Boys & Girls Club of Rutland County

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“Staff A was observed present and working with children and had not submitted a Record Check Authorization form to the Division. Corrective Action: Immediately submit a Record Check Authorization form for Staff A to the Division. Ensure that Staff A submits to fingerprinting as required. Develop a system to ensure that all new individuals regularly present at the program submit a Record Check Authorization form to the Division prior to working with children moving forward. In the corrective action email include details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Aug 12, 2025

Regulation 11.27: Essential Maintenance Practices (EMPs) shall be performed prior to initial licensure and annually thereafter in the space defined as licensed space. Essential Maintenance Practices shall be performed by a person who (a) has been certified by the Vermont Department of Health to perform Essential Maintenance Practices, or (b) is supervised on-site by a person certified by the Vermont Department of Health to perform Essential Maintenance Practices.

“An IRC inspection for the program has not been performed since 2015. Corrective Action: Plan to have the program space inspected by an individual who is IRC certified by the Vermont Department of Health, and submit the IRC compliance statemement electronically to the Vermont Department of Health, by 09/27/2024. Develop a system to prompt program leadership to submit to this testing annually moving forward. In the corrective action email include evidence that the inspection has been completed and submitted to VDH, along with evidence of completion of any/all remediation , and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Feb 26, 2025

Regulation 13.21: The program shall maintain onsite a record of all prescribed medications given which include the name of the medication(s), date, dosage, and time given.

“Director states that they have administered prescription medication to children and have not documented the name of the medication, date, dosage, or time given. Corrective Action: Develop a system to document medications given and all other requirements of this rule before medications are administered. In the corrective action email include details of the system developed and photo evidence of documentation that will be used moving forward.”

Correction date in the state record: Feb 26, 2025

Regulation 15.23: When a dishwasher is not available and single service items are not used; a three- compartment sink with adequate space for drain boards shall be required for the dishwashing, rinsing and sanitizing of dishes and utensils. Dishes shall be washed in hot, clean water at 120 degrees Fahrenheit (49 degrees Celsius), rinsed in hot, clean water and immersed for 2 minutes in sanitizing rinse. Bleach solution shall be used following the instruction of the manufacturer regarding sanitizing. Hand washed dishes shall be air-dried.

“Staff were observed hand washing dishes despite a dishwasher on site. Staff D stated they prefer to hand wash dishes. Observations were made of the process; they hand washed, rinsed and air dryed items. The program did not sanitize as required by this rule. Corrective Action: Review this rule with all staff who have duties to include washing dishes to ensure they understand this rule. Create a system that promotes compliance to this rule by having compartments designed for each step.”

Correction date in the state record: Aug 30, 2023

Regulation 5.40: Before the expiration date on the card, training for First Aid and CPR shall be validated by the American Red Cross, American Heart Association or other equivalent, state- recognized organization, and the specific certification documentation maintained in the appropriate Afterschool Child Care Program Staff file.

“Upon review of BFIS accounts and on-site files it was confirmed that two (2) staff required to maintain CPR and First Aid certification remained employed at the program and had expired CPR and First Aid certification. Corrective Action: By 8/15/2023 ensure the staff with expired CPR and First Aid certification obtain this training. Submit a program improvement plan that 1) identifies the system that tracks when staff are required to obtain CPR and First Aid certification, 2) identifies the system that tracks when staff are due to renew their CPR and First Aid re-certification, and 3) identifies the individual responsible for ensuring staff obtain the required certification prior to the due date.”

Correction date in the state record: Aug 10, 2023

Regulation 4.3: A child shall be admitted in an Afterschool Child Care Program when there is on file on the premises, either in hard copy or accessible and printable electronic format documentation in the child's file of each child's current immunization status. * Immunization records shall include the immunization administered and the date of each immunization. * If an enrolled child is in the process of complying with immunization requirements in accordance with the Vermont recommended immunization schedule, documentation in the child's file shall include the required Vermont Department of Health form. * If a child has not had a required immunization due to a Vermont allowed exemption, documentation in the child's file shall include the required Vermont Department of Health form.

“Eight (8) children's files were reviewed; five (5) of the files did not have immunization records. When presented to Staff A, they stated that immunization records if obtained are stored in the child's file. Corrective Action: Review each child's file to ensure the most recent immunization records are on file, and if missing collect those by the due date. Develop a system on collecting immunization records upon enrollment to ensure compliance to this rule is maintained.”

