Windsor Southeast SU Early Childhood Program (WSSU-ECP)

Regulation 6.2.4.6: When a substitute fills a staff position for thirty (30) or more consecutive days within a 365 day period, the substitute shall be fully qualified for the position he/she fills and shall no longer be considered a substitute but is considered a full staff person subject to all requirements for staff in these regulations.

“Three (3) individuals listed as substitutes on the Associated Parties list were present in the classroom to cover breaks for thirty (30) or more consecutive days within a 365 day period. Corrective Action: Update the position titles in BFIS for the individuals referenced. These individuals shall be considered full staff persons and subject to all requirements for staff.”

Correction date in the state record: Apr 28, 2026

Regulation 2.3.9.3: The licensee shall ensure that all staff have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“Staff A's background clearance expired 01/05/2026. On the day of the visit, Staff A was present and working with children. Corrective Action: The Record Check Authorization form was submitted and processed 03/13/2026. Follow the instructions for fingerprinting in the letter. Submit the receipt or tracking number from the fingerprinting appointment to Licensing Field Specialist Stark by 4/10/26. Develop and implement a system to track the expiration dates for Background clearances and ensure staff complete the record check and fingerprint process prior to their expiration. Submit a detailed description of the system developed to Licensing Field Specialist Stark.”

Correction date in the state record: May 5, 2026

Regulation 3.4.7.3: Within six (6) months of the initial date of employment; staff and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations, and the program director 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 sections 7.3 and 7.4 of these regulations shall be submitted to Northern Lights at CCV to be verified and maintained in BFIS.

“Review of staff BFIS Qualification and Credential accounts as well as staff files on site found that qualification documentation for six (6) staff members, orientation completion verification for five (5) staff members, and mandated reporter certificates for ten (10) staff members have not been uploaded to BFIS as required. All staff missing documents have been employed at the program for longer than six (6) months Corrective Action: Submit missing documentation to Northern Lights at CCV using the required cover sheet by the corrective action due date given for uploading in to BFIS. Create a system for tracking staff documentation to ensure new staff have complete BFIS accounts within six (6) months of hire, and ongoing staff have updated qualification and professional development documentation in their BFIS accounts.”

Correction date in the state record: Aug 1, 2024

Regulation 3.4.7.3: Within six (6) months of the initial date of employment; staff and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations, and the program director 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 sections 7.3 and 7.4 of these regulations shall be submitted to Northern Lights at CCV to be verified and maintained in BFIS.

“Documentation - including educational documents, training completion documents, and qualification documents - is available that has not been submitted to Northern Lights for entry into BFIS Quality and Credential accounts. Corrective Action: Send available documents to professional.development@ccv.edu for entry into BFIS accounts. Develop a plan to ensure that all documents are sent to Northern Lights in a manner that maintains all BFIS accounts as up to date.”

Correction date in the state record: Aug 1, 2024

Regulation 5.10.3.3: Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the licensee shall ensure that the surface under and around the equipment, including recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the licensee shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, staff shall ensure that children will not play on the equipment until the resilient material has thawed and is once again resilient.

“There was not a sufficient amount of mulch under and around the climbing structure. In most areas, the mulch measured 1 to 2 inches deep. Corrective Action: Immediately plan to place a sufficient amount of mulch under and around the climber and to discontinue use of the climber until such a time that sufficient cushioning is present. If you need guidnace on cushioning requirements, you may refer to the U.S. Consumer Product Safety Commission's Public Playground Safety Handbook. Create a system which will prompt you to routinely check, maintain and replace the mulch as required moving forward.”

Correction date in the state record: Oct 31, 2019

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes.

“While reviewing the documentation of evacuation drills (fire drills) for this school year it was noted that practices of evacuating the building are only being done every other month. [name], teacher in the program, stated that they had been following the school practice of practicing fire drills every other month and shelter in place drills the other months. We discussed that the early education program, per this rule, is required to practice evacuating the building, such as they do in a fire drill, at least once every month. Emily confirmed that they are not currently doing this practice every month as required. Corrective Action: Starting in March of 2017 ensure that evacuation drills are done at least once every month that children are in care. Continue to document the dates of all evacuation practices, with the other required documented information per rule 3.4.6.1.”

Correction date in the state record: Mar 24, 2017