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Child Care Center ✓ Licensed

Keystone Kids Early Learning Center

New Freedom, PA · York County
★ ★ ★ ★ ★ 5.0 (1 review)
140 FAIRVIEW CT, New Freedom, PA 17349
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Quick Facts

Capacity
207 children
Languages
English, American Sign Language, English, Spanish
Subsidized Program
Participates
State Rating
1

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Contact Information

📞 (717) 235-5888
140 FAIRVIEW CT
New Freedom, PA 17349
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✓ Licensed Child Care Center
Active License
License Number
CER-00253240
License Issued
May 15, 2026
Active Through
May 15, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 10

Reviews

5.0
★ ★ ★ ★ ★
1 review
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SueM
2015-03-03 17:14:47
★ ★ ★ ★ ★

We love Keystone Kids! We have been there since they opened 5 years ago. My son enjoys it, too!

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About the Provider

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Welcome to Keystone Kids Early Learning Center, an independently owned and operated educational childcare facility, which is the result of a dream that originated fifteen years ago. While studying child development at Michigan State University, Kristin Duvall, the owner and director of Keystone Kids, envisioned a childcare center designed and dedicated to the educational experience and overall development of each child. By making the most of the time children spend in our care, Keystone Kids Early Learning Center is committed to transforming the parental need for childcare into an overall investment in your child’s future. As a parent of two, Kristin realizes that the importance of a quality program, with a focus on safety, nurturing, and education, is critical when choosing a childcare center. With a spacious, modern facility, as well as an accredited curriculum and hands-on learning, your child will develop a foundation of learning to build on for years to come.

Hours of Operation

  • Monday6:00 AM - 6:00 PM
  • Tuesday6:00 AM - 6:00 PM
  • Wednesday6:00 AM - 6:00 PM
  • Thursday6:00 AM - 6:00 PM
  • Friday6:00 AM - 6:00 PM
  • Saturday 6:00 AM - 6:00 PM
  • Sunday 6:00 AM - 6:00 PM

Inspection/Report History

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. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-02-20 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the time of inspection, it was observed that outlet covers were missing in the power strip in the Nittany Lions classroom. This was corrected during the inspection.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
The outlets were covered during the inspection.
2026-02-20 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, it was observed that a bottle of cleaning spray and a bottle of Aveeno lotion were accessible to children in the Nittany Lions classroom. This was corrected during the inspection.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
The cleaning spray bottle and the bottle of Aveeno were put out of reach of children during the inspection.
2025-02-01 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a plastic container containing blocks was broken with sharp edges in the Great Dane classroom. This was corrected during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The broken container was removed from the classroom at the time of inspection.
2025-01-02 Complaints- Legal Location 3270.183(b) - No information disclosed Compliant - Finalized

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Information concerning a child was disclosed to another child's parent.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Provider Response: (Contact the State Licensing Office for more information.)
Keystone Kids staff will refrain from sharing information/details about a child to anyone other than that child's parent, if and when is necessary.
2024-06-18 Complaints- Legal Location 3270.161(a) - Wholesome Compliant - Finalized

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: While conducting a complaint investigation, it was observed that there was expired milk in the Steam Engines classroom. The milk was discarded during the investigation.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Provider Response: (Contact the State Licensing Office for more information.)
Disposed of expired food/beverage. Fixed upon inspection.
2024-06-18 Complaints- Legal Location 3270.21/3270.111(c) - General Health and Safety/Promote development Compliant - Finalized

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: While conducting a complaint investigation, the Director stated that a child's soiled clothing with fecal matter on them were put into another child's bookbag on two separate occasions.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Provider Response: (Contact the State Licensing Office for more information.)
Labeled all cubby hooks with children's names, labeled all children's backpacks with their names so that belongings don't get mixed up.
2024-02-02 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that there were four broken/cracked lids to the plastic bins containing toys that the children play with in the Fire Flies classroom. The broken/cracked lids were removed during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The broken/cracked lids were removed during the inspection.
2024-02-02 Renewal 3270.133(7)(viii) - Special notes Compliant - Finalized

Regulation: 3270.133(7)(viii)

Description: Special notes

Noncompliance Area: The medication log on file for child 1 did not include special notes related to problems of administration. Special notes were added to the medication log during the inspection.

