Brookside Primary School

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes. Licensees of a CBCCPP located within a public or independent school building may count a lock-down drill performed while the CBCCPP is in operation in place of a monthly evacuation drill with the CBCCPP children and staff and at least three (3) of the monthly drills conducted within 365 days shall be evacuation drills.

“The evacuation drill log noted that a drill was completed in October 2025. No drills were documented for September, November, and December 2025. Discussion with staff confirmed that drills were not done in those months. Corrective Action: Complete one (1) evacuation drill per week until 2/9/2026. Send documentation of completed drills to licensor. Develop a plan to ensure evacuation drills are completed every month.”

Correction date in the state record: Feb 2, 2026

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“During an annual compliance visit conducted on 03/20/2023, a violation was cited as eight (8) individuals listed on the program's BFIS staff list had not yet completed the required mandated reporter training and two (2) of those staff were witnessed to be left alone with children during that visit. Corrective action assigned for that violation required that all eight (8) staff complete the required mandated reporter training in a timely manner. As part of that corrective action, the program was also required to submit a plan for coming into compliance and remaining in compliance with this rule moving forward. As of 06/05/2023, the Division had not yet received this corrective action. While the director was able to provide documentation reflecting that seven (7) of those staff had completed the required training during this follow-up compliance visit on 06/05/2023, the Director was not able to provide documentation that one (1) of the eight (8) staff members had completed the madated reporter training as required by this rule and the assigned corrective action. On 06/05/2023, the Director submitted an incomplete corrective action plan for the original violations cited on 03/20/2023. This plan did not include required information about a system for tracking the completion of required trainings by newly hired staff, ensuring staff are not left alone with children until this training is completed, and remaining in compliance moving forward. This is a repeat violation. Corrective Action: On 06/06/2023, the Director submitted the mandated reporter training certificate of completion with a completion date of 06/06/2023 with a cover sheet to Northern Lights at CCV. This satisfies the requirement for all current staff to complete the required mandated reporter training. As the corrective action plan submitted on 06/05/2023 did not satisfy the corrective action assigned for the original violation cited for the site visit on 03/20/2023, develop a system which ensures that all newly hired staff take the required mandateed reporter training in a timely manner and prior to working with children and submit the documentation of completion to Northern Lights at CCV in a timely manner moving forward. Include in the system, details of: 1. what ystem will be utilized to track the progress of completing required trainings for newly hired staff, 2.who will be responsible for maintaining the system, 3. who will be repsonsible for making staff aware of and ensuring staff follow-through with the requirement to complete the training prior to working alone with children and submit the documentation of completion to Northern Lights at CCV in a timely manner, 4. the timeframe staff will be given to complete the training, 5. who will provide oversight and ensure that no staff work with children until they have completed the required training moving forward.”

Correction date in the state record: Jun 14, 2023

Regulation 7.2.4: 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.

“During the visit, Staff A and Staff B were left to supervise 8 children. A review of staff BFIS accounts and staff files reflected that neither Staff A or Staff B had received approval to be left alone with children from the Division based on the results of the fingerprint supported background check. A further review of staff BFIS accounts and staff files reflected that 5 additional staff who had received Finger Print Acquisition letters from the Division between 4 and 11 months prior to the visit, had not yet completed the fingerprinting and/or out of state records check process or received a final clearance letter from the Division. The Director confirmed that these 5 individuals are currently active staff within the program. Corrective Action: Immediately plan to ensure that no staff be left alone with children without having recevied approval from the Division based on the results of a fingerprint supported background check. Immediately ensure that all current staff complete all necessary steps of the fingerprint supported background check, including out of state records check as applicable. Develop a system which will prompt you and/or staff members to submit to fingerprinting and/or out of state records checks, as applicable, in a timely manner upon hire and at least once every 5 years thereafter. Include in your system: 1. details of the system that will be utilized, 2. who will be responsible for developing and maintaining the system, 3. how staff will be notified of their responsibility to take the proper steps, 4. who will follow-up with staff and ensure follow-through with the process in a timely manner, 4. who will ensure clear and consistent communication with staff pertaining to when they can and cannot be left alone with children moving forward.”

Correction date in the state record: Jun 6, 2023

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“A review of staff BFIS quality and credential accounts and staff files reflected that a total of seven auxiliary staff and one classroom assistant had not yet completed the required mandated reporter training. The 8 staff have been employed with the program between 4 and 20 months. Corrective Action: Immediately plan to have the 8 staff complete the required mandated reporter training; Protecting Vermont's Children: Reporting Abuse and Neglect, and submit their documentation of completion with cover sheets to Northern Lights at CCV(NLCCV). The required training can be found on the Divsion's website: dcf.vermont.gov. Follow the path: Divisions>Child Development Division>Providers>Professional Development. The NLCCV cover sheet may be found on the NLCCV webpage: northernlightsccv.org. Develop a system which ensures that all newly hired staff take the required mandated reporter training in a timely manner and prior to working with children and submit the documentation of completion to NLCCV in a timely manner moving forward. Include in the system the details of: 1. what system will be utilized, 2. who will be responsible for maintaining the system, 3. who will be responsible for making staff aware of the requirement and ensuring staff follow through with the requirement, including NLCCV submission, in a timely manner, 3. the timeframe staff will be given to complete the training, 4. who will ensure that no staff work with children until the required training is completed moving forward.”

