Dream Garden Daycare and Learning Center LLC

At the time of the inspection, the ceiling tiles throughout the facility had extensive water damage. The operator had admitted that the ceiling is actively leaking. The local health bureau visited the facility and found the roof was leaking and there was open and spliced electrical wiring above the ceiling.

At the time of the inspection, styrofoam plates and bowls were observed in the classrooms of the facility.

At the time of the inspection, child #3 did not have Hep A #2 and is not in compliance with immunization schedule according to the ACIP.

At the time of the inspection, staff person #3 did not obtain a health assessment until 11/13/23 and not at initial service in a childcare setting.

At the time of the inspection, the health assessment for staff person #4 stated the person had communicable diseases but did not provide the results of the examination.

At the time of the inspection, the pick up and drop off procedures were not posted in the facility.

At the time of the inspection, the manual monthly monitoring of the fire detection system was last conducted on 1/2/24 and not every 30 days as required.

At the time of the inspection, staff person #1, staff person #4, staff person #5 and staff person #6 took fire safety training on 12/2023, 1/22/24, 1/24/24 and 10/14/23 respectively. The previous training date was 10/3/22, 2/17/22. 12/28/22 and 1/26/22, respectively. These timeframes reflects longer than the annual requirement for taking fire safety training.

At the time of the inspection, staff person #3 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.

At the time of the inspection, the last evaluation for staff #6 was completed on 1/2023 and not annually as required.

At the time of the inspection, staff person #4 did not have 2,500 hours on file to accompany the high school diploma on file and therefore can not be qualified as an assistant group supervisor.

At the time of the inspection, the emergency contact form for child #4 did not include the phone number of the child's physician or source of medical care.

At the time of the inspection, the enrolling parent's work address and phone number was not on the emergency contact form for child #3 and child #4.

At the time of the inspection, the address of the individual designated by the parent to whom the child may be released was not on the emergency contact form for child #4.

At the time of the inspection, the parent of child #4 last signed the agreement and emergency contact form on 7/1/23 and not every 6 months as required.

At the time of the inspection, staff person #5 did not have any training hours during the 12/22-12/23 training period. Staff person #6 only had 8 clock hours of child care training during the 12/22-12/23 training period.

During the renewal inspection, staff #2 did not have a current PA State Police clearance, FBI clearance or Child Abuse clearance on file. All three of these clearances were dated during August 2017 and therefore expired in August 2022. Staff #2 did not have an NSOR certificate on file. Staff #2 was observed working alone. (See LIS sheet for date of hire). Staff #3 had a State Police clearance dated 12/30/22 with the previous one dated 9/11/17. A Child Abuse Clearance was dated 1/4/23 with the previous one dated 9/10/17. A FBI clearance dated 1/3/23 with the previous one dated 10/19/17. All of the current clearance dates show a timeframe of when the clearances were not current from the previous clearances obtained for staff #3.

During the renewal inspection, staff #5, an aide, was observed working alone in the preschool room.

During the renewal inspection, the operator did not update the sections of the emergency plan to include volunteer emergency preparedness training, practice drills, and continuity of operations.

During the renewal inspection, staff #2 did not have verification of emergency plan training completed within the past 12 months.

During the renewal inspection, throughout the facility, there were water damaged ceiling tiles.

During the renewal inspection, child #2 had a health assessment on file dated 5/3/22. There should have been another health assessment 6 months later. Child #3 had a health assessment on file dated 6/6/22. There should have been another health assessment 6 months later.

During the renewal inspection, child #2 was missing DTAP#3, Pnuemococcal#3 child #5 did not have verification of an influenza vaccination on file or a letter of exemption for the influenza vaccine.

During the renewal inspection, the pickup and drop off procedures were not posted in the facility.

During the renewal inspection, the operator did not have verification that the emergency plan was sent to the local and county emergency management agencies for review.

During the renewal inspection, the operator did not have annual documentation of notification to the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During the renewal inspection, staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #5 did not complete the required one-hour 2022 update to the health and safety training until 1/3/23. This was required to be completed by 12/30/2022.

During, the renewal inspection, staff #5 completed the health and safety training, "Health & Safety Basics: Requirements for Certification," on 2/11/22, but this training was no longer acceptable after 6/30/2018.

During the renewal inspection, staff #2 did not have a written evaluation dated within the past 12 months.

During the renewal inspection, there was no child service report providing information to the family about the child's growth and development on file for child #1.

During the renewal inspection, there was nothing on the agreement for child #1 specifying the persons designated by a parent to whom the child may be released.

During the renewal inspection, on the emergency contact form, there was no address or telephone number of the child's physician on the emergency contact form for child #1.

During the renewal inspection, there was no health insurance coverage/policy number on the emergency contact form for child #2.

During the renewal inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #3.

During the renewal inspection, staff #2 did not have verification of completing 12 clock hours of child care training during the previous training year.

A renewal inspection occurred on 1-19-22 and during that time, in the emergency plan, there was no method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no 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. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no 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.

