Dream Builders Child Care LLC · 175 Snyder Rd, Hermitage

The files for staff person #3 and #5 had FBI clearances that exceeded 60 months between clearances.

At 1:46 p.m. with a total of 22 preschoolers in room #2, staff person #6 named 5 preschoolers in their group and staff person #7 named 8 preschoolers in their group. Two other staff that were in the room at that time stated that they did not have an assigned group. As a result, 9 children were not named in a group.

The first-aid kit in room #2 lacked sterile gauze pads.

In room #3, there were a couple areas of peeling paint on the back wall and left wall.

In room #1 at approximately 11:35 a.m., multiple children were observed playing with toys in the room and then sitting down at the tables to eat lunch without washing their hands in between.

The back hallway leading to the back exit of the facility was obstructed by equipment, including a table and a wheelbarrow.

On the outdoor play space, there were two wooden cornhole game boards that had splintering in multiple areas with sharp edges.

In room #1, there was a shelf that had multiple white brackets on the top of the shelf that were protruding up and had sharp edges.

The files for child #1 and #2, preschoolers, had a health assessment that exceeded 12 months between assessments.

The file for child #3 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

In room #3, there was a bottle of Robitussin Cough & Congestion for child #5 that was not labeled with the child's name.

In room #2, there was Albuterol for child #6 that was expired.

Staff person #1, functioning as an aide, is currently under 18 years of age. (See LIS CODE SHEET) Staff person #5, functioning as an aide, worked from their start date to 12-24-24 and was under 18 years of age. (See LIS CODE SHEET)

Staff person #2 had mandated reporter trainings dated 9-30-19 and 11-8-24 that were over 60 months between trainings.

The file for staff person #1, functioning as an aide, lacked verification of education/experience to qualify as an aide. The file for staff person #5, functioning as an aide, lacked verification of education/experience to qualify as an aide.

A daily activity schedule was not posted in room #1.

The file for child #3 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 child #4 had an emergency contact form and agreement that exceeded 6 months between updates by the parent.

According to staff statements and documentation, child #1 was injured in the morning at the facility on 5-22-25, and an injury report was not completed and given to the parent on the day of the injury. The injury report was completed after the child was picked up in the afternoon that day.

On 8-29-24 at approximately 2:07 p.m. with a total of 20 preschoolers in room #2, staff person #1 named 9 preschoolers in their group and staff person #2 named 11 preschoolers in their group, resulting in staff person #2 being out of ratio. Staff were asked twice to name the children that they were responsible for in the room, and both times each staff named the same children.

**At approximately 12:17pm, it was observed that Staff #1, #2 and #3 were in Room #3 with 21 preschool aged children. Staff person #1 reported that they were responsible for supervising 7 preschool aged children, Staff person #2 reported that they were responsible for supervising 5 preschool aged children, and staff person #3 reported that they were responsible for supervising 7 preschool aged children. Leaving two children unaccounted for. Given a second attempt Staff person #1 reported that they were responsible for supervising 7 preschool aged children, Staff person #2 reported that they were responsible for supervising 6 preschool aged children, and Staff person #3 reported that they were responsible for supervising 7 preschool aged children. Still leaving one child unaccounted for.

*At approximately 12:17pm, it was observed that Staff #1, #2 and #3 were in Room #3 with 21 preschool aged children. Staff person #1 reported that they were responsible for supervising 7 preschool aged children, Staff person #2 reported that they were responsible for supervising 5 preschool aged children, and staff person #3 reported that they were responsible for supervising 7 preschool aged children. Leaving two children unaccounted for. Given a second attempt Staff person #1 reported that they were responsible for supervising 7 preschool aged children, Staff person #2 reported that they were responsible for supervising 6 preschool aged children, and Staff person #3 reported that they were responsible for supervising 7 preschool aged children. Still leaving one child unaccounted for.

The file for staff person #8 had a child abuse clearance that was dated after their start date and lacked an FBI clearance, at their start date, that was dated within the last 60 months and requires a current FBI clearance. The file for staff person #10 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks. (See LIS CODE SHEET) The file for staff person #3 had an NSOR verification certificate and state police, child abuse, and FBI clearances that were dated after their start date. The file for staff person #5 had an FBI clearance that was dated after their start date. The file for staff person #6 had a disclosure statement that was dated after their start date.

