Linda Nale Group Day Care Home

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: Continued non-compliance. On 4/1/26 and 4/30/26 fire drills were not conducted at least once every 60 days. On 4/30/26 the facility provided documentation of fire drills being conducted on 1/16/26 and 2/13/26.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Continued non-compliance. On 2/9/26, 4/1/26, and 4/30/26 the facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/21/25, 3/23/25, 4/22/25, 5/21/25, 6/20/25, 7/21/25, 8/21/25, 9/19/25, 10/20/25, 11/19/25, 12/19/25, 1/19/26, 2/19/26, 3/19/26, and 4/24/26.

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

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Continued non-compliance. On 2/9/26 and 4/1/26 the file of Child #1 did not contain an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained a health report dated 4/14/25 with a previous one dated 3/25/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Continued non-compliance. On 2/9/26 and 4/1/26 emergency drills were not conducted annually. The facility provided documentation of an emergency drill conducted on 8/15/24.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted at least once every 60 days. On 4/1/26 the facility provided documentation of the last fire drill being conducted on 1/16/26.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Continued non-compliance. On 2/9/26 and 4/1/26 the facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/21/25, 3/23/25, 4/22/25, 5/21/25, 6/20/25, 7/21/25, 8/21/25, 9/19/25, 10/20/25, 11/19/25, 12/19/25, and 1/19/26.

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

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of Child #2 did not contain child service reports completed at least every 6 months (See LIS Code Sheet). The file of Child #2 contained child service reports completed on 6/20/25 and 12/20/25.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for Child #4 did not specify the child's arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreements for Children #2 and #3 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: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #4 did not include the address of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #4 did not include the address of the individual 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: 3280.131(a)

Description: Health Information

Noncompliance Area: The file of Child #4 did not contain an initial health report no later than 60 days following the first day of attendance at the facility (SEE LIS Code Sheet). The file of Child #4 did not contain a health report.

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.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #5 did not contain an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained a health report dated 4/14/25 with a previous one dated 3/25/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3280.131(b)(2)

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

Noncompliance Area: The files of Children #1 and #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 5/7/24 with a previous one dated 4/6/22. The file of Child #1 contains a health report for a school-age child dated in accordance with the requirements for medical examinations for school attendance. The file of Child #2 contained a health report dated 5/28/25 with a previous one dated 4/10/23.

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: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed Staff #1 place a soiled pull-up in a plastic bag instead of discarding the pull-up immediately by placing it into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The facility provided documentation of an emergency drill conducted on 8/15/24.

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

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: Staff #1 lacked 3 hours of annual child care training required from December 2024 through December of 2025. Staff #1 had 3 hours of child care training completed on 2/5/26 used for correction.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed a power strip which lacked a protective receptacle cover on the table across from the filing cabinets by the sofa.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/21/25, 3/23/25, 4/22/25, 5/21/25, 6/20/25, 7/21/25, 8/21/25, 9/19/25, 10/20/25, 11/19/25, 12/19/25, and 1/19/26.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #1, #4, and #5 lacked child service reports completed at least every 6 months. Child #1 had child service reports completed on 6/20/23, 12/21/23, and 12/20/24. Child #4 had child service reports completed on 6/21/23 and 12/21/23. Child #5, who had an admission date of 4/16/24, had a child service report completed on 12/20/24.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for Child #2 did not specify the child's arrival and departure times.

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

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for Child #2 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the name, address, and telephone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact information for Children #2, #3, #4, and #5 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #3 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address and telephone number of the individual 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: 3280.131(d)(1)

Description: Child's health history

Noncompliance Area: The health report for Child #5 did not include a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3280.131(d)(3)/3280.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The health report for Child #5 did not include a list of the child's current medication and the reason for the medication and any special diet the child receives and the reason for the special diet.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3280.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: The health report for Child #5 did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #2 did not ensure that children's hands were washed before lunch.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(c)(1)

Description: Physical examination

Noncompliance Area: The files of Staff #1 and Staff #2 contained adult health assessments which did not include documentation of a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator lacked documentation of notifying local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a dated disclosure statement.

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: At approximately 10:10 AM Staff #1 left the facility to take a young school-age child to the bus stop while leaving Staff #2 to care for a group of mixed-age children which included 1 young toddler, 1 older toddler, and 4 preschoolers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed Simply Moisturizing Hand Sanitizer which indicated "keep out of the reach of children" on top of the bookcase at the entrance which was accessible to children.

