KCE Champions LLC at Cornwall Terrace Elem School

Staff person #3 had state police clearance dated 12/23/24; child abuse clearance was dated 1/6/25; FBI clearance was dated 12/31/24; NSOR was dated 1/13/25. All clearances are dated after the start date of staff person #3 (see code sheet for start date). Staff person #3 indicated that she started prior to having clearances.

There were two bottles of hand sanitizer accessible to children; one by the cash register and one on the table in the back of the room.

The Epi-Pen for child #1 had an expiration date of 10/2024.

The most recent fire drill recorded was 12/19/24, which was done with no children in care. The most recent fire drill with children was recorded 11/18/24.

Upon arrival at the facility, the tri-fold board with the evacuation routes was in the storage room. Staff #2 stated that it wasn't put out because information needed to be updated, however, upon review no information needed to be updated.

Staff person #1 has completed the 10 hour health and safety course but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Staff person #3 did not have Pediatric First Aid/Pediatric CPR (see code sheet for start date). Staff person #3 indicated that she completed the online portion but has not done the in-person part.

Upon arrival at the facility, the tri-fold board with the certificate of compliance and information for parents on how to access the regulations electronically was in the storage room. Staff #2 stated that it wasn't put out because information needed to be updated, however, upon review no information needed to be updated.

During the renewal inspection on 11/202/24, staff #2 lived outside of PA in the previous 5 years and did not have complete documentation of clearances from that state. An acceptable plan of corrections stated that "New hires will provide out of state clearances prior to start date, and this will be added to the onboarding checklist. All necessary items will be on file prior to the first day of care." The correction date given was 1/10/25. On 1/14/25 during an unannounced inspection, staff #4 was onsite. The file for staff #4 did not include state police or child abuse clearances. There was no date of hire, however, staff #4 was onsite at another program of the legal entity on 11/20/24 where there was no file onsite.

During the renewal inspection on 11/20/24, there were three staff and 30 school age children. Staff stated that they do not have children assigned to them. An acceptable plan of corrections was submitted stating "Director will provide visible primary care group signage and each staff member will use this daily. A review of primary care groups will be completed for understanding." The correction date provided was 1/6/25. During an unannounced inspection on 1/14/25, staff again stated that they do not have children assigned to them. Staff #1 stated that they all watch all of the children.

During the renewal inspection on 11/20/24, there was no documentation of emergency plan training for staff #1, #2 and #3. An acceptable plan of corrections was submitted stating that "Staff #1,2 and 3 have reviewed the emergency plan procedures and site specific plans." The correction date was 1/6/25. During an unannounced inspection on 1/14/25, there was no documentation that staff #1, #2, #3 were trained in the emergency plan.

During the renewal inspection on 11/20/24, there was no documentation of a letter provided to the parent of each enrolled child explaining the emergency procedures including lockdown and accommodations for children with special needs and chronic medical conditions. An acceptable plan of corrections was submitted that stated "All families will have been provided the emergency procedures site specific, and accommodations we provide for children with special needs/chronic medical conditions." The correction date was 12/12/24. On 1/14/25 during an unannounced inspection, there was no documentation that the parents had been provided a letter explaining the emergency plan that included lockdown and accommodations for children with special needs and chronic medical conditions.

During the renewal inspection on 11/20/24, there was Albuterol at the facility for child #2 and #3, and an EpiPen and Diphenhydramine for child #6. There was no written parental consent for the administration of these medications. An acceptable plan of corrections was submitted that stated "Medication needed by the child will be required to have a completed parental consent form that also requires the physicians signature." The correction date was 1/6/25. On 1/14/25 during an unannounced inspection, the written parental consent could not be provided to the Certification Rep.

During the renewal inspection on 11/20/24, there were no recorded fire drills. An acceptable plan of corrections was submitted stating "Fire drills will be conducted and documented. Director will ensure that every 30 days fire drills will be conducted and documented and placed in the emergency plan book on site." The correction date was 1/6/25. During an unannounced inspection on 1/14/25, there still were no recorded fire drills.

During the renewal inspection on 11/20/24, there were no health assessments on file for child #1, #2, #4, and #5. An acceptable plan of corrections was submitted that stated "All children are required and parents will provide updated health assessments for their child. Children # 1,2,4,and 5 have been provided a health assessment form for their child and must return it fully complete in order to receive care going forward." The correction date was 1/6/25. On 1/14/25 during an unannounced inspection, the health forms could not be presented to the Certification Rep.

