Amy Tuttle

Regulation 2.3.8.3: The FCCP shall ensure that the FCCP; all individuals residing in the home; staff; and any individuals who are left alone with children have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“Household Members A,B, and C have expired Record Check Authorizations and Fingerprints. Corrective Action: Immediately complete the Record Check Authorization forms for Household Members A,B, and C. Submit to CDD and email to this licensor. Upon receipt of the fingerprinting form from CDD, make appointments for Fingerprinting. Send this licensor receipt or tracking number for each individual getting fingerprinted. Create a system to track Record Check Expirations and a detailed plan that will ensure completion of new Record Checks and Fingerprints prior to expiration dates. Send this licensor a detailed description of the system you have implemented.”

Correction date in the state record: Jul 7, 2026

Regulation 5.6.6: The FCCP shall ensure that all prescription medication is in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“Licensor observed Child A's rescue inhaler in its original container and labeled for the child with an expiration date of 4/23/25. This was the child's only rescue inhaler at the FCCH. Discussed with the Provider the status of the medication and the Provider shared that she was unaware the medication had expired. She also shared that the child has not used this medication while in her care. Corrective Action: Immediately return expired medication to child's parent or dispose of with parental permission. Send this licensor email confirmation when this has been completed. Develop a system for reviewing medication expiration dates and communicating with parents the status of the prescription for timely replacement. Send this licensor a detailed description of the system created and when it was implemented.”

Correction date in the state record: Apr 16, 2026

Regulation 2.3.8.3: The FCCP shall ensure that the FCCP; all individuals residing in the home; staff; and any individuals who are left alone with children have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“Provider completed the required five (5) year renewal step of submitting an record check authorization form in 2022. Provider notified by the Division on 08/21/2022 that fingerprinting was required. As of the date of this visit, the fingerprint clearance process has not been completed. Corrective Action: Contact Childcare Business Technician Caitlyn James at caitlyn.james@vermont.gov to confirm and to complete the background clearance process. CC Licensing Field Specialist Crawford on this email correspondence. Send confirmation of fingperint appointment date by 05/25/2025. When fingerprints are processed send documentation verifying this was completed (receipt, invoice) to Licensng Field Specialist Crawford”

Correction date in the state record: Mar 5, 2025

Regulation 7.7.5.1: The FCCP shall comply with background checks for these volunteers as in the rule 7.2.2 of these regulations.

“The required record check authorization form has not been completed for a volunteer reader who reportedly visits the program weekly. As of the date of this visit, this person has come to the program between 20-30 times for approximately 45 minutes at a time. Corrective Action: Have the individual complete the required record check authorization form.”

Correction date in the state record: Apr 17, 2023

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“A child's hands were not washed following a diaper change. The provider acknowledged it was not her practice to wash the hands of infants as part of the diaper changing procedure. Corrective Action: Review and follow the required steps for diaper changing.”

Correction date in the state record: Mar 18, 2023

Regulation 5.10.4.2: Exits: Stairways, hallways, windows, and doors from the rooms used by children shall be clear and unobstructed from stored items, non-movable barriers, toys, and other items at all times.

“The designated second emergency exit blocking clear passage when outside the door. There is an ice bin, child table, and small metal machine table at child height all within two feet of the passage way out the door across the porch. Corrective Action: Remove all items that block clear passage exiting the door across the porch area. Ensure clear passage of the door to the exit stairs are maintained.”

Correction date in the state record: May 3, 2022

Regulation 5.10.1.2.5: There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

“The appropriate sized extinguisher has an inspection tag listing the last inspection as March 2021. The extinguisher tag notes it was to be re-inspected by the end of March 2022. Corrective Action: Have the extinguisher inspected and develop a system to ensure it is maintained according to this regulation.”

Correction date in the state record: May 3, 2022

Regulation 5.10.1.8: Childhood Lead Poisoning Prevention The FCCP shall comply with the requirements of 18 V.S.A. Chapter 38 Vermont Lead Law and shall ensure that Essential Maintenance Practices (EMP) is performed. This includes but is not limited to protecting children from peeling or chipping paint, and dust build up from the friction of moving doors or windows.

“There is more than one square foot of chipping peeling paint on the playroom wall above the bench seat area. There are sections of chipping peeling paint sections in the front room within 4 feet around and near the children's bookcase. Corrective Action: Contact the Vermont Department of Health at 1 (800) 439-8550 or AHS.VDHALRPGeneral@vermont.gov for guidance about required steps to address interior paint condition. Create a plan for addressing the identified areas and include in this plan the corrective steps and dates to be completed.”

Correction date in the state record: May 3, 2022

Regulation 3.2.2: The FCCP, staff, and partner staff working with children are mandated reporters of child abuse and neglect pursuant to 33 V.S.A. S4913 and are required to report to the Child Abuse Hotline when they reasonably suspect abuse or neglect of a child. This report must be made within twenty-four (24) hours of the time information regarding the suspected abuse or neglect was first received or observed.

“Provider received information of potential abuse and neglect of a child and did not make a report as required by this rule. Corrective Action: Submit a program improvement plan to this licenser by 11/19/2021. Include in this plan, the training(s) on the topic of identifying and reporting possible abuse and neglect of children that will to be taken including the date of the training(s) session(s). Submit to this licenser the outcome of parent handbook and program policy review following the abuse and neglect training session.”

Correction date in the state record: Nov 19, 2021

Regulation 5.10.4.5.1: The FCCP shall ensure that the FCCH, its furnishings, and toys are kept in a clean and orderly condition.

“There is a yellow ring around the midpoint of the toilet basin. There is visible dirt and grime surrounding the base of the toilet on each side and behind the toilet. There is dried stains upon the seat and behind the toilet seat. There is dirt and grime build up around the bottom of the pedestal bathroom sink. Corrective Action: The bathroom shall be cleaned and disinfected. Send confirmation to this licenser that the bathroom shall be attended to as needed and within compliance to the daily cleaning and sanitizing requirements noted in Rule 5.2.6.6”

Correction date in the state record: Jul 5, 2018

Regulation 6.2.1.6: In Option one (1): Year Round Care, described in the chart below, during summer school vacation a registered FCCP may care for up to ten (10) children total without a second adult, provided that all school aged children have been in care prior to May 1st during the preceding school year or are siblings of younger children enrolled in the registered FCCH.

“It was confirmed through attendance records review and acknowledged by [name], that she has been the sole caregiver present with more than six children at one time and that care has been provided to more infants than allowed by regulations. On 05/31/2018, three children under the age of 2 years were in care within the total seven preschool age and younger children present. Three children younger than 2 years of age were in care as part of the six children total on 06/01/2018, 06/04/2018, 06/05/2018, and on the date of this visit 06/08/2018. Regulations require a family child care provider have no more than six preschool age and younger children present at one time. Regulations require a second caregiver to be present if more than two of the six children are under the age of 2 years. Failing to comply with the allowable number and ages of children in care is a serious violation. Corrective Action: Effective the date of this visit, compliance to the allowable number and ages of chidren present is to be maintained. Send an e-mail outlining the steps taken to ensure compliance will be maintained. Mail the parental notication letter as outlined above and submit to this licenser the names of the parents, their contact information, and the date the site visit report was sent.”

Correction date in the state record: Jul 5, 2018