentation of a completed mandated reporter training. The facility person has been employed for more than 90 days. At the time facility person #6 began work in the facility, the individual's record did not contain a completed DHS FBI clearance required under the CPSL and did not contain a copy of request for the DHS FBI clearance as required for provisional hiring under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff evaluations on file for staff person #3 were dated in November of 2024 and subsequently more than 12 months later in January of 2026.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in zone 3 did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.21/3270.133(7)

Description: General Health and Safety/Medication log

Noncompliance Area: On 12/29/25, child #1 was inadvertently given a second dose of their medication. The medication had been brought in that morning by the child's parent, but facility staff did not require the parent to complete a medication log. Staff person #1 administered the first dose, and after a staff change a second dose was administered by staff person #2. Neither staff person #1 nor staff person #2 logged the administration of the medication. Facility staff did not notice the child was given an extra dose of the medication until it was brought to their attention by the child's parent at pickup. The child was taken to the emergency room for monitoring.

Correction Required: TIERED LIS 1. Conditions at the facility may not pose a threat to the health or safety of the children. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. This portion of the plan shall have an immediate correction date. 2. Facility leadership must complete TA (with an approved Health and Safety Consultant) to write (or revise) and implement a policy regarding the handling, giving, and storing of medications, including procedures for parents, staff, and leadership. The policy should include actions taken when facility staff do not adhere to the policy. Facility leadership will submit the policy to DHS for approval. After the policy is approved by DHS, all staff will be trained on the center policy. All staff must sign and agree to adhere to the center policy. Documentation that all staff were trained and signed the policy must be kept on file at the facility. The operator shall provide a date for when this correction will be completed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the log on file at the time of inspection, fire drills were completed on 10/9/25 and then subsequently 62 days later on 12/9/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: According to the log on file at the time of inspection, more than 30 days had passed since the most recent manual test of the fire detection system. The most recently logged test took place on 11/6/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.124(c)

Description: Each child care space

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

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.133(1)/3270.133(2)

Description: Original container/Written instructions

Noncompliance Area: 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).

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: 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.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.