Carrie Camara

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.

“Professional Development documents and First Aid/CPR certification documentation was available on site but had not been sent to Northern Lights for entry into BFIS. This is a repeat violation. Corrective Action: Ensure that all certificates of completion for professional development and training are submitted to Northern Lights for entry into BFIS. Notify sarah.crosier@vermont.gov when all current documents have been submitted. Create a plan to ensure that documentation will be submitted to Northern Lights in a way that maintains up to date BFIS accounts. Send this plan to sarah.crosier@vermont.gov for review. Status: Appeal Period.”

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.

“Record checks and fingerprints for two staff expired on 8/24/2025 and were not updated. Additionally, a household member remains on the associated parties list and has not completed fingerprinting as required. Corrective Action: Provider was required to complete the record check form on site and was issued a fingerprint authorization certificate that day. She was then required to complete fingerprinting within 7 days and send a copy of the receipt to this licensor, which was done. The additional two individuals must send up record check authorization forms by 4/27/2026 and complete subsequent fingerprinting or be removed from the associated parties list by 5/11/2026. Provider shall send fingerprint receipts to sarah.crosier@vermont.gov by 05/12/2026 or send an email noting that the parties have been removed from the associated parties list by 5/12/2026. Status: Appeal Period.”

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.

“Staff A does did not have documentation of current first aid/CPR in BFIS, it was not available on site and it was not provided in the weeks following the site visit. Corrective Action: Ensure that Staff A completes a first aid/CPR training to become current. Submit the completion certificate to Northern Lights for entry into BFIS and provide a copy to sarah.crosier@vermont.gov. Develop a plan to ensure that all staff maintain up to date first aid/CPR training. Status: Appeal Period.”

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“Neither staff member had submitted professional development hours to Northern Lights for entry into BFIS. Provider showed documentation of completing 8 hours on site, and did not provide any additional documentation of completed professional development following the visit for any staff. Corrective Action: Provider will complete 7 hours of professional development by 5/11/2026. Staff A will complete 15 hours of professional development by 5/11/2026. Both will submit copies of the completion certificates to Northern Lights for entry into BFIS accounts and will send a copy of the certificates to sarah.crosier@vermont.gov for verification. Both staff will complete an additional 15 hours of professional development for the current review period. Develop a plan to ensure that at least 15 hours of professional development is completed by each staff member annually by their unique anniversary date. Status: Appeal Period.”

Regulation 5.1.4: The FCCP shall submit a Vermont Child Care Immunization Report at least once every 365 days to the Vermont Department of Health, Immunization Office as required by 18 V.S.A. SS 1120 - 1129.

“The required annual immunization survey was not submitted to Vermont Department of Health by midnight on 12/31/25. Initial notification of this requirement was sent the beginning of November, with reminders provided weekly, then daily, closer to the due date. Corrective Action: You must submit the past due 2025 annual immunization survey to Vermont Department of Health by midnight on 1/14/26. Failure to submit this survey will result in further regulatory action. Additionally, submit a statement to Kristy.Haapala@vermont.gov indicating who will be responsible for submitting this survey in the future.”

Correction date in the state record: Jan 20, 2026

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.

“A violation to this rule was cited on 4/10/2025 with a corrective action due date of 5/20/2025. An email was sent to the program on 6/19/2025 requiring all outstanding corrective action to be completed by 6/25/2025. Two items were resolved, but at this time, no documentation has been received to show that the fire extinguisher has a current inspection tag. or that a new extinguisher was purchased and mounted with the receipt as documentation. Corrective Action: Ensure that the steps are taken to come into compliance with this regulation. Send a photo of the current or new fire extinguisher with readable tag or receipt.”

Correction date in the state record: Jun 30, 2025

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.

“First Aid/CPR documents and professional development documents were observed on site for both staff that were not in BFIS and had not been submitted. Corrective Action: Immediately send all exisiting documents to Northern Lights for entry into BFIS accounts. Copy sarah.crosier@vermont.gov on the emails to Northern Lights. Create a system to ensure that all documentation is sent to Northern Lights in a timely manner that allows for all BFIS accounts to be up to date.”

Correction date in the state record: Apr 28, 2025

Regulation 5.11.1.1: The FCCP shall develop and implement a written policy concerning meals and snacks. This policy shall be provided to all parents at the time of enrollment as required in the rule 4.7 of these regulations. It shall include: * A description of all food services provided; * Usual time of snacks and meals; * Policies and procedures related to food allergies, religious dietary requirements and other special needs; and * Policies and procedures for safe eating habits.

“The program handbook does not have a written policy regarding meals and snacks. Corrective Action: Update the handbook to include the information that is required by this regulation. Provide a copy of the updated handbook to sarah.crosier@vermont.gov and to the caregivers of all enrolled children.”