Correction date in the state record: Aug 30, 2023

Regulation 5.3: Afterschool Child Care Program Staff shall meet or exceed the following qualifications: be at least eighteen years of age and have a high school diploma or equivalent.

“Upon review of staff BFIS accounts and on-site files, it was determined and confirmed by Staff A that education documents for five (5) staff had not been confirmed for this rule. Corrective Action: Submit a program improvement plan that 1) identifies who is responsible for collecting all required education documents upon hire, 2) identifies who is responsible for filing the education documents accordingly on site, and 3) identifies who submits the documentation to Northern Lights at CCV for processing and uploading into staff BFIS qualify and credential accounts.”

Correction date in the state record: Aug 30, 2023

Regulation 4.5: Programs shall implement a system that documents the whereabouts of each child in attendance at all times.

“Upon arrival at the program an announcement was made they'd be leaving shortly to go on a field trip. Staff B was asked if they were walking or taking transportation; they stated they use their bus and make a few trips in order to get everyone to the other location. When asked how it is documented which children remain at the program, and which children are trasported, Staff B stated they do not document this. Staff B confirmed that children are chosen to load into the bus if they are ready, and not necessarily by group. Staff B was asked if it was documented when children arrive at the alternate location; they stated no. Staff B confirmed that the attendance documents the arrival and departure of children but does not capture whereabouts of children as they move about their day. Corrective Action: Submit a program improvement plan that 1) creates a tracking system to document children's whereabouts during the day to include the times transitions occur, arrival times at the alternate locations, and same for departing and transitioning to the next location 2) indentifies who is responsible for documenting children's whereabouts, 3) identifies who is responsible for ensuring compliance is met ongoing to this rule, and 4) how this new system is reviewed with current staff and part of your onboarding process for new hires to ensure they understand how to accurately meet this rule.”

Correction date in the state record: Aug 30, 2023

Regulation 4.4: A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the Afterschool Child Care Program, shall be established.

“Upon arrival attendance was reviewed; Staff B stated there were thirty (30) children present, but only twenty-nine (29) reflected on the attendance. Staff B reviewed the attendance and found that Child A left at 11:00, two (2) hours prior to the review and had not been signed out, and Child B and Child C arrived at 9:00, four (4) hours prior to the review but had not been signed in. Corrective Action: Submit a program improvement plan that identifies 1) who is responsible for signing children and out of the program, 2) how often monitoring of the attendance is reviewed to ensure documentation has occurred, and 3) how attendance requirements have been reviewed with staff to include if off site and a child is dropped off or dismissed from an alternate location.”

Correction date in the state record: Aug 30, 2023

Regulation 11.8: The following shall be maintained in good condition: * roofs * chimneys * interior and exterior walls * doors * skylights * windows * floors * ceilings * stairways * ramps * porches * gates

“Three (3) large holes were observed in the sheetrock in the first classroom upon entering the building. The tile in the art room was found with broken pieces, and tape residue on the floor resulting in dirt, hair and grime being collected on and around those sections. Corrective Action: Ensure the sheetrock holes and art room floor is repaired. Develop a plan to maintain the building as outlined by this rule, to include monitoring areas of concern, creating a timeframe for corrections, and blocking children's access to areas that are compromised.”

Correction date in the state record: Aug 30, 2023

Regulation 10.9: Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

“Upon request to see the evacuation drill log, Staff B provided it and confimed the last evaucation drill was done in February 2023. Staff B was asked if it was the last one documented but the program continued to do them monthly or if it truly was the last drill done; they confirmed it was the last drill done. Corrective Action: For the months of August 2023 through December 2023 complete an additional evacuation drill along with the required monthly drills due those months. Identify the person who is responsible for initiating and documenting drills.”

Correction date in the state record: Aug 30, 2023

Regulation 5.4: Afterschool Child Care Program Staff that work in the Afterschool Child Care Program are required to have at least one of the following within the first year of employment: * Vermont Afterschool Foundations Certificate or * Vermont Afterschool Essentials Certificate or * Vermont On-the-Job Training Certificate or * Vermont Afterschool Professional Credential or * Vermont Program Director Credential or * Vermont Teacher Licensure or * BA/BS or Associates degree

“Upon review of staff BFIS accounts, on-site files, and confirmation from Staff A, it was determined that Staff C has been employed at the program since December 1, 2022 and has not obtained qualifications as Program Staff within the one (1) year of employment. Corrective Action: Submit a program improvement plan that identifies 1) how Staff C will be used at the program until qualifications are met, 2) the education plan and timeline for Staff C to meet this rule, 3) the system that is used to ensure that within one (1) year of employment staff meet qualifications to this rule if not met upon initial hire, 4) the system to ensure staff with a plan to meet this rule within one (1) year of employment are on track to ensure qualifications are met, and ultimately obtained by the required date.”

