A.C.E. After School Program @ UMS

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“Two (2) staff were removed from the license and were not added back when they returned to work. Corrective Action: The two (2) staff have submitted record check authorization forms since the visit. Ensure that the staff follow through with fingerprint supported background clearances within sixty (60) days and that they are not left alone with children until the program receives notification from the Division that they have cleared their fingerprints. Submit a plan to Licensor [name] that describes how the program will ensure that record check authorization forms will be completed and sent to the Division for staff before they begin working at the program.”

Correction date in the state record: Jul 10, 2026

Regulation 5.34: The Program Administrator and the Site Director shall annually complete at least a minimum of twelve clock hours of Professional Development Activities which may be applied toward their Individual Professional Development Plan (IPDP) or equivalent excluding any additionally required training for Specialized Child Care or First Aid and CPR.

“A review of BFIS accounts and documentation from the program show that Staff A is missing seven (7) hours of annual professional development between 6/25/2024 and 6/24/2025, Staff B is missing eight (8) hours of annual professional development between 9/9/2024 and 9/8/2025, and Staff C is missing 2.5 hours of annual professional development between 10/1/2024 and 9/30/2025. Corrective Action: By 2/13/2026, either provide documentation of the missing professional development and send it to Northern Lights at CCV or submit a plan for each of the identified staff to complete the missing professional development hours in addition to the twelve (12) hours that are due by their next anniversary date for their current position. In the plan, describe which trainings will be taken and when, and how the program will ensure that the certificates are submitted to Northern Lights at CCV in a timely manner.”

Correction date in the state record: Jul 10, 2026

Regulation 5.35: The Program Administrator or designee shall ensure a minimum of 8 hours of annual Professional Development Activities for new and returning Afterschool Child Care Program Staff related to the attainable goals defined in each Staff's Individual Professional Development Plan (IPDP). This training is in addition to any infant/child CPR certificate or recertification and First Aid training.

“A review of BFIS accounts and documentation from the program show that Staff D is missing eight (8) hours of annual professional development between 9/6/2024 and 9/5/2025 and Staff E is missing eight (8) hours of annual professional development between 10/3/2024 and 10/2/2025. Corrective Action: By 2/13/2026, either provide documentation of the missing professional development and send it to Northern Lights at CCV or submit a plan for each of the identified staff to complete the missing professional development hours in addition to the eight (8) hours that are due by their next anniversary date for their current position. In the plan, describe which trainings will be taken and when, and how the program will ensure that the certificates are submitted to Northern Lights at CCV in a timely manner.”

Correction date in the state record: Jun 29, 2026

Regulation 18.77: Within six months of the initial date of employment, Staff working with children and the Site Director and/or Program Administrator shall maintain an up-to-date BFIS Quality and Credential Account. Documentation, verification of qualifications and all annual professional development activities as specified in the rules in Section 5 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“Nine (9) out of twelve (12) staff who have been employed at the program for over six (6) months do not have up to date BFIS quality and credential accounts as required. Corrective Action: Send all identified items to Northern Lights at CCV with the Northern Lights Verification Cover Sheet and forward the email(s) that were used to submit the information to Licensor [name] by 3/31/2025.”

Correction date in the state record: Jun 20, 2025

Regulation 5.36: The Program Administrator or designee shall ensure a minimum of 4 hours of annual Professional Development Activities for new and returning Afterschool Aides related to the attainable goals defined in each Aide's Individual Professional Development Plan (IPDP). This training is in addition to any infant/child CPR certificate or recertification and First Aid Training.

“Seven (7) Aides did not have documentation of all required hours of professional development during the time periods audited. Staff A was missing four (4) hours, Staff B was missing four (4) hours, Staff C was missing half an hour, Staff D was missing half an hour, Staff E was missing one (1) hour, Staff F was missing half an hour, and Staff G was missing half an hour. Corrective Action: By 3/31/2025, email Licensor [name] documentation to confirm all professional development was completed or email a plan that shows how the staff will make up the missing hours in addition to completing the required four (4) hours of annual professional development by their next anniversary date.”

Correction date in the state record: Jun 20, 2025

Regulation 5.34: The Program Administrator and the Site Director shall annually complete at least a minimum of twelve clock hours of Professional Development Activities which may be applied toward their Individual Professional Development Plan (IPDP) or equivalent excluding any additionally required training for Specialized Child Care or First Aid and CPR.

“The program did not produce documentation of all twelve (12) hours of annual professional development for the Site Director. Corrective Action: By 3/31/2025, email Licensor [name] documentation of missing annual professional development for the time period audited. If the professional development was not completed, email Licensor [name] a plan that describes how the Site Director will make up the missing three and a half (3.5) hours of annual professional development in addition to the twelve (12) hours required by 9/30/2025.”

Correction date in the state record: Jun 20, 2025

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“At the time of this visit, there were two (2) staff who were not on the Associated Parties list for this program or any of the other A.C.E. programs. Corrective Action: Since the visit, the program has sent a record check authorization form for one of the staff. Send a record check authorization form to the Division for the second staff person. By 3/7/2024, send confirmation to Licensor [name] that the identified staff person has either scheduled fingprints or has completed their fingerprint appointment.”

Correction date in the state record: Feb 26, 2024

Regulation 5.12: The licensee shall ensure that all new staff prior to working with children in the Afterschool Child Care Program; and any new individual designated as the representative of the licensee shall submit a Records Check Authorization form to the Division and shall submit to fingerprinting at a location designated by the Division after having received the Fingerprinting Authorization Certificate by the Division.

“A Fingerprint Authorization Certificate was issued for three staff and they have not submitted to fingerprinting as required. Staff A received notice on 9/16/2020, Staff B received notice on 9/17/2020 and Staff C received notice on 10/12/2020. Corrective Action: Program verified the three staff have appointments for fingerprinting the week of 2/15/2021. By 2/26/2021 submit an improvement plan on how the program will ensure staff who must submit to fingerprinting complete the process once the Fingerprint Authorization Certificate is received.”

Correction date in the state record: Feb 23, 2021

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“There were four individuals working with children and counting in staff:child ratios and Record Check Authorization Forms have not been submitted for these four individuals. Corrective Action: Immediately submit Record Check Authorization Forms to the Division for the four individuals. Email this licensor when the Record Check Authorization Forms have been submitted for all four individuals. By 10/1/2019 submit an improvement plan to this licensor identifying how the program will ensure Record Check Authorization Forms are submitted to the Division before any individual works with children.”

Correction date in the state record: Sep 17, 2019

Regulation 18.77: Within six months of the initial date of employment, Staff working with children and the Site Director and/or Program Administrator shall maintain an up-to-date BFIS Quality and Credential Account. Documentation, verification of qualifications and all annual professional development activities as specified in the rules in Section 5 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“Documentation of qualifications and professional development was missing from staff's BFIS Quality and Credential Accounts. Corrective Action: By 10/1/2019, submit all qualifications and professional develoment trainings to include CPR and First aid certifications to Northern Lights at CCV for all staff. Once sent to Northern Lights, send confirmation to this licensor. The Verification Cover Sheet can be found at: https://northernlightsccv.org/resource/verification-cover-sheet/”

Correction date in the state record: Sep 17, 2019