Dream Builders Child Care LLC · 210 Snyder Rd, Hermitage

On 9-24-25 in room #4, staff person #2 was observed changing a 2 year olds diaper and did not immediately wash the child's hands after diapering. The child was placed on the floor and given their binky by staff person #2 before the staff person and child washed their hands.

On 9-24-25 in room #4, staff person #2 was observed changing a 2 year olds diaper and did not immediately wash their hands after diapering. The child was placed on the floor and given their binky by staff person #2 before the staff person and child washed their hands.

Staff person #1 completed the PA Required Health and Safety for Centers-Group Child Care Part 2 pre-service training over 90 days after their date of hire.

According to staff statements, there have been multiple occurrences in the mornings within the last month when a staff person was observed out of ratio with one staff supervising up to 7 older toddlers in their group and another staff supervising up to 8-9 young toddlers in their group.

According to staff statements, there have been multiple mornings within the last month when a staff person was observed supervising a mixed-age group of up to 8-12 young and older toddlers.

On 6-5-25 at approximately 9:50 a.m. with a total of 17 older toddlers on the outdoor play space, staff person #1 named 6 older toddlers in their group, staff person #2 named 5 older toddlers in their group, and staff person #3 named 5 older toddlers in their group, resulting in 1 child not being named in a group.

According to corroborating staff statements, multiple staff have been observed, while in ratio with children, on their phones and distracted from supervising children appropriately.

According to corroborating staff statements, multiple staff have been observed using inappropriate language, including profanity, in the presence of children.

The file for staff person #3 had an FBI clearance dated 3-16-20 and lacked a current clearance updated within the last 60 months. The files for staff person #4, #6, and #7 lacked an NSOR verification certificate at their start date and require a current NSOR verification certificate. (See LIS CODE SHEET)

The first-aid kit in room #1 lacked tape.

On the outdoor play space, there were multiple holes on the back mesh fence.

In room #1 with 2 young toddlers that were walking and able to wash their hands, the sink near the changing table lacked a platform or steps and was unable to be reached by the children after diapering to wash their hands.

In the bathroom in room #4, the exit door to the hallway was obstructed by a cabinet.

In the infant room, there were three 4moms MamaRoo baby swings that had been recalled by the United States Consumer Product Safety Commission.

The file for child #1, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 3rd Hepatitis B and 1st and 2nd Hepatitis A vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The files for staff person #1 and #2 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #3 lacked current fire safety training completed within the last year. The file for staff person #2 had fire safety training that exceeded a year between trainings.

Staff person #5 completed the following required pre-service training on 7-23-24 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

The file for child #1 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for staff person #4 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for staff person #2 lacked 2 of the 12 required hours of annual child care training. The file for staff person #3 lacked 4.5 of the 12 required hours of annual child care training. The file for staff person #5 lacked 2 of the 12 required hours of annual child care training.

The file for staff person #1 had a disclosure statement that was dated after their start date. (See LIS CODE SHEET)

The file for staff person #1 had a health assessment and tuberculosis screening by the Mantoux method that were dated over 12 months prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method.

Staff person #2 has not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer and a PQAS approved curriculum, Pennsylvania Health and Safety Update 2022 Training (part of the Health and Safety Training topics of 3270.31(f)(1-9).

The file for staff person #3 had a disclosure statement that was dated after their start date. The file for staff person #5 had state police clearances that exceeded 60 months between clearances.

The file for staff person #7 had an FBI clearance with a record that lacked the required disposition.

The file for staff person #1 had emergency plan training that exceeded a year between trainings. The file for staff person #2 had emergency plan training that was dated after initial employment at the facility.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for children with chronic medical conditions.

In the hallway on the right wall near room #3, there was an electrical outlet that was accessible to children 5 years of age and younger that lacked an outlet cover.

On the outdoor play space, there were cracks in the cement in multiple areas that were a tripping hazard.

In room #3, there was damaged plaster with a hole in the wall behind the door. In room #1, there was peeling paint in one area on the cabinet below the sink.

In room #3, a handwashing sign was not posted at the left toilet in the bathroom and the diaper changing table in the room.

In the bathroom in room #3, the door opening to the infant room next door was blocked by a crib in the infant room.

