Proctor Elementary EEE

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment, the licensee 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.

“Upon review of children's files it was identified that only six (6) of the twelve (12) total students enrolled had documetnation of their age appropriate well care exams on-site. Corrective Action: Immediately notify families that such documentation is required. By 05/01/2026 obtain documentation of each child's age appropriate well care exam. Develop a system to ensure that such documentation is gathered within forty-five (45) days of each child's enrollment moving forward. In the corrective action email include evidence that the lacking general health exams have been obtained, and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: May 7, 2026

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; 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.

“Upon review of background check information, it was identified that Staff A had not submitted to fingerprint as required. A Fingerprint Authorization Certificate was issued to Staff A on 06/23/2024 notifying them of this requirement. Corrective Action: Immediately ensure that Staff A submits to fingerprinting as required. By 06/13/2025, provide photo evidence of the fingerprint receipt. Develop a system to ensure that new staff submit to fingerprinting as required prior to working with children moving forward. In the corrective action email include details of the system developed.”

Correction date in the state record: Jun 17, 2025

Regulation 5.10.1.1.3: Furniture and equipment shall be sturdy. Furniture and equipment that present a tipping or falling hazard shall be secured.

“During the visit, it was observed that a dress-up shelf, dramatic play wooden furniture and three large, stacked bins in the bathroom presnted a tipping or falling hazard and were not secured. All items listed are in areas accessible to children. Corrective Action: Immediately plan to secure all furniture and equipment which present tipping or falling hazards. In the corrective action email, include details of how the program has come back into compliance and a system which will be developed and implemented to ensure regular checks of furniture and equipment and for ensuring those hazards are addressed prior to children's arrival each day moving forward.”

Correction date in the state record: Jun 14, 2024

Regulation 3.4.3: A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

“Upon arrival at the program, there were twelve children in care and only eleven children signed in on the attendance records. Corrective Action: Immediately plan to ensure each child is signed in immediately upon arrival and signed out imediately upon departure each day moving forward. In the corrective action email, include details of how the program has come back into compliance and a system which will be developed, implemented and maintained to ensure consistent compliance with this rule moving forward.”

Correction date in the state record: Jun 14, 2024

Regulation 5.4.1.4: Cots, mats, and mattresses shall be nonporous or have nonporous coverings. Each child shall be provided clean, individual bed linens either by the licensee providing them directly or requiring parents to provide them. No child shall nap directly on nonporous coverings.

“During the visit, it was observed that the rest mats used by the children had multiple rips, exposing the non-porous foam inside the mat. Corrective Action: Immediately plan to repair or replace the ripped rest mats to ensure all mats used by children are nonporous moving forward. Establish a system for performing regular checks to identify and repair or replace compromised mats in a timely manner moving forward. Include details of how the program has come back into compliance and the system for remaining in compliance moving forward.”

Correction date in the state record: Jun 14, 2024

Regulation 5.10.3.1.3: The play area shall be fenced or otherwise protected from traffic and other hazards. Fencing or natural barriers, such as hedges or other clear land boundaries, shall prevent children from exiting and allow for safe supervision of outdoor play.

“During the visit, a review of the fencing on the playground reflected that a gate was left open for the during of outside time. Additionally, there was a large opening measuring eleven (11) inches under the fence a short distance from said gate. The open gate and large opening under the fence allow immediate access to a large, steep embankment. This does not meet the requirements of this rule. Corrective Action: Immediately plan to ensure the gates to the playground are closed during outside play and that the large opening under the fence is addressed properly to ensure the fence is compliant with this rule and rule 5.10.3.1.5 in a timely manner and ensure increased supervision in that area of the playground until the safety issues are properly addressed. In the corrective action email, include details of how the program has come back into compliance and a system for regular checks and remediation of all safety issues on the playground, prior to allowing children to access the playground each day moving forward.”

Correction date in the state record: Jun 14, 2024

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; 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.

“Review of BFIS determined a Fingerprinting form was generated for Staff A on 8/5/2021. As of the time of this site visit, fingerprinting had not been completed. Corrective Action: Ensure that Staff A immediately completes the Fingerprinting process. Develop a system to follow up with new staff to ensure they complete the fingerprinting process as required by this rule.”

Correction date in the state record: Feb 27, 2023

Regulation 8.2.1: The PSPP is exempt from the rule 3.4.5.1 of these regulations, however the licensee shall maintain a complete and up-to-date list of staff in the PSPP's BFIS Account and staff's BFIS Quality and Credential Account shall contain, at minimum, the following information: Name, date of birth, home address, and telephone number; Copies of current first aid and CPR certification; Signed statement verifying understanding of legal requirement to report suspected child abuse and neglect; Documentation of a current Records Check Authorization form; Documentation of having read and having ready access to a current copy of applicable child care licensing regulations; Administration of Medication training certification (if applicable); Employment start date; and Documentation of completed Orientation Training.

“Upon review of staff BFIS Quality and Credential accounts they were found to be incomplete. Confirmation from Northern Lights at CCV was received that missing documentation had not been received prior to the visit. Corrective Action: Ensure all staff have an up-to-date BFIS account as required by this rule. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: Jun 21, 2021

Regulation 8.2.1: Notwithstanding onsite staff documentation for application for employment, references, and written annual performance reviews from rule 3.4.5.1, the licensee shall maintain a legally notarized affidavit on site, signed by the licensee or designee, testifying that each staff file contains these records as required in the rule 3.4.5.1 of these regulations. The licensee shall permit representatives of the Division to have full access to off-site records to verify documentation.

“When the staff files were requested, Staff A indicated that staff files are kept at central office. Staff A said she did not know about whether there is a notarized affadavit in lieu of the files and referred Licensor [name] to the secretary in the main office. The secretary stated all staff files are at central office and she didn't know what a notarized affadavit was. Once explained to her what a notarized affadavit was, she stated they did not have that document. Corrective Action: Review staff files to ensure they contain all required documentation of this regulation. The program can choose to retain a copy of those files on site at the Elementary School, or have a notarized affidavit as stated in regulation 8.21. However, the program will also need to ensure that each staff person's quality and credential account through Bright Futures reflects staff's correct title for the position they are serving, their qualifications for their role in the program as well as reflect all annual professional development. If there are questions regarding what title to use, call Licensor [name] or the Licensor on Duty for assistance.”

Correction date in the state record: Jun 20, 2019