Correction date in the state record: Aug 30, 2023

Regulation 16.9: The written aquatic safety plan shall include: * an assessment of each child's swimming ability, performed by a person who holds a valid American Red Cross Water Safety Instructor certificate or current certificate issued by an approved certifying agency providing for equivalent levels of training. * a system whereby each child's designation of swimmer or non-swimmer shall be predetermined, documented and on file. When all bathers are in water less than waist deep on them, swimming ability assessment is not required. * a system whereby non-swimmers are restricted to areas where the water is less then waist deep on them (except for learn to swim programs or when shallow water is in a non-swimming area). * the emergency plan should a child be missing or in distress in the water. The plan shall include supervising children during times of emergency.

“Staff B stated the group was intending to go to the town pool upon arrival. Staff B was asked where the aquatic plan was; they stated in the handbook. When asked if swimming assessments had been done for children, Staff B stated yes. When asked where that was documented, Staff B stated they didn't dcoument the determination of swim assesments. When asked how they confirm each child had one (1) completed, Staff B stated they rely on their memory. Corrective Action: Discontinue swimming until the program has an approved aquatic plan and a system to establish and document swim assessments for each child participating in swimming. Submit the complete aquatic plan outlined in 16.8 and 16.9 to Licensor [name] for review, including the information that will be maintained on site and any location where swimming activities occur.”

Correction date in the state record: Aug 15, 2023

Regulation 11.14: The Licensee shall ensure garbage, recycling and compost is not allowed to exceed the limits of its container and is removed from rooms used by children at least once the container is full, if it develops an odor, or presents some other health or safety risk.

“Near the exit at the back of the building but within the space care is provided, were recycling bins with cardboard exceeding the amount the bin would hold, preventing the tops from closing. Additional cardboard was placed on top of the bin leaning against the wall. Corrective Action: Remove all recycling from the building and develop a system to ensure compliance to this rule is maintained.”

Correction date in the state record: Aug 30, 2023

Regulation 5.14: The licensee shall ensure that no person shall be left alone with children without approval from the Division which shall be based on the results of the background check to include fingerprinting.

“Staff C was observed in an office alone with a child. Staff C had not been cleared to be alone with children, pending the results of fingerprinting. Staff A stated that staff are informed if they are unable to be alone with children and they should have not been alone. Corrective Action: Ensure staff who are not cleared to be alone with children are not until cleared to do so. Submit a program improvement plan that includes 1) reviewing this rule with staff, 2) confirming with each staff member whether they've been cleared to be alone with children, 3) developing a plan if staff are in a situation that would have them be alone with children or with another staff member who hasn't been cleared to be alone with children, 4) ensuring staffing patterns are adjusted with knowledge of who has the ability to be alone with children and who doesn't.”

Correction date in the state record: Aug 30, 2023

Regulation 11.3: The facility shall provide a pleasant, safe, and clean, environment suitable for children.

“Floors throughout the program were found with dirt, paper, and other debris. Walls were found with dirt and grime. The refrigerators were found with food particles, and dried on substances. Corrective Action: Ensure the floors, walls and refrigerators are cleaned and maintained as required.”

Correction date in the state record: Nov 2, 2022

Regulation 15.11: Refrigerated foods shall be labeled and dated.

“A bowl of canned fruit, a tray of pasta, and a ziploc bag of stuffing were found in the kitchen refrigerator without labels or dates. Corrective Action: Ensure all refrigerated foods are labeled and dated. Develop a system to ensure this occurs and is monitored for ongoing compliance.”

Correction date in the state record: Nov 2, 2022

Regulation 10.9: Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

“Staff A confirmed the last drill was conducted in August 2022; that one (1) had not been completed in September 2022. Upon review of the evacuation drill log, it was found that three (3) lock down drills were conducted in months that evacuation drills had not been but were required. Corrective Action: Ensure that evacuation drills are conducted monthly as required by this rule.”

