Lancaster Country Day School

3270.66(a)/3270.66(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Buckets of sanitizing wipes located in all 4 classrooms, were not labeled with the contents. The buckets of sanitizing wipes were located on low cabinets in all of the rooms, accessible to children (corrected on-site).

Corrected by Apr 16, 2026

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3270.75(b)/3270.75(c) · A first-aid kit must be inaccessible to children. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Preschool Room 158 did not contain tape. The first aid kit in the classroom backpack in the Preschool Room 156 was located on the floor, accessible to children.

Corrected by Apr 16, 2026

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Handwashing signs were not posted as follows: * By the toilets in the bathrooms of rooms 156, 152 and 146 * By the sink in room 146

Corrected by Apr 17, 2026

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's Emergency Plan and Parent Letter outlining the emergency plan procedures, did not include accommodations for children with disabilities or children with chronic medical conditions.

Corrected by Apr 28, 2026

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3270.94(a)(1)/3270.94(a)(4) · 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. The Director or designated staff person who is responsible for compliance with this chapter ensure the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drill log did not have varying hypothetical locations of the fire documented with the fire drills. Several of the fire drills listed "fire drill" for the hypothetical location of the fire. Fire drills were conducted more than 60 days, as documented on the log on 11/17/25, then 1/23/26.

Corrected by Jun 9, 2026

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3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The Parent Letter outlining the emergency plan procedures, did not include shelter in place at the facility and shelter at locations away from the facility premises. The Parent Letter did not include evacuation procedures to a location away from the facility premises.

Corrected by Apr 28, 2026

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

There was no documentation showing that the local police department was notified annually in writing, of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected by May 5, 2026

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3270.66(d) · Toxic plants are not permitted in a child care space.

Painter's Palette plant (also known as the Flamingo Flower) was observed in a school age room. Daffodils were observed on the outdoor school age playground. An aloe plant was observed in a childcare space.

Corrected by Apr 12, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on the wall of the school building on both the preschool and school age playgrounds.

Corrected by Apr 23, 2025

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

A child was observed entering into the hallway while a staff person was watching her. The staff person walked away from the doorway, leaving the child in the hallway without staff supervision.

Corrected by Apr 10, 2025

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Child 1 - A child service report was due in February of 2025, but wasn't completed until April of 2025.

Corrected by Apr 30, 2025

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3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The emergency contact forms had been updated in the master files, but had not been updated in the childcare spaces.

Corrected by Apr 14, 2025

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the previous year, fire drills were conducted during child care hours on the following dates: 5/7/2024, 10/12/24, and 3/12/25.

Corrected by Apr 29, 2025

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3270.95(a)/3270.95(b) · 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.

Manual tests of the fire detection system took place more than 30 days apart on the following occasions: 5/24/24 to 6/27/24 7/23/25 to 8/31/24 10/12/24 to 11/29/24 12/30/24 to 1/30/25

Corrected by Apr 29, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The record for staff person #1 included documentation of 6.5 annual hours of training for the previous training year.

Corrected by May 6, 2025

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements on file for children 1-5 did not specify the date of the child's admission. (CORRECTED ON SITE)

Corrected by May 10, 2024

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff person 1 - Fire safety trainings were dated in March of 2023 and subsequently more than 12 months later in April of 2024. Staff person 2 - Fire safety trainings were dated in July of 2022 and subsequently more than 12 months later in April of 2024. Staff person 4 - Fire safety trainings were dated in August of 2022 and subsequently more than 12 months later in April of 2024. Staff person 7 - Staff person began working in child care in 9/2022. The first fire safety training on file was dated in April of 2024. Staff person 8 - The most recent fire safety training was dated in August of 2022. Staff person 9 - Fire safety trainings were dated in August of 2022 and subsequently more than 12 months later in April of 2024. Staff person 10 - Fire safety trainings were dated in August of 2022 and subsequently more than 12 months later in April of 2024. Staff person 11 - Fire safety trainings were dated in December of 2022 and subsequently more than 12 months later in April of 2024.

Corrected by May 7, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff persons 1-4, and 8 worked for a period of time during the previous year with expired clearances on file. Staff person 1 - The PA state police clearance expired 2/22/2024 and was not updated until 4/3/24. Staff person 2 - The DHS FBI clearance expired 1/30/2024 and was not updated until 3/18/24. In addition, the staff person's mandated reporter training was due by 1/17/2024 but was not completed until 4/7/24. Staff person 3 - The PA child abuse clearance expired 1/31/2024 and was not updated until 3/1/24. In addition, the staff person's mandated reporter training was due by 1/18/2024 but was not completed until 4/5/24. Staff person 4 - The PA state police clearance expired 7/2/23, and was not updated until 2/7/24. Staff person 8 - The PA child abuse clearance expired 2/4/2024 and was not updated until 2/15/24. In addition, the staff person's mandated reporter training was due by 1/17/2024 but was not completed until 4/5/24. Staff person 9 - The staff person's mandated reporter training was due by 1/18/2024 but was not completed until 4/6/24.

