DREAM BUILDERS CHILD CARE LLC

2 feet apart (3270.106(f))

In room #2 and room #3 during naptime, there were multiple children on cots that lacked 2 feet of space on three sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: Cot requirements of 2 feet clearance on 3 sides were reviewed and maintained. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Stairs, exits, etc. unobstructed (3270.91(a))

The front door to the facility was observed to be obstructed due to concrete in the front of the building that was raised and prevented the door from opening. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: Walkway was sanded to allow entry door to open and close as required! Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No portable space heaters (3270.92(a))

There was a portable space heater observed in the office. Requirement: Portable space heaters are not permitted. Correction: Removed heater from the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

A daily activity schedule was not posted in room #1. Requirement: The written plan of daily activities shall be posted in the group space. Correction: Daily schedule was placed in the classroom as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff person - 18 yrs. (3270.31(b))

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) Requirement: A staff person shall be 18 years of age or older. Correction: Staff 16-17 will only work as a volunteer unless staff are enrolled in the curriculum approved by the Department of Education and have the required documentation on file. 18 and above can be counted as aide or assistant group supervisors according to experience and qualifications. Staff person #1 obtained the required documentation to qualify as an aide. Staff person #5 is now 18 years old and qualifies as an aide. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #2 had mandated reporter trainings dated 9-30-19 and 11-8-24 that were over 60 months between trainings. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Mandated reporter training was completed, but outside of expiration. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The files for staff person #3 and #5 had FBI clearances that exceeded 60 months between clearances. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Correction: Staff will have completed all CPSL file requirements before working with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

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. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Each staff will be expected to meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's file will include verification of experience, education and training prior to service at the facility. Staff person #1 obtained the required documentation to qualify as an aide. Staff person #5 is now 18 years old and has the required documentation to qualify as an aide. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first-aid kit in room #2 lacked sterile gauze pads. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Sterile gauze pads were added to the first-aid kit. All first-aid kit requirements will be in every classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In room #3, there were a couple areas of peeling paint on the back wall and left wall. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Damaged areas have been repaired Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs/Child's hands washed (3270.82(h)/3270.134(a))

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. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: handwashing was reviewed with all staff and reminded to keep children clearly transitioned from sink to table Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Stairs, exits, etc. unobstructed (3270.91(a))

The back hallway leading to the back exit of the facility was obstructed by equipment, including a table and a wheelbarrow. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: The back hallway was cleared of equipment. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit should be clear at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

On the outdoor play space, there were two wooden cornhole game boards that had splintering in multiple areas with sharp edges. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: Toy was removed from the play yard for repairs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

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. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Furniture item was removed from the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

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. Requirement: 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. 2. All facility staff, including the director and any staff who substitute at this facility, will participate in a minimum of two-hour mandatory training/technical assistance session with the regional ELRC regarding effective use of the hands-free system that the facility has established for identifying specific children and group assignments, especially during transitions and transfer of care among staff. Attendance at this training session may count towards the mandatory annual 12 hour training hours required by the Department. The ELRC coach/ trainer will provide an attendance list to the Regional Office to verify completion. The Legal Entity will arrange for this training to take place within one month of the acceptance of this plan of correction. Correction: 1. 6.5.25 every staff is assigned the appropriate amount of children to be responsible for based on age/ratio needs. staff are required to know names and whereabouts of each child in their group. (Implemented 7-31-25) 2. 7.18.25 every staff is required to participate in and attend a two-hour training by 7.18.25 under the guidance of a regional ELRC Rep. (Implemented 7-24-25) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

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. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Child file was updated with missing information immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The files for child #1 and #2, preschoolers, had a health assessment that exceeded 12 months between assessments. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Health assessments were collected and filed for each child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age appropriate screenings complete (3270.131(d)(8))

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. Requirement: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Correction: Health report was updated by physician and filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

In room #3, there was a bottle of Robitussin Cough & Congestion for child #5 that was not labeled with the child's name. Requirement: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Correction: Medication was removed from classroom area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

In room #2, there was Albuterol for child #6 that was expired. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: medication was removed from the classroom immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for child #4 had an emergency contact form and agreement that exceeded 6 months between updates by the parent. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: child file was reviewed and updated Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

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. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: Child's injury report was completed, submitted and filed as required. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).