Correction date in the state record: Oct 27, 2022

Regulation 13.3: Devices that diffuse or emit airborne chemicals, such as anti-pest strips, ozone generators, plug-in air fresheners, nail polish, nail polish remover, and aerosol sprays shall not be used in the Afterschool Child Care Program.

“Four (4) plug in air fresheners were located in rooms throughout the program. Corrective Action: Ensure all air fresheners are removed and devices as stated in this rule are not permitted.”

Correction date in the state record: Oct 27, 2022

Regulation 18.79: The Licensee shall maintain a current list of the Licensee or Designee, Staff, and Volunteers, as applicable in BFIS. Any changes shall be reported through BFIS within five working days of the change.

“Upon review of the Associated Parties list with Staff B, it was determined that three (3) staff and three (3) volunteers were no longer associated with the program. Some of these individuals left the program back in August 2022. Corrective Action: Ensure that the associated parties list is updated within five (5) days of changes occurring.”

Correction date in the state record: Nov 2, 2022

Regulation 11.8: The following shall be maintained in good condition: * roofs * chimneys * interior and exterior walls * doors * skylights * windows * floors * ceilings * stairways * ramps * porches * gates

“Carpet throughout the program had exposed rips and tears. An outlet cover near the front bathrooms was missing a protective cover. Baseboard trim was missing in the dining room near the front windows. A floor radiator cover found in the main room up front was found bent. Corrective Action: Ensure all identified areas are corrected/repaired. Develop a system on who will monitor the program to ensure compliance to this rule is met.”

Regulation 15.4: Kitchen facilities shall be maintained in a sanitary condition, free of dust, insects and other contaminants.

“The kitchen was found to have cooked pasta, crumbs, and brown substances on the floor, green beans in the sink, spills and substances in three (3) refrigerators, and crumbs on the counter. Observations were made prior to meal preparation for the day, and Staff A confirmed that the floors had not been cleaned from the previous day. Corrective Action: Ensure counters, floors, and appliances are cleaned as required. Develop a system to ensure compliance to this rule.”

Correction date in the state record: Apr 27, 2021

Regulation 18.77: Within six months of the initial date of employment, Staff working with children and the Site Director and/or Program Administrator 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 Section 5 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“Upon review of staff BFIS Quality and Credential accounts, they were found to be incomplete. Six (6) staff who have been employed for six (6) months or longer, had one (1) or more documents missing in their BFIS account. Corrective Action: Ensure all staff required to have an up-to-date BFIS account have submitted documentation to Northern Lights at CCV. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 11, 2021

Regulation 5.31: Orientation training shall be conducted for every employee before they are left alone with children. This training shall be documented and shall cover material included in the Staff handbook and licensing regulations. 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 and child guidance; * Curriculum development policies and responsibilities; * Supervision of children; * Policies and procedures for reporting a missing child; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Requirements for administration and storage of medication; * Emergency Response Plan and emergency procedures, including: staffing emergencies, school closings, evacuation plans such as site evacuations in case of national or environmental emergency, lock-down procedures, responding to a sick or injured child and medical emergencies; * Use of fire extinguishers; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping, including daily attendance procedures; * Transportation and child passenger safety; * Off-site activities (field trips) * Release of children; * Respectful engagement of families, including daily communication with parents about their child's activities; * 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; * Responsibility to comply with current applicable licensing regulations; * Staffing plans and definitions of related duties to include opening and closing procedures; * Afterschool Child Care Program licensing regulations; * Employee complaint and grievance procedures; and * Assuring children have extra clothes and diapers available.

“Upon review of staff BFIS Quality and Credential accounts, and on-site files, it was determined that two (2) staff had not completed the required Orientation training, to include the Protecting Vermont's Children: Reporting Abuse & Neglect training. Corrective Action: Ensure all staff complete Orientation prior to working with children.”

Correction date in the state record: May 11, 2021

Regulation 5.39: Within six months of hire, all paid Staff counted in the staff/child ratios shall have obtained CDD-approved training in infant/child CPR and basic first aid for children, injury prevention and emergency readiness. All Staff shall receive retraining in first aid prior to the expiration date on each Staff person's first aid card.

