ROSEBUDS LIL EXPLORERS DAYCARE LLC

Locked or inaccessible (3270.66(a))

On 9/29/25, during the renewal inspection, certification rep observed cleaning products in bathroom #1 accessible to the children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Cleaning products were taken and put into the locked cabinet immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 9/29/25, during the renewal inspection, staff in the violets classroom were unable to identify the names and whereabouts of the children in their assigned groups. Requirement: 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. Correction: o Each child in the two-year-old classroom has now been assigned to a designated care group with a specific staff member responsible for supervision. o A written care group list, including children's names and their assigned teacher, has been posted in the classroom in a visible location for staff and inspectors. o Staff have been informed of their assigned care group responsibilities and the importance of maintaining accurate documentation at all times. o Care group lists will be reviewed and updated daily during morning attendance to reflect absences, late arrivals, or staff changes. o A backup care group plan has been developed to ensure children are reassigned appropriately when substitute staff are present. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

On 9/29/25, during the renewal inspection, children #1did not have the written consent signed by a parent for emergency medical care on the emergency contact form. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: · All current children's files were reviewed. Staff and parents have been contacted to provide full signatures where only initials were present, as well as n/a if necessary. · Staff were instructed to use full signatures going forward on all required documentation. · All forms have been updated to include clear signature lines and instructions emphasizing the need for full signatures, as well as n/a if necessary. · Staff have received training on proper documentation procedures, highlighting the importance of full signatures for compliance. · A checklist will be implemented to ensure all new forms are signed fully before being filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

On 9/29/25, during the renewal inspection staff persons #1 did not have evidence of the required annual minimum of 12 clock hours of childcare training in the staff individual records. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of childcare training. Correction: · Staff person #1 has been notified of the outstanding training requirement. · Training materials and instructions for completing the 1-hour training have been provided immediately. · Staff person #1 will complete the 1-hour training no later than October 10th. · A log of completed trainings for all staff will be maintained and reviewed monthly by the Director to ensure compliance. · Staff will receive reminders of upcoming or outstanding training requirements to prevent future lapses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

On 9/29/25, during the renewal inspection, children #1, #3, and #6 did not have signed parental consent for administration of minor first-aid procedures by facility staff the emergency contact form. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: · All current children's files were reviewed. Staff and parents have been contacted to provide full signatures where only initials were present, as well as n/a if necessary. · Staff were instructed to use full signatures going forward on all required documentation. · All forms have been updated to include clear signature lines and instructions emphasizing the need for full signatures, as well as n/a if necessary. · Staff have received training on proper documentation procedures, highlighting the importance of full signatures for compliance. · A checklist will be implemented to ensure all new forms are signed fully before being filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of medications or special dietary needs (3270.182(4))

On 9/29/25, during the renewal inspection, children #1, #2, #4, #5 did not have signed parental consent for administration of medications or special dietary needs on the emergency contact form. Requirement: A child's record shall contain signed parental consent for administration of medications or special dietary needs. Correction: · All current children's files were reviewed. Staff and parents have been contacted to provide full signatures where only initials were present, as well as n/a if necessary. · Staff were instructed to use full signatures going forward on all required documentation. · All forms have been updated to include clear signature lines and instructions emphasizing the need for full signatures, as well as n/a if necessary. · Staff have received training on proper documentation procedures, highlighting the importance of full signatures for compliance. · A checklist will be implemented to ensure all new forms are signed fully before being filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bottles labeled (3270.166(4))

On 9/29/25, during the renewal inspection, certification rep. observed four cups not labeled with the child's name. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: a. Each child's cup has been permanently labelled with their first name using a dishwasher-safe label or permanent marker. b. Staff were immediately instructed to verify that all cups are labelled before being placed in the classroom. c. Families will be reminded to send in only cups that are labelled at home. If a cup arrives unlabeled, staff will immediately label it before use. d. A daily "cup check" routine has been implemented during morning drop-off to ensure all cups are properly labelled. e. A set of classroom labels will be kept on hand to immediately correct any unlabeled cups. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

On 7/10/25, during the complaint investigation interviews, the certification representative was informed by several staff members that they did not report their concerns to ChildLine as required under mandated reporting laws. Instead, they stated that they only shared their concerns with the director and owner. This response indicates a failure to fulfill mandated reporting obligations under the Child Protective Services Law (CPSL), which requires direct reporting to ChildLine by any individual who suspects child abuse or neglect, regardless of internal reporting procedures. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Correction: In response to the incident and to reinforce compliance with child protection regulations, all staff were required to complete a new Mandated Reporter training. Copies of the training certificates will be placed in each staff member's individual personnel file. Additionally, a staff meeting was held to review and discuss the legal and ethical obligations under the Child Protective Services Law (CPSL). Emphasis was placed on the importance of mandated reporting and maintaining appropriate, non-aggressive methods of child supervision and redirection. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm (3270.113(c))

