Description: KEYSTONE SMILES COMMUNITY CHILD CARE CTR is a Child Care Center in KNOX PA, with a maximum capacity of 57 children. The provider does not participate in a subsidized child care program.
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable, but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns, as the provider may have already addressed some or all issues. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2020-02-18 | Renewal | 3270.123(a)(4)/3270.123(a)(5) - Arrival/departure times/Designated release persons | Compliant - Finalized |
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Noncompliance Area: The most current fee agreement on file for child #4 lacked an arrival and departure time and the names of the persons designated by a parent to whom the child may be released. Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) I will have the parent/guardian provide the information and list on the fee agreement. In the future, I will be sure this is done at enrollment time. |
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| 2020-02-18 | Renewal | 3270.124(b)(6)/3270.124(b)(7) - Insurance coverage information/Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: The most current emergency contact information on file for child #1 lacks a health insurance policy number. The most current emergency contact information on file for child #5 lacks the address of all release persons. Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This information will be gathered from parent/guardian and it will be updated. In the future, this will be done at time of enrollment. |
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| 2020-02-18 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The file for children #1, 2, 3, 4, and 5 lack documentation of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) I will have the discussion with the families and will get the proper documentation added to their file. In the future, at enrollment, I will be sure health immunization is current. |
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| 2020-02-18 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The initial health assessment on file for staff #6 was not conducted within 12 months prior to providing initial service in a child care setting. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The health assessment is on file. In the future, I will make sure that there is a health assessment within 12 months of start date is on file. |
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| 2020-02-18 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Noncompliance Area: In the Jungle Room, observed a hanging cord in reach of children and next to the Smartboard. In the Meadow Room, observed a hanging cord in reach of children and next to the cassette player. These pose a strangulation hazard and are a threat to the health and safety of the children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) I used strong tape to adhere the cord to the wall so that it was not dangling. In the future, I will be sure that cords are properly secured. |
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| 2020-02-18 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The files for staff #1, 2, 3, 4, and 5 lack verification of fire safety training within the past year. The last documented fire safety training on file for staff #1, 2, 3, 4, and 5 was conducted on 1/17/2019. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to staff changes in the Knox Community Firehall, there is a delay in getting our staff trained. This will be taken care of mid March 2020. In the future, the training will be done annually within the time frame. |
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| 2020-02-18 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Noncompliance Area: In the STEM lab, observed that the first aid kit lacked soap. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Added soap. In the future, we will be sure the first aid kit is properly stocked. |
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| 2019-02-14 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the private pay room, observed trays on an easel that were coming loose. In the outdoor play space, observed a flower bed, used by the children to plant flowers and vegetables, which had a large rusty protruding nail coming out of one side. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fixed trays immediately and the rusty nail will be made safe for the children with no hazard. In the future, outdoor play space will be checked often and indoor classroom equipment will be checked often, as well. |
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| 2019-02-14 | Renewal | 3270.124(b)(2)/3270.124(b)(6) - Physician name, address, phone/Insurance coverage information | Compliant - Finalized |
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Noncompliance Area: The emergency contact information on file for child #2 lacked the telephone number of child's physician and health insurance policy number. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Will have guardian complete needed information. In the future, make sure all enrollment paperwork is in child's file. |
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| 2019-02-14 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The immunization record on file for child #1, who is of preschool age, lacked 1 recommended dosage of the Pneumococcal vaccine, 1 recommended dosage of the Varicella vaccine, and 1 recommended dosage of the Hepatitis A vaccine. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Doctor stated Varicella was refused. Will get statement from guardians. Get required information from parent. In the future, closely monitor immunizations at time of enrollment. |
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| 2019-02-14 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: There was more than 24 months between the previous health assessment and the most current and updated health assessment on file for staff #1. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Already in file. In the future, adhere to 24 month time frame. |
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| 2019-02-14 | Renewal | 3270.182(8) - Copy of initial and subsequent agreements. Parent receives original. | Compliant - Finalized |
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Noncompliance Area: The file for child #2 lacked a fee agreement. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Completed and will have parents sign tomorrow, 2-15-2019. In the future, double check all enrollment paperwork is in file. |
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| 2019-02-14 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for staff #2, with hire date of 8-27-2018, lacked mandated reporter training within 90 days of hire. There is current mandated reporter training on file and dated 1-23-2019. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Already in file. In the future, adhere to 90 day probation period. |
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| 2019-02-14 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Noncompliance Area: In the pre k counts room, observed a trash can which contained used tissues. This can lacked a plastic liner. Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. |
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Provider Response: (Contact the State Licensing Office for more information.) Plastic liner was added. In the future, make sure all cans have proper garbage bags. |
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| 2019-02-14 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: In the back entry way which is used only as a fire exit, observed that a door knob cover was missing on the closet and a screw was sticking out of it. In the outside play space, observed a wooden fence with splintered wood on the bottom and 12 nails sticking out of the front of the fence. In the outside play space, on the large storage shed's aluminum siding, observed three holes which had sharp edges. On the far side of the outdoor play space, observed dirty food grease on various parts of the fence. The play space shares an outside brick wall with a restaurant located next to the play space. The food grease is dripping from two vents in the shared wall. On the front gate of the outdoor play space, observed a cracked piece of vinyl on the bottom which had a sharp point. On the front door to the outside shed, observed large pieces of splintered wood. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fixed the cracked vinyl on front gate and holes on storage shed by covering it. We will have maintenance crew fix fence near restaurant by cleaning and moving forward, and the nails and splintering wood by refurnishing the fence. Knob cover will be replaced. In the future, routine checks for all building surfaces will be completed. |
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