Pamela Butler-griffin

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025, the most recent agreement form on file for Child #1 did not contain the date of the child's admittance into the program.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025, the file for Child #2 did not contain the health insurance coverage or policy number for the child.

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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025, the files for Staff Person #1 and Staff Person #2 did not contain verification of annual emergency plan training.

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: 3290.31(a)(2)

Description: Age and training

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025. the file for Staff Person #2 did not contain a High School Diploma or verification of the completion of a General Educational Development Certificate.

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.

Regulation: 3290.31(g)/3290.31(h)

Description: Age and training/Verification of professional development

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025, the file for Staff Person #2 did not contain verification of the completion of the required CCDBG Health and Safety Training. Staff Person #2 file contained the 6-Hours Health and Safety Training completed on 09/25/2017, but did not contain the required 1-Hour Update.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date the professional development was completed. Documentation of the completion of the professional development under subsection (g) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the Renewal Inspection conducted on 08/13/2025, the most recent Fire Inspection Report on file was dated 09/27/2023.

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: 3290.106

Description: Refrigerator

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the refrigeration did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Children #1, #2, #3, #4, and #5 did not contain a Child Service Report.

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 § 3290.124(e).

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Child # 3 did not contain the child's date of admissions.

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: 3290.123(b)/3290.182(8)

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

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Child #3 did not contain an Agreement form.

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

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

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Children #1, #3, and #4 did not contained 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Children #3 and #4 did not contain the address for 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(e)/3290.181(c)

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

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual records for Children #1, #2, #3, #4 and #5 contained emergency contact forms and agreement forms that have not been reviewed, updated and signed within the last 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: 3290.131(b)(1)/3290.181(c)

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

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the individual record for Child #1 did not contain and updated Health Assessment. The Health Assessment on file was dated 05/16/2023.

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. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the Renewal Inspection on 08/07/2024, the facility's Emergency Plan did not contain a plan for Continuity of Operations.

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