Beth Bigelow

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 extinguisher at the program was last tagged and inspected in February 2021, which means that the extinguisher was due again for inspection in February 2022. The extinguisher at the program did not bear a tag with current inspection. Corrective Action: It is required to get the fire extinguisher inspected and the tag updated to reflect the inspection.”

Correction date in the state record: Aug 11, 2022

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 documentation available for evacuation drills was reviewed. It was observed that no evacuation drills were documented for November 2020, December 2020, January 2021, February 2021, March 2021 and September 2021. The FCCP states drills were conducted but not documented. Corrective Action: It is required to conduct a monthly evacuation drill and document it. Develop a system for ensuring the drills occur and are documented as required. Send a description of the developed system to this licensor for review.”

Correction date in the state record: Nov 17, 2021

Regulation 5.2.3.4: The FCCP shall ensure that there is a sturdy diaper changing area with a clean, washable and non-absorbent surface. The diapering changing area shall not be located in the kitchen or any area where food is stored, prepared or served.

“It was observed that the diaper changing pad had a hole approximately a half inch in size, that exposed the inside material of the changing pad. This is a violation because due to the hole in the changing pad, it is no longer a non-absorbent surface. Corrective Action: It is required to ensure that diapers are being changed on a non-absorbent surface that is in good condition. It is required to send a photograph to this licensor with the new diaper changing pad or nonabsorbent surface that will be utilized going forward for diaper changes.”

Correction date in the state record: Nov 17, 2021

Regulation 5.10.3.3: Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the FCCP shall ensure that the surface under and around the equipment, included recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the FCCP shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, the FCCP shall ensure that the children will not play on the equipment until the resilient material has thawed and is once again resilient.

“It was observed that there was a dome climber equipment that was over three (3) feet in height, was placed directly onto the grass. It was further observed that this piece of equipment was also not properly anchored in place. This is a violation because the equipment allowed children to achieve a height of over thirty (30) inches and did not have the proper fall surfacing material underneath it that is required. Corrective Action: Effective immediately, discontinue use of the dome and make it inaccessible for children to utilize until proper fall surfacing can be installed or it be removed from the outdoor play space. It is required to send a plan for compliance regarding this piece of equipment to this licensor for review.”

Correction date in the state record: Nov 11, 2021

Regulation 7.3.6: Substitute A substitute is at least eighteen (18) years of age, is able to comprehend basic written format, and is a high school graduate or has completed a GED.

“It was reviewed that documentation of qualifications for five (5) staff at the program were not available onsite or in the BFIS Quality and Credential account for review. Corrective Action: It is required to obtain qualification information for staff. Once obtained, this must also be sent to Northern Lights to be entered into staff BFIS accounts. It is required to develop a plan on how the qualification documents will be obtained, and sent to Northern Lights, and how the program will ensure staff have qualifications going forward.”

Correction date in the state record: Nov 17, 2021

Regulation 2.3.10.5: The FCCP shall be responsible for compliance with all applicable state and federal laws even when they are more stringent than the rules in this set of FCCH regulations.

“No documentation was available onsite or in BFIS Quality and Credential accounts to show that five (5) staff of the program had completed CPR/First Aid Training within three (3) months of employment as required. Corrective Action: Effective immediately, ensure that a staff member is always present at the program that has current CPR and First aid certification. It is required to develop a plan that details how staff will obtain first aid and cpr certifications, and how this will be kept up to date in the future. It is required to also include in the plan, how documentation of these completed trainings will be sent to Northern Lights for entrance into employee BFIS accounts. The plan shall be sent to this licensor for review.”

Correction date in the state record: Nov 17, 2021

Regulation 3.3.7.5: The FCCP shall maintain a current list of the staff, persons who reside in the FCCH, and non-parental volunteers, as applicable, in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“It was determined that several staff listed on the associated parties list are no longer employed by the program and have had their last day much more than 5 working days ago. In addition, some individuals listed on the associated parties list did not have correct titles associated with their positions. It is required to have a current list and report any changes within 5 working days. Corrective Action: By 07/05/2019, remove staff no longer employed by the program and adjust the titles of individuals to reflect correct positions. Once completed, send confirmation to this licensor.”

Correction date in the state record: Jul 24, 2019

Regulation 3.6.1.1: The FCCP shall develop and maintain a written Emergency Response Plan to respond to a full range of emergencies both natural and man-made. A complete plan shall include how the FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises and lockdown situations; * Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; * Notifying the local authorities of the emergency; * A system for notifying the parents of the emergency; * Notifying the local emergency planning committee regarding the location of the FCCH and using the committee as a resource in emergency planning for the program; * A system of identifying the children and staff present at the time of the emergency and maintaining knowledge of their whereabouts; * A system for handling infants, toddlers, and children with special needs; * An established evacuation meeting location within walking distance of the FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“It was determined that the program had started a draft version of an emergency response plan, however it did not address all required topics. A complete emergency response plan is required. Corrective Action: By 07/05/2019, finish the emergency response plan, adding information on all required topics. When completed, send to this licensor for review.”

Correction date in the state record: Jul 24, 2019

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.

“It was determined that the qualifications for Beth and her assistant were not available or up to date in the BFIS quality and credentialing account as required. Both have been employed by the program longer than 6 months. It is required to have an up to date BFIS Quality and Credentialing Account. Corrective Action: By 07/05/2019, send in all qualification, training and CPR and First aid certifications to Northern Lights at CCV. Once sent to Northern Lights, send confirmation to this licensor. The Verification Cover Sheet can be found at: https://northernlightsccv.org/resource/verification-cover-sheet/.”

Correction date in the state record: Jul 24, 2019