Developing Dreams Child Care and Learnin

The files for Staff #1 and Staff #2 contained State Police Clearances, Child Abuse Clearances, and FBI Clearances that were not obtained within 60 months of the previous clearances. The file for Staff #2 contained a disclosure statement that lacked a date.

Located in the Infant Room closet was a cleaning material that was in a container that does not specify the content. Staff identified the bottle contents as bleach.

The outdoor steps that lead from the facility to the play space had become separated from the wall.

In the Outdoor Preschool Play Space, the blue playground structure had multiple areas on the platforms where the paint was peeling.

The file for Child #1, an Older Toddler, contained a Health Report that had been updated in an interval greater than 12 months.

The file for Child #3, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination and a 4th dose of the Pneumococcal vaccination as required based on the child's age as per the ACIP recommended schedule.

At approximately 11:30 AM in the Preschool Classroom the children did not wash their hands prior to sitting down to eat lunch.

The Agreement for Child #1 and #3 lacked the amount of the fee to be charged.

The Emergency Contact Form for Child #2 lacked the enrolling parents work address and telephone number.

In the Preschool Room there were two electrical outlets on the surge protector underneath the desk that lacked protective receptacle covers. The outlets were accessible to children 5 years of age and younger.

A recalled Mamaroo Rocker was observed in the Infant Room.

Observed an empty plastic bag on the ground in the hallway of the Preschool Classroom and accessible to children who are still placing objects in their mouths.

In the Preschool Classroom on the white shelf near the back wall there was a surge protector that was missing two protective outlet covers. These outlets were accessible to children 5 years of age and younger.

The temperature of the hot water in the children's upstairs bathroom sink measured 132° F.

In the Older Toddler Room there was blue peeling paint on the column in the middle of the room. In the Preschool Room there was peeling yellow paint underneath the window along the baseboard. In the Infant Room there was chipping yellow paint on the wall beneath the fire extinguisher. In the Outdoor Play Space both of the blue sets of steps had peeling and flaking paint.

In the Preschool Room there was a blue storage container that was cracked and a small child sized folding chair that was ripped creating cutting hazards for the children in care.

The file for Child #2, a Young Toddler, contained Health Reports that were updated in an interval greater than 6 months.

The file for Child #1, a Preschooler, lacked an updated health report within the last 12 months.

The file for Child #3 an Infant, enrolled for more that 60 days at the facility, did not contain documentation of a Rotavirus vaccination, 2nd dose of the DTAP vaccination, 2nd dose of the HIB vaccination, 2nd dose of the Pneumococcal vaccination, and 2nd dose of the Polio vaccination as required based on the child's age as per the ACIP recommended schedule.

Upon review of the facility's Fire Drill log, the following drills were observed to have been conducted more than 60 days apart: 5/5/24-7/12/24 (68 days).

The two standalone smoke detectors; one in the basement and one in the upstairs hallway were not operable at the time of the Renewal Inspection. Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 11/12/23-12/29/23 (47 Days), 12/29/23-2/16/24 (47 Days), 2/16/24-3/27/24 (40 Days), 3/27/24-5/5/24 (39 Days), 5/5/24-7/12/24 (68 Days), 7/12/24-8/30/24 (49 Days).

The file for Child # 2 contained Child Service Reports dated more than 6 months apart

The Emergency Contact Form for Child #2 lacked the address of the child's physician.

The Emergency Contact Form for Child #3 lacked the enrolling parents work address and telephone number.

The Emergency Contact Forms for Child #2 and Child #3 lacked the address of the individual designated by the parent to whom the child may be released.

The Emergency Contact Form in the file for Child #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

In the Preschool Room a six-outlet surge protector power strip located on the floor to the left of the teachers' desk was observed to lack two protective outlet covers and was accessible to children 5 years of age or younger.

In the Preschool Room a plastic bin containing Dab-O-Ink bingo markers, which staff disclosed are sometimes used by the children for various art projects, were observed to not be labeled nontoxic.

In the Preschool Room a resting mat was observed to be torn in multiple places exposing the foam inside causing the mat to not be in good repair.

In the Young Toddler and Infant Rooms, seven pack n play playards used by infants and young toddlers in care were observed to not be labeled for the use of a specific child.

The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 9/21/22 which was conducted more than 6 months from the previously dated 2/9/22 health report on file. The child file for Child #2,, who is a young toddler, was observed to lack an updated health report; the most recent health report on file is dated 1/6/23 which is more than 6 months old. The child file for Child #3, who was a young toddler at the time, was observed to contain an updated health report dated 5/23/23 which was conducted more than 6 months from the previously dated 8/19/21 health report on file.