A renewal inspection occurred on 1-19-22 and during that time staff #7 did not have verification of being trained in the emergency plan at the time of initial employment. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that staff #7 was trained in the emergency plan. Staff #8 was not trained in the emergency plan and was not employed at the time of the renewal inspection that was conducted on 1-19-22.

A renewal inspection occurred on 1-19-22 and during that time the last health report on file for child #2 was dated 1-13-21 and needs to be updated. Also on this health report, the statement that the child is able to be in care and free of communicable diseases was missing. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that child #2 has obtained a health assessment that the child is able to be in care and free of communicable diseases was missing.

A renewal inspection occurred on 1-19-22 and during that time there was no verification of pick up and drop off points and safe routes posted in the facility. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify verification of pick up and drop off points and safe routes posted in the facility.

A renewal inspection occurred on 1-19-22 and during that time in the emergency plan, there was no accommodations for infants or toddlers identified. Also, in the emergency plan, it named staff members who were no longer employed; therefore, there was no verification that this plan is reviewed annually and/or updated when changes occur. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify accommodations for infants or toddlers identified or that the emergency plan has been updated annually.

A renewal inspection occurred on 1-19-22 and during that time there was no verification that the provider is conducting emergency drills annually. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that the provider is conducting emergency drills annually.

A renewal inspection occurred on 1-19-22 and during that time the operator was unable to provide documentation of installation of the fire detection system. The provider was also unable to provide documentation that manual monthly monitoring of the fire detection system is conducted every 30 days; therefore, the provider is not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify installation documentation of fire detection system.

At the time of the inspection, staff #8 who was a new staff person since the renewal inspection that was conducted on 1/19/22 did not have 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

A renewal inspection occurred on 1-19-22 and during that time there was no verification that the operator provides the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that the operator provides the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

At the time of the inspection, facility person #2, who is listed as a volunteer did not have a completed FBI clearance on file. Facility person #6 who is also listed as a volunteer did not have a completed NSOR certificate on file. Staff person #7 did not have a completed Child Abuse clearance, completed NSOR certificate or Florida State required clearances. Staff #7 had a Florida ID in her file showing that she has resided in there within the past 5 years. She was also observed alone in a classroom with children.

At the time of the inspection, staff #7 was alone with 4 children in the Preschool room. Staff #7 does not have the qualifications to be left alone with children. Staff # 5 was left alone with 2 Infants in the Infant room. Staff #5 does not have the qualifications to be left alone with children.

At the time of the inspection, the certification representative observed staff #5 in the kitchen cooking around 10:30am and then back in the infant room around 12:00pm. When the certification representative asked staff #5 who was watching the 4 children in the infant room while she was in the kitchen, she replied staff #1 who had 4 young toddlers in her classroom. Staff #1 would have had 8 children, under the age of 2, with 2 of those children being under the age of 1 while staff #5 was in the kitchen.

At the time of the inspection, in the emergency plan, there was no method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no 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.

At the time of the inspection, staff #7 did not have verification of being trained in the emergency plan at the time of initial employment.

At the time of the inspection, there was no verification of emergency phone numbers being posted in the preschool room by the operable phone.

At the time of the inspection, the last health report on file for child #2 was dated 1-13-21 and needs to be updated. Also on this health report, the statement that the child is able to be in care and free of communicable diseases was missing.

At the time of the inspection, there was nothing on the health report for child #3, 4 and 5 stating that the child has received the influenza vaccine within the past 12 months. There was no exemption from this vaccine for these children on file.

At the time of the inspection, there was no verification of pick up and drop off points and safe routes posted in the facility.

At the time of the inspection, in the emergency plan, there was no accommodations for infants or toddlers identified. Also, in the emergency plan, it named staff members who were no longer employed; therefore, there was no verification that this plan is reviewed annually and/or updated when changes occur.

At the time of the inspection, there was no verification that the provider is conducting emergency drills annually.

At the time of the inspection, the last recorded fire drill being conducted was done on 11-17-21 and not within the 60 day requirement.

At the time of the inspection, the operator was unable to provide documentation of installation of the fire detection system. The provider was also unable to provide documentation that manual monthly monitoring of the fire detection system is conducted every 30 days; therefore, the provider is not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

At the time of the inspection, there was no verification that the provider is notifying the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of the inspection, the last fire safety training on file for staff #5 was dated 9-18-19 and was not conducted annually.

At the time of the inspection, staff #7 did not have the required CCDBG Health and Safety training completed within 90 days of hire.

At the time of the inspection, there was no fee amount on the agreement for child #5.

At the time of the inspection, the emergency contact form on file for child # 2 did not contain the address of the child's physician.

At the time of the inspection, the home address of the enrolling parent was not listed on the emergency contact form for child #1-5.

At the time of the inspection, there was no health insurance policy number or coverage listed on the emergency contact forms for child #2 and 5.

At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #4.

At the time of the inspection, there was no previous child care experience on file for staff # 5 or 7.

At the time of the inspection, there was no verification of education on file for staff #7.

At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #7.

At the time of the inspection, there was no verification that the operator provides the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

At the time of the inspection, staff #5 only had 11 hours of child care training on file.