Childhood Dreams Daycare INC

At the time of the inspection, staff person #15 did not receive an NSOR until 7/3/25. An FBI clearance was on file dated 7/16/15 and not submitted for until 7/14/25, which was not at time of hire. Staff person #16 did not receive a NSOR certificate until 7/2/25, which was not at time of hire. Staff person #15 and #16 were not hired appropriately under the CPSL and Chapter 3490 and have had routine interaction and direct contact with children (see LIS code sheet for date of hire).

While swimming at the pool on 7/23/25, staff person #8 named the 6 children assigned to the staff's responsibility. When asked to identify them while they were swimming in the pool, staff person #8 was unable to locate child #12 for approximately 2 minutes. Staff person #8 raised her orange-colored flag as a sign for the children with orange wrist bands to come to where staff person #8 was. Even with the flag raised, staff person #8 was unable to locate child #12. Child #12 was then observed on the opposite side of the pool.

At the time of the inspection, the last documented health assessment on file for child #2 was conducted on 10/23/24 and not every 6 months as required.

At the time of the inspection, child #4 did not have the following immunizations and were not in compliance with the recommendations of the ACIP: Hep A #2.

At the time of the inspection, there was no health assessment on file for staff person #15.

At the time of the inspection in the young school age room, lunchboxes containing perishable items such as Lunchables and lunch meat were observed in lunchboxes in the cubby area.

At the time of the inspection, the emergency contact for child #6 did not include the work addresses and telephone numbers of the enrolling parent.

Staff person #1 did not have a health assessment on file every 24 months as required. This is evidenced by the current health assessment on file dated 9/4/24 and the previous health assessment on file dated 8/9/22.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/12/19.

Staff person #12 had a FBI clearance dated 12/7/22 which was of PDE status and not approved for use in childcare. Staff person #14 did not have a receipt of submission for the FBI clearance on file and did not obtain the FBI clearance until 7/8/24. Staff #14 also did not submit the NSOR certificate application until 6/13/24 which was not at initial hire and did not have a completed NSOR certificate on file (see LIS code sheet for date of hire). Staff person #18 did not have a request for or completed NSOR certificate on file at time of hire (see LIS code sheet for date of hire). Staff person #19, the lifeguard, did not have a signed disclosure statement on file.

Staff person #14 was observed sending pairs of children to other side of the pool to use the restroom. The children were unsupervised while in the bathroom area. Staff person #14 was unable to see, hear, direct or assess these children.

At the time of the inspection, the emergency plan on file did not contain continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

The emergency plan on file did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Staff person #19, the lifeguard, was not trained in the facility's emergency plan.

A Fisher Price Infant to Toddler Rocker was observed in the Infant room. The United States Consumer Product Safety Commission deemed this hazardous in June 2022 and may not be used by children at the facility and may not be on the premises at the facility.

The Avi-Q for child #11 was not in the original box.

There was no signed consent from the parent or medication log for child #11's Benadryl and AVI-Q. There was no signed consent from the parent or medication log for child #3's Tylenol.

Staff person #4 and staff person #11 had a current health assessment dated 3/9/24 and 2/17/23 respectively. The previous health assessment was dated 12/31/21 and 9/29/20, respectively. This reflects a period of longer than the required 24-month update to the health assessment. Staff person #13 did not have a date on the health assessment that was on file. Staff person #18 did not have a health assessment on file at time of hire (see LIS code sheet for date of hire).

The health assessment for staff person #8 and staff person #12 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

The operator did not have proof of installation on file for the interconnected fire detection system.

Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements. This is evidenced by the health and safety training on file dated 7/8/24.

Staff person#9 and staff person #12 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/12/19 and 6/5/19, respectively.

Staff person #14 did not have any education on file and therefore does not qualify for the position they were performing. Staff person #18 did not have a high school diploma to accompany the college credits that were on file.

The parent handbook which is provided to parents at enrollment did not include supervision policies.

The emergency contact form for child #3, child #4 and child #10 did not include the address of the individual designated by the parent to whom the child may be released.

Staff person #14 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

STAFF #1 (see code sheet for start date) had an after-visit summary from a physician dated 3/21/22. There was no health assessment form.

During renewal inspection on 7/21/22 cert rep reviewed all staff files. STAFF # 2 (see code sheet for hire date) has a PA state police clearance date 7/17/22; a child abuse clearance dated 7/17/22 and was fingerprinted on 7/18/22 for the FBI clearance. Previous clearances were dated as follows: PA state police 1/20/17; child abuse 1/20/17; FBI 1/20/17. The updated clearances are more than 60 months from the previous clearances.

During the renewal inspection on 7/21/22 cert rep observed the first aid kit in the YSA room on a shelf that was accessible to children.

During renewal inspection on 7/21/22 cert rep observed damaged paint in the YT room by the car table and window. CR observed damaged paint in the PS room by the toy shelf and in dramatic play.

During renewal inspection on 7/21/22 there were no hand washing signs posted at the sink in the infant room and in the preschool room.

During renewal inspection on 7/21/22 cert rep observed mats for rest time in the PS room. The mats had numbers on them, but are not assigned to specific children. Staff said the mats are cleaned daily and just given out to the children.

During renewal inspection on 7/21/22 cert rep reviewed several children's files. CHILD # 1 whose start date was 8/30/21, did not have a review of the child's immunized status according to recommendations of the ACIP with the health report on file. Health report was completed on 9/27/21.

During renewal inspection on 7/21/22 cert rep reviewed all staff files. STAFF # 1 has not completed pediatric first aid and CPR within 90 days of hire (see code sheet for start date).