Anna Mae Guille Fcch

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: During renewal inspection on May 8, 2026, the record of child #1 did not contain a current health assessment (dated 8-22-24).

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During renewal inspection on May 8, 2026, the back door exit was partially obstructed and the entry way between child care space and kitchen were congested, preventing easy exit.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection on May 21, 2025, the emergency contact information of children #2 and #5 did not include the health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection on May 21, 2025, the emergency contact forms of children #1 and #3 were not updated at least once in a 6 month period, and the financial agreements of children #1, 2, 3 and 4 were not updated at least once in a 6 month period.

Correction Required: 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. 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on May 21, 2025, the record of staff #1 did not contain a current NSOR verification certificate (previous dated 3-13-20, request submitted 5-14-25).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on May 21, 2025, certification representative observed chipped paint in the child care space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During renewal inspection on April 24, 2024, certification representative observed staff #1 leave the room and leave the 3 children (1 older toddler and 2 preschoolers) unsupervised at 10:09, 10:37, 11:31 and 11:49 am.

Correction Required: 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During renewal inspection on April 24, 2024, the agreements of children #1, 2, and 5 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: During renewal inspection on April 24, 2024, the agreement of children #1, 2 and 5 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During renewal inspection on April 24, 2024, the emergency contact information of child #1 did not contain the telephone number of the child's physician, and the emergency contact information of child #5 did not contain the name, address or telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection on April 24, 2024, the emergency contact information of child #1 did not include the health insurance coverage or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection on April 24, 2024, the emergency contact information of child #1 did not include the address of the individuals designated by the parent to whom the child may be released.

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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection on April 24, 2024, the written plan which identifies the means of transporting a child to emergency care was not posted in a conspicuous location.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During renewal inspection on April 24, 2024, the record of child #2 did not contain a health assessment conducted within 12 months (dated 7-5-22).

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: 3290.133(4)

Description: Locked

Noncompliance Area: During renewal inspection on April 24, 2024, an epi pen was observed on top of the cubbies in the front room.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on April 24, 2024, certification representative observed staff #1 give the children snack without washing the children's hands prior.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3290.135(e)

Description: Every 2 hours

Noncompliance Area: During renewal inspection on April 24, 2024, certification representatives did not observe staff #1 change a child's diaper from the time of arrival at 10:00 am until 12:40 pm.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection on April 24, 2024, provider did not have a Shaken Baby Syndrome, abusive head trauma, and child maltreatment policy and the facility emergency plan did not address Continuity of Operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During renewal inspection on April 24, 2024, the instructions for contacting the appropriate regional child care office was not posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection on April 24, 2024, provider did not have documentation of an annual emergency drill on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During renewal inspection on April 24, 2024, provider did not have documentation that a copy of the emergency plan was sent to the local municipality and county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: During renewal inspection on April 24, 2024, certification representative observed areas in need of cleaning, the kitchen sink filled with dirty dishes, debris from a broken storm door in the kitchen and the toilet in need of repair.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on April 24, 2024, certification representative observed areas of chipped paint in the main childcare space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During renewal inspection on April 24, 2024, the doorway from the main room into the kitchen and back door/yard was partially obstructed with various boxes and other items.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During renewal inspection on April 24, 2024, provider did not have documentation of a fire drill conducted at least once every 60 days.

Correction Required: The operator 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. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection on April 24, 2024, the smoke detectors at the facility were not interconnected as required under section 1016(c) of act (62 P.S. § 1016(c)). (The individual smoke detectors tested on site at the time of inspection were demonstrated as operable).

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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.105(a)/3290.105(b)

Description: Clean, age appropriate/No bed linens alone

Noncompliance Area: At the time of the on-site facility visit, the two children were observed sleeping with bed linens.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3290.111(a)

Description: Written plan

Noncompliance Area: The facility schedule with daily activities was not posted at the time of inspection.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: There was no written proof of a recent health assessment in the file for staff #1 at the time of inspection.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: The stairs leading to the facility restroom had carpet that was frayed on the edges which could pose a hazard to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.31(a)(2)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: There was no written proof of education in the file for staff #2 at the time of inspection.

Correction Required: Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.A facility person's record shall include records of training required by the Department.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: There was no written proof of annual training for staff #1 at the time of inspection.

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

Regulation: 3290.31(f)(4)(i)/3290.32(d)

Description: Age and training/Age and training

Noncompliance Area: At the time of inspection, staff #1, #2 and #3 did not have written proof of first-aid training as required by regulations. The training on file was not by a PQAS trainer.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was no written proof of staff #2 complying with the CPSL requirements on file at the time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: The yard in the rear of the facility was cluttered. The grass was over grown, there were broken toys and other items that could pose a hazard to the children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: There was no written proof of a recent health assessment if the file for staff #1 at the time of inspection.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of the facility inspection, the facility kitchen and outdoor play space had multiple items (cluttered) that were a hinderance both spaces and could pose a hazard to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The health insurance information and policy number were missing from the emergency contact information for facility children #1 and #2 at the time of inspection on 7/1/19.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The file for staff #, 1did not have written proof of a health assessment at the time of inspection on 7/1/19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The program menu was not posted at the time of inspection on 7/1/19.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Noncompliance Area: At the time of inspection on 7/1/19, the emergency contact information in the files for facility children #1 and #2 did not have signed permission for minor first-aid or emergency medical care.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the inspection on 7/1/19, there was no written proof of emergency plan training in the files for staff #1- #3

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff # 1 who was observed escorting two facility children to and from the neighborhood playground on the morning of 7/1/19. The staff person did not have written proof of education in their file.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: Upon request at the time of inspection, the first-aid kit was missing soap, bandages, and water.

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

Noncompliance Area: The rear yard was overgrown with grass at the time of inspection. Along with the grass, there were items large items that may cause a hazard to the children in care

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During the inspection on 7/1/19, peeling paint was observed on the main (living) room walls.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: EMERGENCY CONTACT FOR CHILD #2 & #4 DID NOT HAVE THE HEALTH INSURANCE POLICY NUMBER LISTED.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: EMERGENCY CONTACT FOR CHILD #1, #3, & #4 DID NOT HAVE THE RELEASE PERSONS ADDRESS LISTED.

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.

Noncompliance Area: CHILD #4 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT

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.

Noncompliance Area: ON 2/2/18 A P/S CHILD UNLOCKED AND ALLOWED A CHILD CARE REPRESENTATIVE WORKER ENTRY INTO THE DAYCARE FACILITY/ HOME. THERE WERE (3) ADDITIONAL CHILDREN IN CARE DOWNSTAIRS, AND THE OPERATOR WAS UPSTAIRS FOR SEVERAL MINUTES BEFORE SHE CAME DOWN TO MEET THE AGENCY WORKER.

Correction Required: All Children must be supervised at all times 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: DURING RENEWAL INSPECTION ON 7-7-17, CERT REP OBSERVED THERE WAS NO RECORD OF STAFF BEING TRAINED IN THE EMERGENCY PLAN.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 7-7-17, CERT REP OBSERVED NO RECORD OF THE EMERGENCY PLAN BEING SENT TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.