Y Early Childhood Program at GBYMCA

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios 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 shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“Staff A is missing documentation of First Aid/CPR certification. Staff B and Staff C have current CPR certification but are missing First Aid training. Corrective Action: Staff C is scheduled for First Aid training on 6/30/2026. Staff B is gone for the summer. Ensure that Staff A submits First Aid/CPR certification and Staff C submits First Aid certification to Northern Lights at CCV by 7/17/2026. Send a plan for Staff B to complete First Aid and submit to Northern Lights at CCV as soon as they return from summer break.”

Correction date in the state record: Aug 7, 2026

Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

“The following staff are missing documentation of annual professional development hours. Staff D is missing seven (7) hours between 11/8/2024 and 11/7/2025; Staff E is missing five (5) hours between 2/17/2025 and 2/16/2026; Staff F is missing 11.5 hours between 11/4/2024 and 11/3/2025; Staff G is missing 2.5 hours between 7/5/2024 and 7/4/2025; Staff H is missing three (3) hours between 12/18/2024 and 12/17/2025; Staff I is missing five (5) hours between 1/2/2025 and 1/1/2026. Staff J is missing fourteen (14) hours between 1/26/2025 and 1/25/2025. Corrective Action: Send a plan to Licensor [name] that describes how identified staff will complete all outstanding professional development hours in addition to the hours that are due by their next anniversary date and submit the certificates to Northern Lights at CCV. In the plan, include the titles of the training, how many hours each training is, and when they will complete the training.”

Correction date in the state record: Aug 5, 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 K's fingerprints expired on 3/29/2026 and they did not submit a record check authorization form to the Division prior to their expiration. Corrective Action: The program said that Staff K has since submitted their record check authorization form, but it does not appear that it has been received. Resubmit the record check authorization form and then follow through with fingerprints. Confirm with Licensor [name] when the record check authorization form has been submitted and Licensor [name] will confirm with the Technicians that is has been received.”

Correction date in the state record: Aug 5, 2026

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“The program self-reported an incident involving supervision that occurred on 03/06/2026. A preschool aged child in the Gekko classroom was left unsupervised for approximately eleven minutes. The three (3) program staff and the other sixteen children left the classroom to go outside while this child was in the bathroom. The child exited the bathroom into the empty classroom, walked around the space, and entered the hallway two (2) times. In the tenth minute of the child being alone, he was approached by two (2) persons while in the hallway outside of the classroom. These two (2) program volunteers escorted the child down the hallway and into the care of teacher of a different preschool classroom. This was all confirmed in a review of the program video feed. The staff and children of the child's preschool group had left the property for a walk. This is a serious violation of supervision warranting a parental notification letter. Corrective Action: Ensure supervision is maintained at all times. Submit a program improvement plan to Licensing Field Specialist [name] that identifies the responsibilities of each classroom staff person during transitions. This plan shall identify how, when, and by which staff persons, the number of children is to be verified in each transition in and out of the classroom. Include in this plan, which member of program management will be responsible for conducting and documenting observations of transitions for each preschool group and how often the unannounced observations are to be planned. The observation record shall include what steps are to be taken by staff to ensure supervision and what system will be used to ensure all children remain within the group. This plan is to be sent to Licensing Field Specialist Rielly for review. A Parental Notification Letter (PNL) which is a copy of the licensing report, must be provided to each parent of every child enrolled within ten (10) days of the report submission. Provide a list of parent's names, child name and contact information for each enrolled child. The program improvement plan, letters to parents, and parental contact information to Licensing Field Specialist Rielly are all to be completed by the noted corrective action due date.”

Correction date in the state record: Jun 12, 2026

Regulation 7.7.5.1: The licensee shall comply with background checks for these volunteers as required in the rule 3.2.6, and in the rules in section 7.2 of these regulations.

“It was confirmed that the two (2) program volunteers who found the child unattended in the hallway on 03/06/2026, had not completed the required record check authorization form. Each person had been present more than five (5) times in the program and was required to have initiated the background clearance process before 03/06/2026. Corrective Action: Develop a system to ensure background clearance process is completed for all volunteers who are present more than four (4) times. Submit this plan to Licensing Field Specialist Rielly for review. This plan shall include who in the organization is responsible for this action and how it will be monitored. The record check authorization forms for the two volunteers were submitted on 03/27/2026.”