Correction Required: A medication log shall include special notes related to problems of administration.

Provider Response: (Contact the State Licensing Office for more information.)
Special notes were added to the medication log during the inspection.
2024-02-02 Renewal 3270.151(c)(5) - Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: Documentation of the health assessment on file for staff member 1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
Employee visited the site of the health assessment and had suitability verified by physican/CRNP. The health assessment is on file.
2024-02-02 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Documentation of sending the emergency evacuation plan to the local municipality was not on file.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency evacuation plan was sent to the local emergency contact and certification representative was CC'd.
2024-02-02 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the drywall was peeling behind the sink of the Nittany Lions bathroom. The drywall was covered with tape during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The drywall was covered with tape during the inspection.
2024-02-02 Renewal 3270.82(g) - Clean and good repair Compliant - Finalized

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that the toilet lid was broken on the toilet in the Mountain Laurels bathroom. The broken toilet lid was removed during the inspection.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
The broken toilet lid was removed during the inspection. A new one was ordered and will be installed upon arrival.
2023-11-20 Unannounced Monitoring 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: While conducting a complaint investigation, it was observed that children were being pushed around in a stroller for approximately twenty minutes without any stimulation or interactions with staff members.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Provider Response: (Contact the State Licensing Office for more information.)
Children when being buggied will be engaged in stimulating and sensory activities such as songs, bubble blowing, story time and walks through the building with songs.
2023-11-20 Unannounced Monitoring 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a complaint investigation, it was observed that staff member 2 was not able to identify the children in their primary care group.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff members were reminded in each classroom the location of the primary group, how to access this information in every classroom and utilize supervision cards.
2023-11-20 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Correction Required: 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. Until such time as the required pre-service trainings are completed, staff person 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person (s) available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff member 1 was PQAS certified in pediatric first aid and CPR the following day.
2023-11-20 Complaints- Legal Location 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: While conducting a complaint investigation, it was observed that staff member 1 was caring for seven two year olds in the Fire Flies classroom alone. Staff member 2 was caring for twelve pre school children alone in the Lions classroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
When children are grouped in similar age levels, ratios will be followed according to the above ratios per age group.
2023-01-25 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of inspection, it was observed that the shed located on the playground had a broken door with sharp edges at the bottom. The door was taped closed and the sharp edges were taped during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The shed was taped to ensure all sharp edges were covered during the inspection.
2023-01-25 Renewal 3270.133(3)/3270.133(4) - Name on bottle/Locked Compliant - Finalized

Regulation: 3270.133(3)/3270.133(4)

Description: Name on bottle/Locked

Noncompliance Area: During the time of inspection, it was observed that there was a container of unlabeled Vaseline in a child's cubby accessible to children in the Flyers room and a unlabeled bottle of lotion in a child's cubby accessible to children in the Liberty Bells classroom. Both medications were labeled and put out of reach of children during the inspection.

Correction Required: 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
Both bottles were labeled and put out of reach of children during the inspection.
2023-01-25 Renewal 3270.161(a) - Wholesome Compliant - Finalized

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: During the time of inspection, it was observed that there was expired milk in the Phillies refrigerator. The milk was poured out during the inspection.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Provider Response: (Contact the State Licensing Office for more information.)
Milk was poured out during the inspection.
2023-01-25 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ) Documentation on file for staff member 1 noted that she hasn't lived in PA for the last five years and didn't obtain all out of state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 -- may not work in a child care position at the facility. 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.