“Upon review of staff BFIS Quality and Credential accounts, and on-site files, it was determined that four (4) staff had not completed CPR/First Aid training. Corrective Action: Ensure all staff required to complete CPR/First Aid training do so. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 11, 2021

Regulation 5.12: The licensee shall ensure that all new staff prior to working with children in the Afterschool Child Care Program; and any new individual designated as the representative of the licensee shall submit a Records Check Authorization form to the Division and shall submit to fingerprinting at a location designated by the Division after having received the Fingerprinting Authorization Certificate by the Division.

“A review of the associated parties list revealed that staff David Woolby was not listed, He has been at the program since August. David stated he had sent it in September but did not follow up to see if he was added to the associated parties list. David does not work directly/alone with children. Corrective Action: Provide Licensor [name] a written description of a system that will be used to ensure that the program follows up in their BFIS account that all new staff members are added after a background authorization form is submitted to the Division. David has since sent in his background authorization form and has submitted to the required fingerprinting.”

Correction date in the state record: Jan 22, 2021

Regulation 5.14: The licensee shall ensure that no person shall be left alone with children without approval from the Division which shall be based on the results of the background check to include fingerprinting.

“Upon arrival at the program, Staff A and B were in separate classrooms with children. Upon review of the associated parties list, it was found that Staff B was not reflected, but through follow up with the Licensing Technician, it was confirmed that Staff B's background check had been received and was being processed. Additionally, Staff A and B confirmed they had not completed the fingerprinting process. No other staff were present at the program who had completed the fingerprinting process. Corrective Action: Staff A and B must complete the fingerprinting process by 12/10/2019. Develop a system to ensure all staff required to complete fingerprinting does so as required by this rule, and are not left alone with children until approval of the Division, pending the results of the fingerprinting process.”

Correction date in the state record: Dec 10, 2019

Regulation 5.28: The Licensee is required to maintain an accurate record of Staff schedules and assignments for all Staff including substitutes.

“Documentation of staff schedules and assignments were requested. Staff A indicated that staff arrival and departure times are reflected on their time card, and that documentation of which group of children they work with at any point during their shift is not tracked by the program. Upon review of the time cards, it was found that staff arrival and departure times is the only information reflected. Corrective Action: Develop a system that accounts for staff arrival, breaks, and departure. Ensure this system tracks which group of childen staff are assigned to at any given time.”

Correction date in the state record: Dec 10, 2019

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“Upon arrival, Volunteer A was found working in a classroom with Staff A. Upon review of the Associated Parties list, it was found that Volunteer A was not listed. Confirmation was received from the Licensing Technican, that a background check for Volunteer A had not been received by the Division. Volunteer A stated that he has worked at the program weekly since the end of August, beginning of September. Corrective Action: Prior to working again at the program, Volunteer A must submit a background check to the Divison. Develop a system to ensure anyone regularly present at the program submits a background check to the Division prior to working with children.”

Correction date in the state record: Nov 26, 2019

Regulation 10.8: The licensee 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 licensee will address and manage the following situations and responsibilities: * Evacuations of the building for fire or other emergencies such as lockdown situations and sheltering-in-place; * 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 Afterschool Child Care Program 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 plan for handling children with special needs; * An established evacuation meeting location within walking distance of the Afterschool Child Care Program; * Responsibility to account for all children and staff at the evacuation meeting place; * An established plan for relocation if necessary including safe transportation; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“Provider A was asked for the programs emergency response plan. Provider A gave Licensor [name] two documents; Workplace Safety Program- Tips & Considerations, and the Boys & Girls Club of Rutland County Workplace Safety Program. Neither document meets the requirements for an emergency response plan. Corrective Action: Modify the Workplace Safety Program to include the required components of this regulation. Be sure that all staff are familiar where the plan is located and what their responsibilities of the plan include. Be sure parents know the pertinent information of this plan. Submit the completed document to Licensor [name].”

