Amanda Clark

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“A review of the staff BFIS Quality and Credentialing Account, followed by conversation with the provider, confirmed that a substitute had not completed three (3) of four (4) professional development hours during the period of 11/02/2024-11/02/2025. No additional documents were provided for assessment. This regulation reviewed at the previous site visit on 02/03/2025. Corrective Action: By 02/06/2026, submit to your licensor a detailed plan indicating how your substitute will complete the missing three (3) hours of professional development. The plan should include how you will monitor the professional development of your substitute moving forward. Please ensure your substitute completes the three missing hours by 02/27/2026. Send professional development documents to Northern Lights and forward confirmation of receipt to this licensor.”

Correction date in the state record: Jan 27, 2026

Regulation 7.2.2: The FCCP shall submit a Records Check Authorization form to the Division for any new individuals, sixteen (16) years of age or older, residing in the FCCH or present more than five (5) times in 365 days during the FCCH's hours of operation as required in the rule 2.3.7.2 of these regulations.

“In discussion with the provider about staff, it was discovered that a Partner Staff member had been present at the FCCH more than five (5) times in 365 days and was not on the Associated Parties List. Corrective Action: Please have Staff A complete a Record Check Authorization form. Submit this form to the Child Development Division and notify this licensor of submission. Moving forward, ensure record check authorizations are completed for new staff and any partner staff that are present more than five (5) times. Ensure these staff members are reflected on the Associated Parties List.”

Correction date in the state record: Jan 27, 2026

Regulation 6.2.4: Supervision of Children The FCCP and/or staff shall ensure visual supervision of children except as allowed in rules 6.2.4.1 - 6.2.4.4 of these regulations.

“Provider was observed in outdoor playspace with five (5) children. Provider was positioned near the playstructure with back to the FCCH while supervising children on the swings. Licensor observed a three (3) and a half (1/2) year old child open the sliding glass door and enter the FCCH. Child exited the home forty-five (45) seconds later and rejoined group. Provider later confirmed during discussion that they were unaware of the child's absence. While transitioning from outside to hand washing, the provider was observed in the cubby area assisting children while the other children moved to the bathroom to wash hands. During this transition, the provider's line of sight was compromised and children were observed opening and shutting the barn door repeatedly, climbing on the gate, and climbing on the vanity. Once finished assisting the last child, the provider reestablished line of sight and assisted the children with the remainder of the hand washing routine. Corrective Action: Develop and implement a system to ensure children cannot enter or exit the home unsupervised and email this licensor a detailed description of the system and when it was implemented. Develop transition routines that allow line of sight supervision during transitions and email the licensor your plan.”

Correction date in the state record: Jan 27, 2026

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“Review of evacuation drill records showed a drill was not completed for January 2024. This was confirmed during on site conversation with Provider. Corrective Action: For March 2024 in addition to the required monthly drill, ensure a second evacuation drill is completed.”

Correction date in the state record: Feb 29, 2024

Regulation 3.6.1.3: The FCCP shall ensure that the Emergency Response Plan is reviewed and updated at least once every 365 days.

“Emergency Review Plan had a last reviewed date identified on it of 4/14/22. Discussion with Provider confirmed this was indeed the last time the Plan was reviewed. Corrective Action: Review Emergency Response Plan by corrective action due date. Put a system in place to track when Emergency Response Plan is due for review to ensure it is reviewed annually as required by this rule.”

Correction date in the state record: Apr 3, 2024

Regulation 5.10.1.2.5: There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

“Inspection of the tag on the fire extinguisher mounted to the left of the door entering the program showed the extinguisher was last inspected January 2022. This is the only extinguisher in the program. Corrective Action: Immediately have the fire exinguisher properly inspected. Create a system to keep track of when fire extinguisher inspection is due.”

Correction date in the state record: Apr 17, 2023

Regulation 3.3.7.5: The FCCP shall maintain a current list of the staff, persons who reside in the FCCH, and non-parental volunteers, as applicable, in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“A person who reportedly moved out of the residence two years ago is listed on the associated parties as a household member on the date of this visit. Corrective Action: Remove the identified person from the associated parties list for the program. Develop a system to ensure this listing is kept up to date and changes made within the required timeframes.”

Correction date in the state record: Mar 24, 2023

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“In a review of 25% of children's files, the three files did not have documentation signed by a health professional relating to the child's annual wellness exam. Amanda confirmed that she had accepted documentation signed by parent's for this rule. One of the documents completed by a child's parent was not signed by the parent. It was confirmed that each child whose file was reviewed had been in care for more than 45 days. Corrective Action: Review all children's files and update the annual exam documentation as needed. Ensure the documentation is completed by the child's health professional.”

Correction date in the state record: Mar 24, 2023

Regulation 5.11.1.3: The FCCP shall ensure that menus are planned in advance, dated, and posted so that they are clearly visible to parents. Any changes to the posted menu shall be noted. Menus of meals and snacks for the preceding six (6) weeks shall be kept on file.

“The menu for the current week is not posted. Amanda acknowledged that the menu for the week had not been documented. Corrective Action: Ensure the menus are planned in advance, dated and posted as required.”

Correction date in the state record: Mar 24, 2023

Regulation 5.10.3.2.1: All outdoor play equipment is sturdy, safe, clean and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. * To prevent entrapment, no openings in equipment shall be between 3.5 and nine (9) inches. * Chains on swings shall have protective coverings and swing seats shall be made of soft materials with no sharp edges.

“The yellow wooden play structure has missing sections of wood on the ladder steps, rough and splinter edged areas around some bolts and connecting points of wood sides to platfom of the structure. There is chipping peeling paint upon most of the side slats of the platform and worn off paint sections upon the platform and ladder steps. Corrective Action: Submit a plan to this licenser that addresses the plans to address the condition of the steps, platform and slats. Review the entire structure to detemine if there are any other structural, safety, or painting needs to be addressed. In this plan, include the immediate steps to prevent children from access to rough edges or splintering wood and chipping/peeling paint . Also include the on going maintenance plan to ensure such conditions do not occur again.”

Correction date in the state record: Mar 24, 2023