Adventure Awaits Learning Center
619 W Penn Ave, Knox, PA
4.0· 4 reviews
Keystone Smiles Community Child Care Ctr
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About
About Keystone Smiles Community Child Care Ctr
Keystone Smiles Community Child Care Ctr is a child care center in Knox, Pennsylvania. It is certified by the state, for up to 72 children.
Pennsylvania Department of Human Services, Office of Child Development and Early Learning made 3 visits in the last 3 years and cited 42 rules across 3 of them. The visit list, in the state's words, is below.
Accepts child care subsidy
Ask when you call: rates, current openings, staff-to-child ratio, teacher qualifications and hours.
- Type
- Child care center
- Ages
- Ask the daycare
- Hours today
- Not listed
- Licensed capacity
- 72 children
Hours
Hours
Hours not listed. Call (814) 797-2127 to confirm.
Programs
Programs and care
| Child care subsidy | Accepts state child care subsidiesFrom the state license |
|---|---|
| Licensed capacity | 72 childrenFrom the state license |
Cost
Tuition and costs
Keystone Smiles Community Child Care Ctr has not listed its tuition.
Ask the daycare for its ratesIt has not listed its tuition.
State record
Inspection reports for Keystone Smiles Community Child Care Ctr
License
- Status
- Certified by the state and operating
- License type
- Certificate of Compliance
- Capacity
- 72 children
- License number
- #CER-00254240
Summary
3 visits in the last 3 years · Last visit Feb 25, 2026: 15 rules cited
Rules cited on 3 of 3 visits · 42 rules in all · 42 corrected
- Health, medication and illness 13
- Safety and hazards 9
- Staff training and qualifications 6
- Records and paperwork 4
- Building, equipment and play areas 4
- Supervision and ratios 4
- Background checks 2
For comparison: 93% of Pennsylvania daycares had at least one rule cited in the last 3 years; the typical daycare had 14.
A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
Own this daycare? Add your response to the state record
See all 5 visits
Feb 25, 2026Inspection15 rules cited
3270.94(a)(1) Every 60 days
“According to the fire drill log, a fire drill was not conducted at least once every 60 days on multiple occasions within the last year.”
Correction date in the state record: Feb 20, 2026
3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance
“According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 3-11-25 to 4-18-25.”
Correction date in the state record: Feb 25, 2026
3270.31(e)(4)(i) Age and Training
“The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 1-15-26 that was after the November 2025 expiration of the prior training. The file for staff person #2 had current pediatric first-aid/CPR training with a completion date of 1-22-26 that was after the November 2025 expiration of the prior training.”
Correction date in the state record: Feb 25, 2026
3270.31(f) Health and Safety Training
“Staff person #3 completed the following required pre-service training on 2-19-26 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.”
Correction date in the state record: Feb 25, 2026
3270.32(a)/3270.192(4) Comply with CPSL/CPSL information
“The file for staff person #3 had an NSOR verification certificate that was dated after their start date.”
Correction date in the state record: Feb 25, 2026
3270.75(a) In child care spaces
“The mindfulness room lacked a first-aid kit.”
Correction date in the state record: Feb 26, 2026
3270.75(c) Has all items
“The first-aid kit in the pre-k 2 room lacked sterile gauze pads. The first-aid kit in the moon room lacked soap.”
Correction date in the state record: Feb 27, 2026
3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB
“The file for staff person #3 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The file for staff person #3 lacked a tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method.”
Correction date in the state record: Mar 27, 2026
3270.131(e)(1)/3270.131(e)(3) Exemption documentation from parent/guardian/Dismissal policy
“The file for child #2, enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”
Correction date in the state record: Feb 26, 2026
3270.124(b)(2) Physician name, address, phone
“The file for child #1 had an emergency contact form that lacked the telephone number of the child's physician.”
Correction date in the state record: Feb 26, 2026
3270.151(c)(3) Exam communicable disease
“The file for staff person #3 had a health assessment that lacked an examination for communicable diseases and the results of that examination.”
Correction date in the state record: Mar 30, 2026
3270.111(b) Posted in group space
“A daily activity schedule was not posted in the mindfulness room.”
Correction date in the state record: Feb 26, 2026
3270.82(h) Handwashing signs
“The bathroom on the right in the pre-k room upstairs lacked a handwashing sign posted at the toilet.”
