Pennsylvania survey readiness

What Pennsylvania Department of Human Services can ask you for, each line cited — and the ones you can't yet produce.

The building

Pennsylvania requirements loaded — the rules below are Pennsylvania’s own.

0 of 30 ready.

30 of the outstanding items are the ones a survey opens with.

PennsylvaniaPersonal Care Home (PCH)

What Pennsylvania Department of Human Services can ask for, each cited. Checked July 2026.

Goes in the planIs the section written, and does it say what the rule requires?

Contact telephone numbers for local and State emergency management agencies; local resources for housing and emergency care of residents; means of transportation if relocation is required; and the duties and responsibilities of staff during evacuation, during transportation, and at the emergency location. That last one — duties at the destination — is the part most plans omit.

55 Pa. Code §2600.107 · Pennsylvania Department of Human Services

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Must be filed or approvedWas it sent — and where approval is required, was it approved?

Pennsylvania personal care homes must review, update and SUBMIT their written emergency procedures annually to the local emergency management agency.

55 Pa. Code §2600.107 (emergency preparedness); §2600.123 (emergency evacuation); §2600.132 (fire drills) · Local emergency management agency

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Must be done, on a scheduleWhen did it last happen, and was that inside the interval?

Drills at the required frequency: An UNANNOUNCED fire drill at least once a month — twelve a year — plus a fire drill during sleeping hours once every six months. Separately, a fire safety inspection and fire drill conducted by a fire safety expert must be completed annually and documented.

55 Pa. Code §2600.107 (emergency preparedness); §2600.123 (emergency evacuation); §2600.132 (fire drills) · Pennsylvania Department of Human Services

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Contact telephone numbers for local and State emergency management agencies; local resources for housing and emergency care of residents; means of transportation if relocation is required; and the duties and responsibilities of staff during evacuation, during transportation, and at the emergency location. That last one — duties at the destination — is the part most plans omit.

55 Pa. Code §2600.107 · Pennsylvania Department of Human Services

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Records to retainHow far back can you produce the records?

Drills at the required frequency: An UNANNOUNCED fire drill at least once a month — twelve a year — plus a fire drill during sleeping hours once every six months. Separately, a fire safety inspection and fire drill conducted by a fire safety expert must be completed annually and documented.

55 Pa. Code §2600.107 (emergency preparedness); §2600.123 (emergency evacuation); §2600.132 (fire drills) · Pennsylvania Department of Human Services

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Life-safety systems

The code-based tests a life-safety survey opens with. These are the starred ones — the full schedule is the compliance calendar.

Test record

NFPA 72 Table 14.4.3.2 (supervisory device testing) (2022) · national · keep: Minimum 5 years

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Certificate + inspection report

NFPA 72 §14.4 (annual ITM) (2022) · national · keep: Minimum 5 years

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Test record

NFPA 25 §5.3.3 / §13.7 (2023) · national · keep: Life of system

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Static + residual pressures; compare to prior; >10% drop investigated

NFPA 25 §5.3.3 (main drain quarterly where sole supply passes through backflow preventer or PRV) (2023) · national · keep: Life of system

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Pressures vs prior year

NFPA 25 §13.2.5 (2023) · national · keep: Life of system

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Written record for AHJ

NFPA 80 §5.2.1 (annual, 13 criteria) (2022) · national · keep: 3 years

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Report

NFPA 110 §8.3.1 (2022) · national · keep: Per authority

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Damper log with location, ID, pass/fail and corrective action.

NFPA 80 §19.4 / NFPA 105 Ch. 6 (2022) · national · keep: Until the next test, minimum 3 years

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Written report listing every damper by location with pass/fail

NFPA 80 §19.4 / NFPA 105 Ch. 6 (hospital 6-year interval) (2022) · national · keep: Until the next test, minimum 3 years

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Monthly firefighter service log.

ASME A17.1 §8.6.11.1 (2019) · state-governed · keep: Minimum 3 years

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Trip test report with trip time and water delivery time.

NFPA 25 §13.4.4.2.2 (3-year full trip) (2020) · national · keep: Minimum 3 years

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Tank inspection report.

