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.

Six (6) staff who have been employed for over six (6) months do not have qualification documents in their BFIS Quality and Credentialing accounts.

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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.

Two (2) staff currently working with children did not submit to fingerprinting within sixty (60) days of receiving the Fingerprint Authorization Certificate from the Division.

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5.31 · Orientation training shall be conducted for every employee before they are left alone with children. This training shall be documented and shall cover material included in the Staff handbook and licensing regulations. 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 and child guidance; * Curriculum development policies and responsibilities; * Supervision of children; * Policies and procedures for reporting a missing child; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Requirements for administration and storage of medication; * Emergency Response Plan and emergency procedures, including: staffing emergencies, school closings, evacuation plans such as site evacuations in case of national or environmental emergency, lock-down procedures, responding to a sick or injured child and medical emergencies; * Use of fire extinguishers; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping, including daily attendance procedures; * Transportation and child passenger safety; * Off-site activities (field trips) * Release of children; * Respectful engagement of families, including daily communication with parents about their child's activities; * 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; * Responsibility to comply with current applicable licensing regulations; * Staffing plans and definitions of related duties to include opening and closing procedures; * Afterschool Child Care Program licensing regulations; * Employee complaint and grievance procedures; and * Assuring children have extra clothes and diapers available.

Seven (7) staff who are left alone with children have not completed a full orientation to include mandated reporting training.

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18.79 · The Licensee shall maintain a current list of the Licensee or Designee, Staff, and Volunteers, as applicable in BFIS. Any changes shall be reported through BFIS within five working days of the change.

After a review of the associated parties list with the director of the program, it was determined that there were multiple staff and volunteers listed who have not been affiliated with the program for longer than five (5) business days.

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4.14 · The Licensee shall ensure that they and all Staff receive training and demonstrate understanding of their legal responsibilities regarding preventing and reporting suspected child abuse and neglect.

A review of staff BFIS Quality and Credential accounts found that multiple staff have not completed the required Child Abuse and Neglect Mandatory Reporting training.

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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 BFIS Quality and Credential accounts reflected a lack of documentation of annual professional development activities and verification of qualifications of the staff.

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4.8.f. · Reports to the child's parent shall be made in the following circumstances: when a child who is enrolled and expected in an Afterschool Child Care Program does not arrive as scheduled, and the parent has not informed the program of the child's absence, the parent or authorized person for the child shall be contacted immediately.

During the summer, the licensee operated a drop-in program for middle school students. Sarah reports that this program is treated as a drop-in program where children arrive on their own and anyone can come if their paperwork is completed. If a child does not show up each day for drop in care staff does not attempt to contact parents.

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5.22 · The Licensee shall maintain hard copy or accessible electronic records for each Staff person, including: * start date * job title * record of education, training, and experience that demonstrates how the Staff member meets the required qualifications for the position * signed and dated statement(s) indicating that the employee has read and understands the Licensing Regulations for Afterschool Child Care Programs * current and dated Individual Professional Development Plan (IPDP) * a copy of the current First Aid and CPR training cards from either the American Red Cross or American Heart Association or other recognized organization(s), as required * a signed and dated statement verifying understanding of the legal requirement to report suspected child abuse or neglect.

Staff files reviewed were missing one or more of the following: start date, job title, education and experience documentation related to qualifications, current Individual Professional Development Plan, and current First Aid and CPR training cards. This is a repeat violation previously cited under rule C11 on 08/13/2014.

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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.

Written documentation shows the program has not completed emergency evacuation drills during the months of March, April, July, August, September, and November of 2016 and January of 2017. Director Sarah Fisher confirms evacuation drills were not completed during these months. This is a repeat violation previously cited under rule J2b on 12/16/15.

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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 members Jennifer Moody and Andrew Kaufman were working alone with children on the day of this visit without approval from the Division through a background record check. Andrew has been providing care since May of 2016 and Jennifer has been providing care since September of 2016. This is a repeat violation previously cited under rule M4 on 08/13/2014.

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15.11 · Refrigerated foods shall be labeled and dated.

Several plain plastic containers of perishable foods in the refridgerator were not labeled and dated.

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