KEYSTONE KIDZ LLC

Protective Outlet Covers 5 yrs. or less (3270.65)

There were 2 outlets by the stairs to the 2nd floor in the nap room that were missing an outlet cover and were accessible to children. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Protective receptacle covers were replaced. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was observed in the Younger Toddler area near the book shelf ; in the Preschool room in the dramatic play area; and in the gross motor room on the green wall and on the blue wall. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The areas described were repaired. Photos were sent to the inspector. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent fire safety trainings on file for Staff person #3 are dated 4.17.24 and 5.28.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #6 are dated 4.16.24 and 5.28.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #7 are dated 4.17.24 and 5.28.25, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff members #3, 6, an 7 will complete their Fire Safety Training every 12 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #4 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Family Child Care Part 1 and Part 2; the training was completed on 12.1.25. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: After 90 days, the staff member was not permitted to work until her training was completed. Since the facility was closed during days 91-94, there was no gap in employment days working with children on day 95. (A letter of suspension was added to the employees file at the request of DHS Inspector.) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The signed disclosure statement on file for Staff person #1, #2, #4, #5, #8 do not include a witness signature, making them invalid. The file for staff person #5 did not contain documentation of a completed NSOR certificate prior to date of hire (See IS CODE SHEET) as required under the CPSL; the NSOR is dated 9.15.25. The file for Staff person #7 includes FBI clearances dated 10.5.19 & 1.15.25, more than 60 months apart. 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. Facility Person #1, #2, #4, #5, #8 may not work in a childcare position at the facility. Correction: Staff persons #1, 2, 4, 5, and 8 re-signed disclosure statements and the witness signed and dated the statement as well. Staff person #5 has a completed NSOR on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the Nap room did not include gloves. 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: A glove was added to the nap room first aid kit so that there were two gloves instead of one. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On a support post in the older toddler section of the main room, the certification representative observed a hole in the post that had exposed plaster. Contact paper that was on the post had been peeled, exposing the hole. 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: The holes will be patched and covered with contact paper. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan (3270.111(a))

There was no written daily activity schedule in the Nap room. Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Correction: A schedule stating that the nap room is used for napping from 12:00PM-2:30PM daily will be added to the room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant sleep position (3270.119)

During the inspection an infant was observed on 2 separate occasions, sleeping in a crib with a boppy pillow under the infant, who was not flat on the back, as recommended by the American Academy of Pediatrics, with no documented medical reason to permit this position. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: Staff member removed Bobby and was instructed by the director that it cannot be in the crib even at the parent's request, and that a doctor's note is required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 11.5.25, more than 6 months after the previous 6-month review signature dated 4.1.25. The most recent 6-month review signature for the emergency contact form on file for Child #2 is dated 10.17.25, more than 6 months after the previous 6-month review signature dated 2.4.25 and the most recent 6-month review signature for the agreement is dated 10.22.25, more than 6 months after the previous 6-month review signature dated 2.4.25 Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: The parent for child #1 and #2 updated the emergency contact form every six months Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

The fire drill log on file included fire drills conducted on 8.15.25 and 10.30.25, more than 60 days apart. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: Complete a fire drill at least every 60 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The fire alarm 30-day test log on the Infant/Toddler level includes test dates 8.1.25-9.12.25; 9.12.25-10.13.25; 10.13.25-11.18.25; and 12.5.25-1.5.26, more than 30 days apart The fire alarm 30-day test log on Pre-school level includes test dates 12.5.25-1.5.26, more than 30 days apart Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: Fire alarms will be tested every 30 days instead of 31 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Based on video footage and other documentation obtained from other investigating agencies, Staff person #1 used physical discipline when attempting to remove cookies from Child #1's mouth that the child took without permission. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Immediately following the incident, the facility owner scheduled a meeting with Staff Person #1 and the Director for the next business day to address the incident and review prohibited discipline practices. Staff Person #1 failed to report for her scheduled shift and did not respond to phone calls or text messages from the owner. Staff Person #1 did not return to employment at the facility. As a result, no further corrective action with the staff person was required. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

RECITED FROM SIN-00267752: Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. Requirement: 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. Staff person #1 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2). Correction: Staff person #2 is the owner and is no longer "acting director". The owner has completed the training cited above. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

RECITED FROM SIN-00267752: The file for Staff person #1 (See LIS Code Sheet) includes an incomplete criminal history clearance, stating it was "under review" and it did not include a dissemination date, making it invalid. The two most recent State Police Criminal History clearances on file for Staff person #2 are dated 4.7.20 and 6.10.25, more than 60 months apart. The most recent Child Abuse clearance on file for Staff person #2 is dated 4.22.20 and the most recent FBI clearance on file for Staff person #2 is dated 6.8.20, both more than 60 months ago. Staff person #1 was observed in ratio at an unannounced inspection on 9.12.25 and Staff person #2 is still a facility person. 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. Facility Person #1, #2 may not work in a childcare position at the facility. TIERED LIS: 1) CPSL requirements will be followed at all times. This portion of the plan shall have an immediate correction date. 2) The operator will create a spreadsheet or checklist for staff files using the staff data sheet to record when each item must be in the file. This portion of the plan will have a correction date within one week of the approval of the POC. Correction: 1) 9/30/25 Staff person #1 was the owner and is no longer acting as director but has completed the all required clearances. A copy of all clearances were emailed to the current state inspector. 2) 9/30/25 The operator will create a spreadsheet or checklist for staff files using the staff data sheet to record when each item must be in the file. This portion of the plan will have a correction date within one week of the approval of the POC. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