Correction date in the state record: Jun 6, 2023

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“A review of staff files and staff BFIS quality and credential accounts reflected that 7 staff had not yet completed the required mandated reportert training, "Protecting Vermont's Children: Reporting Abuse and Neglect". The director confirmed that there was no documentation of the 7 staff members completing the required training. 3 of the staff members are in positions which lend to being left alone with children. Corrective Action: Immediate plan to have all staff complete the reqired mandated reporter training and submit the documentation of completion with cover sheets to Northern Lighst at CCV. Develop a system which will prompt you to have all newly hired staff and auxiliary staff complete the required mandated reporter training prior to working with children moving foward.”

Correction date in the state record: Apr 29, 2022

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. 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; Supervision of children; Child accident and injury procedures including building and physical premises safety; Safe sleep practices; Administration of medication requirements; Emergency and evacuation requirements; Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; Recordkeeping; Transportation and child passenger safety; Release of children; Respectful engagement of families; 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, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“A review of staff files and staff BFIS quality and credential accounts reflected that the Director, Staff B, Staff G and Staff H had not yet completed an approved orientation training. All staff listed hold positions which lend themselves to being left alone with children and/or counted in ratio. Two (2) of the staff were present, counted in ratio and left alone with children during the visit. Corrective Action: Immediately plan to have the Director, Staff B, Staff G and Staff H complete an approved orientation training and submit the documentation of completion to NLCCV. Develop a system which will prompt you to have all newly hired staff complete an approved orientation training prior to working with children moving forward.”

Correction date in the state record: Apr 29, 2022

Regulation 3.4.7.3: Within six (6) months of the initial date of employment; staff and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations, and the program director 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 sections 7.3 and 7.4 of these regulations shall be submitted to Northern Lights at CCV to be verified and maintained in BFIS.

“A review of staff BFIS Quality and Credential accounts reflected that multiple documents had not been submitted to Northern Lights at CCV as required. The documents which had not been submitted as of the visit on 03/31/2022 are; 1. Documentation of current CPR and first aid certifications for Staff E, G and H, 2. Documentation of position qualifications for the Director, Staff B, G, and H. As a result, CPR and first aid certifications and staff qualifications for the Director and 3 staff members could not be assessed. All staff listed have worked with the program for at least 6 months. Corrective Action: Immediately plan to submit all required staff documentation with cover sheets to Northern Lights at CCV. If you need assistance with document submission, you may reach out to your Northern Lights at CCV Resource Advisor, [name], at 802-828-0621 or joanne.rouleau01@ccv.edu. Develop a system which will ensure the timely submission of required staff documentation moving forward. Include in your system, the details of 1. How completion of required staff trainings will be tracked and overseen, 2. How staff will be made aware of the requirement to complete trainings and submit documentation, 3. Who will be responsible for tracking, collecting and submitting staff documentation to NLCCV, 4. How that person will hold staff accountable to completing trainings and submitting documents, 5. Who will be responsible for continued communication with NLCCV until such a time when all submitted documents are accurately reflected in staff accounts, 6. Who will ensure that staff are not left alone with children until such a time when all required trainings and certifications have been completed and submitted as required.”

Correction date in the state record: Apr 29, 2022

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“A review of staff BFIS quality and credential accounts and staff files reflected that Staff A, B, C, D, E, F, and H, had not yet taken the required mandated reporter training. School personnel stated that while all staff members had taken a district wide training on mandated reporting, these staff had not taken the training required by the Child Development Division. Corrective Action: Immediately plan to have Staff A, B, C, D, E, F, and H complete the required mandated reporter training and submit the document of completion to Northern Lights at CCV with a cover sheet. The link to the training can be found on the Child Development Division's website, dcf.vermont.gov. Follow the path: Our Divisions> Child Care for Providers> Professional Development> Required Trainings. Develop a system which will prompt you to have all newly hired staff, including auxiliary staff, complete the required mandated reporter training in a timely manner moving forward.”

