KCE Champions LLC Rolling Hills

Certification reviewed children #1 and #2 record and observed an agreement shall be signed by the operator and the parent missing in record.

Certification rep reviewed children #1 and #2 record and observed emergency contact forms missing in record.

At the time of renewal inspection observed staff person #1, #2 and #5 without completed pre-service training working unsupervised.

At the time of renewal inspection, file of staff person #2, who is not a provisional hire, did not include complete child abuse, state police and DHS required FBI clearance. File of staff person #5, who is not a provisional hire, include FBI from Department of Education, which is not acceptable. Staff person #5 was taking children outside and was not supervised.

At the time of renewal inspection, file of staff person #3 and #4 did not include verification that staff received emergency plan training on an annual basis.

At the time of renewal inspection, a health report of child #1 did not include the date and signature of a physician, physician's assistant or a CRNP.

At the time of inspection, the file for staff person #1 did not include an initial health assessment with TB results.

At the time of renewal inspection observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

At the time of renewal inspection, file of child #2 did not include an initial health report within 60 days of enrollment.

At the time of renewal inspection, a current copy of the insurance policy was not on file at the facility. The insurance policy on file was for the period from 12/1/21 to 12/1/22.

At the time of the complaint investigation, file of staff person #5 did not include verification that staff person #5 has completed pre-service training that includes Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of the date of hire (see LIS code sheet). File of staff person #1 did not include verification of complete Pediatric First Aid/ CPR training as well as pre-service health and safety training required at the time of hire for the position of the director.

At the time of inspection, the files for staff member #3 and #4 did not include an annual staff evaluation.

At the time of inspection, files for staff person #2 and #5, hired as an assistant group supervisors, did not include verification of 2 years experience with children. File of staff person #3, hired as an assistant group supervisor did not include verification of education.

At the time of renewal inspection, emergency contact information of child #1 did not include the address of the child's physician or source of medical care. Emergency contact information of child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of renewal inspection, emergency contact form of child #2, #3, and #4 did not include the work address and/or phone number of the enrolling parent.

At the time of renewal inspection record of staff person #2 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File of staff person #5 included only one non-family reference.

At the time of renewal inspection, file of staff person #3 included FBI clearance required by DHS from 9/28/16 which is more than 60 month old. Mandated reporter training of staff person #3 was from 10/1/16 and was taken more than 5 years ago.

At the time of renewal inspection observed three children being left unsupervised in the classroom while staff #2 was opening the main door of the school building.

At the time of renewal inspection files of staff person #1 and #3 did not include written record that emergency plan training was conducted on an annual basis. Last emergency plan training staff person #1 and #3 received on 8/26-28/19 as a part of Champions Extended Learning Orientation Training. File of staff person #2 hired on July 2021 did include verification of emergency plan training at the time of initial employment.

At the time of renewal inspection information regarding the location of the facility and use of pedestrian and vehicular routes around the facility was not sent to the local traffic safety authorities annually. The last letter was sent on 9/3/2019.

At the time of renewal inspection, file of staff person #1 did not include verification that staff person #1 participated in fire safety training at least annually.

At the time of renewal inspection, an agreement of child #1 was not signed by the parent

At the time of renewal inspection, emergency contact information of 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.

At the time of renewal inspection, emergency contact information of child #1, #2, #3, #4, and #5 did not the work addresses and telephone numbers of the enrolling parent.

At the time of renewal inspection, emergency contact information of child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of renewal inspection, emergency contact information of child #3 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of renewal inspection, emergency contact information of child #1 did not contain signed parental consent for emergency medical care for the child and consent for administration of minor first-aid procedures by facility staff. Both written consents are required prior to admission.

At the time of renewal inspection the record of staff person #1 and #2 was not stored in a locked cabinet.