WILLIAMS FAMILY DAY CARE

Emergency plan (3290.24(d))

The facility's most recent annual emergency drill is dated 12/1/23, more than 12 months prior. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Completed an emergency drill on 11/10/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

The fire alarm 30-day test log includes test dates 7/10/25-8/11/25 and 8/11/25-9/11/25, more than 30 days apart. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: Provider tested the fire alarm. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3290.94(a)(1))

The fire drill log on file included fire drills conducted 3/11/25-5/12/25 and 7/10/25-9/9/25, more than 60 days apart. Requirement: Fire drills are conducted at least once every 60 days. Correction: Provider will conduct a fire drill. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3290.124(b)(7))

The emergency contact form on file for Child #1 lacked addresses for all listed person's that the child can be released to. Requirement: 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. Correction: The addresses for all release persons have been added to the emergency contact form for Child #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

The file for Child #1, Child #2, and Child #3 contained the original financial agreement when the parent is to receive the original agreement. Requirement: 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. Correction: Child #1, Child #2, and Child #3 have copies of the fee agreement in the file and the original was given to the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3290.102(a))

A foam pad with teeth marks and a cracked toy bin with sharp edges were observed to be not in good repair. Requirement: 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. Correction: Foam pad was thrown away and the broken bin lid was replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

The most recent National Sex Offender Registry certificate on file for Staff #1 is dated 12/9/19, more than 60 months prior. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Correction: Provider closed facility while waiting for updated NSOR. New NSOR was received on 11/7/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

The facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Created Shaken Baby, Child Maltreatment, and Abusive Head Trauma policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

The facility's Emergency Plan lacked a Continuity of Operations policy. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Created continuity of operations policy and added to the emergency plan Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3290.181(c))

The Financial Agreement form on file for Child #1 lacked a 6-month update from the parent. The two most recent 6-month updates on file for Child #5 are dated 10/5/23 & 10/17/24, more than 6 months apart. Requirement: 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. Correction: The parent of Child #1 reviewed and signed the financial agreement form. The financial agreement form parent review and update for Child #5 is up to date on 10/17/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises (3290.24(a)(3))

The facility's Emergency Plan lacked a method to contact parents during an emergency. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction: Method to contact parents was added to the emergency plan Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3290.24(a)(4))

The facility's Emergency Plan lacked a method for the facility to inform parents that the emergency has ended and how to be safely reunited with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: Method to inform parents the emergency has ended and how to be reunited with their children was added to the emergency plan Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3290.64(a))

A container of disinfectant wipes was observed in the downstairs bathroom next to the sink and were accessible to the children in care. Requirement: 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. Correction: Container of wipes were removed from bathroom sink on the day of inspection Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Heat Source (3290.69)

In the basement bathroom, the water in the sink was 124 degrees. Requirement: 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. Correction: The hot water was turned down on the day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3290.123(a)(1))

The Financial Agreement form for Child #3 lacked the fee amount for the services provided. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The fee amount was added to the financial agreement for Child #3 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services provided (3290.123(a)(3))

The file for Child #4 lacked a dated child service report within the last 6 months. The two most recent child service reports on file for Child #5 are dated 10/5/23 & 10/27/24, more than 6 months apart. Requirement: 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). Correction: Child Service Reports were completed and added to the file for Child #4. The file for Child #5 has a current child service report dated 10/27/24 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

The Financial Agreement forms for Child #1 and Child #4 lacked the date of the child's admission. Requirement: 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. Correction: The admission date for Child #1 and Child #4 were added to the Financial Agreement Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

The files for Child #1, Child #2, and Child #3 contained an original copy of the Financial Agreement form, when the parent should receive the original. Requirement: 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. Correction: All parents of enrolled children were given the original financial agreement form Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated infant health report: every 6 months/Initial and subsequent health assessments (3290.131(b)(1)/3290.182(1))

The two most recent health assessments on file for Child #4 (Younger Toddler at the time) are dated 3/12/24 and 10/15/24, more than 6 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports. Correction: The file for Child #4 has a current health assessment dated 11/5/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments (3290.131(b)(2)/3290.182(1))

The two most recent health assessments on file for Child #5 (Pre-School Age) are dated 8/18/23 & 9/3/24, more than 12 months apart. Requirement: 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. Correction: The file for Child #5 has a current health assessment dated 9/3/24 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3290.131(d)(7))

The most recent health assessment on file for Child #4 (dated 10/15/24) does not indicate if the child is free from contagious disease and may participate in child care. Requirement: 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. Correction: Obtained an updated health assessment for Child #4 stating that the child is free from contagious disease and can participate in child care Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(g))

The facility lacked documentation that the Emergency Plan and subsequent plan updates have been sent to the local municipality and the county emergency agency. Requirement: 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. Correction: A copy of the emergency plan was sent to Braddock Borough and Allegheny County EMA Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3290.94(a)(1))

The fire drill log on file contained fire drills conducted 10/30/23-1/10/24, 1/10/24-3/12/24, and 3/12/24-5/14/24, more than 60 days apart. Requirement: 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. Correction: Fire drills will be conducted monthly to avoid going over 60 days Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

The fire alarm 30-day test log includes test dates 12/8/23-1/8/24, 1/8/24-2/9/24, 3/11/24-4/11/24, 4/11/24-5/13/24, 5/13/24-6/13/24, 6/13/24-7/15/24, and 8/9/24-9/9/24, more than 30 days apart. Requirement: 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. Correction: Smoke alarm testing will be done every 30 days or less Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(f))

The facility's Emergency Plan contained a parent letter which lacked accommodations for infants, toddlers, children with special needs, and children with chronic medical conditions. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: Accommodations for infant's toddler's children with special needs and children with chronic medical conditions were added to the emergency plan's parent letter Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).