Provider Response: (Contact the State Licensing Office for more information.)
All out of state clearances were obtained for staff member 1.
2023-01-25 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of inspection, it was observed that a bottle of hand sanitizer was accessible to children in the Mountain Laurels bathroom. A cleaning solution was accessible to children in the Great Danes room. Potting soil was on the floor and accessible to children in the Nittany Lions room. Cleaning solutions were accessible to children in the Phillies bathroom. Cleaning solutions were on the floor, under the sink in the kitchen area and accessible to children. All of the items were removed from accessible areas and locked up during the time of inspection.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Provider Response: (Contact the State Licensing Office for more information.)
Cleaning and toxic materials will be kept out of reach of children and made inaccessible to children.
2023-01-25 Renewal 3270.66(b) - Original container Compliant - Finalized

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: At the time of inspection, it was observed that there was an unlabeled spray bottle in the Great Dane room. This was corrected during the inspection.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Provider Response: (Contact the State Licensing Office for more information.)
Spray bottle was labeled at the time of inspection.
2023-01-25 Renewal 3270.66(e) - Arts and crafts non-toxic Compliant - Finalized

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: During the time of inspection, it was observed that paint dabbers which said "keep out of reach of children" were accessible to children in the Gray Squirrels room. These dabbers were removed and put out of reach of children during the inspection.

Correction Required: Arts and crafts materials shall be nontoxic.

Provider Response: (Contact the State Licensing Office for more information.)
Paint dabbers were moved to a cabinet that wasn't accessible to children during the inspection.
2023-01-25 Renewal 3270.76/3270.77(a) - Building Surfaces/No peeling paint or plaster Compliant - Finalized

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At the time of inspection, it was observed that there was peeling paint in the Gray Squirrels classroom. A piece of tape was placed over the peeling paint during the inspection.

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
Peeling paint was covered during the inspection.
2023-01-25 Renewal 3270.81 - Glass Compliant - Finalized

Regulation: 3270.81

Description: Glass

Noncompliance Area: During the time of inspection, it was observed that glass didn't have a visual strip or visual identification in the Buds Room, White Tails Room, Steam Engine Room and Brooke Trouts Room and Fireflies Room. Tape was placed on all glass areas during the inspection.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Provider Response: (Contact the State Licensing Office for more information.)
A visual strip was placed on the glass in the Buds Room, White Tails Room, Steam Engine Room and Brooke Trouts Room and Fireflies Room
2023-01-19 Unannounced Monitoring 3270.51/3270.52 - Similar Age Level/Mixed Age Level Compliant - Finalized

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the onsite inspection, it was observed that rooms were out of ratio. At 7:00am, the liberty bells had seven older toddlers with one staff member present. At 7:20am, the large space in the back had eight school aged children, three pre-k children, and one young pre-child with one staff member present. A few minutes later more children arrived and then had eight school aged children, four pre-k children and two young pre-k children with one staff member present. At 7:30am, a staff member was supervising six children in a buggy. The youngest child was a young toddler. At 7:50am, the liberty bells classroom had eight older toddler children with one staff member present. At 8:30 am, the infant room had five children with one staff member present. At 8:42 am, the young toddler classroom had six children with one staff member present. At 9:30am, the liberty bells classroom had twenty-one young toddlers with two staff members present.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Provider Response: (Contact the State Licensing Office for more information.)
Staff: child ratios will be met at all times.
2023-01-19 Unannounced Monitoring 3270.51/3270.52 - Similar Age Level/Mixed Age Level Compliant - Finalized

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the onsite inspection, it was observed that rooms were out of ratio. At 7:00am, the liberty bells had seven older toddlers with one staff member present. At 7:20am, the large space in the back had eight school aged children, three pre-k children, and one young pre-child with one staff member present. A few minutes later more children arrived and then had eight school aged children, four pre-k children and two young pre-k children with one staff member present. At 7:30am, a staff member was supervising six children in a buggy. The youngest child was a young toddler. At 7:50am, the liberty bells classroom had eight older toddler children with one staff member present. At 8:30 am, the infant room had five children with one staff member present. At 8:42 am, the young toddler classroom had six children with one staff member present. At 9:30am, the liberty bells classroom had twenty-one young toddlers with two staff members present.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The legal entity shall participate in technical assistance which will be referred by the certification representative.

