Christ the King Early Childhood Program

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.

“Upon review of staff BFIS Quality and Credential accounts and on-site staff files it was identified that Staff A's CPR and First Aid certifications had expired in 09/2025. In addition, Staff B had not yet obtained certification in pediatric first aid and infant and child CPR. Staff B has been employed at the program for more than three (3) months. Corrective Action: By 03/27/2026, and prior to being left alone with children, ensure that both Staff A and B have acquired pediatric first aid adn in infant and child CPR. Develop a system to ensure that all staff obtain CPR and First Aid certification within three (3) months of hire, and remain currently certified moving forward. In the corrective action email provide Staff A and B's certificates of completion and details of the system to ensure compliance moving forward.”

Correction date in the state record: Mar 19, 2026

Regulation 10.10: The Licensee shall assure that a written Emergency Response Plan (ERP) is developed and maintained at the facility. For Afterschool Child Care Programs located in public schools the Emergency Response Plan shall be in concert with the school's preparedness or safety plan. * All Afterschool Child Care Program Staff shall be aware of the location of the plan. * The plan shall be reviewed and updated annually. * Copies of the plan shall be sent to the Vermont Division of Emergency Management upon their request. * For programs located in public schools, the Emergency Response Plan shall reflect relevant physical spaces of the school's preparedness or safety plan.

“When asked, the Director was unaware of the development nor the location of the Emergency Response Plan on-site. Corrective Action: Immediately make the Emergency Response Plan available on-site. Ensure that all staff are made aware of the location of the plan. Provide training to each staff member to ensure that they are aware of procedures developed to be followed in the event of an emergency. In the Corrective action email, provide evidence that all staff have been trained on the Emergency Response Plan.”

Correction date in the state record: Feb 2, 2026

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 statements and the fire drill record reflected that the first evacuation drill conducted this school year was done in January. Last year's record of drills could not be produced. Corrective Action: Immediately develop a plan to conduct two (2) evacuation drills per month for four (4) months. Develop a system to ensure that drills are conducted monthly moving forward. In the corrective action email, include details of the plan developed to conduct the required four (4) additional drills, and details of the system to ensure compliance moving forward.”

Correction date in the state record: Feb 2, 2026

Regulation 5.4.1.1: The licensee 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 twelve (12) months of age. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.

“Through interviews with staff it was identified that following a violation to this rule being cited on 04/30/2025, though staff began encouraging children to utilize rest mats, children continued to sleep while sitting with their heads resting on tables on multiple ocassions through the end of the school year. This is a repeat violation. Corrective Action: By 08/18/2025 submit a Program Improvement Plan that states how the program will ensure that each child is provided with appropriate revisions for rest moving forward. The plan shall include 1) Details about what items will be provided to each child for rest 2) What staff will do in the event that a child falls asleep at a table in the future, and 3) How the supervisory team will perform regular and ongoing observations to ensure follow-though with the plan developed.”

Correction date in the state record: Aug 18, 2025

Regulation 5.4.1.1: The licensee 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 twelve (12) months of age. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.

“Though nap mats are available, a child in the three (3) year old room identified that they were tired and wanted to rest and was directed to sit at a table to do so. Corrective Action: Immediately ensure that when a child appears tired or identifies that they need rest, that they are provided with appropriate provisions to do so. Develop a system to regularly identify if a child must be provided a nap mat. In the corrective action email provide details of the system developed to ensure compliance moving forward.”

Correction date in the state record: May 20, 2025

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.

“Upon review of staff on-site staff files it was identified that Staff A's certification in pediatric First Aid and Infant and Child CPR had expired in 06/24. Corrective Action: Immediately plan for Staff A to obtain valid certification in Pediatric First Aid and Infant and Child CPR. Develop a system to ensure that staff certifications are obtained prior to the date of expiry moving forward. By 05/23/2025 submit Staff A's certificate of completion to Northern Lights at CCV with a cover sheet and Licensor [name] copied on the submission email. In the corrective action email include details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Jun 19, 2025

Regulation 6.2.7.3: Staff shall use positive methods of guidance and behavior management that encourage self-control, self-direction, self-esteem, and cooperation.

“It was confirmed through multiple interviews with staff that Staff A had grabbed a child by the arm and pulled the child in a direction that they did not want to go. Corrective Action: Effective immediately, instruct all staff to use positive methods of guidance when working with children and provide regular oversight to ensure follow-through. By 06/03/2025 submit a program improvement plan that states how the program will ensure that staff's expectations of and responses to children's behavior are developmentally appropriate, encourage self-control, self-direction, self-esteem, and cooperation. The plan shall include details about how the program's management team will: schedule and ensure all staff complete appropriate training in positive methods of guidance including the name(s) and dates of said trainings, the plan for the supervisory team to perform regular and ongoing observations of each staff member, providing feedback and mentoring to support staff in the positive guidance of children, and how these details will be documented and maintained onsite.”