Correction date in the state record: Mar 1, 2020

Regulation 4.7: The following written information shall be provided to parents and prospective parents; for example, in a handbook or other format such as website access: * typical daily schedule * check-in and check-out attendance procedures * pick-up/drop-off policies; including releasing of children to authorized persons * description of the Afterschool Child Care Program which identifies the philosophy on goals for children and families * description of religious activities, if any * schedule of fees and payment plans * statement allowing parental access to the facility, their child's records and the Staff * explanation of program confidentiality policies * a policy regarding inclusion and exclusion of ill children in the Afterschool Child Care Program * a policy regarding storage and administration of medications * policies related to the inclusion of children with special needs and disabilities * policy regarding the reporting of suspected child abuse and/or neglect * policies for reporting a missing child * description of how to access and view these regulations and Division Afterschool Child Care Program information at: http://dcf.vermont.gov/cdd * requirements for maintaining accurate and up-to-date immunization records * offsite activity (field trip) policies * if offered, swimming activities policies * parent involvement opportunities * no smoking policy * relevant information about the program's Emergency Response Plan including communication and meeting site information * procedure on what to do in the case of a general emergency such as a school closing, etc. * policy regarding excluding persons whose presence is prohibited by these regulations * policy regarding use of pesticides as part of a least toxic integrated pest management policy * information concerning complaint procedures regarding the welfare of children and the Child Care Consumer Line telephone number

“Upon review of the parent handbook, it was noted that eighteen (18) required components of this regulation were either missing or incomplete. Corrective Action: Revise the parent handbook to include all required information parents should be provided. Submit the final draft to Licensor [name].”

Correction date in the state record: Aug 19, 2019

Regulation 5.11: The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

“Upon review of the Associated Parties list, Staff A stated that Staff B was not listed. Corrective Action: Submit a background check for Staff B. Develop a system to ensure that a background check is submitted to the Division for any future staff prior to working in the program.”

Correction date in the state record: Jul 19, 2019

Regulation 15.16: Utensils shall be covered or inverted in a container when not in use.

“Utensils used by the program were located in rectangle baskets on the counter. Those utensils were placed flat in the baskets, and were not covered. Corrective Action: Effective immediately, store utensils in an inverted container or cover when not in use.”

Correction date in the state record: Jul 15, 2019

Regulation 5.22: The Licensee shall maintain hard copy or accessible electronic records for each Staff person, including: * start date * job title * record of education, training, and experience that demonstrates how the Staff member meets the required qualifications for the position * signed and dated statement(s) indicating that the employee has read and understands the Licensing Regulations for Afterschool Child Care Programs * current and dated Individual Professional Development Plan (IPDP) * a copy of the current First Aid and CPR training cards from either the American Red Cross or American Heart Association or other recognized organization(s), as required * a signed and dated statement verifying understanding of the legal requirement to report suspected child abuse or neglect.

“Upon review of staff files it was noted that the following items were missing: documentation supporting education, training, and experiene required to meet qualifications, a signed and dated statement that employees have read and understands the Licensing Regulations for Afterschool Childcare Programs, IPDP's, and a signed and dated statement verifying staff's understanding of the legal requirement to report suspected child abuse or neglect. Corrective Action: Review staff files and ensure they are complete. Some of the required components must be reflected in staff's Bright Futures account.”

Correction date in the state record: Aug 14, 2019

Regulation 11.3: The facility shall provide a pleasant, safe, and clean, environment suitable for children.

“Observations were made of the program space. The art room floors had a build up of dirt in the corners, and sticky substances on the floors. The tables used by children at the program had sticky substances and smears on them. The freezer in the art room had brown streaks down the front and sides of it. The washing machine and dryer in the art room had a blue substance on the tops and sides. In the game room there was a build up of dust on the window sills, and on the bases of desks and standing fans. A wall in the game room had a hole in the sheetrock approximately four (4) inches deep. Walls throughout the program had smears and stains. Corrective Action: Develop a system to ensure cleaning, sanitizing, disinfecting, repairs, and maintenance occurs as regulations require to ensure that the building and it's equipment is safe and sanitary. Advise Licensor [name] of the sytem created to ensure compliance.”

Correction date in the state record: Sep 20, 2019

Regulation 18.79: The Licensee shall maintain a current list of the Licensee or Designee, Staff, and Volunteers, as applicable in BFIS. Any changes shall be reported through BFIS within five working days of the change.

“While reviewing the Associated Parties list with Staff A, it was found that nine (9) out of the sixteen (16) people listed in the program's BFIS account, were no longer working at the program. Of the remaining staff, three (3) staff were listed with incorrect titles. The associated parties list did not list Staff B. Corrective Action: Update the Associated Parties list by entering end dates for those listed who no longer work at the program. Advise Licensing Technician [name] of title changes for any staff not listed for the position they serve.”