There was a portable space heater observed in the staff bathroom.

In room #4 with 2 year olds present in the room, there was a playhouse with a crack in the plastic on the base of the doorframe that had sharp edges and pinch points.

In the infant room, there were two children observed sleeping in pack 'n plays that lacked 2 feet of space on three sides.

The files for child #1, a 17 month old, and child #6, a 17 month old, enrolled more than 60 days at the facility, lacked documentation of the 4th Pneumococcal vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The files for child #2, a 6 month old, and child #3, a 6 month old, enrolled more than 60 days at the facility, lacked documentation of the 2nd Rotavirus, DTAP, HIB, Pneumococcal, & Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #4, a 9 month old enrolled more than 60 days at the facility, lacked documentation of the 3rd DTAP and Pneumococcal vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

In room #1, there were Diazepam and Children's Motrin medications for child #7 that lacked written parental consent for administration of the medications.

The file for staff person #2 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The file for staff person #8 had a health assessment that exceeded 24 months between assessments.

The file for staff person #2 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

The file for staff person #6 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Documentation of a current emergency drill conducted within the last year was not on file at the facility.

The file for child #5 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Staff person #2 completed the following required pre-service training on 1-16-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #4 completed the following required pre-service training on 2-24-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #7 completed the following required pre-service training on 2-3-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #9 completed the following required pre-service training on 3-10-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #2 completed mandated reporter training on 1-27-24 that was over 90 days after their date of hire. (see LIS code sheet) Staff person #5 had mandated reporter trainings dated 6-25-18 and 7-23-23 that were over 60 months between trainings.

The files for child #3 and #4 had the original agreement in the file. According to staff, the parent of each enrolled child did not receive the original agreement.

The file for child #4 had an emergency contact form that lacked the address of the child's physician.

The file for child #4 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first-aid/CPR training, Health and Safety Training in the topics of 3270.31(f)(1-9).

On 12-18-23, staff person #2, an aide, and staff person #3, an aide, were observed in the older 1 year old room, each supervising a group of 5 young toddlers, and were not supervised by a staff person qualifying at minimum as an assistant group supervisor.

There were multiple cases of children with RSV at the facility in December 2023. Parents of children enrolled at the facility were not informed of the RSV cases.

A child with symptoms of a communicable disease, RSV, returned to the facility without the operator receiving notification from a physician or a CRNP that the child is no longer considered a threat to the health of others.

In room 4, measured as child care space, there were 2 staff persons with 10 older toddlers using the space as child care space. In a partitioned section of the room, there were 2 staff with 4 young toddlers using the partitioned space as gross motor play space in the same room that is measured as child care space.

There were multiple cases of children with RSV at the facility in December 2023. A facility person did not report the cases of RSV to the Department of Health.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 9-7-23 to 11-7-23.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 7-11-23 to 8-11-23, 8-11-23 to 9-11-23, and 10-9-23 to 11-9-23.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer and a PQAS approved curriculum.

Staff person #1 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 10-22-18.

Staff person #6 and #22 were observed to be caring for children unsupervised. Staff person #6 and #22 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training from a PQAS approved curriculum.

The file for staff person #14 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks or application for the registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks. The file for staff person #15 lacked a child abuse clearance and the out of state Sex Offender and Child Abuse & Neglect registry checks or application for the registry checks at their start date and requires a current child abuse clearance and out of state Sex Offender and Child Abuse & Neglect registry checks. The file for staff person #17 had an FBI clearance with a rap sheet that lacked the required disposition and lacked the out of state Sex Offender and Child Abuse & Neglect registry checks or application for the registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks. The file for staff person #1 had a Department of Education FBI clearance dated 10-10-22 and did not obtain a DHS FBI clearance until 2-22-23, which was after their start date. The files for staff person #2 and #16 had state police, child abuse, and FBI clearances that exceeded 60 months…

The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

The files for staff person #3, #4, #12, and #21 had emergency plan training that exceeded a year between trainings.

In the infant room during naptime, there was a 1 year old that was observed sleeping in a pack 'n play that lacked 2 feet of space on three sides.