Correction date in the state record: Feb 26, 2026
3270.76 Building Surfaces
“In the moon room/indoor gross motor room, the steps leading to the bouncy area were unstable and a visible hazard.”
Correction date in the state record: Mar 12, 2026
3270.74 Emergency Numbers Posted
“The telephone number of the nearest hospital was not posted by the telephones in the pre-k 1, pre-k 2, and mindfulness rooms.”
Correction date in the state record: Feb 26, 2026
Feb 25, 2025Inspection17 rules cited
3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports
“The file for child #2 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.”
Correction date in the state record: Apr 1, 2025
3270.192(5) Two written references
“The file for staff person #4 lacked two written, nonfamily references.”
Correction date in the state record: Feb 26, 2025
3270.151(a) 12 months prior to service and every 24 months thereafter
“The file for staff person #2 had a health assessment that exceeded 24 months between assessments.”
Correction date in the state record: Feb 25, 2025
3270.131(d)(8) Age appropriate screenings complete
“The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.”
Correction date in the state record: Apr 1, 2025
3270.131(d)(7) Free from contagious/communicable disease
“The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.”
Correction date in the state record: Apr 1, 2025
3270.124(b)(7) Name/address/phone release person
“The files for child #1 and #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.”
Correction date in the state record: Apr 1, 2025
3270.113(a)(1) Staff assigned to specific children
“At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children.”
Correction date in the state record: Feb 25, 2025
3270.113(a) Supervised at all times
“At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children.”
Correction date in the state record: Feb 25, 2025
3270.92(a) No portable space heaters
“There was a portable space heater observed in the office.”
Correction date in the state record: Feb 25, 2025
3270.77(a) No peeling paint or plaster
“In the lunchroom, there were a few areas of peeling paint on the front right wall near the baseboard.”
Correction date in the state record: Feb 25, 2025
3270.76 Building Surfaces
“In the pre-k room, there were a few damaged ceiling tiles that were observed.”
Correction date in the state record: Apr 1, 2025
3270.75(b) Inaccessible to children
“The first-aid kit in the pre-k room was located in a backpack in a cubby near the door and was accessible to children.”
Correction date in the state record: Feb 25, 2025
3270.51 Similar Age Level
“At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children resulting in a 0:2 staff to child ratio.”
Correction date in the state record: Feb 25, 2025
3270.37(b)(1)/3270.192(2)(ii) HS/GED/Exp, educ., training prior to facility
“The file for staff person #4, functioning as an aide, lacked verification of education to qualify as an aide.”
Correction date in the state record: Feb 26, 2025
3270.32(a)/3270.192(4) Comply with CPSL/CPSL information
“The file for staff person #4 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET)”
Correction date in the state record: Feb 26, 2025
3270.31(e)(4)(i) Age and Training
“The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 1-23-25 that was after the October 2024 expiration of the prior training.”
Correction date in the state record: Feb 25, 2025
3270.27(c) Training regarding plan
“The file for staff person #3 lacked current emergency plan training completed within the last year.”
Correction date in the state record: Feb 26, 2025
Feb 7, 2024Inspection10 rules cited
3270.77(a) No peeling paint or plaster
“There was a small area of peeling paint on the wall in the upstairs Pre-K Counts room, near the floor, in the back of the room in a reading/ book area.”
Correction date in the state record: Feb 7, 2024
3270.27(f) Emergency plan
“There was no documentation, as required, to indicate the facility's emergency plan was sent to the local municipality and the county emergency management agency.”
Correction date in the state record: Feb 15, 2024
3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance
“The documentation of smoke detector testing on file indicates that smoke detectors were tested on 3/1/23 and then again on 4/16/23, more than 30 days between testing.”
Correction date in the state record: Feb 7, 2024
3270.94(a)(9) Written record
“The number of children participating in each fire drill was not documented on the facility's fire drill log.”
Correction date in the state record: Feb 7, 2024
3270.151(a) 12 months prior to service and every 24 months thereafter
“The current health assessment on file for Facility Person #1 was completed more than 24 months after previous health assessment on file for Facility Person #1.”
Correction date in the state record: Feb 7, 2024
3270.133(3) Name on bottle
“There was insect sting relief medication in the first aid kid, not labeled with the name of a particular child for their use.”
Correction date in the state record: Feb 7, 2024
3270.124(e) Written emergency plan posted
“The medical emergency transportation plan was not posted in the mindfulness room or the gross motor room.”