Correction date in the state record: Aug 19, 2019

Regulation 11.15: Reasonable efforts shall be made to keep the center free of insects and rodents.

“Ants were observed in the art room near the window. The ants were concentrated on a substance near the base of the heater, but were observed spreading out approximately three feet from that area. Mouse droppings were found in a kitchen cupboard where pots and pans used for the program are stored. Corrective Action: Remedy the ants and rodent droppings and advise Licensor [name] of the measures taken. Be certain the program adheres to regulation 5.10.1.9 when remedying this concern.”

Correction date in the state record: Aug 19, 2019

Regulation 5.31: Orientation training shall be conducted for every employee before they are left alone with children. This training shall be documented and shall cover material included in the Staff handbook and licensing regulations. 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 and child guidance; * Curriculum development policies and responsibilities; * Supervision of children; * Policies and procedures for reporting a missing child; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Requirements for administration and storage of medication; * Emergency Response Plan and emergency procedures, including: staffing emergencies, school closings, evacuation plans such as site evacuations in case of national or environmental emergency, lock-down procedures, responding to a sick or injured child and medical emergencies; * Use of fire extinguishers; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping, including daily attendance procedures; * Transportation and child passenger safety; * Off-site activities (field trips) * Release of children; * Respectful engagement of families, including daily communication with parents about their child's activities; * 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; * Responsibility to comply with current applicable licensing regulations; * Staffing plans and definitions of related duties to include opening and closing procedures; * Afterschool Child Care Program licensing regulations; * Employee complaint and grievance procedures; and * Assuring children have extra clothes and diapers available.

“Upon review of the staff handbook it was noted that twenty-four (24) of the twenty-nine (29) required components are not reflected. Five (5) of the components are insufficient; supervison of children, policies and procedures for reporting a missing child, preventing, reporting and recognizing child abuse and neglect, guidelines for volunteers, and staffing plans and definitions of related duties to include opening and closing procedures. Corrective Action: Revise the staff handbook to include all components of this regulation. Send Licensor [name] a copy of the updated staff handbook.”

Correction date in the state record: Aug 19, 2019

Regulation 13.15: Hard floors and carpets shall be cleaned at least daily. Carpets shall be vacuumed daily. Carpets shall be hot water extracted at least twice per year.

“In an office utilized by the program there is a massive amount of mouse and rat droppings upon the floor, on a desk surface, inside a desk drawer, and on shelving. Also, upon the same floor is a pile of food consisting of saltine crackers, candy corn, popcorn seeds, and uncooked pasta. Program staff report the office space has not been cleaned for weeks as they just haven't gotten around to cleaning this room. There are mouse droppings on the floor in an art room and behind the refrigerators located in the dining space. Corrective Action: The flooring in the program shall be cleaned daily. A written daily cleaning schedule shall be developed and maintained to ensure the program flooring is routinely cleaned. It is highly recommended that the cleaning schedule is posted for all staff members to view.”

Correction date in the state record: Nov 18, 2016

Regulation 11.15: Reasonable efforts shall be made to keep the center free of insects and rodents.

“In an office utilized by the program there is a massive amount of mouse and rat droppings upon the floor, on a desk surface, inside a desk drawer, and on shelving. The same floor has a large size rodent trap and a pile of food consisting of saltine crackers, candy corn, popcorn seeds, and uncooked pasta. Program staff report the office space has not been cleaned for weeks as they just haven't gotten around to cleaning this room. The program identified there was a rat problem as they had trapped four rats, yet, they had not cleaned the food source where it was believed they were eating.There are mouse droppings in the art room, in boxes of food that are upon a shelf and behind the refrigerators located in the dining area. Corrective Action: Immediately clean and disinfect all interior areas of the program. It is required to hire an exterminator to trap the rodents and to conduct preventative measures to eliminate further infestation. A written plan shall be reviewed and approved by the City of Rutland's Health and Building Inspector. and forwarded to this licensor for review.”

Correction date in the state record: Nov 18, 2016

Regulation 15.4: Kitchen facilities shall be maintained in a sanitary condition, free of dust, insects and other contaminants.

“A staff member reports she has cleaned rat traps in the program's kitchen sink. This is the same kitchen sink utilized for food preparation for the children. Corrective Action: Immediately discontinue cleaning rodent traps in the kitchen sink to prevent the possible spread of viruses and/or disease.”

Correction date in the state record: Nov 14, 2016