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.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The primary staff or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 1/26/24, 3/26/24, 5/24/24, 7/26/24, 9/24/24, and 11/25/24.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 1/29/24, 2/23/24, 3/24/24, 4/23/24, 5/23/24, 6/23/24, 7/23/24, 8/23/24, 9/23/24, 10/23/24, 11/22/24, and 12/23/24.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked handle of a red bin containing LEGOS.

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.

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreements for Children #3 and #4 did not specify the child's arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child #4 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: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for Child #3 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.123(b)/3280.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files of Children #1, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: The emergency contact for Child #4 did not include written consent signed by a parent for emergency medical care prior to admission. Child #4 had an admission date of 4/13/23 with an emergency contact dated 7/17/23.

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: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #5 did not include the complete address of the individual 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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files of Children #2, #3, #4, and #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 who had an admission date of 3/13/23 had an initial health report dated 9/13/23. Child #3 who had an admission date of 4/13/23 did not have a health report on file. Child #4 who had an admission date of 4/13/23 had an initial health report dated 9/5/23. Child #5 who had an admission date of 5/22/23 did not have a health report on file.

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

Regulation: 3280.131(d)(2)

Description: Child's allergies

Noncompliance Area: The health report for Child #2 did not include a list of the child's allergies.

Correction Required: A health report shall include a list of the child's allergies.

Regulation: 3280.131(d)(3)/3280.133(8)

Description: Current medication and reason/Special diet - parent's instructions

Noncompliance Area: The health report for Child #2 did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #5, a 1-year-old, lacked Hepatitis B immunizations according to the recommendations of the ACIP. Child #5 had documentation of 1 Hepatitis B immunization.

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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report for Child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3280.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report for Child #2 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #2 did not ensure that a child's hands were washed after being diapered. Staff #2 used a baby wipe to wash the mobile child's hands.

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: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed Staff #2 place a soiled disposable diaper in a plastic bag instead of discarding the diaper immediately by placing it into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #1 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were reviewed on 1/24/23 and 7/24/23.

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: 3280.182(5)

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

Noncompliance Area: The file of Child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form prior to admission. Child #4 had an admission date of 4/13/23 with an emergency contact dated 7/17/23.

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: 3280.20

Description: General Health and Safety

Noncompliance Area: Observed 2 pair of adult scissors in the 2nd drawer from the bottom in the filing cabinet to the right of the bay window in the kitchen area which were accessible to children. Observed 2 screw drivers in the 2nd drawer from the bottom in the first filing cabinet by the television which were accessible to children.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of emergency plan training on an annual basis (SEE LIS Code Sheet). The files of Staff #1 and #2 contained documentation of emergency plan training on 2/8/22.

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.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including shelter of children during an emergency including lockdown, shelter in place at the facility, and shelter at locations away from the facility premises; evacuation of children from the building and evacuation of children to a location away from the facility premises; a method to contact parents as soon as reasonably possible when an emergency situation arises; a method for facility persons to inform parents that the emergency has ended and to provide instructions as to how parents can safety be reunited with their children; accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions; and emergency drills conducted annually.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of obtaining an annual 12 clock hours of child care training.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The primary staff or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 1/17/23, 3/17/23, 5/17/23, 7/17/23, 9/15/23, 11/14/23, and 1/26/24.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility had a Class B fire extinguisher in the kitchen, but the gauge indicated it was empty.

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

Regulation: 3280.131(d)(5)

Description: Immunization record

Noncompliance Area: 2nd citation. Previously cited on 2/7/23. The files of Children #1 and #2 lacked a current influenza immunization in accordance with the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: 2nd citation. Previously cited on 2/7/23. The primary staff person or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 1/19/22, 3/21/22, 5/20/22, 7/19/22, 9/19/22, 11/18/22, and 1/17/23.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: 2nd citation. Previously cited on 2/7/23. The facility was unable to provide written documentation that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/8/22, 3/10/22, 4/9/22, 5/9/22, 6/8/22, 7/8/22, 8/7/22, 9/6/22, 10/6/22, 11/5/22, 12/5/22, and 1/4/23.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a Step 2 Slide/Climber with approximately a 4 by 6 inch hole on the side creating rough edges and pinch points in the Outdoor Play Space.

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.

