Operational Review by Meyers Norris Penny with 17 recommendations related to programs and services was completed and that initiated a human resource review. Case Management System (CMS) was developed. Critical incident occurred and identified gaps. Children and Youth Advocate (CYA) initiated an investigation and presented final report with 18 recommendations to the general public. YTCCFS Member First Nation Chiefs and the Board of Director initiated their own review with recommendations and conclusions presented internally.