Correction date in the state record: Feb 7, 2024
3270.82(h) Handwashing signs
“There were no handwashing signs posted at one toilet in restroom off of the Pre-K Counts room or at two toilets in the restroom off of the preschool/Pre-K Counts room.”
Correction date in the state record: Feb 7, 2024
3270.66(a) Locked or inaccessible
“The following toxics were accessible to children receiving care in the lunchroom. There was a hand sanitizer labeled "keep out of reach of children" on a table in reach of children. There were bottles of cleaning supplies including bleach on the floor in the kitchen, adjacent to the lunchroom. The door to the kitchen was open as children received care in the lunchroom.”
Correction date in the state record: Feb 7, 2024
3270.27(e) Letter to parents
“The letter to the parents regarding the facility's emergency plan did not include the facility's accommodations in the event of an emergency or the facility's plans for annual emergency drills.”
Correction date in the state record: Feb 15, 2024
Feb 21, 2023Inspection18 rules cited
3270.27(c) Training regarding plan
“There was no documentation of emergency plan training on file for Facility Person #1, employed at the facility more than 90 days.”
Correction date in the state record: Mar 20, 2023
3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB
“The most recent health assessment on file for Facility Person #1 was completed more than 24 months prior. The current/initial health assessment, including a TB test, on file for Faciity Person #4 was completed after their start date in a child care position at the facility.”
Correction date in the state record: Feb 21, 2023
3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance
“The documentation of dates the facility's fire alarm system was tested indicates testing was done on 12/2/22, then again on 1/5/23. Test dates were also recorded as 4/12/22 and then on 5/20/22. In both instances, more than 30 days passed between test dates. Act 62 requires smoke detectors are tested at least every 30 days.”
Correction date in the state record: Mar 20, 2023
3270.31(e) Age and Training
“There was no documentation on file of any child care training hours completed during the most recent review year (12/19/21-12/19/22) on file for Facility Person #1.”
Correction date in the state record: Mar 20, 2023
3270.131(a) Health information
“The initial health assessment on file for child #1 was completed more than 60 days after the child's first day of attendance at the facility.”
Correction date in the state record: Feb 21, 2023
3270.66(a) Locked or inaccessible
“There were toxics, including cleaning supplies, on the floor in the kitchen near the entrance under the sink, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked.”
Correction date in the state record: Feb 21, 2023
3270.34(a)(6) Staff evaluations
“There were no annual staff evaluations on file for Facility Person #1, employed at the facility more than 12 months.”
Correction date in the state record: Mar 20, 2023
3270.31(f)/3270.31(g) Health and Safety Training/Professional development certificate
“There was no documentation of completion of the required pre-service health and safety training on file for Facility Persons #1 and #4. The documentation of completion of the required pre-service health and safety training on file for Facility Person #2 (9/11/6) and Facility Person #3 (9/22/16) indicate the training was completed prior to 9/30/16. Facility Persons #1, #2, #3 and #4 have been employed at the facility for at least 90 days. (See IS Code Sheet.)”
Correction date in the state record: Mar 20, 2023
3270.31(e)(4)(ii) Fire safety - 1 yr.
“There was no documentation of annual firesafety training on file for Facility Person #1, employed at the facility more than 12 months.”
Correction date in the state record: Mar 20, 2023
3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility
“Facility Person #4 was classified as an assistant group supervisor. There was documentation of high school graduation on file for Facility Person #4, but no documentation of child care experience.”
Correction date in the state record: Mar 20, 2023
3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety
“There was no plan for continuity of operations included the facility's emergency plan, as required by federal mandate.”
Correction date in the state record: Mar 20, 2023
3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety
“There was no documentation that Faciity Person #1 had completed the required health and safety training update. The health and safety training update completed by Faciity Person #3 (dated 2/15/23) and Facility Person #4 (dated 1/30/23) were completed after the required completion date of 12/30/22.”
Correction date in the state record: Feb 21, 2023
3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety
“Facility Persons #1 and #4 were observed to be caring for children unsupervised. Facility Persons #1 and #4 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.”
Correction date in the state record: Feb 21, 2023
3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy
“There was no documentation of a current influenza vaccine (recommended annually by the ACIP) on file for child #2.”
