KCE Champions LLC at Cornwall Terrace Elem School

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff could not locate the continuity of operations plan required by 45 CFR 98.41(a)(1)(vii).”

Correction date in the state record: May 22, 2026

3270.133(5) Original label

“During an unannounced inspection on 5/6/26, there was Albuterol on site for child #1 that expired on 2/2026; there was Benadryl on site for child #2 that expired on 3/2026; and there was an EpiPen on site for child #2 that expired 12/2025”

Correction date in the state record: May 22, 2026

3270.124(b)(6) Insurance coverage information

“During the renewal inspection on 11/13/25, the emergency contact information for child #1 and #2 did not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits. An acceptable plan of corrections was submitted that stated "Parent was given the emergency contact form to update with the insurance information including coverage and policy number. All families will be required to provide insurance information on the emergency contact form to include coverage and policy number." The correction date was 11/21/25. On 12/18/25, the health insurance information was still missing on the emergency contact forms of child #1 and #2.”

Correction date in the state record: Jan 12, 2026

3270.36(b)(5) HS/GED + 2 yrs

“During the renewal inspection on 11/13/25, there was not 2 years of experience documented to qualify staff #2 for the identified assistant group supervisor position. An acceptable plan of corrections was submitted that stated "Staff member #2 will provide the experience documentation for 2 years. All staff at a AGS or higher will have 2 years documented, and verified experience on file." The correction date was 12/12/25. On an unannounced inspection on 12/18, there was not 2 years of experience documented for staff #2.”

Correction date in the state record: Jan 12, 2026

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The most recent fire safety training for Staff #4 was 7/31/2024.”

Correction date in the state record: Jan 12, 2026

3270.94(a)(1) Every 60 days

“During the renewal inspection on 11/13/25, there was no documentation of fire drills conducted at the facility. An acceptable plan of corrections was submitted that stated "A fire drill will be conducted. All staff will practice a fire drill and the drill date, time and children and staff present along with hypothetical location will be documented." The correction date was 12/2/25. On 12/18/25, there was still no documentation of a fire drill conducted.”

Correction date in the state record: Jan 12, 2026

3270.27(a)(6) Emergency plan

“During the renewal inspection on 11/13/25, there was no documentation of an emergency drill conducted. An acceptable plan of corrections was submitted that stated "Emergency Drill will be completed and documented. Emergency drills will be completed annually and documented in the emergency binder." The correction date was 12/12/25. On 12/18, there was no documentation of an emergency drill conducted.”

Correction date in the state record: Jan 9, 2026

3270.124(b)(5) Information re: special needs

“During the renewal inspection on 11/13/25, the emergency contact information for child #1 and #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. An acceptable plan of correction was submitted that stated "Parent was given the form to complete with child's special needs. Families will provide all the necessary information regarding their child including and special needs." The correction date was 11/21/25. On 12/18/25, the information was still missing from the emergency contact information for child #1.”

Correction date in the state record: Jan 12, 2026

3270.124(b)(3) Parent home/work address, phone

“During the renewal inspection on 11/13/25, the emergency contact information for child #1 and #2 did not include the home and work addresses and telephone numbers of the enrolling parent. An acceptable plan of correction was submitted that stated "Parent was provided the emergency contact form to update their work and home with the address and phone number for both. All Emergency contact information will include home and work addresses and phone numbers." The correction date was 11/21/25. On 12/18/25, the information was not updated for child #1 and the emergency contact information for child #2 was still missing the parent's work address.”

Correction date in the state record: Jan 12, 2026

3270.124(b)(2) Physician name, address, phone

“During the renewal inspection on 11/13/25, the emergency contact information for child #1 and #2 did not contain the name, address and telephone number of the child's physician or source of medical care. An acceptable plan of corrections was submitted that stated "Parent was given the emergency contact form to update for the child with the name, address and phone number of the child's physician. All Emergency contact paperwork will be reviewed by the operator for signatures and completion of child's physician's name, address, and phone number." The correction date was 11/21/25. On 12/18/25, the emergency contact for child #1 had not been updated”

Correction date in the state record: Jan 12, 2026

3270.123(a) Signed

“During the renewal inspection on 11/13/25, the agreements on file for child #1, #2, and #3 were not signed by the operator. An acceptable plan of corrections was submitted that stated "The agreement for child # 1, 2 and 3 was signed by the operator. All new enrollment paperwork will be signed by the operator." The correction date was 11/23/25. On 12/18/25, the agreement of child #1 was still not signed by the operator.”

Correction date in the state record: Jan 12, 2026

3270.181(a) Each child

“During the renewal inspection on 11/13/25, there was no file for child #4. An acceptable plan of corrections was submitted that stated "All the necessary paperwork was given to the parent to complete and return to program and the child will not be permitted to attend program until paperwork is in hand. In order to maintain that all enrolled families will be provided new student paperwork and will have to return it completed in it's entirety prior to the first day of care." The correction date was 12/5/25. On an unannounced inspection on 12/18/25, there was still not a complete file for child #4, who was receiving care at the time of the inspection.”