NFPA 25 §9.2.6 (interior inspection) (2020) · national · keep: Until the next interior inspection

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Smoke control test report with fan and damper positions.

NFPA 92 §8.4.2 (dedicated: semiannual) (2021) · national · keep: Minimum 3 years

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Signed drill sheet: date, time, shift, participants, evacuation time.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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After-action report and improvement plan.

42 CFR §483.73(d)(2) (—) · national · keep: Minimum 3 years

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Signed HVA.

42 CFR §483.73(a)(1) (—) · national · keep: Minimum 3 years

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Dated plan revision.

42 CFR §483.73(a) (—) · national · keep: Minimum 3 years

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Dated plan revision and team roster.

ASHRAE 188 / CMS QSO-17-30 (2018) · national · keep: Survey cycle

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Readings against control limits.

ASHRAE 188 §7 (2018) · national · keep: Survey cycle

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Receptacle test record by room.

NFPA 99 §6.3.3.2 (12-month interval applies to receptacles not listed hospital grade) (2021) · national · keep: Minimum 3 years

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Rounds log.

NFPA 101 §19.3.6 (2012) · national · keep: Survey cycle

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Barrier log with locations.

NFPA 101 §19.3.7 (2012) · national · keep: Survey cycle

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Photo of posting with date.

29 CFR §1904.32(b)(6) (—) · national · keep: 5 years

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Temperature log by unit.

FDA Food Code §3-501.16 (cold holding, as adopted by your state) (2022) · state-governed · keep: Minimum 1 year

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Inspection report and corrective-action record.

Local AHJ (—) · local · keep: Minimum 3 years

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What Pennsylvania requires

Personal Care Home (PCH)Group home / residential care home
  • Your fire and evacuation drill records for the period. Drills at the required frequency: An UNANNOUNCED fire drill at least once a month — twelve a year — plus a fire drill during sleeping hours once every six months. Separately, a fire safety inspection and fire drill conducted by a fire safety expert must be completed annually and documented. 55 Pa. Code §2600.107 (emergency preparedness); §2600.123 (emergency evacuation); §2600.132 (fire drills)
  • Proof your plan was filed, and the date it went. Pennsylvania personal care homes must review, update and SUBMIT their written emergency procedures annually to the local emergency management agency. 55 Pa. Code §2600.107 (emergency preparedness); §2600.123 (emergency evacuation); §2600.132 (fire drills)
  • Required contents of the written emergency procedures. Contact telephone numbers for local and State emergency management agencies; local resources for housing and emergency care of residents; means of transportation if relocation is required; and the duties and responsibilities of staff during evacuation, during transportation, and at the emergency location. That last one — duties at the destination — is the part most plans omit. 55 Pa. Code §2600.107
Pennsylvania Department of Human Services · checked July 2026
Assisted Living Residence (ALR)Assisted living / residential care
  • Your fire and evacuation drill records for the period. Drills at the required frequency: An UNANNOUNCED fire drill at least once a month. A fire safety inspection and fire drill conducted by a fire safety expert must also be completed annually and documented. 55 Pa. Code §2800.107 (emergency preparedness); §2800.132 (fire drills)
  • Per-resident designated person and confidential medical information. Beyond the personal care home list, an assisted living residence must hold contact information for EACH resident's designated person, and must have a plan to provide emergency medical information for each resident in a way that preserves confidentiality. Two competing duties in one requirement — the information has to travel with the resident without being exposed. 55 Pa. Code §2800.107
Pennsylvania Department of Human Services · checked July 2026

The evidence, and where it comes from

Every item above needs something you can hand over. The Pennsylvania fire drill log produces the drill record at the frequency this state sets, the emergency plan builder writes the plan itself from the same research, and the compliance calendar puts the life-safety tests on dates. Anything you record against the building shows up on the checklist already ticked.

Everything else we’ve researched about Pennsylvania

Same state, the problems either side of this one. Each carries its own statute and the date we last checked it.

A self-assessment against published rules, not a compliance determination. CompliMaint issues nothing — Pennsylvania Department of Human Services and your authority having jurisdiction do. Requirements we could not verify are absent rather than guessed at.