All Saints Catholic Academy

Regulation 7.3.2.3: Teacher Assistant A teacher assistant is at least eighteen (18) years of age, is a high school graduate or has completed a GED, and meets one (1) of the following qualifications: * At least a Vermont Early Childhood Career Ladder Level One (1) or Two (2) Certificate; or * At least a current CDA (Child Development Associate) and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least a State Board of Education approved Human Services Program Certificate that emphasizes child development or early childhood education and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least successful completion of the Fundamentals for Early Childhood Professionals' course or the Vermont Afterschool Essentials Certificate and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least successful completion of a three (3) college credit course in child or human development or a three (3) college credit course for school age care and education and at least twelve (12) months experience working with groups of children from grade three (3) or younger.

“It was confirmed during this Licensing visit that three (3) out of the four (4) assistants who have been employed since July and September of 2024, as assistants have not enrolled in the Fundaments, the Vermont Afterschool Essentials or enrolled in a three (3) college credit course in Child or Human Development. A reminder e-mail was sent with a due date for the corrective action on 2/4/2026. Ideas were suggested during this licensing visit to have staff maintain compliance. This rule was cited previously on 12/1/2025. Corrective Action: By 3/6/2026, submit the program improvement plan with how and when, which includes the date when the three (3) assistants will complete one (1) of the required training courses to qualify as an assistant.”

Correction date in the state record: Apr 6, 2026

Regulation 7.3.1.3: The program director of a CBCCPP licensed to serve thirteen (13) - fifty-nine (59) children shall be qualified as a teacher associate, and shall have completed either: * A Vermont Early Childhood and Afterschool Program Director Step One (1) Certificate; or * Successful completion of a three (3) college credit course in program management for early care and education or for school age care and education, or in staff supervision related to early care and education of children; and a three (3) college credit course in curriculum.

“This licensing visit confirmed that the program director had not submitted the corrective action for the violation cited on 12/1/2025, as of 2/12/2026. The director is the principal of the school and has their education license. The rule states they need a Program Management or Staff Supervision course to meet qualifications as the director and meet this rule. Ideas were shared during this licensing visit with how compliance can be met. This rule was cited previously on 12/1/2025 and a reminder e-mail was sent to the program with a due date of 2/4/26. Corrective Action: By 3/6/2026, submit a program improvement plan with how and when, which includes a date that the program will meet compliance with a qualified director that meets this rule.”

Correction date in the state record: Apr 6, 2026

Regulation 7.3.2.3: Teacher Assistant A teacher assistant is at least eighteen (18) years of age, is a high school graduate or has completed a GED, and meets one (1) of the following qualifications: * At least a Vermont Early Childhood Career Ladder Level One (1) or Two (2) Certificate; or * At least a current CDA (Child Development Associate) and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least a State Board of Education approved Human Services Program Certificate that emphasizes child development or early childhood education and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least successful completion of the Fundamentals for Early Childhood Professionals' course or the Vermont Afterschool Essentials Certificate and at least twelve (12) months experience working with groups of children from grade three (3) or younger; or * At least successful completion of a three (3) college credit course in child or human development or a three (3) college credit course for school age care and education and at least twelve (12) months experience working with groups of children from grade three (3) or younger.

“Four (4) assistants who have been employed since July and September of 2024, as assistants have not completed the Fundamentals for Early Childhood Professional course or a three (3) college course in Child or Human Development which is needed to meet regulation. Corrective Action: By 1/23/2026 submit a program improvement plan which states how the 4 staff members will complete their requirements of either completing the Fundamentals Course or completing a three (3) college credit course in child or Human Development. The plan should include the name of the course and the timeline for completion.”

Correction date in the state record: Apr 6, 2026

Regulation 7.3.1.3: The program director of a CBCCPP licensed to serve thirteen (13) - fifty-nine (59) children shall be qualified as a teacher associate, and shall have completed either: * A Vermont Early Childhood and Afterschool Program Director Step One (1) Certificate; or * Successful completion of a three (3) college credit course in program management for early care and education or for school age care and education, or in staff supervision related to early care and education of children; and a three (3) college credit course in curriculum.