During the renewal inspection on 11/20/24, the Shaken Baby/Abusive Head Trauma/Child Maltreatment policy that was provided was not available on site and did not adequately address the prevention and identification of child maltreatment as required by CFR 98.41(a)(1)(vi). An acceptable plan of corrections stated "The policy has been updated to include the prevention and identification of child maltreatment. This form will be on site and in staff file, all current staff have reviewed and signed off on completion." The correction date was 12/17/24. On 1/14/25 during an unannounced inspection, the updated Shaken Baby/Abusive Head Trauma/Child Maltreatment policy could not be presented to the Certification Representative.

During the renewal inspection on 11/20/24, the agreements for child #1, #2, #3, #4, and #5 were not signed by the operator. An acceptable plan of corrections was submitted stating "Child # 1,2,3,4,and 5 have had their agreement updated with the operators signature." The correction date was 12/20/24. During an unannounced inspection on 1/14/25, the updated agreements forms could not be provided to the Certification Rep.

During the renewal inspection on 11/20/24, the emergency contact information for child #1, #2, #3, #4, and #5 did not include the name, address and telephone number of the child's physician or source of medical care. An acceptable plan of corrections was submitted stating "Child #1,2,3,4,and 5 have had parent update emergency contact form with name, address and phone number of physician of enrolled child." The correction date was 12/20/24. During an unannounced inspection on 1/14/25, the updated forms could not be provided to the Certification Rep.

During the renewal inspection on 11/20/24, the emergency contact information for child #1, #2, #4, and #5 did not include the work address and work phone number of the enrolling parent. An acceptable plan of corrections was submitted that stated "Child # 1,2,3,4 and 5 have had emergency contact form updated with the work address and phone number of the enrolling parent." The correction date was 12/20/24. On 1/14/25 during an unannounced inspection, the updated forms could not be presented to the Certification Rep.

During the renewal inspection on 11/20/24, the emergency contact information for child #1, #2, #3, #4, and #5 did not include health insurance coverage and policy number. An acceptable plan of correction was submitted that stated "Child # 1,2,3,4 and 5 have had the parent update the emergency contact form with insurance information including policy number for the enrolled child." The correction date was 1/6/25. On 1/14/25 during an unannounced inspection, the updated forms could not be presented to the Certification Rep.

During the renewal inspection on 11/20/24, the emergency contact information for child #1 did not include the address of the persons designated by the parent to whom the child may be released. An acceptable plan of corrections was submitted that stated "All designated persons chosen for pick up will have name address and phone number provided by the parent on the emergency contact form. Child #1 has had the form updated with this information." The correction date was 1/6/25. On 1/14/25 during an unannounced inspection, the updated form could not be presented to the Certification Rep.

Staff #2 lived outside of PA in the previous 5 years and did not have complete documentation of clearances from that state. Staff #3 had a record on the FBI clearance that had not been submitted for review, and did not have documentation of NSOR. Staff #3 cannot be hired provisionally.

There were three staff and 30 school age children. Staff stated that they do not have children assigned to them.

There was no documentation of emergency plan training for staff #1, #2 and #3.

There was no documentation of a letter provided to the parent of each enrolled child explaining the emergency procedures including lockdown and accommodations for children with special needs and chronic medical conditions.

There was no lidded trash can available at the facility for trash that has been contaminated by human secretions or excrement.

There was Albuterol at the facility for child #2 and #3, and an EpiPen and Diphenhydramine for child #6. There was no written parental consent for the administration of these medications.

There was no date on the health assessment for staff #3 and it cannot be determined if it is in compliance with the regulations.

There were no recorded fire drills.

There were no health assessments on file for child #1, #2, #4, and #5.

The Shaken Baby/Abusive Head Trauma/Child Maltreatment policy that was provided was not available on site and did not adequately address the prevention and identification of child maltreatment as required by CFR 98.41(a)(1)(vi).

The agreement for child #1, #2, #3, #4, and #5 were not signed by the operator.

The emergency contact information for child #1, #2, #3, #4, and #5 did not include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information for child #1, #2, #4, and #5 did not include the work address and work phone number of the enrolling parent.

The emergency contact information for child #1, #2, #3, #4, and #5 did not include health insurance coverage and policy number.

The emergency contact information for child #1 did not include the address of the persons designated by the parent to whom the child may be released.