Correction date in the state record: Jun 12, 2026

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“The program self-reported an incident involving supervision that occurred on 03/17/2026. A preschool aged child was left alone in the Jellyfish classroom for approximately fourteen minutes. The program video feed for 03/17/2026, showed that while a child was in the classroom bathroom the two (2) staff and remaining children in the group dressed for outside play and then left the classroom. The child exited the bathroom, walked around the empty classroom, opened the door to the hallway, and then read books in the book area. One (1) of the staff members returned to the classroom, assisted the child with dressing for outside play, and escorted the child out of the room. This is a serious violation of supervision warranting a parental notification letter. Corrective Action: Ensure supervision is maintained at all times. Submit a program improvement plan to Licensing Field Specialist Rielly that identifies the responsibilities of each classroom staff person during transitions. This plan shall identify how, when, and by which staff persons, the number of children is to be verified in each transition in and out of the classroom. Include in this plan, which member of program management will be responsible for conducting and documenting observations of transitions for each preschool group and how often the unannounced observations are to be planned. The observation record shall include what steps are to be taken by staff to ensure supervision and what system is to be used to ensure all children remain within the group. Send this plan to Licensing Field Specialist Rielly for review. A Parental Notification Letter (PNL), which is a copy of the licensing report, must be provided to each parent of every child enrolled within ten (10) days of the licensing report submission. Provide a list of parent names, child's name, and contact information for each child enrolled. The program improvement plan, letters to parents, and parental contact information to Licensing Field Specialist Rielly are all to be completed by the noted corrective action due date.”

Correction date in the state record: Jun 12, 2026

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios 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 shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“The following staff's First Aid/CPR has expired prior to the date of this visit: Staff A and Staff B. The following staff are missing First Aid: Staff C. The following staff must complete both First Aid and CPR: Staff D, E, F, G, H, I, J, K, L, M, and N have not completed First Aid or CPR. Corrective Action: The following staff have either completed First Aid/CPR or have been registered in the class: Staff A, Staff D, Staff F, Staff H and Staff K. By 7/8/2025, please submit a plan to ensure that the rest of the staff who are missing First Aid/CPR will complete the training. The substitutes who are not coming back must be completed before they return. The staff who are present for the summer must complete the training by 7/14/2025.”

Correction date in the state record: Jul 22, 2025

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to 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 during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and the orientation training session shall include: Basic knowledge of child growth and development; Routine and emergency health protection of children including health related exclusions; Safety and sanitation requirements including handling and storage of hazardous materials and disposal of bio contaminants; Positive behavior management; Supervision of children; Child accident and injury procedures including building and physical premises safety; Safe sleep practices; Administration of medication requirements; Emergency and evacuation requirements; Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; Recordkeeping; Transportation and child passenger safety; Release of children; Respectful engagement of families; Preventing, recognizing, and reporting child abuse and neglect; including information about the signs and symptoms of sexual abuse, sexual violence, grooming processes, recognizing the dangers of child sexual abuse, and other predatory behaviors of sex offenders; Recognition of and response to the symptoms of common childhood illnesses; Preventing the spread of infectious disease; Providing developmentally appropriate activities and experiences for children; Inclusion of children with special needs; Guidelines for volunteers, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“Eight (8) staff have not completed an approved orientation training. Corrective Action: By 7/8/2025, email a plan to Licensor [name] to ensure that all staff who are missing an approved orientation training will complete the training. Staff who are gone for the summer must complete it before working with children again. Staff who are remaining for the summer must take the training by 7/8/2025.”

Correction date in the state record: Jul 22, 2025

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.

“Out of thirty-seven (37) staff who have been employed for over six (6) months, fifteen (15) are missing items in their credential accounts in BFIS. Corrective Action: By 7/8/2025, send the identified documents to Northern Lights at CCV. Either copy Licensor [name] on the submissions or forward proof items have been submitted. For staff who are gone for the summer and are not reachable, send a plan for how the program will ensure their documentation is sent to Northern Lights at CCV upon their return.”

Correction date in the state record: Jul 22, 2025

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.

“Nine (9) staff who have been employed for over two (2) months have not followed through with all aspects of their background clearances. Corrective Action: Effective immediately, none of the identified staff may be alone with children. By 7/8/2025, all staff who are working this summer must either make an appointment to be fingerprinted and/or send their out-of-state child abuse and neglect paperwork to the Division. For staff who are away for the summer, fingerprinting must be completed and out-of-state child abuse and neglect registry check paperwork must be sent to the Division before they can come back to work in the program. By 7/8/2025, email a plan to Licensor [name] that includes the proof of fingerprint appointments for those who are missing fingerprints and confirm that those who are missing out-of-state child abuse and neglect paperwork have sent the required paperwork to the Division. Additionally, include in the plan which staff are not returning until fall, and confirm what the plan is to ensure that they comply with this rule.”