Provider Response: (Contact the State Licensing Office for more information.)
Director met with Lorrie Hall today who provided technical assistance.
2022-11-07 Unannounced Monitoring 3270.106(f) - 2 feet apart Non Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Hershey Buds room (infants), 2 cribs were observed with children in them, and the cribs were right next to each other. There was not 2 feet of space between the cribs that were in use.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Cribs will be moved so that there is at least 2 feet of space between cribs that are in use.
2022-11-07 Complaints- Legal Location 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff number 1 stated that she took a video of another staff changing a child's diaper and posted the video to social media. Staff number 1 reported that the child could be seen in the video.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Provider Response: (Contact the State Licensing Office for more information.)
All staff will place phones in cubbies and cubbies will be checked daily for cimpliance
2022-11-07 Complaints- Legal Location 3270.183(b) - No information disclosed Compliant - Finalized

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: Staff number 1 disclosed that she shared a video on social media platform "Snapchat" that contained a child having their diaper changed. The video was viewed by other people outside of the daycare setting.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Provider Response: (Contact the State Licensing Office for more information.)
child information will not be provided to the public unless approved by a parent. This includes child files and videos or pictures of a child.
2022-11-07 Unannounced Monitoring 3270.31(e)(4)(i)/3270.31(f) - Age and Training/Health and Safety Training Non Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.31(f)

Description: Age and Training/Health and Safety Training

Noncompliance Area: Staff person #5 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #5 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #5 will obtain Pediatric CPR/First Aide from a PQAS approved trainer
2022-11-07 Unannounced Monitoring 3270.51 - Similar Age Level Non Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: In the Hershey Buds room (infants), one staff was observed to be providing care for 7 infants.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Ratios will be met at all times
2022-02-22 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On the outdoor playground, the round TP style swing was observed to have decaying and peeling rubber around the frame of the swing.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Remove Ripped form from the swing. Upon removal, we made a decision to take the entire swing down.
2022-02-22 Renewal 3270.102(e)/3270.103 - Infant/toddler - no material less than 1 inch/Small Toys and Objects Compliant - Finalized

Regulation: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: In the Mountain Laurels room (1 year old classroom), a sensory table was observed to have beads that were less than one inch in diameter.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
Removed all beads in sensory table.
2022-02-22 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Hershey Bugs infant room, children were observed napping in cribs that were not spaced 2 feet apart.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Move Cribs to adequately account for 2 feet of space between while in use.
2022-02-22 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan on file did not list accommodations provided for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
To include the information in our EP plan and accommodate infant, toddlers, children with disabilities, children with chronic medical conditions accordingly.
2022-02-22 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff number 7 did not have an approved pediatric CPR/First Aid certificate on file.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will obtain approved pediatric CPR/First Aid training.
2022-02-22 Renewal 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person number 1 had CPR training completed on 1/27/22, which is greater than 90 days. Staff number 2 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 3 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 4 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 5 had CPR training completed on 1/27/22, which is greater than 90 days. Staff person number 6 had CPR training completed on 1/27/22, which is greater than 90 days.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Provider Response: (Contact the State Licensing Office for more information.)
To ensure all staff receive first aid/CPR prior to their first day working with children.
2022-02-22 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the bathroom off of the Gray Squirrels classroom, the stall beside the toilet was observed to have a large, abrasive rust spot on the lower corner.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Bathroom stall surface will be sanded down- staff will utilize Rustoleum paint to re-coat surface
2020-03-05 Complaints- Legal Location 3270.33(a)/3270.37(b) - Each staff person meets quals/Aide qualifications Compliant - Finalized

Noncompliance Area: On 3/5/2020, it was observed that Staff person 1 and 2 were being utilized as an Aide when they are volunteer qualified. Staff person 1 and 2 are volunteers (they are under the age of 18 and are not participating in an acceptable program). They were observed as part of the staff/child ratio in the classrooms. Staff person 1 was observed in the Hershey Buds (Infant) Classroom with 7 infants and 1 AGS qualified staff person. Staff person 2 was observed in the Great Danes/Fireflies (Young Toddler) Classroom with 10 Young/Old Toddlers and 1 AGS qualified staff person.

Correction Required: 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. An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3).