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for Child #4 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #2, #3, and #4 lacked child service reports with the reinstating of this regulation on 10/31/22. The files of Children #2, #3, and #4 contained child service reports dated 12/21/22.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.123(b)/3280.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file of Child #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of Child #2 lacked the complete home address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete home and work address of the enrolling parent on the emergency contact form. The file of Child #5 lacked the complete work address of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files of Children #1 and #2 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the emergency contact form.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.131(d)(5)

Description: Immunization record

Noncompliance Area: The files of Children #2 and #3 lacked a current influenza immunization in accordance with the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files of Staff #1 and #2 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The files of Staff #1 and #2 contained no documentation of completing the health and safety update. The emergency plan did not address continuity of operations.

Correction Required: Staff person #1 and #2 will have until March 8, 2023, to complete the Pennsylvania Health and Safety Update 2022. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contacts and agreements for Children #1 and #3 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 7/12/21 and 9/7/22. Child #1's agreement was reviewed on 7/12/21, 3/7/22, and 9/7/22. Child #3's emergency contact was signed on 1/24/22 and reviewed on 1/24/23. Child #3's agreement was signed on 1/24/22 with no reviews.

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: 3280.20

Description: General Health and Safety

Noncompliance Area: Observed various tools in the 3rd drawer of the filing cabinet by the TV which were accessible to children. Observed pairing knives in the top drawer by the oven which were accessible to children.

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

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

Correction Required: The facility shall have an emergency plan that provides 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 § 3280.94 (relating to fire drills).

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan updated on 12/17/22 to the 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a copy of the completed clearance information required under the CPSL. The file of Staff #1 contained a current State Police Clearance dated 3/23/21, a current Child Abuse Clearance dated 3/30/21, and a current FBI Clearance dated 3/21/21, but the previous State Police Clearance, Child Abuse Clearance, and FBI Clearance were missing from the file. The file of Staff #1 lacked a National Sex Offender Registry Verification Certificate (NSOR). The file of Staff #2 lacked a Child Abuse Clearance updated every 60 months. Staff #2 had a Child Abuse Clearance dated 2/9/22 with the previous one dated 2/6/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. 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: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed Gorilla Wood Glue and Gorilla Glue which indicated "keep out of the reach of children" in the 3rd drawer of the tan filing cabinet beside the heat register in the kitchen which were accessible to children.

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.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Observed rotted, splintering wood at the bottom of the shed in the Outdoor Play Space.

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

Regulation: 3280.92(a)

Description: Portable space heaters

Noncompliance Area: The facility lacked documentation that portable space heaters are allowed by local ordinance to be used while children are in care.

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The primary staff person or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 1/19/22, 3/21/22, 5/20/22, 7/19/22, 9/19/22, 11/18/22, and 1/17/23.

Correction Required: The primary staff person 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: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The primary staff person or designated staff person did not ensure that evacuation routes were posted in a conspicuous location on each floor of the facility. An evacuation route was posted in the basement but not on the first floor.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/8/22, 3/10/22, 4/9/22, 5/9/22, 6/8/22, 7/8/22, 8/7/22, 9/6/22, 10/6/22, 11/5/22, 12/5/22, and 1/4/23.

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

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed a pack n play which was not labeled for use by a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact form for child file #1 which did not contain the address of the individual 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: 3280.131(b)(2)

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

Noncompliance Area: Observed child file #1 and #4 contained most recent health assessments which were dated more than 18 months ago.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Observed child file #2 and #4 did not contain an updated vaccination records as written verification of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Correction Required: 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.

Regulation: 3280.133(4)

Description: Locked

Noncompliance Area: Observed Albuterol medication accessible to children on the table where the children eat. Observed an unlocked medication cabinet in the area where the children eat.

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: 3280.151(a)

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

Noncompliance Area: Observed staff file #2, contained a most recent health assessment which was dated more than 30 months ago.

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 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.

Regulation: 3280.181(c)/3280.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Observed child file #2, 3, 4, and 5 did not contain documentation of parental review of the emergency contact information and the financial agreement within the previous 6 months.

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. 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.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Observed the operator did not have documentation that the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Correction Required: 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.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Observed the operator did not have documentation of conducting an annual emergency drill within the period of 12/19/20 to 12/19/21.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Observed staff file #1 and #2 contained documentation of training in the emergency plan which was dated more than 12 months ago.

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.