What Pennsylvania inspectors cite the most
The 12 licensing rules PA DHS inspectors cite most often — in plain English, with what evidence inspectors look for. Free director's reference, from the official PA DHS record.
Source: PA DHS public inspection records · last reviewed 5/11/2026
#1 most cited
The operator must comply with the CPSL (Child Protective Services Law) and Chapter 3490 — including current background-check clearances and mandated-reporter training (every 5 years).
Evidence inspectors look for
- Staff record missing required CPSL hiring documents
- Mandated-reporter training older than 60 months
- Returning staff not re-screened
#2 most cited
Personnel records must contain written verification of health-and-safety training topics required to work unsupervised with children.
Evidence inspectors look for
- Staff working unsupervised without H&S training documentation
- Health and safety training not completed within hire window
- Renewal training overdue
#3 most cited
A facility shall operate in conformity with applicable Federal and State laws and regulations from agencies whose rules apply (fire, health, building, etc.).
Evidence inspectors look for
- Staff record missing required H&S training
- Failure to comply with another agency's applicable regulation
- Local fire-marshal or building-code deficiency uncorrected
#4 most cited
Floors, walls, ceilings, and other surfaces — including the facility's outdoor play space — shall be kept clean, in good repair, and free from visible hazards.
Evidence inspectors look for
- Surfaces in disrepair during construction
- Visible damage to floors or walls in child-use areas
- Outdoor play surface presenting hazard
#5 most cited
Toxic, poisonous, or hazardous substances must be kept inaccessible to children at all times — locked or out of reach.
Evidence inspectors look for
- Toxic items in unlocked cabinet accessible to children
- Cleaning supplies stored within child reach
- Chemicals labeled 'Keep Out of Reach' present in unlocked cupboards
#6 most cited
Each facility person's record shall include verification of training, qualifications, and the position held — assembled and maintained per Chapter 3270.
Evidence inspectors look for
- Personnel record missing H&S training documentation
- Verification of education or experience missing
- Required training certificate not on file
#7 most cited
Parents must update emergency contact and financial agreement information at least every 6 months, or sooner if information changes.
Evidence inspectors look for
- Emergency contact information not updated within 6 months
- Financial agreement out of date
- Several children's records missing recent updates
#8 most cited
Annual fire-system report from a fire safety professional, including documentation of an interconnected fire-detection device, must be on file.
Evidence inspectors look for
- Annual fire-system report missing or outdated
- No proof of purchase for interconnected fire-detection device
- Fire-detection device installed but not documented
#9 most cited
Facility must maintain written documentation of an interconnected fire-detection device or system per Act 62 of 2020 (62 P.S. §1016).
Evidence inspectors look for
- No documentation of interconnected fire-detection device
- Proof of purchase missing
- Date of purchase not on file
#10 most cited
Each child's emergency contact form must include the child's health insurance coverage and policy number — or the corresponding Medical Assistance details.
Evidence inspectors look for
- Health insurance coverage missing on emergency form
- Policy number not recorded
- Family policy / Medicaid information not on file
#11 most cited
A primary staff person shall have a high school diploma or GED plus 2 years of experience with children — verified in the personnel record.
Evidence inspectors look for
- Primary staff record missing diploma/GED verification
- Experience documentation incomplete
- Two years of child-care experience not verified
#12 most cited
For older toddlers and preschool children, the operator must obtain an updated health report from the parent at least every 12 months.
Evidence inspectors look for
- Updated health report not on file within past 12 months
- Health report not made available at inspection
- Health report missing required elements
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