Anna Mae Guille Fcch

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

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

Corrected by May 12, 2026

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3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

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

Corrected by Jun 26, 2026

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

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

Corrected by Jul 1, 2025

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3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

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

Corrected by Jun 3, 2025

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3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Corrected by Jun 30, 2025

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3290.124(e)/3290.181(c) · 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.

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

Corrected by May 22, 2025

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

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

Corrected by Apr 26, 2024

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

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

Corrected by Apr 25, 2024

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3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

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

Corrected by May 31, 2024

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3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

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

Corrected by Apr 25, 2024

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3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

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

Corrected by May 31, 2024

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

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

Corrected by Apr 26, 2024

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3290.123(a)(6) · An agreement shall specify the date of the child's admission.

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

Corrected by Apr 26, 2024

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3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

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

Corrected by Apr 26, 2024

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3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Corrected by Apr 26, 2024

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3290.124(b)(7) · 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.

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

Corrected by Apr 26, 2024

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3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

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

Corrected by Apr 26, 2024

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3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

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

Corrected by Apr 26, 2024

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3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

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

Corrected by Apr 26, 2024

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3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

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

Corrected by Apr 26, 2024

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3290.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

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

Corrected by Apr 26, 2024

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3290.24(g) · 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.

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

Corrected by Apr 26, 2024

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3290.94(a)(1)/3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

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

Corrected by Apr 25, 2024

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3290.95(a)/3290.95(b) · 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.

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

Corrected by May 22, 2024

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3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

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

Corrected by Apr 25, 2024

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

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

Corrected by Apr 25, 2024

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

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

Corrected by Jun 12, 2023

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3290.105(a)/3290.105(b) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Bed linens may not be used alone as age-appropriate rest equipment.

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

Corrected by May 10, 2023

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3290.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

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

Corrected by May 10, 2023

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3290.151(a)(2)/3290.192(2) · 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.

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

Corrected by May 11, 2023

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3290.31(f)(4)(i)/3290.32(d) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

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

Corrected by Jul 18, 2022

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

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

Corrected by May 16, 2022

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

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

Corrected by May 16, 2022

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3290.31(a)(2)/3290.192(4) · Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.A facility person's record shall include records of training required by the Department.

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

Corrected by Jun 16, 2022

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3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Corrected by Jul 15, 2022

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3290.74(a)/3290.74(b) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.Hallways and stairways used by children shall be well-lighted.

At the time of the facility inspection, the top of the stairs where the restroom used by the children is used was dark, and cluttered.

Corrected by Aug 17, 2021

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

During the inspection on 7/13/21, the entrance (sun porch) area was cluttered. This is the area where the children's cots are located and the diapering table.

Corrected by Aug 17, 2021

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3290.32(a)/3290.191 · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 & #2 may not work in an unsupervised 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. An individual record is required for each facility person.

There were no files for staff #1 and #2 at the time of inspection.

Corrected by Jul 13, 2021

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3290.64(a)/3290.74(a) · 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.Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

At the time of inspection on 7/13/21, the kitchen was cluttered. There were all types of items including cleaning products on the floor accessible to children, and on the counter and stove.

Corrected by Aug 17, 2021

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3290.65(a) · Trash shall be removed from the facility at least once per day.

During the inspection on 7/13/21, there was trash in the kitchen, on the front porch and the hallway at the top of the stairs.

Corrected by Aug 17, 2021

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3290.65(b)/3290.74(a) · Trash shall be removed from the facility grounds at least once per week. Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

The facility kitchen at the time of inspection was cluttered. There were large industrial size items on the floors, counters, and blocking the (block door) exit to the yard.

Corrected by Aug 17, 2021

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