Ashlee Place

Regulation 5.4.1.5: Children shall be supervised by FCCP and/or staff while napping or resting. The FCCP and/or staff shall directly observe a sleeping child at least every fifteen (15) minutes to check the child's face, view the color of the child's skin, and check on the child's breathing.

“Upon arrival at the program at approximately 9:00 AM, the provider was caring for five children in the living room area. When asked, the provider stated that there was an infant sleeping in one of the bedrooms. While the provided stated that she had performed an in person check on the child just before Licensor [name] arrival, the provider was not observed to perform any direct observations of the resting infant during the viist. After approximately one hour, Licensor [name] entered the bedroom to find the infant awake in a pack and play with a bottle of milk or formula, a video controller and a set of headphones with a cord which measured at least two feet. Corrective Action: Immediately plan to implement the practice of performing in person, direct observations of any resting or sleeping child at least once every fifteen (15) minutes. In the supervision section of the Safe Sleep Safety plan, include details of: 1. A plan to identify a professional development training which is at least one hour long and has a clear focus on safe sleep practices by 09/06/2024, 2.a plan to complete the training and submit the documentation of completion to Northern Lights at CCV by 10/03/2024 3. A system you will utilze to remind yourself to perform supervisory checks on all sleeping or resting children at least once every fifteen(15) minutes, 4. how you will make adjustments to this system if/when it is assessed to need improvement, 5. A plan for ensuring awake children have activities available to them that that are engaging and will give you the opportunity to implement your system and consistently check on sleeping and resting children, 6. utilize the information obtained from the training to add, revise and update your program policies regarding safe sleep and submit them to Licensor [name] for approval by 10/03/2024, and 7. a plan to make the revised handbooks with an explanation of the revisions to all enrolled families in a timely manner upon approval and to all newly enrolled families moving forward.”

Correction date in the state record: Oct 4, 2024

Regulation 2.3.1.5: The FCCP shall not interfere with, impede, deter, provide false information or cause another to do any of the aforementioned, or in any manner hinder the Department or its agent(s) in an investigation or inspection.

“When asked about the an infant being placed in a crib with a bottle of milk or formula, the provider stated that the parent of the child had made a request for this practice to assist with napping struggles. During a phone call, the identified parent confirmed that this was not a request that was made. The provider was not able to provide any written evidence that this was requested by the parent. Corrective Action: In the corrective action email, include details of your plan to reread the reread the safe sleep portion of regulations, complete a safe sleep training, and a plan to provide accurate and truthful information to all representatives of the Division during all investigations and inspections moving forward.”

Correction date in the state record: Oct 4, 2024

Regulation 5.4.2.8: Infants shall not be placed in cribs or portacribs with bottles. Pacifiers are permitted in cribs and port-a-cribs with parental permission. Pacifiers may not have cords or clips that may pose a strangulation risk.

“About an hour after arriving, Licensor [name] entered a bedroom where one infant was awake in a pack and play with a bottle of milk or furmula. Corrective Action: Immediately plan to stop the practice of putting infants in pack and plays and cribs with bottles as required by this rule. In the Parental consent portion of the Safe Sleep safety plan, include details of: 1. How safe sleep practices and policies will be communicated to all families, 2. how parent handbook policies will be revised and updated to include detailed safe sleep practices for the program, 3. a plan for communicating and making plans for specific children based on parental preferences, while maintaining clear boundaries around safe sleep practicies, 4. A plan for assisting infants with falling asleep in a manner which is consistent with safe sleep practices and in compliance with rule 6.2.3.7 which states that children shall be attended to when they cry.”

Correction date in the state record: Oct 4, 2024

Regulation 5.10.1.10.3: All poisonous or toxic materials shall be inaccessible to children.

