Part 2 - Richmond

Regulation 7.1: Each child shall be supervised at all times by Staff as appropriate for the age of the child.

“With staff-communicated permission, a fourth grade child left their outdoor play area and directly entered the program in the gymnasium. The director acknowledged the child as they left the gym and walked down a hall alone to go to the bathroom. The bathroom is located out of sight from the gym. Approximately ten (10) minutes later, this licensor asked the director the whereabouts of the child. The director was uncertain, checked the bathroom and communicated with the child s staff outdoors. The child had exited the school by the door located closest to the bathroom to directly rejoin their group. Corrective Action: Effective immediately, supervise children as required per the rule. Submit a program improvement plan to this licensor by 12/12/24 including the steps that have already been put in place to ensure child safety. The plan must also include how staff will be retrained in supervision practices in children going to and from the bathrooms and the steps taken to ensure supervision of all children is maintained at all times.”

Correction date in the state record: Dec 12, 2024

Regulation 4.14: The Licensee shall ensure that they and all Staff receive training and demonstrate understanding of their legal responsibilities regarding preventing and reporting suspected child abuse and neglect.

“Staff A and Staff B did not complete the required mandated reporter training and work directly with children at the program. Corrective Action: Immediately plan to have Staff A and B complete the mandated reporter training. Once complete submit a copy of the certificate to Northern Lights at CCV and include this licensor on the email. Ensure that moving forward all staff compete this training as required.”

Correction date in the state record: May 23, 2024

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 was a volunteer present the day of the visit and the Child Development DIvision had not received a Record Check Authorization Form for them. During the follow up meeting this licensor was told that the volunteer has worked at the program for several years, it appears they were removed from the program's associated parties list at some point. If a program removes an individual from the associated parties list a new record check authorization form must be submitted to add them back Corrective Action: The program has submitted a Record Check Authorization form for the volunteer. As discussed please montitor the program's associated parties list to ensure it is accurate and that all individuals regularly present at the program have had a record check authorization form submitted.”

Correction date in the state record: May 23, 2024

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.

“Several staff members who have been employed at the program for more than six(6) months do not have up to date BFIS Quality and Credential accounts. These accounts are missing documentation of required trainings and educational transcripts. Corrective Action: Since the visit the program started to submit the missing training and credential documents to Northern Lights at CCV. Please continue to send any remaining documents to Northern Lights at CCV and include this licensor. Please create a plan to ensure the accounts are being monitored and contain all required documents.”

Correction date in the state record: May 23, 2024

Regulation 5.40: Before the expiration date on the card, training for First Aid and CPR shall be validated by the American Red Cross, American Heart Association or other equivalent, state- recognized organization, and the specific certification documentation maintained in the appropriate Afterschool Child Care Program Staff file.

“Staff C and Staff D's First Aid and CPR certification was expired. Staff E and Staff F did not have valid First Aid and CPR certification. Corrective Action: Since the visit all four staff members have completed an approved First Aid and CPR training. Please create a system for tracking when First Aid and CPR certifications expire and how you will ensure new staff are completing the training within three(3) months of hire. Email the plan to this licensor.”

Correction date in the state record: May 23, 2024

Regulation 12.5: Hazardous substances shall be in their original container, stored separately and inaccessible to children.

“During the visit, two bottles of liquid were located on a small table, near the entrance to the cafeteria. The bottles were within child reach. Staff A stated that the bottles contained a bleach and detergent mixture which was supplied by the school custodian and intended for use on the cafeteria tables. During an activity, Child Z was observed to take one of the bottles and spray it onto a plastic toy. A few moments later, Child Z picked up both bottles, held them with the nozzles pointed away from Child Z and started walking toward other children. When this Licensor made Staff B aware of the situation, Staff B intervened. Staff B placed the bottles back on the table at children's reach. This Licsensor then checked in with Staff A about the issue. At this Licensor's request, Staff A placed the bottles out of children's reach. Corrective Action: Immediately plan to store all hazardous substances in a manner which prevents access by children and to inform all staff of this requirement. Develop a system which establishes a permanant storage place for all hazardous materials, a process for staff to scan each licensed space and remove all hazardous materials from children's reach prior to program operation each day, a process for the proper use and storage of all hazardous materials, and how this requirement will be addressed with all current and newly hired staff mving forward.”

Correction date in the state record: Jul 18, 2022