The Y ASPIRE @ Dummerston School

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.

“Staff person A has been employed in the program since 09/2019 and is missing CPR certification, confirmation of orientation training, professional development hours, and mandatory reporter training in the BFIS account. This is a repeate violation. Failing to comply with this rule was cited 01/23/2024. Corrective Action: The required documentation for Staff Person A was submitted as required following the site visit. Develop a plan that identifies who or what role in the program will be responsible for monitoring the submission of documentation to BFIS and ensuring documentation has been accepted and uploaded to accounts. Include in this plan, what system or tools will be used to ensure documentation is submitted correctly, within the required timeframes, and accounts monitored for accuracy. Send this plan to Licensing Field Specialist Crawford via email.”

Correction date in the state record: Apr 23, 2025

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.

“The BFIS Quality and Credential Account for 2 employees confirmed to work regularly at the program are incomplete. Staff person A, hired 10/2022 account is mssing all required information. The Program Administrator/Site Director's account is missing up to date CPR certification and orientation documentation. Corrective Action: Review all staff BFIS Quality and Credential accounts and identify what information needs to be submitted. Send in the required documentation for Staff person A and Program Administrator and cc Licensing Field Specialist Crawford on those submissions to Northern Lights. Develop a plan that identifies who,when, how submissions to Northern Lights will be handled within the organziation. Send this plan to Licensing Field Specialist Crawford.”

Correction date in the state record: Mar 12, 2025

Regulation 10.9: Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

“The emergency evacuation drill documentation does not have an entry recorded for December 2023. Corrective Action: Establish a plan to ensure emergency evacuation drills occur montly and are documented as required. Send this plan to Licensing Field Specialist Crawford.”

Correction date in the state record: Feb 28, 2025

Regulation 10.9: Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

“The program has not practiced emergency evacuations drills for the 2022-2023 school year. The program's reverse emergency drill in which require the program staff/children to quickly return into the building does not meet the requirements of this rule. Corrective Action: In the month of February and March, conduct and document three emergency evacuation drills. Send the planned dates for these drills by the identified corrective action date. As of April, conduct and document at least one emergency evacuation drill per month.”

Correction date in the state record: Apr 1, 2023

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 staff person notified on 11/29/2021 that fingerprints were needed has not completed the fingerprint support clearance process as of 03/08/2022. It was confirmed during this visit that this staff person worked directly with children on 03/07/2022. Corrective Action: Have the identified person complete the fingerprint supported clearance process. Develop a system to ensure all persons complete required background clearance requirements when notified by the Division.”

Correction date in the state record: Mar 15, 2022

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.

“The program was notified on 09/13/2018 that Staff person A was to have his/her fingerprints processed and that has not been done as of the date of this visit. The program was notified Staff person B and Staff person C were to have their fingerprints processed as of 09/04/2018 and that has not been done as of the date of this visit. It was confirmed during this visit that each person is employed by the program for the 2019-2020 school year and have been on site during program operations. Corrective Action: Create a program improvement plan outlining the steps to be taken to ensure persons required to have fingerprints processed will do so in a timely fashion. Submit this plan to this licenser for review. Send an e-mail with the specific location and planned date for fingerprint processing for the three staff persons noted.”

Correction date in the state record: Nov 5, 2019

Regulation 5.14: The licensee shall ensure that no person shall be left alone with children without approval from the Division which shall be based on the results of the background check to include fingerprinting.

“Staff person B was alone inside the program with five children from 3:56 p.m. to 4:13 p.m. The program has not received background clearance approval from the Division for this staff person. It was reported that this person has been alone with children weekly or daily since 09/03/2019. Corrective Action: Effectively immediately, the program practice is to be modified to ensure Staff person B is not alone with children unless/until the background clearance approval notification is received from the Division. Send to this license the program staffing plan explaining the steps/modifications in place to ensure complaince to this rule is maintained.”

Correction date in the state record: Nov 5, 2019

Regulation 7.2: Children may be out of direct supervision within the confines of the licensed space for brief periods of time as outlined below, with Staff knowledge and permission. The chart below outlines the parameters and conditions for when a child may be out of direct supervision by Staff for short periods of time: * Grades and Age Group: Buddy Requirement; Time Limit. * Grades K, 1, and 2: With a buddy in the same age group; For not more than 10 minutes. * Grades 3, 4, and 5: With a buddy in the same age group; For not more than 10 minutes. * Grades 6 and over: No buddy required; For not more than 10 minutes.

“In five different instances a single child was given permission to leave the program space to go out into the hallway to use the bathroom. In each instance, the staff person could not see where the child went once he/she left the classroom. It was confirmed by staff persons that each of these children is in fourth grade or lower grades. Corrective Action: Effective immediately, all children are to be supervised as required by this rule. Send the program's revised supervision requirements to this licenser for review. This information should include staff responsiblities for supervision for child bathroom access.”

Correction date in the state record: Nov 5, 2019

Regulation 10.9: Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

“Documentation of completed emergency evacuation drills for the previous year were not available. Corrective Action: Have all required documentation on site available electronically or in paper form as required. Notify this licenser of the record keeping procedure put into place to ensure emergnecy evacuation drills record will be maintained available for review.”

Correction date in the state record: Nov 5, 2019