Correction date in the state record: May 24, 2021

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“A review of staff BFIS quality and credential accounts and staff files reflected that Staff E, G, and I did not have current CPR and first aid certificates. CPR and first aid certifications for all three staff members had expired on 03/31/2021. School personnel confirmed that Staff E, G, and I had not renewed their certifications in CPR and first aid. Corrective Action: Immediately plan to have Staff E, G, and I complete approved infant and child CPR and pediatric first aid certifications. If you need assistance finding approved certification courses, you may visit the Northern Lights at CCV webpage: Northernlightsccv.org, or reach out to your Northern Lights at CCV resource advisor, [name], at(802) 828-0621 or joanne.rouleau01@ccv.edu. Develop a system which will prompt you and/ or staff members to take infant and child CPR and pediatric first aid certification courses in a manner which ensures staff remain currently certified moving forward.”

Correction date in the state record: May 24, 2021

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. 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; Supervision of children; Child accident and injury procedures including building and physical premises safety; Safe sleep practices; Administration of medication requirements; Emergency and evacuation requirements; Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; Recordkeeping; Transportation and child passenger safety; Release of children; Respectful engagement of families; 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, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“A review of staff BFIS quality and credential accounts and staff files reflected that Staff E, G and I had not yet completed an approved orientation training. School personnel confirmed that these staff members had not yet completed an approved orientation training. Corrective Action: Immediately plan to have Staff E, G, and I complete an approved Orientation Training and submit the documentation of completion with a cover sheet to Northern Lights at CCV. The Vermont Orientation Training offered by Penn State's Better Kid Care, is one option for an approved orientation training. The link to this training can be found on the Child Development Division's website: dcf.vermont.gov. Follow the path: Our Divisions> Child Care for Providers> Professional Development> Required Trainings. Another option would be to create an in-house Orientation training template and submit it to this licensor for approval. Once approved, each staff member shall be trained using the approved template and a document of completion, signed by the trainer, shall be kept in the staff's file and sent to Northern Lights at CCV with a cover sheet. Develop a system which will prompt you to have all newly hired staff complete an approved orientation training in a timely manner and prior to working alone with children moving forward”

Correction date in the state record: May 24, 2021

Regulation 3.4.6.1: The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and 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 evacuation drill log reflected that evacuation drills were performed every other month. Corrective Action: Immediately plan to perform evacuation drills every month. Create a system that will prompt you to perform evacuation drills each month, including months when the rest of the school only practices secure the school drills.”

Correction date in the state record: Jul 18, 2019

Regulation 5.2.3.5: The hand washing sink used for toileting and diapering shall be conveniently located near the toileting and diapering areas. This sink shall not be used for food preparation and shall meet requirements in the rule 5.2.1.5 of these regulations.

“There were dishes in dish drainers and dish washing liquid beside the hand washing sinks used for toileting in each classroom. Director stated that these sinks are sometimes used to wash dishes. Corrective Action: Immediately discontinue using these sinks for washing dishes that will be used for food or drink. Develop a system for washing dishes in a dish washer or in a separate sink using the four step procedure listed in rule 5.10.2.2.4.”

Correction date in the state record: Jul 18, 2019

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment, the licensee shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“Reviewed children's files did not include a General Health Exam document signed by a pediatrician. Corrective Action: Immediately plan to collect a general health exam document which has been signed by a pediatrician for each currently enrolled child. Create a system that will ensure that general health exam documentation is obtained within 45 days of enrollment for each newly enrolled child.”

Correction date in the state record: Jan 14, 2025

Regulation 5.10.2.3.1: The CBCCPP shall have a refrigerator to keep perishable foods at 40*F or colder and a freezer to maintain frozen food at 0*F or colder. Food stored in the refrigerator, including lunch boxes, shall be stored in a manner that allows the free circulation of cool air. All refrigerated foods shall be covered.

“During lunch, it was observed that children's lunch boxes were stored with ice packs in the children's cubbies. Several lunch boxes were observed to contain perishable foods such as meats, yogurts and cheeses. Corrective Action: Immediately plan to store all perishable foods in a refridgerator that maintains a temperature below 41 degrees Fahrenheit. Develop a system for ensuring that all perishable foods in children's lunch boxes are labelled and stored in the refridgerator.”

Correction date in the state record: Jul 18, 2019

Regulation 3.4.7.3: Within six (6) months of the initial date of employment, staff working with children and the program director 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 sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“As of 06/04/2019, Staff BFIS Quality and Credential accounts did not reflect current first and and CPR certificates or qualifying documentation, such as VT Teacher's License and/or college transcripts. Corrective Action: Immediately plan to gather documentation of current CPR and first aid certifcation, Qualifying documentation and VT Teacher's License and/or transcripts as applicable for each staff member listed on the program's associated parties list and submit this documentation to Northern Lights at CCV. Create a system which will prompt you to gather this documentation for each new staff member and any updated documentation for current staff members as necessary and to submit it to Northern Lights at CCV to ensure that BFIS Q & C accounts remain up -to- date.”

Correction date in the state record: Jan 14, 2025