Kce Champions Llc Rolling Hills

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Cert rep reviewed staff #3 record and observed physical examination was not completed within 24 months of expiration date.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Cert rep reviewed staff #1and #2 record and observed Initial physical examination was not in record.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Cert rep reviewed staff #1 record and observed health and safety training part 1 and part 2 was not completed within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed FBI clearance in record is from the Department of Education not a DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-1 may not work in a child care position at the facility.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: Certification rep reviewed children #1 and #2 record and observed emergency contact information did not include the name, address and telephone number of the child's physician or source of medical care. Cert rep reviewed children #1 and #2 record and observed emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Certification rep reviewed liability certificate and observed certificate of liability in record is expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff#1 record and observed State Police Criminal clearance was not in record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.123(a)

Description: Signed

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

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.124(a)

Description: Each child emergency contact person

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

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection Liability insurance document on file was expired, date of expired insurance in record: 12/1/2022 through 12/1/2023.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #2 record and observed New Jersey out of state Criminal History, Child Abuse and Sex Offenders registry check not in record, date of hire: 1/2023.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.54(a)/3270.113(a)(1)

Description: Two facility persons present in facility/Staff assigned to specific children

Noncompliance Area: During the renewal inspection certification rep observed staff #1 working alone with a total of 8 children, the youngest 5 years old of age.During the renewal inspection certification rep observed staff #1 leave the room and left a total of 8 children unsupervised to escort another child out.; youngest in age 5 years old at the time of inspection. Certification rep observed Staff #1 walk back into the room and walked out again to open the door leaving the children unsupervised for a second time.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

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

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: 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.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

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

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

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

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: 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.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: 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.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: 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.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: 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.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: 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.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 and #5 will have until 12/27/2022 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #5, staff person #1 and #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 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.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 and #5 may not work in a child care position at the facility. Staff Person # 2 and #5 must be removed from child care position by close of business. Clearances must be obtained before staff person #2 and #5 may resume a child care position.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

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

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: 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.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: 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.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.123(a)

Description: Signed

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

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: 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.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: 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.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: 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.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: 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.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

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

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: 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.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: 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.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 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.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.