Y School Age Program at Georgia

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 evacuation drill log was missing evacuation drills from November 2025, December 2025, January 2026 and March 2026. Staff stated there were some months an evacuation drill did not occur. Corrective Action: Immediately maintain monthly fire drills. Have two (2) fire drills in April and two (2) fire drills in May and monthly thereafter. By 5/1 submit a confirmation of understanding and completion to this Licensor.”

Correction date in the state record: May 1, 2026

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.

“A review of staff's BFIS Quality and Credential accounts, it was determined that five (5) staff members employed longer than six (6) months did not have an up-to-date BFIS Quality and Credential accounts as required. These staff were missing required qualification documentation, professional development certificates and required training certificates. Corrective Action: By 5/6/2026, review the staff's BFIS Quality and Credential accounts, have all staff submit their missing documentation to Northern Lights through Direct Send and submit the e-mail confirmation of completion to this Licensor.”

Correction date in the state record: May 6, 2026

Regulation 13.1: Staff shall use universal precautions when in contact with all blood and other body fluids that are potentially infectious (saliva, nose and eye discharges, vomit, urine, feces) by following the procedures listed below: * wear non-porous latex or vinyl gloves unless the fluid can be easily contained by the material used to clean it up (tissue for noses, etc.) being careful not to get any of the fluid being handled into eyes, nose, mouth or open sores/cuts * clean and then disinfect any surfaces coming into contact with body fluids using a bleach dilution according to manufacturer's instructions for disinfecting * dispose of contaminated materials and store launderable items in securely sealed containers or bags * wash hands with soap and water.

“A program staff member was supporting a child who fell while playing outside and scraped his hip and was bleeding. The program staff had the child hold the wet paper towel on the wound while they put on gloves, then helped with a bandage. The program staff put the wet/ bloody paper towels on the table, then threw the paper towel into an open garbage can. The program staff member washed their hands but did not ask the child to wash their hands after holding the paper towel on their wound that was bleeding. This process does not meet proper universal precautions when handling blood. Corrective Action: By 5/6/2026, have all staff complete Blood Born Pathogens training and submit training certificates to Northern Lights through Direct Send and send confirmation of completion to this Licensor.”

Correction date in the state record: May 1, 2026

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.

“A review of staff's BFIS Quality and Credential accounts, a review from Northern Lights and confirmation from the program staff member that they had not renewed their CPR and First Aid certificate prior to the expiration date. Corrective Action: By 5/1/2026, have this Program Staff member complete their CPR and First Aid certificate and submit their certificate to Northern Lights through Direct Send and send the confirmation e-mail to this Licensor.”

Correction date in the state record: May 2, 2026

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.

“A review of staff's BFIS Quality and Credential accounts and confirmation from the staff they had not renewed their CPR and First Aid certificate. The CPR and First Aid certificate expired on 10/31/2024. Corrective Action: By 5/23/2025, have the program staff renew their CPR and First Aid certificate and submit the certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: May 23, 2025

Regulation 3.1: The Licensee shall be responsible for compliance with all state and federal laws pertaining to the safety and well-being of children in licensed care.

“The program staff working alone with children stated she had not completed a first aid and CPR course since she was hired on 1/10/2022. The federal law requires staff to complete a pediatric first aid and infant and child CPR course within three (3) months of working in an Afterschool program. Corrective Action: Immediately have this program staff complete a first aid and CPR course. By 5/8/2022, submit confirmation of completion to this Licensor and send the program staff's first aid and CPR certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: Jun 4, 2022

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.

“A program staff working alone with children during this licensing visit had not completed the fingerprint process. The fingerprint letter, issued on 1/10/2022, states this program staff cannot be left alone with children until they complete the fingerprint process which includes receiving the results. The program staff stated she had not completed the fingerprint process as of 5/3/2022, the date of this licensing visit. This rule was cited previously on 5/12/2021. Corrective Action: Immediately do not leave program staff alone with children if they have not completed the fingerprint process which includes results and a notification from the Division. By 5/8/2022 submit confirmation of understanding with the date this program staff has completed the fingerprint process.”

Correction date in the state record: May 6, 2022

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.

“The Two (2) program staff working during this licensing visit, were left alone with children, and had not completed the fingerprint process which includes receiving the results. The letter the program received states they cannot leave staff alone with children until the results of the fingerprints are confirmed and received by the program. Corrective Action: Immediately do not leave program staff alone with children if they have not completed the fingerprint process which includes results and a notification from the Division.”

Correction date in the state record: Apr 24, 2024

Regulation 15.5: Monthly snack menus shall be posted or sent home. Monthly snack menus shall be kept on file for the preceding three months.

“The program did not have a monthly snack menu posted and has not sent home a snack menu for parents. Snack was written on a white board and erased at the end of each day. The staff stated, they did not keep a monthly snack menu. Corrective Action: Immediately create a monthly snack menu and post it or send it home for parents. Create a system where monthly menus are kept for three months. By 5/19/2021, send a confirmation of compliance to this Licensor.”

