Just Like Home Daycare Center Inc

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: RECITED FROM SIN-00286836: The fire alarm 30-day test log includes test dates 3.8.26-4.10.26, 4.10.26-5.12.26, 1.7.26-2.9.26 and 11.6.25-12.11.25, more than 30 days apart

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: According to staff statements and other documentation, Staff person #1 singled out Child #1 by making a derogatory post regarding the child on social media.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Staff person #1 violated confidentiality when making a post on social media regarding Child #1.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire alarm 30-day test log includes test dates 1.7.26-2.9.26 and 11.6.25-12.11.25, more than 30 days apart

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the young toddler room the bottom of the shelf across from the entrance was splintered.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 4/12/24 and 9/18/25 which are more than 12 months apart.

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 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #2's two most recent health assessments are dated 4/15/23 and 9/24/25 which are more than 24 months apart.

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. 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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff #1's most current health assessment dated 9/3/25 did not indicate that a physical exam was conducted.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.151(c)(3)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: Staff #1's most current health assessment dated 9/3/25 did not indicate that the individual was free from communicable diseases. Staff #3's most current health assessment dated 9/24/25 was marked that the staff member had a communicable disease without additional information.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.151(c)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: Staff #1's most current health assessment dated 9/3/25 did not indicate that the individual was suitable to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff file #1 lacked 12 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #1 contained 12 child care training hours dated 1/14/25(2hr), 1/20/25(2hr), 1/20/25(2hr), 1/21/25(2hr), 1/24/25(2hr), and 9/9/25(3hr) used for correction. Staff file #2 lacked 8 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #2 contained 8 child care training hours dated 1/12/25 (4 trainings) used for correction.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1's two most recent mandated reporter trainings are dated 2/10/20 and 9/9/25 which are more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1's two most recent state police clearances are dated 7/27/20 and 8/29/25 which are more than 60 months apart. Staff #2's file contained two state police clearances dated 7/13/20 and 8/28/25, two child abuse clearances dated 7/10/20 and 9/9/25, and two DHS FBI clearances dated 7/23/20 and 9/8/25 all which are more than 60 months apart.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the older toddler/young preschool room there were small rubber animals, rubber bands, and small pieces of crayons all less than an inch in diameter accessible to children still placing objects in their mouths. In the PS/SA room there were foam blocks with teeth marks accessible to children 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.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #2 and 3's files did not contain 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #3, 4, and 5's files did not contain a health insurance policy number for a child under a family policy or Medical Assistance benefits. Child #4's file did not contain Health insurance coverage for a child under a family policy or Medical Assistance benefits.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #1's most recent 6 month review signature for emergency contact review is dated 11/21/22 which is more than 6 months ago. Child #2's most recent 6 month review signature for emergency contact review is dated 4/2023 which is more than 6 months ago. Child #4's most recent 6 month review signature for emergency contact review is dated 4/2023 which is more than 6 months ago. Child #5's most recent 6 month review signature for emergency contact review is dated 4/12/23 which is more than 6 months ago.

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: 3270.131(b)(1)/3270.181(c)

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

Noncompliance Area: Child #5's, a young toddler age child(See LIS Code Sheet), two most recent health assessments are dated 9/27/23 and 5/29/24 which are more than 6 months apart.

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: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2's, a preschool age child(See LIS Code Sheet), most recent health is dated 5/10/22 which is more than 12 months ago. Child #4's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 1/24/23 and 4/12/24 which are more than 12 months apart.

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 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a written policy to address the following: strategies for coping with a crying, fussing, or distraught child, and 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1's most recent 6 month review signature for the financial agreement is dated 11/21/22 which is more than 6 months ago. Child #2's most recent 6 month review signature for the financial agreement is dated 4/2023 which is more than 6 months ago. Child #4's most recent 6 month review signature for the financial agreement is dated 4/2023 which is more than 6 months ago. Child #5's most recent 6 month review for the financial agreement is dated 4/12/23 which is more than 6 months ago.

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: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: Child #2 and 4's file did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)

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

Noncompliance Area: Child #3's file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The lock to the kitchen area was broken and a sharp steak knife was laying on a table accessible to children.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan was last reviewed on 6/6/23 which is more than 12 months ago.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter the operator provides to the parent of each enrolled child explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/8/19. Staff #1's mandated reporter is dated 9/28/23 which was more than 90 days after their date of hire(See LIS Code Sheet). Staff #3's two most recent mandated reporter trainings are dated 7/1/19 and 9/24/24 which are more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by at least an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1's file contain a child abuse clearance dated 4/28/23 which is after the staff person's first day caring for children(See LIS Code Sheet).

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

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The lock to the kitchen area was broken making the stove which has knobs on the front 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A section of the outside fence on the right side of the play area was not attached to the pole and upper cross section making is loose, unstable, and in need of repair.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed outside to the left of the door along the bottom of the wall and around the storage building to the right along the bottom of the wall.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the toddler bathroom there was not handwashing sign near the diapering area.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire alarm testing log contained the following dates 11/8/23-12/17/23, 1/10/24-2/16/24,3/8/24-4/10/24, 5/1/24-6/12/24, 7/10/24-8/23/24, 9/18/24-10/21/24 which are more than 30 days apart.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for Child #2 contained an Agreement form that was lacking the persons designated by the 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: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #3 contains two Health Assessments dated 4/1/21 and 10/13/22, which is more than the 12 months required.

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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #1 and 2 contain immunization records that were lacking the annual influenza vaccination.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1 and #3 were both lacking the 1 hour Health and Safety Update Training.

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: 3270.151(a)

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

Noncompliance Area: The file for Staff #2 contained two health assessments that were more than 24 months apart.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The preschool and the young toddler rooms were lacking posted daily schedules.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The older toddler room was lacking a posted emergency transportation plan.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility was lacking documentation showing that the emergency plan was sent to the local municipality as well as the local 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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #4 lacked the admission date.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #1 lacked the phone 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for child #3 lacked the enrolling parent's work address.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #2 lacked the release person's address.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for facility person #7 contained a health assessment completed on 4/30/19, which is more than 24 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.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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for shelter of children during an emergency lock-down.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked evacuation routes to a location away from the facility premises

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for facility person #1, #3, and #5 lacked health and safety training topics 1-9 as required by 3270.31(f). Facility person #1, #3, and #5 have been working at the facility for more than 90 days.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)(10)/3270.31(h)

Description: Health and Safety Training - Pediatric First Aid and CPR/Health and Safety Training

Noncompliance Area: The file for facility person #4, with a hire date of 7/21/20, lacked pediatric first aid and CPR training, within the 180 days required.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file for facility person #2 lacked pediatric CPR training. The file for facility person #3, #5, and #6 lacked pediatric first aid and CPR training. Facility person #2, #3, #5, and #6 have been working at the facility for more than 90 days.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #2 lacked out of state clearances and proof of applying. The file for facility person #3 contained an incomplete FBI clearance dated for 12/10/20. The file for facility person #6, with hire date of 2/3/21, contained a Child Abuse Clearance with the purpose listed as volunteer, a National Sex Offender Registry Certificate dated for 9/1/21, and lacked out of state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #3, #6 -- 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 #2, #3, #6--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for facility person #4, with a hire date of 7/21/20, lacked an evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Preschool/Pre-k classroom, it was observed that an extension cord was sticking out from behind the cabinet with three outlets lacking protective receptacle covers and was accessible to the children in care.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: It was observed in the tan bathroom, that the paint on the ceiling was peeling, and the middle stall divider was pulled off of the wall, causing a hole in the drywall.

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

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Facility lacked proof of purchase of the inter connected smoke alarms.

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