Correction date in the state record: Jun 19, 2025

Regulation 2.3.9.5.1: All annual licensing requirements, related background checks, staff qualifications and annual professional development, lead poisoning prevention, insurance, and drinking water testing as specified in the rules in section 2.3.8 of these regulations; and

“Documentation of lead water testing shows that testing was last completed in 2019. In February 2024 a licensing technician provided a link to order renewal testing kits. This testing was not completed. Corrective Action: Reach out to the Vermont Department of Health to request new lead water testting kits by 4/30/2025. Provide documentation of the reach out and confirmation that the request was received by 5/14/2025.”

Correction date in the state record: May 27, 2025

Regulation 5.10.1.2.4: The FCCP shall ensure that each floor of the home, and in the corridor to access the home in an apartment building, has an operating smoke detector as well as a smoke detectors in the immediate vicinity where children sleep. The FCCP shall ensure carbon monoxide monitors are located outside of rooms were children sleep.

“No carbon monoxide detector was present in the child care space. Corrective Action: Ensure that a carbon monoxide detector is present in the space near where children sleep and rest. Send a photo of the detector in the program space to sarah.crosier@vermont.gov.”

Correction date in the state record: Apr 28, 2025

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 was present and properly mounted but was last inspected in 2023. Corrective Action: Ensure that the current fire extinguisher is inspected and receives a current tag showing this OR that a new extinguisher is purchased (and properly mounted) and the receipt for the purchase is attached to show that it is current. Please send a photo documenting the up to date fire extinguisher to sarah.crosier@vermont.gov.”

Correction date in the state record: Jun 30, 2025

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP 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.

“Of the files reviewed, none had the well care exam. This is a repeat violation. Corrective Action: Ensure each child has a well care exam on file.”

Correction date in the state record: May 19, 2023

Regulation 5.11.2.2: The FCCP shall ensure that the meals and snacks provided meet the current USDA/Child and Adult Care Food Program (CACFP) meal pattern requirements that are adjusted according the age of each child.

“A review of the weekly menu found that lunches each day, and the afternoon snack three (3) of the five (5) days did not meet the required meal pattern based on the current USDA/Child and Adult Food Program. Corrective Action: Ensure all snacks and meals meet the current USDA/Child and Adult Food Program. Provide a weeks menu reflecting the current meal pattern requirements.”

Correction date in the state record: Jun 2, 2023

Regulation 5.4.1.1: The FCCP shall ensure that each child, except school age children, has an individual crib, port-a-crib, cot, mat, or bed that is safe for the child's age and development, in good repair, and used by only one child each day. No child shall nap directly on the floor or on furniture not designed for sleeping. Cribs or port-a-cribs shall be used for children under the age of twelve (12) months. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.

“Five (5) children were observed during rest; none of them had a nonporous mat, cot, or bed and were observed resting/sleeping directly on the ground with their own linens. Corrective Action: Ensure each child is provided and uses a nonporous mat, cot or bed during rest time. For children under the age of twelve (12) months ensure a crib or port-a-crib is used for rest/sleep.”

Correction date in the state record: May 10, 2023

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“Provider B did not complete professional development hours between 3/5/22-3/4/23. This is a repeat violation. Corrective Action: Ensure Provider B completes fifteen (15) hours of annual professional development for the period of 3/5/22-3/4/23 in addition to the required hours between 3/5/23-3/4/24. Submit a plan that details how many hours already have been obtained for the current annual period, and what the plan will be to ensure all missing hours have been obtained by 3/4/24.”

Correction date in the state record: Jun 2, 2023

Regulation 5.10.4.5.3: The FCCP shall ensure that the FCCH is kept free from rodent and insect infestation.

“Mouse droppings were observed in the kitchen on top, along the side and behind the refrigerator, as well as in corners of the kitchen along the wall. Mouse droppings were also found in the bathroom along the baseboard. Corrective Action: Remove, clean and disinfect all areas where mouse droppings were found. Ensure mitigation steps are instituted, and that daily checks are done to ensure all mouse droppings are removed and areas disinfected/sanitized until no further evidence of rodents are found.”

Correction date in the state record: Jun 2, 2023

Regulation 6.1.4.4.5: Screen time shall not exceed thirty (30) minutes daily per child or group of children except for school age children using technology to complete homework assignments, and a once per month two (2) hour movie.

“Upon arrival at 12:05 until the end of the visit at 1:05 the television was on and children were observed watching PBS shows. Provider A indicated that the television is provided to children at rest time for those that do not sleep. Corrective Action: Ensure that the allowable television time is adhered to daily.”

Correction date in the state record: Jun 2, 2023

Regulation 5.10.4.5.2: All interior and exterior walls, roofs, chimneys, floors, doors, ceilings, windows, skylights, stairways, ramps and porches shall be maintained in good repair.

“Sixteen (16) ceiling tiles between the kitchen, bathroom, and playroom were found with water stains. One ceiling panel was missing exposing pipes and insulation. One (1) celing light cover was missing directly above where children play. One (1) outlet cover was found broken near where children use headphones. Corrective Action: Replace all damaged/missing ceiling tiles. Install the ceiling light cover over the bulbs currently without one. Replace the broken outlet cover.”