“The program director who has been employed since 11/22/2024, has not completed a three (3) college credit course in program management for early care and education or for school age care and education, or in staff supervision related to early care and education of children which is needed to meet qualification for program director for 13-59 children. Corrective Action: By January 23, 2026, contact your Northern Lights Resource Advisor to develop a plan to meet qualification for program director for 13 to 59 children. The plan should include the name of the course(s) you are planning to take and the timeline to complete the course. Submit a copy of the plan to your licensor.”

Correction date in the state record: Apr 6, 2026

Regulation 7.5.4: The program director shall establish and implement a system of communication among staff to ensure that any staff member assuming responsibility for a child or group is informed of significant information related to the care and education of the child or children.

“During the site visit on 11/09/2022, Staff A, B and C confirmed that it has not been a typical practice for staff to exchange any information about the children in care when one staff member leaves and another steps in to care for the children. Staff A, B, and C confirmed that there was no communication between Staff D to Staff A and B when Staff D left and Staff A and B toook over. Staff B stated concerns about the ongoing lack of communication between staff during times of staff transition. Corrective Action: Immediately develop and implement policies which address communication during times of staff transition and the expectations for utilizing and heavily monitoring a sytem to track children's attendance and whereabouts. Additionally, develop a Program Improvement Plan as this is a serious violation. Include details of how staff have been made aware of the severity of the incident and the extreme safety issues that were at play on 11/03/2022, the requirements for staff to provide clear communication during times of transition, utilize a clear and effective attendance system, conduct frequent head counts, and routinely review the policies and practices around supervision requirements. Plan for all staff of the Preschool Program to attend at least 2 hours of formal training in the area of supervison of young children by 02/28/2022. Include details of who will be responsible for developing the policies, who will be responsible for communicating the new policies to all present and newly hired staff and ensuring they are effectively implemented, and who will be resposible for ensuring all present and newly hired staff have a clear understanding of the expectations for attendance and communication systems moving forward. Also include details of how formal training will be researched, located and the name, date and location of the training all current staff will be required to attend.”

Correction date in the state record: Nov 18, 2022

Regulation 7.5.4: The program director shall establish and implement a system of communication among staff to ensure that any staff member assuming responsibility for a child or group is informed of significant information related to the care and education of the child or children.

“School Principal, [name], Staff A, Staff B and Staff C stated that on 11/03/2022, Child A, who was of preshcool age, was left unattended inside the school for approximately 20 minutes while the remainder of the preschool children and preschool staff were on the playground. Additionally, the three staff stated that none of the staff present during the incident were aware of that Child A was in attendance on 11/03/2022. Child A was discovered by Staff B after the group returned to the classroom to have snack. While an attendance system was observed during the site visit on 11/09/2022, the three staff stated that it was not a normal practice for the afternoon staff to review or utilize the attendance system or any other tracking system or communication system to keep track of childrens' presence or whereabouts duirng the afternoon portion of the preschool program. Further, the three staff stated that while the school entrances/exits are locked during the school day, they are not typically locked during the afternoon/afterschool care portion of the day. The front entry door was not locked during the site visit on 11/09/2022. While Child A was reported to be sleeping throughout the 20 minute time period, had Child A exited the building, the child would have had ready access to a large parking lot and Route 100 and no staff present would have known that Child A was missing. While the program reported the incident, there were no immediate systems implemented to adjust attendance and communciation policies and practices during the six days between the date of the incident and the date of the site visit. This is a serious violation. Corrective Action: Immediately develop and implement policies which address communication during times of staff transition and the expectations for utilizing and heavily monitoring a sytem to track children's attendance and whereabouts. Additionally, develop a Program Improvement Plan as this is a serious violation. Include details of how staff have been made aware of the severity of the incident and the extreme safety issues that were at play on 11/03/2022, the requirements for staff to provide clear communication during times of transition, utilize a clear and effective attendance system, conduct frequent head counts, and routinely review the policies and practices around supervision requirements. Plan for all staff of the Preschool Program to attend at least 2 hours of formal training in the area of supervison of young children by 02/28/2022. Include details of who will be responsible for developing the policies, who will be responsible for communicating the new policies to all present and newly hired staff and ensuring they are effectively implemented, and who will be resposible for ensuring all present and newly hired staff have a clear understanding of the expectations for attendance and communication systems moving forward. Also include details of how formal training will be researched, located and the name, date and location of the training all current staff will be required to attend.”

