THE DEVINE SCHOOL

2025

1. Medium-High risk12/4/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   Facility staff # 3 did not complete fire safety training within 12 months of the last training on file. Fire safety trainng completed 5/21/24 and then on 7/11/25. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Fire safety was completed on 7/11/2025 by staff member #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/11/2025
2. Medium-High risk12/4/2025

   Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

   Facility staff #1 did not complete mandated reporter training within 60 months from 6/11/19 to 1/3/25. Facility staff # 4 had a volunteer child abuse clearance on file at time of hire. Facility staff # 5 did not have a child abuse clearance on file in over 60 months from 11/3/19 to 11/23/24. 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: Mandated Reporter training was completed on 1/3/2025 by staff member #1. Child Abuse Clearance was completed for Employment for staff member #4 on 12/22/2024. Child abuse clearance for staff member #5 was completed on 11/23/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/11/2025
3. Medium-High riskStandard 1212/4/2025

   12 months prior to service and every 24 months thereafter (3270.151(a))

   Facility staff # 2 did not have a health assessment on file in over 24 moths from 9/26/23 to 11/17/25. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Correction: Completed and signed health assessment done on 11/17/2025 for staff member #2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/11/2025
4. Medium-High risk3/11/2025

   Original label (3270.133(5))

   Child # 1 has an epinephrine pen at the facility that does not have the original label attached or at the facility. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Family of child # 1 brought in the original label for the epinephrine pen. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/12/2025
5. Medium-High risk1/3/2025

   Services proceeded (3270.123(a)(3))

   Child # 2 only has 1 child service report on file since time of enrollment. Child service report is from 11/18/24. Child # 3 did not have a child service report completed in over six months from 10/10/23 to 11/22/24. Requirement: 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). Correction: Moving forward all paperwork will be kept in children's files and updated within the 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2025
6. Medium-High risk1/3/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   Facility staff # 3 has not had fire safety training in over 12 months from 9/6/23 to 11/14/24. Requirement: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Fire safety was taken by staff person #3 upon realizing it never saved online in August. This was corrected as soon as it was noticed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2025
7. Medium-High risk1/3/2025

   Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

   Facility staff # 1 has mandated reporter training that is over 60 months old. Mandated reporter training was completed 6/11/19. Facility staff # 2 hired and working at facility since 10/27/24 does not have a NSOR on file and was not suspended until over 45 days from date of hire. Facility staff # 2 was suspended 11/25/24. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . Facility Person # 2 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 # 2 may not work in a childcare position at the facility. Correction: Staff person #1 was contacted that day and the mandated reporter training was completed on 1/3/2025. Staff person #2 was contacted and required to provide NSOR upon return from suspension. NSOR received on 1/6/2025 and it was dated for 12/04/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2025
8. Medium risk1/3/2025

   Space safe for large muscle activity (3270.62(c))

   Older toddler outdoor play space is not organized and cluttered making it unsafe for large muscle activity. Requirement: Outdoor or indoor play space shall be safe for large muscle activity. Correction: The classroom was provided outdoor storage tubs to clean up loose toys and the playground was organized. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2025
9. Medium-Low risk1/3/2025

   Clean, age appropriate (3270.106(a))

   Cots are not labeled in the Preschool or Pre-K classrooms. 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: Cots will be labeled in classrooms with numbers. Each child is assigned a cot by number. A list is posted next to the cots showing what cot belongs to what child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2025
10. Medium-High risk1/3/2025

    Updated every 6 months (3270.124(f))

    Emergency contact in the emergency binder for child # 1 has not been updated in more than 6 months since 5/4/22. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. Correction: Child has since withdrawn due to financial issues. Moving forward, parents will be asked to sign and date the emergency contact as well as the sign off sheet stating all information is accurate. The signed and dated emergency contact form will be copied and placed in classroom binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/15/2025
11. Medium-High risk1/3/2025

    Emergency info/agreement updated 6 mos (3270.181(c))

    Child # 2 has not had their emergency contact form and fee agreement updated in over 6 months. Emergency contact form updated 8/3/23 to 12/4/24 and fee agreement updated 8/3/23 to 7/31/24. 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: Moving forward all paperwork will be kept in children's files and updated within the 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/15/2025