Correction date in the state record: Jul 8, 2022

Regulation 5.2.3.6: The FCCP shall ensure that used disposable diapers are placed in a leak proof bag or container that is washable and has a firmly fitting cover.

“Soiled pull-ups were found in an open diaper pail in the bathroom. Corrective Action: Ensure that disposable diapers, to include pull-ups are disposed of as required by this rule.”

Correction date in the state record: Jul 7, 2022

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP 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.

“Upon review of four (4) childrens files, three (3) were missing the required health exam. Corrective Action: Ensure all children have an annual health exam on file as required by this rule.”

Correction date in the state record: Jul 7, 2022

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 did not have a valid inspection tag, nor receipt that it was purchased within the last twelve (12) months. The tag that comes with the extinguisher had a hand written note that it was purchased on 05/23/2021. This violation was previously cited on 05/07/2021 and on 06/24/2019. Corrective Action: Ensure a valid extinguisher is on site by 06/24/2022. Review the current system of having a checklist to prompt when the extinguisher needs to be inspected and what can be implemented to ensure this system is successful.”

Correction date in the state record: Jul 6, 2022

Regulation 5.6.2: The FCCP shall ensure that only staff, who have completed a training course, approved by the Division, administer medication in the FCCH.

“When asked if children are ever given medications, Staff A stated that Staff B has given medication at times to children. Review of files found that medication permission has been granted to the program. Staff A has not completed a Medication Administration training. Corrective Action: Discontinue administering medication to children until applicable staff obtain the required training course. Submit the training certificate(s) to Northern Lights at CCV to be reflected in staff BFIS Quality and Credential accounts.”

Correction date in the state record: Jul 7, 2022

Regulation 5.10.1.10.4: Devices that diffuse or omit 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 FCCH while children are present.

“Upon entry to the program a smell was observed, and determined to be a wax melt burner in use in the childcare area. Corrective Action: Discontinue the use of prohibited items as outlined by this rule when children are in care.”

Correction date in the state record: May 7, 2021

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP 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.

“Upon review of six (6) children's files, four (4) were found without a well exam. Corrective Action: Ensure all children have a well care exam on file. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 21, 2021

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.

“Upon review of the 2021 fire drill logs, it was noted that a drill was not done in April 2021. In addition, it wasn't documented in any month the number of children or staff present during the drill, or the length of time it took to evacuate. The other fire drill logs on file did not reflect the year of the drills, the number of staff and children present during the evacuation, the length of time it took to evacuate, nor that one (1) drill was conducted while children were resting. Corrective Action: Update the fire drill log to ensure each required component to this rule is documented.”

Correction date in the state record: May 24, 2021

Regulation 5.10.3.2.1: All outdoor play equipment is sturdy, safe, clean and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. * To prevent entrapment, no openings in equipment shall be between 3.5 and nine (9) inches. * Chains on swings shall have protective coverings and swing seats shall be made of soft materials with no sharp edges.

“Observations of the play structure children in care were using, there were areas broken to include rough edges and sharp corners. Corrective Action: Discontinue use of the outdoor structure until repaired. Develop a system to ensure ongoing monitoring of outdoor equipment to ensure compliance to this rule.”

Correction date in the state record: May 7, 2021

Regulation 3.6.1.2: The FCCP shall ensure that all staff are trained on the Emergency Response Plan and are aware of where to find the written plan in the FCCH.

“Staff B was asked to locate the Emergency Reponse Plan. Staff B looked through files and binders in the office but was not able to locate the plan. Staff A confirmed post visit that the plan was created, but was not on site. Corrective Action: Ensure the emergency response plan is on site at all times, and that staff are trained on the plan and know where to locate it.”

Correction date in the state record: May 14, 2021

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“Upon review of Staff A's BFIS Quality and Credential account, on-site files, and confirmation from Staff A, it was determined 10.5 hours of the required fifteen (15) hours of professional development had not been completed between 06/01/2019-05/31/2020. Corrective Action: In addition to the required fifteen (15) hours of annual professional development between 06/01/2020-05/31/2021, Staff A shall also complete 10.5 additional hours of annual professional development to make up for the hours not achieved during the 2019-2020 period. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 24, 2021

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 on site was last inspected in June 2019. This is a repeat violation. Corrective Action: Ensure a maintained fire extinguisher is on site at all times. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 24, 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.

“Children were observed on the outdoor play structure, which included a slide, monkey bars, a rope ladder, and two (2) elevated platforms. Each of these areas measured over three (3) feet off the ground. No cushioning material was found beneath these structures. Corrective Action: Discontinue use of the outdoor play structures measuring thirty (30) inches or more off the ground until the required amount of cushioning is in place.”

Correction date in the state record: May 7, 2021

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.

“Provider A directed Licensor [name] to the fire extinguisher. The extinguisher did not have an inspection tag and there wasn't another extinguisher with an inspected tag at the program. Corrective Action: By the due date, the program needs to have an inspected fire extinguisher on site. Advise Licensor [name] of the plan to ensure that there is a fire extinguisher with a valid inspected at all times.”

Correction date in the state record: Jun 28, 2019