Keystone Early Learning Center

The parent letter pertaining to the facility's emergency plan does not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

It was observed in the older toddler classroom a container of disinfecting cleaning wipes on a low cubby accessible to children. (This was corrected on site)

It was observed in the infant classroom a Magic Eraser, SOS scrub pad, and a liquid in a soap like pump dispenser were not in an original labeled container or in a container that specifies the content.

It was observed in the preschool classroom two area rugs in the reading corner had smooth backing creating the area rugs to be slippery on the tiled floor causing a potential tripping and/or falling hazard.

The health report on file for child #1 did not include a signature by a physician, physician's assistant or a CRNP.

A medication log for child #5 has not been established by the operator for a prescription medication on site.

Staff person #2 did not complete the required Pediatric First Aid and CPR training within 90 days of their hire date (see LIS sheet). The completed Pediatric First Aid and CPR training for staff person #2 is dated 3/27/25.

The individual files for children #1, #2, and #4 contain the original agreement.

The emergency contact for child #1 does not include the address of the child's physician or source of medical care.

The emergency contact for child #4 does not include the work addresses and telephone numbers of the enrolling parent.

The emergency contacts for children #2, #3, and #4 have not been update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

The individual file for staff person #1 does not include a written report of an initial health assessment.

It was observed in the older toddler and the younger toddler classrooms, sound machines being used at high volume levels that could potentially prevent staff from being able to properly hear, direct and assess toddlers while sleeping on nap mats.

It was observed in the older toddler classroom, Swiffer Wet pads, disinfecting cleaning wipes, and floor cleaner were stored in an unlocked cabinet under the sink accessible to children.

Staff person #1 did not complete mandated reporter training within 60 months of the previous training. The current training on file was completed on 11/24/24 and the previous training was completed on 9/30/19.

Continued Non-Compliance: On 6/20/24 a renewal inspection was conducted at the facility. Staff person #1 and #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. The facility's acceptable plan of correction indicated the correction would be implemented by 7/11/24. On 7/29/24 an unannounced inspection was conducted. Staff person #1 and #3 still has not completed the following required pre-service training: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

The file for staff person #5 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 3/6/24 and the previous first-aid and CPR training certificate was dated 12/23/21.

Staff persons #1 and #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/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Individual files for staff persons #2 and #4 do not include an initial health assessment, including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

It was observed in the older toddler and preschool classrooms that children laying on their nap cots were not able to be properly supervised by staff. The nap cots were placed in areas that caused children to be out of sight from staff.

It was observed that a storage closet door in the hallway area where cleaning supplies were stored, was open and accessible to children. (corrected on site)

It was observed that the door to the kitchen with a working stove was open and the area was accessible to children.

It was observed in the toddler classroom, multiple sensory bottles containing objects with a diameter of less than 1 inch had lids that were removeable and accessible to children who are still placing objects in their mouths. Plastic grocery bags were observed in the cubby area accessible to toddlers. (corrected on site)