Audri Cox

Regulation 3.3.6.1: The FCCP shall maintain a record of the date of each evacuation drill as required in the rules in section 3.6.2 of these regulations that includes the number of children, staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. Evacuation records shall be kept for two (2) years.

“The Provider could not produce a record of each evacuation drill conducted. Corrective Action: Develop a system to document the date of each evacuation drill to include the number of children and staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. In the corrective action email include details of the system developed to ensure compliance with this rule moving forward. Should a specific form be utilized, include a copy of the form in the corrective action email.”

Correction date in the state record: Jul 10, 2025

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.

“Upon review of the Vermont Department of Health's IRC Compliance database it was identified that IRC practices had not been conducted or filed at this program in more than three hundred sixty-five (365) days. Provider statements confirmed this. Corrective Action: By 08/04/2025 ensure that IRC Practices are conducted by and IRC certified individual and that the compliance statement is filed with the Vermont Department of Health. Develop a system to ensure that IRC practices are conducted annually moving forward. In the corrective action email include the compliance statement and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Aug 7, 2025

Regulation 5.10.5.2.2: For in ground or above ground pools or natural or manmade bodies of water accessible from the outdoor play area, the FCCP shall ensure that a fence is installed so that no child may gain access without FCCP and/or staff approval, observation and supervision. Fences around pools shall be at least four (4) feet high with a maximum vertical clearance of 3.5 inches at the bottom. Gates shall swing outward with self-closing and self-latching devices installed at least three (3) inches below the top of the gate on the side facing the pool/water. Gates shall be locked when not in use.

“An above ground pool was observed within the play yard at the program with no fence around it. Corrective Action: Immediately discontinue use of the outdoor play yard until such a time when a fence meeting the requirements of this rule is in place. By 09/05/2024 ensure that a fence measuring at least four (4) feet high with a maximum vertical clearance of three and one half (3.5) inches at the bottom is in place with gates that meet the requirements of this rule is in place. By 08/15/2024, provide to Licensor [name] via email, an alternative plan describing how compliance with rule 6.1.2 will be maintained until a fence is installed. In the corrective action email provide photo evidence that a fence has been installed.”

Correction date in the state record: Sep 1, 2024

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 fire extinguisher at the program was observed to have an expired inspection tag. Corrective Action: By 09/05/2024, plan to have the fire extinguisher inspected to test its current operating condition and properly tagged or replace the extinguisher. Develop a system to ensure timely inspection of the fire extinguisher moving forward. In the corrective action email, provide photo evidence that the extinguisher has been inspected or photo evidence that it has been replaced and details of the system developed to ensure compliance with this rule moving forward.”

Correction date in the state record: Oct 9, 2024

Regulation 7.1.2.1: The FCCP shall have successfully completed pediatric first aid and CPR prior to being licensed and must remain currently certified.

“Provider's First Aid and CPR certification was not current at the time of the visit. Corrective Action: Complete an approved First Aid and CPR training. When complete, submit the certificate to Northern Lights for entry in to BFIS, and copy Bridget.Sheldrick@vermont.gov on that email to Northern Lights. Create a plan to ensure that recertification is completed prior to the current certification expring.”

Correction date in the state record: Aug 7, 2023