Youth Intervention Center
Copyright 2024 - County of Lancaster, PA -- LCYIC, Drew Fredericks
Staff Health Statement
The Department of Human Services requires that employees submit their
Staff Health Statement on or before their first day of training.
A staff person or volunteer who comes into direct contact with the children or who prepares or serves food,
shall have a statement signed and dated by a licensed physician, certified registered nurse practitioner or licensed physician’s
assistant, within12 months prior to working with children or food service and every 2 years thereafter, stating that the person is free of
serious communicable disease that may be spread through casual contact or that the staff person has a serious communicable disease
that may be spread through casual contact but is able to work in the facility if specific precautions are taken
that will prevent the spread of the disease to children.
PA Child Abuse History Clearance
You will receive an email from the Lancaster County Human Resources Office detailing how to complete
your PA Child Abuse History Clearance. The email will look similar to the image below.
FBI Clearance
You will receive an email from the Lancaster County Human Resources Office detailing how to complete
your FBI Clearance. The email will look similar to the image below.
The completed clearance will be mailed to your home address and must be presented
to the facility’s Business Administrator on or before your first day of training in order to be
included in your personnel file.
PA Criminal Background Check (PATCH)
You will receive an email from the Lancaster County Human Resources Office detailing how to complete
your PA Criminal Background Check. The email will look similar to the image below.
This completed clearance can be printed out shortly after submitting for it.
This clearance must be presented to the facility’s Business Administrator on or before your first
day of training in order to be included in your personnel file.
This completed clearance can be printed out from the account you created when you registered for this clearance.
This clearance must be presented to the facility’s Business Administrator on or before your first
day of training in order to be included in your personnel file.
The following items MUST be submitted before you can begin your new hire training:
Driver’s License
Social Security Card
3 Letters of Reference
Original College Transcripts or Copy of College Degree
(Detention new hires only)
High School Diploma, Original College Transcripts,
or Copy of College Degree
(Shelter and PULSE new hires only)
Beneficiary Information for Retirement Plan
(Name, Date of Birth, Social Security Number, and Address)
Welcome to the
Youth Intervention Center team!
Please contact Tracy Kauffman if you have any questions.
Office: 717-209-3328
E-mail: kauffmat@lancastercountypa.gov
Example of form.
Example of form.
Example of form.
Example of form.
Full-Time Non-Bargaining Employee Benefits Overview
Full-Time Benefits Overview
You will need to bring the following items with you when you
come to complete your initial new hire paperwork.
PA Criminal Background Check (PATCH)
PA Child Abuse History Clearance
Staff Health Statement
FBI Clearance
We recommend that you start these ASAP since most are time sensitive.
Complete instructions can be found below.