COVENANT CHILD CARE CENTER

Devices must be compliant (3270.95(a))

More than 30 days lapsed between manual tests of the fire detection system that took place on 6/10/25 and subsequently 7/24/25, 12/17/25 and subsequently 1/17/26, and 1/17/26 and subsequently 2/18/26. 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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Correction: Fire detection manual testing has been completed within the past 30 days. The next scheduled testing has been added to the center's master schedule. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

The facility's emergency plan did not provide accommodations for the enrolled child with a chronic medical condition. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: A line has been added the the center's emergency plan stating that we do keep emergency medications in our classrooms' Emergency To-Go bags. These bags travel with the children whenever leaving the classroom including for evacuation drills and actual evacuation emergencies. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

The TB test results on file for staff person #10 were not dated in the 12 months prior to initial service in the child care setting. The TB test results on file were dated 17 days after the first day caring for children. 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: Staff Person #10 now has TB test results added to her staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Multiple nap mats used by the pre-k room were torn, exposing the inner foam. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: Mats with tears in them were thrown away and replaced with brand new sleeping mats. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Above ground window opening restricted to 6" (3270.72(d))

Windows in the preschool room were opened more than 6 inches. Requirement: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. Correction: A window jam was added to the window in the Preschool room to keep it from opening more than 6 inches. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

Staff evaluations were due in December of 2025 for staff persons #2, #3, #6, #7, and #8, but they were not completed until February and March of 2026. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: All staff currently have an evaluation completed within the past 12 months included in their staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The DHS FBI clearance on file for staff person #1 expired on 6/18/25, but was not updated until 6/26/25. The staff person worked in a child care position during the time the clearance was expired. The PA Child Abuse clearance on file for staff person #5 expired on 11/9/25, but was not updated until 11/13/25. The staff person worked with children during the time the clearance was expired. The mandated reporter on file for staff person #5 expired 6/23/25, but an updated training was not on file until 7/1/25. The PA Child Abuse clearance on file for staff person #6 expired on 11/10/25, but was not updated until 11/17/25. The staff person worked in a child care position during the time the clearance was expired. The mandated reporter on file for staff person #9 expired 12/1/25, but an updated training was not on file until 12/3/25. Upon beginning work in the facility, the record for staff person #10 did not the applicable out of state clearances as required under the CPSL. The applicable out-of-state child abuse clearance was not on file at the time of inspection. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #10 may not work in a child care position at the facility until complete clearances are on file. The initial mandated reporter training on file for staff person #11 was not dated within 90 days of hire. The training was dated 92 days after the date of hire. Correction: All clearances and trainings have been updated in each staff person's file. Staff person #10 has received her out-of-state clearances and has been returned to her child care position. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Medication log (3270.133(6)/3270.133(7))

Child #1 had an expired Epi-Pen emergency medication at the facility, however there was no Medication Log completed by the parent, giving instructions and permission to administer. Requirement: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: Child #1 no longer requires the use of an emergency EpiPen per parent instructions. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training prior to facility (3270.37(b)(3)/3270.192(2)(ii))

Staff Person #1 was observed working with children and did not have documentation of a minimum of completion of 8th grade and 2 years (2,500 hours) of childcare experience on file to qualify as an Aide. Requirement: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff Person #1 was terminated from the childcare center for unrelated reasons. (unreliable and excessive calling off of scheduled shifts). Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The fire drill log did not have documentation showing that the fire alarm system had been tested every 30 days or less as required. As of 7/14/25, the last documented testing date on the log was 6/10/25. 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: The fire alarm system has been tested on 7/24/2025 and 8/19/2025 and documented on the log. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

There were 3 written references for Staff Person #2 on file. One of them checked that they were from a family member while the other 2 did not indicate if they were related or not. Requirement: 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. Correction: Staff person #2 has 3 references on file. Two references have been verified that they are not family members. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #1 has completed Pediatric First Aid and CPR training, however there was no certificate or documentation of the training completed through a PQAS approved curriculum with a PQAS-certified, approved trainer in Staff Person #1's file. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed and documentation is on file, Staff Person #1 must be supervised when interacting with children at a minimum by, an AGS who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility. Correction: Staff Person #1 did not work alone with children, unsupervised until the Pediatric First Aid and CPR documentation was obtained and added to staff person #1's file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant sleep position (3270.119)

Infants were not placed in sleeping positions recommended by the American Academy of Pediatrics as follows: On 7/14/25: Child #1 was observed sleeping in a bouncy seat Child #2 was observed sleeping in a bouncy seat then moved to a glider. Child #3 was observed sleeping in a swing. On 7/18/25: Child #3 was observed sleeping in a glider. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: All bassinet/gliders that were used for infant sleeping, have been removed from the infant room and replaced with cribs that are labelled for individual use. Staff have been reminded that when an infant falls asleep in other equipment (such as a swing or bouncy seat), they must be moved to their crib to sleep and will be placed on their back in their labelled crib. An infant specialist will be providing TA in the classroom as well. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety/Seasonal coverings (3270.21/3270.106(e))

The infant room was very warm during the inspections, with a digital temperature reading of 80 degrees (30% humidity) and the infants were observed sleeping in gliders, swings and bouncy seats with heavy, thick blankets on them. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Seasonal, appropriate covering, such as sheets or blankets, shall be provided as agreed between the child's parent and the operator. Correction: The child care center purchased and installed a window air conditioning unit to keep the infant room at a comfortable temperature. Staff have notified parents, requesting lighter blankets be brought in for all infants during warmer seasons. Staff will only use a light-weight blanket if needed or no blanket at all, to ensure that the infants are comfortable while sleeping in cribs. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

Staff in both infant classrooms said that they use wipes on the infants' hands after diapering, in lieu of handwashing. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: A handwashing policy, including infants, has been created for the center. All staff have been notified of the policy. Infant Room staff have been trained to wash infants hands with soap and water at the sink. The only exception to this, is if the infant is unable to hold up their head. In that case, wipes may be used. All staff who work with infants, have signed their acknowledgement of this policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #1 has not completed the following pre-service training within 90 days of their hire date (see Code Sheet): Health and Safety training Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #1 will have until 2/26/25 to complete the required training. Until such time as the required training has been completed, Staff Person #1 must be supervised when interaction with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #1, Staff Person #1 may not work in a childcare position at the facility. Correction: Staff Person #1 has completed the necessary pre-service training as of 1/13/2025. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3270.192(2)(ii))

The file for Facility Person #2 did not contain documentation of education. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Person #2 has submitted additional letter of reference documenting additional experience hours. Person #2 has also submitted a transcript documenting education. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).