Keystone Kids Early Learning Center

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.

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

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.

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

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

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.

) 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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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

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.

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

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

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

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.