On 7/10/25, during the complaint investigation interviews, a staff person #1 was observed on multiple occasions singling out specific children in a manner that was inappropriate and concerning. The staff person reportedly ridiculed, threatened, or attempted to degrade these children through verbal comments and behavior. These incidents appear to be repeated and targeted, creating a potentially harmful environment for the children involved. Requirement: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Correction: Staff person #1 was placed on an immediate suspension upon the complaint investigation by DHS. The complaint within the suspension resigned from the position. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

On 7/10/25, during the complaint investigation interviews, a staff member was observed on multiple occasions, grabbing children by the arm and using physically aggressive forms of redirection. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Staff Person #1 was placed on immediate suspension pending the outcome of the DHS investigation. During the suspension period, the staff member submitted their resignation and is no longer employed at the facility. In response to the incident and to reinforce compliance with child protection regulations, all staff were required to complete a new Mandated Reporter training. Copies of the training certificates will be placed in each staff member's individual personnel file. Additionally, a staff meeting was held to review and discuss the legal and ethical obligations under the Child Protective Services Law (CPSL). Emphasis was placed on the importance of mandated reporting and maintaining appropriate, non-aggressive methods of child supervision and redirection. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 10/14/24, during the renewal inspection, child # 2 did not have the address, #4 did not have the address and #5 did not have the address and phone number of the individual designated by the parent to whom the child may be released on the child's emergency contact. 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: Had parent complete emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

On 10/14/24, during the renewal inspection, child # 2, health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the child's emergency contact. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Had parent complete emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

On 10/14/24, during the renewal inspection, child # 2 and #3, did not have written consent signed by a parent for emergency medical care on the child's emergency contact. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: Had parent complete emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

On 10/14/24, during the renewal inspection, child # 2, did not have the physician's address on the child's emergency contact. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Had parent complete emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

On 10/14/24, during the renewal inspection, certification rep. observed a teacher standing in the doorway leading to the outdoor play space and classroom while supervising children simultaneous for the children in the outdoor play space and the child in the bathroom leaving the child in the bathroom unsupervised. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Correction: Complete training on how to effectively position body inside classroom to ensure effective supervision. Developed face to name transition sheets for teachers to use daily. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

On 10/14/24, during the renewal inspection, the refrigerator thermometer read 50 degrees in the roses classroom. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: The refrigerator temperature was adjusted during inspection. The fridge thermometer read 42 degrees after an hour. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 10/14/24, during the renewal inspection, the faucet in the violets classroom was rusted. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: We rent from the Church upstairs, and their maintenance crew was made aware that the sink faucet needs to be replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

On 10/14/24, during the renewal inspection, the scissors and tweezers were missing out of the lilies classroom first aid kit. 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: Located scissors and tweezers on day of inspection and put back into first aid kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency Numbers Posted (3270.74)

On 10/14/24, during the renewal inspection, Daisy's classroom did not have the emergency numbers posted. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: Supervisor gave telephone numbers and posted in Daisy's classroom on day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

On 10/14/24 during the renewal inspection, staff person #1 did not have evidence of a staff evaluation in their records. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Owner completed evaluation for Director, and it was placed into Director's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 10/14/24, during the renewal inspection, staff person #2 did not have evidence of an updated PA State clearance and child abuse clearance in the individual staff records. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Correction: Staff Person #2 PA State and Child Abuse clearances were expired in October. Director re-applied for new clearances and is waiting on results. Receipts placed in Staff #2's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record (3270.131(d)(5))

On 10/14/24, during the renewal inspection, child# 1and #5 immunization record did not align with the immunized status according to recommendations of the ACIP. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Correction: Child #1 did not start immunizations until he was two years old, so his records are a bit delayed. We received a doctor's note as well as note from his parent. Child #2 supplied their immunization record. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian (3270.131(e)(2)(i))

On 10/14/24, during the renewal inspection, child# 1and #5 immunization record did not have an exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian in the child's record. Requirement: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Correction: Child #1 did not start immunizations until he was two years old, so his records are a bit delayed. We received a doctor's note as well as note from his parent. Child #2 supplied their immunization record. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

On 10/14/24, during the renewal inspection, child # 2 and #3, did not have signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission the child's emergency contact. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Had parent complete emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).