Darla R Lange Family Daycare Home

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: An annual emergency drill has not been conducted in over 12 months. The last documented drill was dated 1/05/25.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two electrical outlets on an extension cord lacked protective covers. The outlets were accessible to children 5 years of age or younger in the main child care room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A fire drill has not been conducted in over 60 days. The last documented fire drill was dated 11/18/25.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The specific time of day was not documented for four fire drills noted on the log.

Correction Required: 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: A test of the facility's fire alarm system has not been conducted in over 30 days. The last documented test was dated 10/24/25.

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

Regulation: 3290.102(a)/3290.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Split seams, exposing the inner foam filling, were observed on 2 nap mats and 1 changing pad.

Correction Required: 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: The rabies vaccination for the cat observed on the premises expired 11/05/25.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1 and household member #2 contained clearances which were not updated within 60 months. The clearances were dated as follows for staff #1; previous state police dated 2/25/20 was renewed on 10/28/25, previous child abuse dated 3/09/20 was renewed on 10/31/25, previous FBI dated 3/08/25 was renewed on 10/31/25, previous NSOR dated 3/10/20 was renewed on 11/04/25. The clearances were dated as follows for household member #2; previous state police clearance dated 2/25/20 was renewed on 10/28/25, previous child abuse dated 3/09/20 was renewed on 11/03/25, previous FBI dated 7/21/20 was renewed on 11/10/25, previous NSOR dated 3/11/20 was renewed on 11/04/25. Clearances for both individuals are now current.

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

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: Staff #1 did not renew the mandated reporter training within 60 months. This is evidenced by the previous training certificate being dated 2/26/20 and the most recent certificate being dated 10/25/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The last 5 documented fire drills did not include the specific time of day of the drills.

Correction Required: 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: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: A written plan of daily activities and routines was not posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for children #1, #2, and #3 did not include the addresses of the individuals designated by the parent to whom the child may be released. The phone number was also missing for one of these individuals on the form for child #1.

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: 3290.131(a)(2)/3290.182(1)

Description: Initial health report dated for young toddler < 6 months./Initial and subsequent health assessments

Noncompliance Area: The file for child #3, a young toddler, did not contain a health report conducted in the past 6 months. The most recent health report on file was dated 10/31/23.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record for child #3, who is 22 months old, lacked documentation of the first doses of MMR and varicella vaccines. A written exemption was not on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: A broken floor tile with cracks and sharp pieces was observed in the kitchen. A detached piece of wooden wall trim with exposed nails was observed near the broken tile. Both are on the route children use when accessing the restroom.

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: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The two most recent fire drills were conducted with the same hypothetical location, the playroom.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child file #1 lacked the designated release persons on the agreement form.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child file #2 lacked the health insurance policy number on the emergency contact form.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child file #2 contained an initial health report that dated 10/31/23 which was more than 60 days after child's first day at the facility.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

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

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Child file #1, lacked the arrival and departure times on the agreement form.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff file #1 contained a valid health assessment dated 10/31/22 which was conducted more than 24 months after the previous health assessment dated 6/23/20.

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.

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The record for child #1 and #2 did not contain signed parental consent for emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

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: The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The record for child #1 and #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A 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.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: The record for staff #1 included current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) which was renewed on 9/25/2021, following the expiration of their previous certification on 9/15/2019.

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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The operator did not conduct fire drills at least once every 60 days from 1/1/2021 to 3/3/2021 and from 9/1/2021 to 11/15/2021.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The operator did not have the proof of purchase for the fire detection devices installed at the facility. The operator did not test the fire detection devices at least once very 30 days and document the test from 7/1/2021 to 8/25/2021 and from 9/10/2021 to 11/11/2021 to 11/20/2021.

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.

Noncompliance Area: The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous health assessment.

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.

Noncompliance Area: The lid on a plastic container used to store toys on a shelf in the play room was damaged, which created a rough edge and posed a potential hazard to children in care.

Correction Required: 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.

Noncompliance Area: There were tears observed on the vinyl covering of (2) mats used as rest equipment by children in care, which made the foam contents of the mats accessible and posed a potential choking hazard to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The first-aid kit lacked scissors.

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.

Noncompliance Area: The bottom wooden step leading to/from the back porch to/from the outside play space was damaged with sharp and splintering pieces, posing a potential hazard to 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 operator did not post the emergency plan in the facility at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: There were no protective guards on two of the knobs on the stove that were accessible to children.

Correction Required: 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.

Noncompliance Area: In the outside play space, there was a missing bolt on the roof of a playhouse that created a potential pinch point and a crack on a slide that created a rough edge for children using the equipment.

Correction Required: 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.

Noncompliance Area: There was a box of Iodine wipes and Triple atibiotic ointment observed in an unlocked drawer of a storage container in the playroom that was accessible to children in care.

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.

Noncompliance Area: There were adult scissors and a container of sewing pins observed in an unlocked drawer in a file cabinet in the playroom that were accessible and posed a threat to the health and safety of children.

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

Noncompliance Area: The following toxic materials were labeled keep out of the reach of children and observed in areas that were accessible to children: In the playroom, there was an Air Wick air freshner plugged in an outlet and a bottle of White Out in an unlocked drawer in a file cabinet; and in the bathroom medicine cabinet, there was Odor Eater foot powder, Old Spice deoderant, Gillette Clean Gel deoderant, Dead Down Wind deoderant, and Colgate toothpaste.

Correction Required: 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: An initial health assessment was not provided for Child #1 within 60 days following the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: There were no written statements obtained from the parents giving the formula and feeding schedules for enrolled infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: There was no visual strip or other visual identification on glass on storm door that is used to access the back yard.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.