Divine Covenant Christian Academy Llc

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 was missing the amount of the fee to be charged per day or per week and the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 was missing the services being provided to the child.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)/3270.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: The agreement on file for child #1 was missing the arrival and departure times and did not specify the date of the child's admission.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include the address of the child's physician or source of medical care and health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include the work address of the enrolling parent and the name, address and phone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #1 did not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.241(c)(1)(i)

Description: 30 or fewer hours a week, director or director/GS present at least 20% of operational hours.

Noncompliance Area: At the time of the inspection, staff person #2 acknowledged that there is not a director being physically present at least 20% of the program's operational hours.

Correction Required: In a program operating 30 or fewer hours a week, a director or director/group supervisor shall be present at a facility as required at §3270.34 (relating to director qualifications and responsibilities) at least 20% of the program's operational hours.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #1 did not have a completed NSOR certificate and completed clearances on file for the state in which they resided within the last 5 years. Staff person #1 acknowledged that they resided outside of Pennsylvania within the past 5 years. Staff person #1 and #2 acknowledged that staff person #1 was the only staff person present on 3/2/26. Staff person #1 had routine interaction and direct contact with children.

Correction Required: 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. Staff Person #1 may not work in a child care position at the facility until all completed clearances, both in-state and out-of-state, are on file at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: At the time of the inspection on 3/13/26, there was no documentation of manual monthly monitoring being conducted since the facility opened on 2/9/26. This is required to be conducted every 30 days.

Correction Required: 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)/3270.132(b)

Description: Supervised at all times /Staff person accompany child

Noncompliance Area: An incident occurred on 2/10/26. Staff person #1 acknowledged that they did not accompany child #1 in the ambulance when the child needed emergency medical care, but instead followed behind in their own vehicle.

Correction Required: 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. A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care. TIERED LIS: 1.) Children must be supervised at all times. 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. A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop an emergency medical treatment policy to be implemented in the facility. The written policy must include the requirement for a staff person to accompany a child in the ambulance until the parent assumes responsibility for the child. The policy must also include staffing provisions if additional children are in care. The updated policy will be added to both the parent and staff handbooks. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. This date of correction will be when all of the requirements have been met.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, there was no thermometer in the refrigerator in both the toddler and infant rooms.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At the time of the inspection, diaper Genies were observed in the infant room and bathroom to be used for diapering. The diaper Genies are not hands-free as a diaper has to be pushed through a surface into a bag.

Correction Required: 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: ·1.) Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; ·2.) Strategies for coping with a crying, fussing, or distraught child; and 3.) Address the prevention and identification of child maltreatment

Correction Required: 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. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.