The files for child #1, a 3 year old, child #3, a 2 year old, child #4, a 4 year old, and child #5, a 2 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #2, a 2 year old, had an immunization record that lacked documentation of the 2nd dose of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The files for staff person #2, #5, #7, #9, and #21 had a health assessment that exceeded 24 months between assessments.

The file for staff person #12 had a health assessment that lacked a physical examination.

The file for staff person #18 had the results of a chest x-ray and lacked verification of a positive tuberculin skin test or a tuberculosis screening by the Mantoux method at initial employment.

The file for staff person #11 had a health assessment that lacked an examination for communicable diseases and the results of that examination. The file for staff person #17 had a health assessment that said "Yes" to having any communicable diseases without an explanation of the results.

The file for staff person #11 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility's emergency plan lacked a plan that provides for accommodations for infants and toddlers.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 5-17-22 to 7-20-22, 9-16-22 to 12-16-22, and 12-16-22 to 2-21-23.

The names of the facility persons who participated in the fire drill were not listed on the fire drill log for multiple fire drills within the last year.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The file for staff person #2 had current pediatric first-aid and CPR training with a completion date of 4-5-22 that was after the February 2022 expiration of the prior training. The file for staff person #16 had current pediatric first-aid and CPR training with a completion date of 3-7-23 that was after the February 2023 expiration of the prior training.

The file for staff person #16 lacked current fire safety training completed within the last year.

Staff person #5, #6, #8, #9, #10, #11, #19, #20, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved curriculum. Staff person #18 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #3, #4, #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #2 had mandated reporter trainings dated 1-18-17 and 3-10-22 that were over 60 months between trainings. Staff person #4 had mandated reporter trainings dated 6-12-17 and 7-26-22 that were over 60 months between trainings.

The file for staff person #13, functioning as an aide, lacked verification of education to qualify as an aide.

The file for child #1 had an agreement that lacked the persons designated by a parent to whom the child may be released.

The file for child #1 had an agreement that lacked the child's admission date.

The file for child #1 had an emergency contact form that lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released. The files for child #4 and #6 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for Staff #1 contained incomplete PA State Police and FBI Criminal History Clearances. The file for Staff #3 contained documentation of an FBI Criminal History Clearance that is not accepted by our department. Staff #3 cannot work at the facility until an acceptable FBI clearance is obtained. Although the file for Staff #6 contained a current PA DHS Child Abuse Clearance, the previously completed clearances were processed more than 60 months ago.

An unused, unprotected electrical outlet was observed in an area in the Preschool Room that is accessible to children in care under the age of six.

A closet located in the main hallway was observed to have a locking mechanism that was not functioning. Toxic cleaning materials were observed inside of the closet in areas accessible to children in care.

Sharply edged pieces of metal trim were observed along the base of a room divider and at the base of a rear egress door in the Preschool Room. Both noted areas of concern were in areas accessible to children in care and presented the potential to cause laceration injuries.

In the Preschool Room and Older Toddler Rooms respectively, in areas accessible to children in care, an approximately 6" in diameter plastic storage bucket and an approximately 12" in diameter plastic storage basket were observed to have cracked edges that created the potential for laceration and/or puncture injuries.

A thermometer was not present in the refrigerator located in the Infant Room, which is used to store infant bottles.

Although the file for Staff #6 contained a current health assessment, the previously completed health assessment was administered more than 24 months prior.

The file for Staff #2 contained a health assessment that did not include the results of an examination for communicable diseases.

The files for Staff #2 and #4 contained health assessments that did not include the attestation of an accepted medical professional that each staff is suitable to provide child care.

The files for Staff #2 and #7, each employed in child care positions for more than 90 days, did not contain documentation of the completion of pediatric CPR/first-aid.

The file for Staff #7, who has been employed in a child care position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics training.

Although the file for Staff #6 contained current documentation of the completion of mandated reporter training, the previously completed training was dated more than 60 months prior.

The file for Child #1 contained an emergency contact form that did not include the addresses of three persons listed as to whom the child can be released.

The file for Child #1 contained an emergency contact form that did not include the addresses of three authorized persons to whom the child can be released.

The file for Staff #2 contained only one of the required two written, nonfamily references.