The child file for Child #4, who is a preschool aged child, was observed to contain an updated health report dated 5/30/23 which was conducted more than 12 months from the previously dated 5/17/21 health report on file.

The staff file for Staff person #3, contained a current health assessment dated 6/15/23 which was conducted more than 24 months from the previously dated 9/14/20 health assessment on file. The staff file for Staff person #4, contained a current health assessment dated 8/31/23 which was conducted more than 24 months from the previously dated 5/7/21 health assessment on file. The staff file for Staff person #7, contained a current health assessment dated 4/30/23 which was conducted more than 24 months from the previously dated 4/27/21 health assessment on file.

The staff file for Staff person #7, contained a current health assessment dated 4/20/23 that was observed to lack a physical exam as evidence by the box for 'yes' was not checked off by the doctor.

The staff file for Staff person #7, contained a current health assessment dated 4/20/23 that was observed to lack an examination for communicable disease and the results as evidence by the box for 'no' was not checked off by the doctor.

The staff file for Staff person #7, contained a current health assessment dated 4/20/23 that was observed to lack a physician or CRNP's assessment of the person's suitability to provide childcare as evidence by the box for 'yes' was not checked off by the doctor.

Upon review of the facility's fire drill log, the following drills were observed to have been conducted more than 60 days apart: 2/6/23 - 4/10/23 (63 days).

Director self-disclosed that they have not been manually testing their fire detection system every 30 days.

Staff person #1 through Staff person #7, have not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06.

The child file for Child #4 contained an updated emergency contact information form that was observed to lack the name(s) and phone number(s) of the individual(s) that should be contacted in an emergency.

In the Young Toddler Room, the sheets being used in a Pack N Playard used by an infant in care was observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

The staff file for Staff person #1 contained a current State Police clearance dated 8/17/22, a current Chid Abuse clearance dated 8/24/22, and a current DHS FBI clearance dated 8/12/22 all of which were not renewed within 60 months of the previously dated 8/7/17 State Police clearance, 8/23/17 Child Abuse clearance, and 8/8/17 DHS FBI clearance expiring. The staff file for Staff person #2 contained a current State Police clearance dated 8/10/22 and a current DHS FBI clearance dated 8/18/22 both of which were not renewed within 60 months of the previously dated 1/13/17 State Police clearance and 1/13/17 DHS FBI clearance expiring.

The facility emergency plan lacked information regarding volunteer emergency preparedness, practice drills, and continuity of operations included in their emergency plan.

Upon review of the facility's emergency plan it was observed that the operator had not reviewed the emergency plan annually; the two most recent documented reviews were dated 6/3/21 and 8/22/22.

Staff person #1 through #7 did not receive training on the emergency plan annually; the last two documented trainings were dated 6/3/21 and 8/22/22.

Outside in the play space used by children, two spray canisters of wasp and hornet killer labeled, 'Keep Out of Reach of Children' were observed on the picnic table accessible to children.

Parts of the wood lattice fencing that is located on the side of the steps leading from the outdoor play space up to the doorway to the preschool room was observed to have broken off at the bottom of the fence causing splintering pieces on the fence and broken pieces of splintering wood on the ground resulting in a potential hazard to children in care.

The steps located outside of the preschool room which lead to the outdoor play space were observed to have peeling and chipping paint on them.

The sink inside the bathroom located within the Young Toddler room was observed to lack a platform or steps for the young toddlers to use while washing their hands.

Staff person #3 self reported that after a young toddler's diaper is changed that child's hands are cleaned with a baby wipe and not washed at the sink with soap and water.

The child file for Child #4, who is a preschool age child, was observed to contain an updated health report dated 9/7/21 which was conducted more than 12 months from the previously dated 6/27/20 health report on file. (See IS CODE SHEET).

The child file for Child #2, Child #4, and Child #5 lacked a flu shot for 2021.

The staff file for Staff person #6, contained a current health assessment dated 8/12/22 which was conducted more than 24 months from the previously dated 6/2/20 health assessment on file.

The facility has not conducted an annual emergency drill.

The child file for Child #2 contained a financial agreement form that lacked the fee amount.

The child file for Child #1 contained a financial agreement form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates for the financial agreement form were 6/1/21 and 6/1/22. The child file for Child #3 contained an emergency contact information form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates for the emergency contact information form were 8/30/21 and 4/12/22.