Correction date in the state record: Mar 20, 2023
3270.82(i) Lidded waste receptacles
“The trash can by the sink in the lunchroom used for handwashing was not lidded.”
Correction date in the state record: Feb 21, 2023
3270.27(a)(6) Emergency plan
“The most recent emergency drill documented and on file was conducted on 2/18/22, more than 12 months prior.”
Correction date in the state record: Mar 20, 2023
3270.21 General Health and Safety
“There were sharp knives in an open kitchen drawer near the entrance to the kitchen, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked.”
Correction date in the state record: Feb 21, 2023
3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR
“The current pediatric first aid and CPR training documented and on file for Facility Person #1, employed at the facility for more than 90 days, was not acceptable as the training was conducted by a PQAS approved trainer.”
Correction date in the state record: Mar 20, 2023
Feb 10, 2022Inspection9 rules cited
3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility
“The file for facility person #2, with start date of 8/8/15, lacks verification of current mandated reporter training which was completed within the past 60 months.”
Correction date in the state record: Feb 21, 2022
3270.107 Refrigerator
“The facility's refrigerator lacked an operating thermometer.”
Correction date in the state record: Feb 11, 2022
3270.131(c)/3270.131(d)(7) Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease
“The current health report on file for child #1 lacked a signature by a physician, physician's assistant or CRNP. and lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.”
Correction date in the state record: Mar 31, 2022
3270.27(a)(6) Emergency plan
“The facility file lacked documentation that an emergency drill was conducted within the past year.”
Correction date in the state record: Feb 17, 2022
3270.131(e)(1) Exemption documentation from parent/guardian
“The current immunization records on file for children #1, 2, 3, 4 and 5 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The immunization record on file for child #4 lacks documentation of 2 Hep A immunizations and 1 Varicella immunization as in accordance with the schedule recommended by the ACIP.”
Correction date in the state record: Mar 31, 2022
3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports
“The file for child #2, with start date of 8/25/21, lacks an initial health assessment.”
Correction date in the state record: Mar 31, 2022
3270.31(e)(4)(i)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility
“The pediatric first aid and pediatric CPR training on file for staff #1 was not renewed on or before expiration date.. Training expired 2/2021 and then new training was completed 4/8/21.”
Correction date in the state record: Feb 10, 2022
3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility
“There was more than 1 year between fire safety trainings for staff #1. Training was completed on 1/22/21 and then on 2/3/22.”
Correction date in the state record: Feb 10, 2022
3270.32(a)/3270.192(4) Comply with CPSL/CPSL information
“The file for facility person #2, lacked verification of a disclosure statement and a current DHS FBI clearance. There is a DHS State Police on file- 2/16/18, Child Abuse - 2/27/18 and NSOR 11/26/19.”
Correction date in the state record: Feb 28, 2022
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FAQ
Questions about Keystone Smiles Community Child Care Ctr
Is Keystone Smiles Community Child Care Ctr licensed?
Yes. Keystone Smiles Community Child Care Ctr is certified by the state and operating. This is how Pennsylvania authorizes this type of child care.
When was Keystone Smiles Community Child Care Ctr last inspected?
Pennsylvania Department of Human Services, Office of Child Development and Early Learning lists the most recent visit on February 25, 2026, with 15 rules cited. It lists 3 visits in the last 3 years.
Has Keystone Smiles Community Child Care Ctr had rules cited by the state?
Yes. Inspectors cited 42 rules across 3 of 3 visits in the last 3 years; 42 show a correction in the state record. For comparison: 93% of Pennsylvania daycares had at least one rule cited in the last 3 years; the typical daycare had 14. A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
How many children can Keystone Smiles Community Child Care Ctr care for?
72, the licensed capacity on the state record.
Does Keystone Smiles Community Child Care Ctr accept child care subsidies?
Yes. The state record says it accepts child care subsidies.
What are Keystone Smiles Community Child Care Ctr's hours?
Its hours are not listed. Call (814) 797-2127 to confirm.
How much does Keystone Smiles Community Child Care Ctr cost?
It has not listed its tuition. Call (814) 797-2127 to ask.
What is Keystone Smiles Community Child Care Ctr's phone number?
(814) 797-2127.
Where is Keystone Smiles Community Child Care Ctr?
518 Main St, Knox, PA 16232. The nearest other daycare we list is Adventure Awaits Learning Center, 0.1 miles away.