LINDA NALE GROUP DAY CARE HOME

Every 60 days (3280.94(a)(1))

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. Requirement: Fire drills are conducted at least once every 60 days. Correction: Fire drill was completed while certification staff was on site. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

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. 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met Correction: Current manual testing is on file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3280.131(b)(1))

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. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: Child #1 has current health report. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3280.26(a)(6))

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. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drill was conducted. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3280.94(a)(1))

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. Requirement: Fire drills are conducted at least once every 60 days. Correction: Fire drill was completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

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. 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met Correction: Manual testing was completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training/Exp, educ., training at facility (3280.31(e)/3280.192(2)(iii))

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. Requirement: 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. Correction: Staff #1 has 12 hours of training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3280.65)

Observed a power strip which lacked a protective receptacle cover on the table across from the filing cabinets by the sofa. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective cover was placed in the blank outlet spot immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3280.105(a))

Observed rest equipment not labeled for the use of a specific child. Requirement: 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. Correction: Sleeping mats were properly labeled with the child's name. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

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. 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 § 3280.124(f). Correction: Child #2 has a current child service report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3280.123(a)(4))

The agreement for Child #4 did not specify the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Child #4 has arrival and departure times in the file written by the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3280.123(a)(5))

The agreements for Children #2 and #3 did not specify the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Children #2 and #3 have release persons on the agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3280.124(b)(2))

Emergency contact information for Child #4 did not include the address of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parent of Child #4 provided the address of the child's physician on the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

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. 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: Emergency contact form for Child #4 has been corrected with the address of the person to whom the child may be released to. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3280.131(b)(1))

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. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: Child #5 has current health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3280.131(b)(2))

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. 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. Correction: Children #1 and #2 have current health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3280.135(a)(3))

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. Requirement: 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. Correction: Discussed diapering requirements with Staff #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3280.26(a)(6))

Emergency drills were not conducted annually. The facility provided documentation of an emergency drill conducted on 8/15/24. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drill was conducted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

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. 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met Correction: Manual testing was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information (3280.131(a))

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. Requirement: 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. Correction: Child #4 has current health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

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 Requirement: 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. Correction: Page was missing from packet and has since been recovered and added to packet in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

The file of Staff #1 lacked a dated disclosure statement. Requirement: 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. Correction: Disclosure statement dated when inspector was on site. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed age levels (3280.52(c))

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. Requirement: 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). Correction: When the school-age children are taken to the bus and picked up from the bus, the staff member doing so, will take not only the ones going to school but any children that may leave the other staff member out of ratio. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3280.66(a))

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. 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: The anti-bacterial hand sanitizer that was on the bookshelf within reach of children has been placed higher out of reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

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. 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 § 3280.124(f). Correction: All children have current child service reports. Child service reports will be completed for, not only children whom do not attend school, however preschoolers must receive a child service report every 6 months as well. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).