Corrected by May 7, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Hand sanitizer was observed in an area accessible to the children in the school-age homework room. (CORRECTED ON SITE)

Corrected by May 7, 2024

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A trash can lid located in the preschool room was cracked.

Corrected by May 7, 2024

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3270.124(b)(7) · 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.

The emergency contact information on file for child 2 did not include an address for a listed release person.

Corrected by May 7, 2024

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3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

The emergency contact form on file for child 2 was signed/dated by the parent in July of 2023 and subsequently more than 6 months later in February of 2024.

Corrected by May 7, 2024

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3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Originals of written agreements were on file for children 1, 4, 5.

Corrected by May 7, 2024

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility has not completed an emergency drill during DHS licensed childcare hours in the previous year.

Corrected by Jun 7, 2024

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the log on file at the time of inspection, childcare fire drills took place on 8/18/23, 2/20/24, and 4/5/24.

Corrected by May 7, 2024

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3270.95(a)/3270.95(b) · 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.

During the previous year, the facility was not conducting manual tests of the fire detection system at least once every thirty days.

Corrected by May 1, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The record for staff person 4 included documentation of 9 clock hours of childcare training. The record for staff person 6 included documentation of 11 clock hours of childcare training. The record for staff person 7 included documentation of 9 clock hours of childcare training. The record for staff person 11 included documentation of 10 clock hours of childcare training.

Corrected by May 7, 2024

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement on file for child 1 was not signed by the operator (CORRECTED ON SITE).

Corrected by May 8, 2023

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations (45 CFR § 98.41). Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update their emergency plan to address continuity of operations. To maintain compliance with 45 CFR 98.41(a)(1)(vi), child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

The facility's emergency plan did not contain a section on Continuity of Operations. The facility did not have a policy and procedure in place that addresses how to identify and prevent shaken baby syndrome, abusive head trauma, and child maltreatment

Corrected by May 3, 2023

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3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The bulb of the heat lamp above the baby chicks measured at a temperature over 110 degrees. The heat lamp/bulb was in an area accessible to the children in care.

Corrected by Apr 26, 2023

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The surfacing ("woodcarpet") under the embedded equipment (swings) did not meet the recommendations of the United States Consumer Product Safety Commission. The test data provided shows a depth of 12 inches is sufficient for a fall height of up to 12 feet.

Corrected by Apr 28, 2023

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

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 forms were not on file for children 3-5.

Corrected by May 10, 2023

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3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The record for child 2 (school-age) did not contain a health report.

Corrected by May 1, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health assessment on file for child 3 was more than 12 months old (dated 3/1/22).

Corrected by Apr 27, 2023

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3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The initial health assessment (with TB test results) on file for staff person 2 was more than 12 months old at initial service in the childcare setting.

Corrected by May 11, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of inspection, the record for staff person 1 did not include documentation of education.

Corrected by May 1, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the log on file at the time of inspection, the most recent fire drill was completed on 1/12/23. More than 60 days had passed since a fire drill had been completed.

Corrected by May 10, 2023

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3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected by May 1, 2023

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3270.31(e)/3270.192(2)(iv) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The records for staff persons 3 - 9 did not include documentation an annual minimum of 12 clock hours of childcare training. The records each included documentation of 5.5 hours from the previous year.

Corrected by May 8, 2023

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3270.66(d) · Toxic plants are not permitted in a child care space.

Daffodils (narcissus) were observed on the preschool playground.

Corrected by Apr 13, 2022

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3270.76 · Maintenance will perform monthly playground checks to remove the weeds. Teachers will use the maintenance ticket system to request weed removal if they see them in the playground. During weeks when school is not in session, maintenance will use a weed removal treatment in that area.

Prickly weeds were growing on the preschool playground.

Corrected by Apr 13, 2022

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health report on file for child 3 (preschooler) was dated 1/21/21.

Corrected by Apr 19, 2022

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3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The records for children 1-3 did not include documentation of annual influenza vaccines from the previous year. The previous documentation on file for all three children were from 2020. The records did not include exemption notes.

Corrected by Apr 14, 2022

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