Governance Report
Aligned to Board Governance and Compliance Framework
Reporting Period: November 17–30, 2025

Prepared by: Dr. Jazzmine Nolan-Echols

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Executive Summary

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The Board executed an immediate and comprehensive governance response following the November 17 Corrective Action and Probation Notice. Actions focused on restoring statutory compliance, stabilizing governance systems, and meeting all sponsor requirements within accelerated timelines.

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A. Key Actions

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• All required documentation submitted by November 24, 2025 (9:30 AM deadline met)
• Five special board meetings conducted in compliance with Sunshine Law
• Governance audit completed and bylaws fully rewritten
• Safety Plan fully implemented with environmental and structural enhancements
• Board expansion and reconstitution completed

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B. Outcomes and Board Assurance

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• Governance systems modernized and aligned with statutory requirements
• Compliance documentation systems established
• Executive leadership oversight reinforced
• Board capacity strengthened through restructuring and onboarding

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Governance Actions Completed

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Governance actions during this period were executed rapidly to meet compliance deadlines and stabilize board operations. These actions addressed statutory requirements, governance structure, and sponsor expectations.

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A. Governance Execution

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• Five special meetings held between November 17–26
• All meetings properly noticed and compliant with Sunshine Law
• Required board approvals, reviews, and evaluations completed
• Executive leadership evaluated and supported through governance processes

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B. Governance Audit & Documentation

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• Comprehensive governance audit conducted reviewing:
  • Bylaws and governance structure
  • Sunshine Law compliance
  • Board documentation and practices
  • Alignment with sponsor expectations

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• All required documentation compiled and submitted, including:
  • Governance audit
  • Updated bylaws
  • Compliance tracker
  • Governance calendar
  • Board membership updates
  • Safety Plan documentation
  • Executive evaluation components
  • Compliance verification materials

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Bylaws & Compliance Systems

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The Board implemented a full bylaws rewrite to align governance practices with statutory requirements. A comprehensive compliance system was also established to ensure ongoing accountability and monitoring.

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A. Bylaws Updates

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• Updated quorum and voting requirements
• Revised notice and posting procedures
• Formalized closed-session compliance processes
• Added Conflict of Interest policies
• Defined governance-only boundaries
• Clarified delegation authority to the Executive Director
• Aligned all provisions with Sunshine Law requirements

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B. Compliance Systems Implementation

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• Residency verification processes established
• Background checks and disclosures standardized
• Governance training tracking implemented
• Annual governance calendar created
• Board onboarding materials updated

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Executive Director Oversight & Governance Alignment

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The Board reinforced governance oversight while maintaining appropriate operational boundaries. Leadership support and accountability systems were clarified during the corrective action period.

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A. Oversight Activities

• Executive Director observation and evaluation conducted
• Alignment with governance expectations assessed
• Performance expectations clarified
• Governance–operations boundaries reinforced

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B. Leadership Stabilization

• Chain-of-command integrity maintained
• Governance clarity provided to leadership
• Executive Director operational authority reinforced
• Internal escalation processes corrected

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Safety Plan Implementation

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The Safety Plan was fully implemented through coordinated governance oversight and operational execution. Enhancements exceeded baseline requirements and established a strong foundation for ongoing safety monitoring.

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A. Infrastructure & Systems

• Completion of all required safety-related construction
• Structural reinforcements and building improvements completed
• Installation of sensors, alarms, and alert systems
• Full exterior camera coverage implemented

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B. Training & External Coordination

• Fire, evacuation, and lockdown drills conducted
• Staff safety training completed
• Updated safety maps created and distributed
• External review conducted with local safety agencies
• Increased on-site security and documented walkthroughs implemented

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Board Development & Membership

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Board capacity was strengthened through expansion and reconstitution. Recruitment, vetting, and onboarding processes were completed to ensure compliance and effectiveness.

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A. Board Expansion

• Eight applicants screened
• Four candidates interviewed
• Background checks and credential reviews completed
• New members seated on November 26

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B. Membership Changes & Compliance

• One board member resignation due to professional obligations
• One board member with outstanding compliance documentation reported
• Compliance follow-up actions initiated

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Governance Systems & Monitoring

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New governance monitoring systems were implemented to ensure sustained compliance and transparency. These systems align board operations with sponsor expectations and reporting requirements.

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A. Monitoring Systems

• Corrective Action Dashboard created
• Monthly and quarterly tracking cycles established
• Evidence documentation and reporting templates implemented

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B. Sponsor Reporting

• All December-required submissions prepared and submitted early
• Governance documentation aligned with sponsor expectations
• Ongoing reporting systems established

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Governance Priorities

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The Board established clear priorities to maintain momentum following corrective actions. These priorities focus on sustainability, oversight, and continued compliance.

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A. Completed Priorities

• Bylaws adoption (November 19)
• Board reconstitution (November 26)
• Required submissions completed (November 24)

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B. Ongoing Priorities

• Governance dashboard implementation
• Executive Director evaluation
• Safety Plan monitoring
• Governance communication improvements
• Governance retreat scheduled for December

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Board Assurance Statement

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The Board affirms that all required actions tied to the November 17 Corrective Action and Probation Notice were completed within the required timeframe. Governance systems are now aligned, stable, and positioned for ongoing compliance.

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A. Compliance Confirmation

• All required documentation submitted by November 24
• All governance requirements fulfilled

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B. Institutional Status

• Governance systems modernized
• Operational stability restored
• Prepared for continued oversight

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Conclusion

The Board executed a rapid and comprehensive governance response to address all corrective action requirements. These actions have established a strong governance foundation and positioned the organization for long-term stability and success.

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