RECITED FROM SIN-00267752: Staff person #2 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 4.7.20. 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: An updated mandated reporter training has been obtained and submitted. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

While assessing ratio in the preschool room during an unannounced monitoring inspection on 9.12.25, Staff person #3 and #4 were present with 14 children. Staff person #4 identified her assigned group, consisting of 1 older toddler and 6 preschool children. Staff person #3 identified her assigned group consisting of 7 preschool children. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1) Ratio requirements shall be followed at all times. This portion of the plan shall have an immediate correction date. 2) There will be postings in each childcare space listing the ratio requirements for each group, including naptime ratios. The operator shall provide a date for when the postings will be hung. 3) There will be postings in each room that includes the age and date of birth for each child receiving care in that classroom. The operator shall provide a date for when the postings will be hung. 4) There will be postings in each room that includes the definition of the age groups, as defined in Chapter 3270. The operator shall provide a date for when the postings will be hung. Correction: 1) correction date 9.12.25- The director of the center explained the error that staff person #3 and #4 made in identifying the children in which they were in charge of. We also reviewed ratio requirements at our monthly staff meeting on Monday, October 27th. 2) correction date 9.12.25- Postings were placed in the preschool room following the inspection. 3) correction date 9.12.25- Postings were placed in the preschool room following the inspection. 4) correction date 9.12.25- Postings were placed in the preschool room following the inspection. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

RECITED FROM SIN-00267752: On 9.12.25 the Nap Room was observed to be too dark for the staff person to be able to see all of the children. While observing implementation of corrections on 9.12.25 from the previous inspection dated 6.10.25, the CR observed Staff person #5 enter a curtained off area where 5 young toddlers were napping. At this time, it was not possible to see what was inside the curtained area. When the CR entered the area, Staff person #5 was asked if another staff person had been present with the children prior to them entering the curtained area; Staff person #5 stated no and indicated they had stepped out briefly, leaving the 5 young toddlers unsupervised by a staff person who could see, hear, direct, and assess the children. 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: 1) Each staff person shall be assigned the responsibility for supervision of specific children. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS approved training on the topic of Supervision. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have date within one week of the completion of the approved training. 3) The facility will conduct monthly staff meetings for a period of 4 months from the approval of the plan of correction, reviewing supervision requirements and regulatory violations cited, dating back to June 2024. This portion of the plan will have date within one week of the completion of the fourth staff meeting. Correction: 1) correction date 9.12.25-Staff person #5 was aware of the children to whom he/she was responsible for however he/she stepped out of the room where the children were in pack and place to retrieve and item for a napping child. It has been explained that he/she cannot step one foot out of the room. He/she has been asked to complete the required training on the topic of Supervision. 2) correction date: 11.3.25-Staff person #5 has been asked to compete the required supervision training. 3) correction date: 1.27.26-The director has been asked to review the supervision requirements and regulatory violation cited for a period of 4 months during our regular staff meetings. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

While observing implementation of corrections on 9.12.25 the CR observed Staff person #5 enter a curtained off area where 5 young toddlers were napping. When the CR entered the area, Staff person #5 was asked if another staff person had been present with the children prior to them entering the room; Staff person #5 stated no and indicated they had stepped out briefly, meaning Staff person #5 was not present with the 5 young toddlers for several minutes. 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: The director has explained to staff person #5 that they cannot leave the room to retrieve and item for a child but instead ask for assistance to retrieve the item. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

RECITED FROM SIN-00267752: The agreement on file for Child #4 does not include the child's date of admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: The date of admission has been added to the agreement for child #4. The admission date was left out when the review was done. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

RECITED FROM SIN-00267752: The most recent 6-month review signature for the emergency contact form on file for Child #3 is dated more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #1, #2, #3, #4 is dated more than 6 months ago. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: The most recent 6-month review document has been signed by the parent of Child #3. The agreements for child #1, 2, 3, 4 all have recently been signed by parents. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. Requirement: 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. Staff person #2 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2). Correction: Staff person #2 has completed the health and safety course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent fire safety trainings on file for Staff person #2 are dated 5.6.22 and 6.28.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #5 are dated 4.17.24 and 5.27.25, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff #2 and #5 have current Fire Safety training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

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 and CPR. Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #3, #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, #4, staff person #3, #4 may not work in a child-care position at the facility. Correction: Staff person #3 received the CPR training as soon as we could secure a date with a PQAS approved trainer. Staff person #4 is a seasonal employee and will be required to complete the training prior to their return. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #2 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 4.7.20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person #2 was stepping in as director while a search for a new director was being conducted. The mandated reporter training was completed by staff person #2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).