At approximately 1:46 p.m. in room #2, staff person #6 named 7 out of the 9 school-age children in their group and did not know the names of 2 children in their group. At approximately 1:57 p.m. with a total of 19 preschoolers on the outdoor play space, staff person #11 named 10 preschoolers in their group and staff person #12 named 8 preschoolers in their group, resulting in 18 out of 19 children being named and 1 child not being named in a group.

The file for staff person #1 had emergency plan training that exceeded a year between trainings. The file for staff person #7 had emergency plan training that was dated after their initial employment at the facility.

In room #1, the water temperature at the sink in the bathroom was 124° F.

In room #3, the first-aid kit lacked scissors and tape. In room #2, the first-aid kit lacked sterile gauze pads.

In room #1, there were a couple areas on the wall to the right of the cots that had peeling paint.

Handwashing signs were not posted at the two toilets in the bathroom in the back hallway.

The bathroom in the back hallway had a trash can that lacked a lid.

In room #4, the cots were not labeled for the children in the room that were using the cots. In room #1, the cots were not labeled for the children in the room that were using the cots.

The files for child #1 and #3, preschoolers, had a health assessment that exceeded 12 months between assessments.

The file for child #2 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

The files for staff person #2, #3, #7, #8, and #9 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

The files for staff person #2, #3, #8, and #9 had a tuberculosis screening by the Mantoux method that was dated after their initial employment at the facility.

Staff person #3, functioning as an aide, is under 18 years of age. (See LIS CODE SHEET)

Staff person #3 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 #6 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. On 1-28-24, staff person #9 completed the Pennsylvania Health and Safety Update 2022 Training, which was over 90 days after their date of hire. The Pennsylvania Health and Safety Update 2022 Training is part of the health and safety training that is required to be completed within 90 days of hire. (See LIS CODE SHEET) Staff person #7 completed the following required pre-service training on 2-25-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training.

The file for staff person #3, functioning as an aide, lacked verification of education/experience to qualify as an aide.

The file for staff person #4 lacked a current staff evaluation completed within the last 12 months.

An emergency transportation plan was not posted in room #4.

The parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically and with instructions for contacting the DHS regional child care office.

The file for staff person #2 lacked a state police clearance and the out of state Criminal History, Sex Offender, and Child Abuse & Neglect registry checks at their start date and requires a current state police clearance and out of state Criminal History, Sex Offender, and Child Abuse & Neglect registry checks. (See LIS CODE SHEET) The file for staff person #4 had a state police clearance dated 7-26-23 that was after their start date.

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

On 8-3-23, it was observed that staff with multiple groups of preschool and school-age children were using the blacktop play space in the back of the building that had not been measured for use by children.

On the blacktop play space in the back of the building, there was peeling paint in multiple areas on the building bordering the play space, and the chain-link fence had multiple sharp edges along the top of the fence that were both accessible to children.

On the blacktop play space in the back of the building, there were several stakes along the left side of the blacktop surface that were protruding up from the ground and were a potential hazard. There were multiple railroad ties that were splintering with multiple sharp edges that were accessible to children.

In the 3 year old room, there was peeling paint in multiple areas on the right and back walls. In the 4 year old room, there was peeling paint on the front wall in one area to the left of the doorway and one area of peeling paint to the right of the doorway. In the school-age room, there was peeling paint in one area on the left wall near the back corner and a couple areas of peeling paint on the right wall near the bathroom doorway on the left.

The file for child #1, a 5 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 #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

In the 3 year old room, there were an EpiPen and Epinephrine Injection for child #5 that were expired.

In the 3 year old room, there was an inhaler for child #4 that lacked written parental consent for administration of the medication. In the 4 year old room, there were an inhaler and Personal Care Petroleum Jelly for child #6 that lacked written parental consent for administration of the medication.

The file for staff person #3 had a health assessment that exceeded 24 months between assessments.

Staff person #1 had mandated reporter trainings dated 6-25-18 and 7-23-23 that were over 60 months between trainings.

The files for child #2 and #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The emergency transportation plan was not posted in Activity Room #1 and Activity Room #2.

The file for staff person #1 had emergency plan training that exceeded a year between trainings.

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