Correction date in the state record: May 3, 2022

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.

“After a review of BFIS Quality and Credential accounts, it was determined that four (4) staff employed longer than six (6) months did not have an up to date BFIS Quality and Credential Account as required and was missing qualification information and required training certificates. Corrective Action: By 5/26/2021, review all staff's BFIS Quality and Credential accounts, submit all missing documentation for professional development, required training certificates and qualifications such as transcripts or high school diplomas to Northern Lights at CCV with the required cover sheet. Submit confirmation to this Licensor that all required information has been sent to Northern Lights at CCV.”

Correction date in the state record: May 3, 2022

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 fire drills were not recorded since September 2020. The previous years fire drills were not available for review. The staff stated they do fire drills but had not documented them. Corrective Action: Immediately create a system where fire drills are documented each month and keep a record as required in this rule. By 5/19/2021, submit confirmation of the new system to this Licensor.”

Correction date in the state record: May 3, 2022

Regulation 4.3: A child shall be admitted in an Afterschool Child Care Program when there is on file on the premises, either in hard copy or accessible and printable electronic format documentation in the child's file of each child's current immunization status. * Immunization records shall include the immunization administered and the date of each immunization. * If an enrolled child is in the process of complying with immunization requirements in accordance with the Vermont recommended immunization schedule, documentation in the child's file shall include the required Vermont Department of Health form. * If a child has not had a required immunization due to a Vermont allowed exemption, documentation in the child's file shall include the required Vermont Department of Health form.

“The children's immunization records were not in the children's files or located on site. Corrective Action: By 10/25/2019 have a system in place where all the children's immunization records are located on site, either a hard copy or accessible and printable electronic file.”

Correction date in the state record: Oct 22, 2019

Regulation 4.9.d.: The Afterschool Child Care Program shall report to the Division: When it is determined that a child in care is missing or has been abducted from the program, the Afterschool Child Care Program or Staff shall immediately notify the police, the child's parents and the Division.

“Child Y's parents were called about 40 minutes after their child had been missing. The police were called about 50 minutes after the children were identified as missing. Child X's parents were not told their child was missing until they arrived to pick up their child. Staff didn't notify the Division that children were missing until after the children had been located. The children were missing for approximately 80 minutes. This rule requires parents, the police and the Division to be notified immediately. Corrective Action: Effective immediately, the program will adhere to all notifications as required by this licensing rule. A program improvement plan will be submitted to this licensor by 4/4/2018, on how all staff will be trained on required notifications.”

Correction date in the state record: Feb 15, 2018

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

“On 2/14/2018, when staff brought children inside from playing outside, three children were left outside without staff knowing. When staff realized child Y was missing, they began looking for child Y. Later child Z was also identified as missing. Program Director Jonathan Bowser thought child X had left the program, and staff were not looking for child X. The three children couldn't return inside because the building was locked. The children were missing for approximately 80 minutes. This is a serious violation. Corrective Action: Effective immediately, instruct staff to maintain supervision of children at all times. By 4/4/2018, submit a program improvement plan to this licensor on how staff will be retrained in supervision practices and the steps taken to ensure supervision of all children is maintained at all times. By 4/4/2018, mail the parent notification letter as outlined above and submit the list of parents, and their contact information, who received the parent notification letter to this licensor.”

Correction date in the state record: Feb 15, 2018

Regulation 4.5: Programs shall implement a system that documents the whereabouts of each child in attendance at all times.

“On 2/14/2018, when staff brought children inside from playing outside, a system to identify children was not being used. Staff identified child Y as missing, they did not identify immediately that children X and Z were missing. When director Jonathan Bowser was asked about child X, Jonathan said that child X was signed out of the program. Attendance sheets reflect that child X was not signed out. Corrective Action: Effective immediately, the program will implement a system that accurately documents the whereabouts of each child. Submit a program improvement plan to this licensor describing the system that will document the whereabouts of each child in care and how all staff will be trained in this system by 4/4/2018.”

Correction date in the state record: Feb 15, 2018

Regulation 3.3: During the hours of operation, the facility shall be used only for the purposes of providing Afterschool Child Care Program services or training.

“This program has the cafeteria and the gymnasium approved as being the licensed space. On 2/20/2018, the children of this program couldn't use the gymnasium because of a basketball game. Also on 2/20/2018, cheerleaders used a portion of the cafeteria while children from this program were present in the cafeteria. Corrective Action: Effective immediately, only allow the licensed space to be used for child care purposes during the licensed hours.”

Correction date in the state record: Feb 20, 2018

Regulation 13.20: All prescription medications shall be kept in the original containers and be clearly labeled with children's name, dosage, medication name, and schedule of administration.

“A child enrolled in care had a prescription medication for an epinephrine injection which did not have the prescription label as required by this licensing rule. Corrective Action: Obtain the prescription label which includes the information required by this licensing rule.”

Correction date in the state record: Dec 19, 2016