Correction date in the state record: Jul 22, 2025

Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

“A review of BFIS and staff records show that six (6) out of the twenty (20) staff who have been employed for over a year are missing some of their required annual professional development hours. Corrective Action: The identified staff must complete the missed hours in addition to the required fifteen (15) hours of professional development by their next anniversary date. By 7/19/2024 email a plan to Licensor [name] that describes how the program will ensure that all staff complete all fifteen (15) hours of annual professional development each year.”

Correction date in the state record: Jul 16, 2024

Regulation 6.2.6: Supervision of Children Staff shall ensure visual supervision of children, except as allowed in rules 6.2.6.1-6.2.6.4 of these regulations.

“A toddler left the classroom and was missing for more than five (5) minutes before classroom staff noticed the child was missing. Once it was discovered the child was missing, it took more than five (5) minutes to locate them in the building and the staff did not immediately call 911 as per the program's procedure when the child was determined to be missing and not found in the immediate vicinity of the classroom. Corrective Action: The program has identified the following steps to ensure that this does not happen again: the doors to the classrooms will be closed and locked at drop off and pick-up times, and staff will have to let parents in and will close the door behind them; classroom staff will complete an additional active supervision training, which will also be added to the onboarding trainings for all new staff; and active supervision will be modeled at pick-up times. In addition, the program has requested that a video camera be installed in the hallway. Since this is a serious violation, by 2/24/2023 the program must send a copy of this report by mail or email to the families of all children enrolled in the program. For each parent who has been sent a copy of this report, provide the parents' names, contact information, and their children's names to Licensor [name] upon completion of the parental notification.”

Correction date in the state record: Feb 13, 2023

Regulation 5.8.3: Staff shall create and file an incident report for each accident, injury or medical emergency that leaves a visible mark, or first aid has been administered, even when medical treatment is not required. An incident report shall include the name of the child, date, description of the injury or medical emergency, how it occurred, adult witnesses, first aid provided, and medical care required. The child's parent shall be provided a copy of the report at pick up that day. Serious injuries, animal bites and death must be reported to the Division as specified in the rules in section 3.2 of these regulations.

“The child's parent reported that they did not receive a written incident report from the program after their child was injured and transported by an ambulance to the hospital. The program confirmed the incident report did not get sent to the parent as required. Corrective Action: Create and implement a written procedure to be followed as required in rule 5.8.1 when accidents and injuries occur. Include in the plan how parents will receive injury reports that include all the information required the day a child is injured and what to do when a parent cannot be reached.”

Correction date in the state record: Dec 16, 2021

Regulation 3.2.1: Serious injury or death of a child: The licensee shall make a timely report to the Division of any injury or accident involving an enrolled child resulting in in-patient or out-patient medical or dental treatment or death. In the event of a death, a verbal report shall be made immediately followed by a written report within twenty-four (24) hours. In the event of an injury or accident resulting in in-patient or out-patient medical treatment, a verbal report shall be made within forty-eight (48) hours and the written report shall be made within five (5) business days.

“A child was injured at the program and was transported to the hospital from the program for medical care. The Child Development Division was not notified within 48 hours and a written incident report was not submitted within 5 days as required by this rule. Corrective Action: Submit a program improvement plan identifying which staff member(s) will be trained in notifying the Child Development Division and submitting incident reports through the programs BFIS account.”

Correction date in the state record: Dec 16, 2021

Regulation 6.2.5.8: Nurturing activities performed by staff, including diapering, toileting, feeding, dressing, and resting; shall be performed in a relaxed, reassuring and individualized manner that is developmentally appropriate and promotes the child's learning, self-help and social skills.

“On 10/4/2021, Child X was in the loft area during rest time and was standing while pulling and pushing a nap mat covered in a sheet. The staff person said they were sitting on the top of the loft stairs next to Child X as the child was repeatedly pushing the mat into the right side of their body. The staff person said they were not looking at Child X as they do not like to call attention to undesired behaviors. Video footage shows Child X pulling on the sheet covered mat, when suddenly the mat is pulled away in the direction of where the staff person was sitting. This action causes Child X's body to fall forward quickly and break their arm. Corrective Action: Effective immediately, all staff are to appropriately perform nurturing activities with children. Create a program improvement plan on how staff will be observed, supervised, and supported. Include in the plan how staff will be trained and coached on self-control and strategies to promote cooperation, self-help, social skills, and positive guidance techniques.”

Correction date in the state record: Dec 16, 2021

Regulation 6.2.8.4.2: In the event that the concerns cannot be resolved, written notice to the child's parent(s) is required with at least five (5) days' notice prior to expulsion.

“A family was sent an email giving immediate termination of care without a written five (5) day notice as required. Corrective Action: Submit a program improvement plan detailing how the program will review and revise the program's policy related to termination of care. Ensure the policy includes at least a five (5) day written notice as required.”

Correction date in the state record: Jul 1, 2021