Correction date in the state record: Jan 12, 2026

3270.27(c) Training regarding plan

“There was no documentation of emergency plan training in the previous year for staff #1.”

Correction date in the state record: Dec 5, 2025

3270.27(a)(6) Emergency plan

“There was no documentation of an emergency drill conducted.”

3270.94(a)(1) Every 60 days

“There was no documentation of fire drills conducted at the facility.”

3270.31(e) Age and Training

“There was no documentation of 12 hours of training for staff #1.”

Correction date in the state record: Dec 21, 2025

3270.131(a) Health information

“There was no health assessment on file for child #1. The health report for child #2 was submitted during the inspection (see code sheet for start dates).”

Correction date in the state record: Dec 5, 2025

3270.124(b)(3) Parent home/work address, phone

“The emergency contact information for child #1 and #2 did not include the home and work addresses and telephone numbers of the enrolling parent.”

3270.31(e)(4)(ii) Fire safety - 1 yr.

“There was no documentation of fire safety training in the previous year for staff #1.”

Correction date in the state record: Dec 5, 2025

3270.32(a) Comply with CPSL

“The file of staff #1 was missing state police clearance, child abuse clearance and NSOR clearance.”

Correction date in the state record: Dec 5, 2025

3270.36(b)(5) HS/GED + 2 yrs

“There was no documentation of 2 years of experience to qualify staff #2 for the identified assistant group supervisor position.”

3270.113(a)(1) Staff assigned to specific children

“During the renewal inspection, staff #3 stated that there were 34 children in attendance. Staff #3 identified 15 children in the primary care group. Staff #2 identified 9 children in the primary care group. Staff #1 identified 7 children. One child was identified by two staff. Two children that had started care on this day were not included on anyone's primary care group.”

Correction date in the state record: Dec 12, 2025

3270.123(a) Signed

“The agreement on file for child #1, #2 and #3 was not signed by the operator.”

3270.124(b)(2) Physician name, address, phone

“The emergency contact information for child #1 and #2 did not contain the name, address and telephone number of the child's physician or source of medical care.”

3270.124(b)(5) Information re: special needs

“The emergency contact information for child #1 and #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.”

3270.124(b)(6) Insurance coverage information

“The emergency contact information for child #1 and #2 did not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits.”

3270.181(a) Each child

“There was no file for child #4.”

3270.94(a)(5) Evacuation routes posted

“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.”

Correction date in the state record: May 9, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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.”

Correction date in the state record: Jun 9, 2025

3270.31(f) Health and Safety 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.”

Correction date in the state record: Jun 4, 2025

3270.66(a) Locked or inaccessible

“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.”

Correction date in the state record: May 9, 2025

3270.32(a) Comply with CPSL

“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.”

Correction date in the state record: May 5, 2025

3270.94(a)(1) Every 60 days

“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.”

Correction date in the state record: May 12, 2025

3270.133(5) Original label

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

Correction date in the state record: Apr 28, 2025

3270.25(a) Availability of certificate of compliance and applicable regulations

“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.”

Correction date in the state record: May 9, 2025

3270.27(c) Training regarding plan

“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.”

Correction date in the state record: Jan 27, 2025

3270.27(e) Letter to parents

“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.”

Correction date in the state record: Jan 27, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

Correction date in the state record: Jan 22, 2025

3270.113(a)(1) Staff assigned to specific children

“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.”

Correction date in the state record: Jan 27, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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.”

Correction date in the state record: Jan 24, 2025

3270.94(a)(1) Every 60 days

“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.”

Correction date in the state record: Jan 27, 2025

3270.124(b)(6) Insurance coverage information

“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.”

Correction date in the state record: Jan 28, 2025

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“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.”

Correction date in the state record: Jan 28, 2025

3270.133(6) Written consent

“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.”

Correction date in the state record: Feb 3, 2025

3270.124(b)(3) Parent home/work address, phone

“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.”

Correction date in the state record: Jan 28, 2025

3270.124(b)(2) Physician name, address, phone

“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.”

Correction date in the state record: Jan 27, 2025

3270.123(a) Signed

“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.”

Correction date in the state record: Jan 21, 2025

3270.124(b)(7) Name/address/phone release person

“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.”

Correction date in the state record: Jan 24, 2025

3270.27(e) Letter to parents

“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.”

3270.27(c) Training regarding plan

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

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“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).”

3270.124(b)(7) Name/address/phone release person

“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.”

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

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

3270.124(b)(6) Insurance coverage information

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

3270.133(6) Written consent

“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.”

3270.124(b)(3) Parent home/work address, phone

“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.”

3270.151(a) 12 months prior to service and every 24 months thereafter

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

Correction date in the state record: Jan 6, 2025

3270.94(a)(1) Every 60 days

“There were no recorded fire drills.”

3270.124(b)(2) Physician name, address, phone

“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.”

3270.113(a)(1) Staff assigned to specific children

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

3270.67(d) Contaminated trash in closed plastic-lined receptacle

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

Correction date in the state record: Dec 17, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“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.”

3270.123(a) Signed

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