“About one hour after arrival at the program, Licensor [name] entered a bedroom where an infant was awake in a crib with a video controller containing a battery pack. Corrective Action: Immediately plan to ensure that all poisonous and toxic materials are inaccessible to children at all times. In the poison and toxin hazard portion of the safe sleep safety plan, include details about: 1. How you will visually scan pack and plays, cribs, rest mats and/or rest cots and the surrounding area for hazards prior to placing children in or on cribs, pack and plays, mats and/or cots for rest, 2. How you will remove all identified hazards prior to stepping away from a sleeping or resting child, 3. How areas used for sleep will be maintained in a clean and orderly condiditon to ensure this practice can be thoroughly performed moving forward.”

Correction date in the state record: Oct 4, 2024

Regulation 5.10.1.1.2: The FCCP shall ensure that children are protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephone cords.

“Approximately an hour after arriving at the program, Licensor [name] observed the rooms where children sleep. One infant, was awake in a pack and play in one of the rooms. There was a pair of headphones with a cord that was at least two (2) feet long in the pack and play with the infant. Corrective Action: Immediately plan to ensure that all cords, strings, or other strangulation hazards are inaccessible to children at all times. In the strangulation and choking hazard portion of the safe sleep safety plan, include details about: 1. How you will visually scan pack and plays, cribs, rest mats and/or rest cots and the surrounding area for hazards prior to placing children in or on cribs, pack and plays, mats and/or cots for rest, 2. How you will remove all identified hazards prior to stepping away from a sleeping or resting child, 3. How areas used for sleep will be maintained in a clean and orderly condition to ensure this practice can be thoroughly performed moving forward.”

Correction date in the state record: Oct 4, 2024

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.

“A review of staff and family member's BFIS accounts, reflected that the provider was due for five (5) year fingerprinting in July 2023 and that Individual A, who resides in the home, was made aware of their need to submit to fingerprinting on 03/26/2021. Neither the provider or the individual had completed this process as of the date of this visit. Corrective Action: Immediately plan to have the provider and individual A submit Records Check Authorizations to the Division by 09/29/2023 and submit to fingerprinting by 10/06/2023.”

Correction date in the state record: Sep 11, 2023

Regulation 7.1.2.2: The FCCP shall ensure that at least one (1) responsible adult who has successfully completed and is currently certified in pediatric first aid and infant and child CPR is on the premises at all times children are present.

“A review of staff BFIS Quality and Credential accounts and available docuemnts on site reflected that the provider and Subsitute A had not renewed their pediatric first aid and infant and child CPR certifications prior to expiry and were not currently certified. The provider confirmed that neither the provider or Substitute A were currently certified in pediatric first aid and infant and child CPR. The provider was the only adult present with the children during this visit. The provider confirmed that Substitute A has continued to actively substitute at the program. Corrective Action: Immediately plan to have the provider and Substitute A complete approved infant and child CPR and pediatric first aid certifications and submit documentation of those certifications to Northern Lights at CCV(NLCCV) to be placed in Quality and Credential accounts. If you need assistance finding approved certification courses or need assistance with submitting documents to NLCCV, you may reach out to your NLCCV resource advisor, [name], at 802-828-0621 or joanne.rouleau01@ccv.edu. Develop a system which will prompt you and/or your staff to renew infant and child CPR and pediatric first aid certifications prior to expiry and to submit those documents to NLCCV in a timely manner moving forward. Send an email including the details of these corrective actions to carrie.knight@vermont.gov.”

Correction date in the state record: Oct 19, 2022

Regulation 3.3.7.3: Within six (6) months of initial date of employment, the FCCP and all staff 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 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 program's BFIS account reflected a lack of the following documentation: High School diplomas for the provider and substitute, mandated reporter training certificate for the provider and up to date CPR and First Aid ceritifcates for the provider and substitute. Corrective Action: Immediately plan to submit the listed documentation to Northern Lights at CCV. If yo uneed assistance with this process, you may reac out to your Northern Lights Resource Coordinator, [name] at (802) 828-0621 or joanne.rouleau01@ccv.edu. Create a system which will prompt you to submit required documentation to Northern Lights at CCV in a timely manner moving forward.”

Correction date in the state record: Oct 28, 2019