Provider Response: (Contact the State Licensing Office for more information.)
It was believed by the facility that because the staff were enrolled in a school program, they were qualified. Keystone, after learning from the counselor at the high school that they were not an acceptable program, removed all programs not qualified as aides from our staffing pattern. Keystone will not longer utilize students in High School enrolled in a program as staff, only individuals to insist in a classroom and gain experience and hours in the field.
2020-03-05 Complaints- Legal Location 3270.51 - Similar Age Level Compliant - Finalized

Noncompliance Area: It was observed on 3/5/2020 that the Hershey Buds and Great Danes/Fireflies classrooms were out of ratio at 4:15 in the afternoon. 1 staff person who was AGS qualified and 1 staff person who was volunteer qualified were observed in the Hershey Buds Classroom with 7 infants. 1 staff person who was AGS qualified and 1 staff person who was volunteer qualified were observed in the Great Danes/Fireflies Classroom with 10 young/old toddlers. Volunteers may not be included in the staff:child ratio, therefore both classrooms were out of ratio. Ratio must be maintained at all times.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Provider Response: (Contact the State Licensing Office for more information.)
Each classroom will be staffed with qualified staff according to licensing guidelines for staff qualifications.
2020-02-18 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: On 2/18/2020, it was observed that the red and blue "Boppy Pillows" in the infant A classroom were torn and the stuffing was exposed. CORRECTED ON SITE.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Boppy Pillows were sewn closed immediately upon viewing the tear. All boppies will be monitored and disposed of if found to be in poor condition.
2020-02-18 Renewal 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

Noncompliance Area: On 2/18/2020, it was observed that staff person 2 did not have an acceptable TB test on file. Staff person 2 (hire date 11/4/19) had a TB test on file dated 2/16/17. TB tests must be completed within 12 months prior to start date with children.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Provider Response: (Contact the State Licensing Office for more information.)
Staff was sent out the next day to get a TB test. We will monitor health assessments for all future employees to watch for TB test results prior to employment and at time of employment.
2020-02-18 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Noncompliance Area: On 2/18/2020, it was observed that staff person 2 had a lapse in their clearances. Staff person 2 had a child abuse clearance dated 11/1/14 which expired on 11/1/19. A new child abuse clearance was not completed until 1/21/2020. Staff person 2 had an FBI clearance on file dated 10/27/14, which expired on 10/27/19. A new FBI clearance was not completed until 1/16/2020. Clearances must be updated every 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
We will place individuals who have not completed updated clearances on provision/suspension until clearances have been updated.
2019-09-30 Complaints- Legal Location 3270.52 - Mixed Age Level Compliant - Finalized

Noncompliance Area: On 9/30/19 it was observed that three classrooms were out of ratio between 4:30 and 5:00 PM. 1 staff was observed with 11 preschoolers in the Liberty Bell classroom. 1 staff was observed with 15 preschoolers in the Nittany Lion Classroom. 1 staff was observed in the outside play area with 8 young and old toddlers.

Correction Required: 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 3270.51 (relating to similar age level). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Provider Response: (Contact the State Licensing Office for more information.)
In order to maintain proper staff child ratios during operating hours, we have been in constant communication with our teachers, moving children accordingly if/when necessary especially during drop off/pick up timeframes, as well as altering start and end times for our teaching staff. We have also implemented a system for staff to stay late in order to make sure that the classrooms are covered appropriately. The continuation of interviewing and hiring staff is also on-going. Providing these additional updates to our process has ensured that classrooms are not left out of ratio.
2019-07-18 Allocated Unannounced Monitoring 3270.51 - Similar Age Level Compliant - Finalized

Noncompliance Area: On 7/18/19 it was observed that there were 28 young school age children in the Young School Age classroom with 2 staff persons while a third staff person was on their break. The children in this classroom do not nap. Continued non-compliance on 9/30/19.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Provider Response: (Contact the State Licensing Office for more information.)
Ratios for young school age will be 1:12 consistently even through break times. Staffing patterns will be forwarding to licensing to reflect this process.
2019-02-22 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Noncompliance Area: On 2/22/19 it was observed that infants were sleeping in cribs that did not have 2 feet of space on three sides of the crib. This was observed in the Hershey Buds and the White Tails Classrooms.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
-retrain staff in infant classrooms on requirements per licensing regulations. -Periodic checks to verify that it is being followed through on. -corrected on site by moving the cribs/infants.
2019-02-22 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: On 2/22/29 it was observed that staff persons 1 and 2 did not have their physical updates in a timely manner. Staff person 1 had a physical on file dated 8/12/16 which expired on 8/12/18, a new physical was not obtained until 10/11/18. Staff person 2 had a physical on file dated 7/7/16 which expired on 7/7/18, a new physical was not obtained until 1/23/19.