Correction date in the state record: Nov 18, 2022

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.

“Upon review of staff quality and credential accounts in BFIS and on-site documentation, it was determined that six (6) staff who have been employed with the program 6+ months in a position that allows them to work with children had not completed the Orientation training. Corrective Action: Staff who have not completed the Orientation training shall do so by 6/25/2021. By 6/25/2021, submit a program improvement plan identifying how the program will maintain on-going compliance to this regulation.”

Correction date in the state record: Apr 7, 2022

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.

“A review of the BFIS Quality and Credential accounts of staff who have been with the program more that 6 months reflected that several staff accounts do not have the following required documentation; verification of qualifications, professional development, Orientation, Mandated Reporter training, and current first aid and CPR certification. The director confirmed that some of the documents had been submitted to Northern Lights, but not all. This is a repeat violation previously cited on 10/18/2019. Corrective Action: Ensure that documentation of missing items is sent to Northern Lights for entry into BFIS Quality and Credential accounts. Create a program improvement plan detailing how you will ensure that required documentation including qualification documentation, First Aid/CPR certification, Orientation Training, Protecting Vermont's Children/Mandated Reporter training, and ongoing professional development are sent to Northern Lights for entry into BFIS Quality and Credential accounts.”

Correction date in the state record: Feb 6, 2024

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.

“Documentation of current CPR certification for 1 staff member and documentation of First Aid certification was not provided for 6 staff members for individuals who have been staff for more than 3 months. This information was not in the staff's BFIS Quality and Credential accounts or in staff files at the time of this visit. Corrective Action: Immediately plan to have identified staff complete infant and child CPR and/or pediatric first aid and submit the certification cards with a cover sheet to Northern Lights at CCV. Develop a system which will prompt you and/or staff to obtain training in pediatric first aid and infant and child CPR prior to being left alone with children, within three months of the employment start date. Include in this system a way to prompt yourself and/or staff when it is time to obtain further training prior to the expiration date(s) listed on the certificates.”

Correction date in the state record: Apr 7, 2022

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment, the licensee shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“A review of 5 randomly selected files for children who have been enrolled more than 45 days showed that they did not include documentation of a General Health Exam signed by a pediatrician. Staff confirmed that the program has not been requesting this documentation. Corrective Action: Immediately plan to collect a general health exam document which has been signed by a pediatrician for each currently enrolled child, and create a system that will ensure that general health exam documentation is obtained within 45 days of enrollment for each newly enrolled child. Submit this plan to this licensor by 11/6/2019.”

Correction date in the state record: Nov 27, 2019

Regulation 3.4.7.3: Within six (6) months of the initial date of employment, staff working with children 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 NLCDC to be verified and maintained in BFIS.

“A review of the BFIS Quality and Credential accounts of staff who have been with the program more that 6 months reflected that several staff accounts do not have the following required documentation; verification of qualifications, annual professional development, and current first aid and CPR certification. Corrective Action: by 11/6/2019, send all documents needed to assess staff members qualifications, annual professional development documents, and current first aid and CPR certificates to Northern Lights at CCV. Create a system to ensure all staff members submit all required documentation to Northern Lights at CCV to be entered into their BFIS Quality and Credential accounts in a timely manner.”

Correction date in the state record: Nov 27, 2019