Miss Roses Learning Center Llc

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff persons #1 and #2 lacked a written evaluation that was completed in the previous 12 months. The evaluation in staff file #1 was dated 9/22/23. There was no evaluation in staff file #2.

Corrected by Sep 30, 2025

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person #3 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file were dated 1/17/23 and 2/20/25.

Corrected by Aug 25, 2025

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #1 lacked pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training that was completed before the expiration date. The pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training in the file was dated 8/20/22 and 9/14/24.

Corrected by Mar 28, 2025

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3270.102(a) · 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.

In the toddler classroom a broken plastic toy bin was observed causing it to have pinch and crush points.

Corrected by Aug 21, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #2 lacked emergency contact information that included the work telephone number of the enrolling parent.

Corrected by Aug 21, 2024

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child #1 lacked a child health report that was completed 12 months from the previous health report. The health reports in the file are dated 7/1/22 and 10/9/23.

Corrected by Aug 21, 2024

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person #1 lacked a health assessment that was completed prior to providing initial service in a child care setting (See LIS Code Sheet). The health assessment in the file was dated 9/21/23 and the TB test was dated 9/27/23.

Corrected by Aug 21, 2024

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The files for Staff Person's #1, 2, 3 and 4 lacked documentation of the one-hour health and safety update. The prescribed timeframe for completion was 12/30/22.

Corrected by Aug 18, 2023

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3270.82(h) · 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.

The toilets in each of the child restrooms lacked a handwashing sign.

Corrected by Aug 18, 2023

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3270.102(a) · 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.

Observed dirt and debris under the mat of the diaper changing table in the toddler room. The drawers of the chest of drawers in the toddler room lacked a mechanism for assuring the drawers could not be pulled all the way out. This creates a potential toppling hazard.

Corrected by Aug 21, 2023

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3270.107 · 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.

The refrigerator in the toddler room lacked a thermometer.

Corrected by Aug 10, 2023

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The first child service report in the file for Child #3 was dated more than 6 months after the child's first day in care.

Corrected by Aug 10, 2023

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3270.124(b)(7) · 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.

The emergency contact form in the file for Child #1 did not include the address for one of the release persons.

Corrected by Aug 10, 2023

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 8/9/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization record in the file for Child #2 did not contain documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Corrected by Aug 15, 2023

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

The emergency contact form in the file for Child #3 did not include signed parental consent for emergency medical care for the child and administration of minor first-aid procedures by facility staff.

Corrected by Aug 10, 2023

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3270.113(a) · 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.

According to staff statements, during naptime on 2/9/23, Staff Person #1 watched Child #1 take a hair tie out of her hair but did not observe when the child wrapped the hair tie around her right ankle. Approximately two hours later, Child #1 woke up complaining of foot pain then it was discovered by Staff Person #1 that the hair tie caused red marks around the child's right ankle.

Corrected by Apr 25, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The emergency contact binder in the Preschool Room lacked an emergency contact form for Child #3, who was receiving care in this space.

Corrected by Nov 2, 2022

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact forms in the files for Child #1 and Child #2 did not include the phone number of the physician.

Corrected by Nov 2, 2022

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3270.76 · 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.

Observed three jagged weeds growing along the wooden fence in the Preschool Play Area.

Corrected by Nov 3, 2022

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3270.102(a) · 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.

The blue roof of the brown play house in the Infant/Toddler Play Area was not secured, which creates a potential pinch hazard.

Corrected by Nov 3, 2022

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3270.106(f) · 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.

During nap time on 11/2/22, less than two feet of space on three sides of the cots was observed for four of the children who were napping in the Infant Room.

Corrected by Nov 3, 2022

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Original fee agreements were in the files for Child #1, #2, #3, #4 and #5.

Corrected by Nov 3, 2022

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3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed Infant Tylenol and saline mist for Child #4 and Cough Syrup for Child #5, which lacked written parental consent and a medication log.

Corrected by Nov 3, 2022

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Observed on 11/3/22 at approximately 9:30 AM: After changing a baby's diaper, Staff Person #1 lifted the lid of the hands-free can to dispose of the diaper, rather than use the foot pedal.

Corrected by Nov 3, 2022

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3270.32(a)/3270.192(4) · 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. Facility Person #1 may not work at the facility.

The file for Staff Person #1 did not include an FBI Clearance or NSOR Certificate. Because the file did not include a receipt for fingerprinting, Staff Person #1 cannot be a provisional hire and may not work until all required clearances are in file.

Corrected by Aug 1, 2022

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3270.33(a)/3270.192(2)(ii) · 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.

The file for Staff Person #1 did not include documentation of education and experience.

Corrected by Aug 1, 2022

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed plug-in air freshener in one wall outlet, which would be accessible if children were in care.

Corrected by Jun 23, 2022

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3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The kitchen, which was adjacent to the infant room, included a stove, which would be accessible if children were in care.

Corrected by Aug 1, 2022

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3270.76 · 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.

Observed the following in the outdoor play areas: Grassy play area: Siding was frayed at the bottom. Fence bolts were facing inward and uncovered. Exposed nails were present in the 2nd, 4th and 6th sections of the fence causing the fence post to separate from the fence in the 6th section. Trim was split and separating on the bottom left and back corner of the shed. Concrete play area: Top vent cap broken. Frayed fencing at the entrance to the slab.

Corrected by Aug 1, 2022

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed flaking paint along the bottom of the shed in the grassy play area.

Corrected by Aug 1, 2022

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff Person #1 did not include an initial health assessment/TB Screening.

Corrected by Aug 1, 2022

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for Staff Person #1 did not include two written letters of reference.

Corrected by Aug 1, 2022

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