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.

Provider Response: (Contact the State Licensing Office for more information.)
-Periodic checks (bi-weekly) to give out notices of upcoming health assessments due in order to avoid overdue physicals. -place staff on suspension if health assessment is not up to date.
2019-02-22 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Noncompliance Area: On 2/22/19 it was observed that CPSL Law was not followed for staff 5, 6, 7, 8, and 10. Staff 5 (hire date 9/17/18) had an FBI clearance provisional paperwork on file dated 9/25/18. Staff person 5 also did not complete mandated reporter training in the first 90 days of hire. Mandated reporter was dated 12/22/18. Training was due by 12/17/18. Staff 6 (hire date 9/17/18) had FBI provisional paperwork dated 9/25/18. Staff person 6 also did not complete mandated reporter training in the first 90 days of hire. Mandated Reporter training was dated 1/30/19 and was due by 12/5/18. Staff 7 (hire date 9/10/18) did not have an FBI clearance or provisional paperwork on file at the time of hire. FBI clearance was dated 9/11/18 and no provisional paperwork for the FBI clearance was available. Staff 8 (hire date 10/22/18) did not have FBI clearance or provisional paperwork on file at the time of hire. FBI clearance was dated 11/6/18. Staff person 10 (hire date 2/4/19) did not have FBI clearance or provisional paperwork on file at the time of hire. FBI provisional paperwork was dated 2/5/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
-FBI clearance will be complete (receipt proof) prior to start date -Mandated reporter training will be complete (certification proof) within 90 days of start date. -If Mandated Reporter training is not complete with 90 days staff person will be placed on suspension.
2019-02-22 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Noncompliance Area: On 2/22/19 it was observed that staff person 3 and 4 had been employed longer than 12 months and did not have an evaluation on file within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Will implement monthly calendar and complete staff evaluations in time per year. Attached are staff evals missed.
2019-02-22 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: On 2/22/19 it was observed that the plexi-glass wall cover in the Gross Motor Play area was broken and the base of the sink side wall in the Liberty Bell room was peeling. CORRECTED ON SITE.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Periodic maintenance of building and proper means to fix walls, surfaces, etc. that require care and attention. Sink and plastic were corrected on site.
2018-03-20 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Noncompliance Area: On 3/23/18 it was observed that staff 1 and 2 had a Child abuse Clearance on file that was for volunteers. Staff person 1 had State Police Clearance on file that was for volunteers. Staff must have clearances for employment purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Provider Response: (Contact the State Licensing Office for more information.)
Verifying during paperwork process that all clearances are EMPLOYMENT and not VOLUNTEER. If they are VOLUNTEER we will renew to EMPLOYMENT. Clearances will be submitted.
2017-03-21 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: Staff persons 3 and 4 did not have a health assessment at the time of hire. (staff person 3 started on 1/30/17, physical is dated 2/16/17) (staff person 4 started on 11/7/16, physical dated 2/8/17)

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.

Provider Response: (Contact the State Licensing Office for more information.)
Moving forward, all health assessments will be complete before staff start date.
2017-03-21 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Noncompliance Area: Staff persons 1 and 2 do not have doccumentation of TB test date on file. Staff person 5 does not have documentation of TB test on file. Staff person 6 did not have a TB test before hire. (start date is 9/28/15 and TB test date is 12/1/15) Staff person 7 did not have a TB test within one year of hire. (hire date is 9/12/16, TB test is dated 1/8/2012.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Provider Response: (Contact the State Licensing Office for more information.)
For staff 1 and 2 make sure date is on health assessment form. For staff 5 TB test will be documented before start date. For staff 6 and 7 TB test will be given and documented before start date moving forward.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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