Correction date in the state record: Jun 2, 2025

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 staff BFIS Quality and Credential accounts and on-site staff files, it was identified that Staff A's certification in First Aid and CPR had expired 10/02/2024. Corrective Action: Immediately ensure that Staff A obtains current certification in First Aid and CPR. Develop a system to ensure that staff certifications in First Aid and CPR are renewed prior to the expiration date on the card. In the corrective action email include evidence that Staff A has obtained current certification and provide details of the system developed to ensure compliance moving forward including who is responsible for tracking expiration dates of certifications.”

Correction date in the state record: Mar 2, 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.

“Based on information from the Vermont Department of Health this program is not currently compliant in filing their Inspection, Repair, and Cleaning (IRC) compliance statement. Documentation on-site confirmed that an IRC inspection had not been conducted in the last 365 days. Corrective Action: Notification of non-compliance has been provided to the Vermont Department of Health. By 02/27/2025, ensure that IRC practices are performed by a certified individual and the compliance statement is filed as required by the Vermont Department of Health. Develop a system to ensure that IRC Compliance is maintained annually moving forward. In the corrective action email provide details of the system developed to ensure compliance moving forward including who is responsible for ensuring IRC Practices are conducted annually.”

Correction date in the state record: Mar 10, 2025

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.

“Upon review of staff BFIS credential accounts and staff files on site, it was noted that Staff D and Staff E had not yet completed an approved Orientation Training as required by this rule. Both Staff D and E had been working with the program for at least one (1) month. Corrective Action: Immediately plan for Staff D and E to obtain an approved Orientation Training. A list of approved trainings can be found by visiting www.dcf.vermont.gov and following this path: Divisions > Child Development Division > Child Care Providers > Professional Development > Licensing Required Trainings and Courses. Once completed, submit documentation of the training to Northern Lights at CCV and copy Licensor [name] on the submission email. Please also plan to develop a system to ensure that all required staff will obtain an approved orientation training within one (1) month of their date of hire and prior to being left alone with children moving forward. In the corrective action email include details about the system that will be used moving forward.”

Correction date in the state record: Jul 17, 2024

Regulation 3.4.3: A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

“Upon arrival to the program it was noted that one child in the 3 year old classroom had not been signed in upon their arrival to the program. Corrective Action: Immediately plan to develop a system to ensure that documentation of the time when each child arrives and departs is recorded. In the corrective action email please explain how you have come back into compliance and include details of the system that has been developed to meet the requirements of this rule moving forward.”

Correction date in the state record: Jul 17, 2024

Regulation 5.10.1.1.2: Children shall be protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephones.

“During the visit it was noted that there were several cords at children's reach in each of the two classrooms that had not been secured, posing choking or strangulation hazards to children. The cords included those to tech boards, a light over the bin housing baby chickens, and a fan. Corrective Action: Immediately plan to secure any loose cords within the licensed space and eliminate the choking hazards to children as required by this rule. In the corrective action email, please provide details of how this has been brought back into compliance and how the program will ensure that all staff are made aware of this requirement moving forward.”

Correction date in the state record: Jul 17, 2024

Regulation 5.10.3.1.4: If fencing is used, it shall be sturdy, safe, and reinforced to give support, constructed to discourage climbing, and shall not prevent visual supervision of children by staff.

“During the visit it was observed that the fence along the back side of the play area had a gate attached that was not in good repair barring it from being able to be closed and/or function to meet its intended use. The gate being stuck open would allow for children to exit the fenced play area. In addition, a portion of the fence in close proximity to said gate was not in good repair and presented a safety hazard to children. There was a large opening under the section of the fence that would allow children to exit under the fence, and the fence itself was able to be lifted off of the ground allowing a gap of at least eighteen (18) inches. Corrective Action: Immediately increase supervision within the outdoor play area surrounding the safety hazard posed by the fence and make all staff aware of the need for increased supervision accordingly. Initiate communication with the proper individuals to complete repair of the fence and gate and continue that communication until such a time when the repairs have been made and no longer present a hazard to children. In the corrective action email please include details about the plans to repair the fence and gate. Submit photo evidence of the repairs to Licensor [name] once they have been made.”

Correction date in the state record: Jun 27, 2024

Regulation 5.10.1.1: General Safety: The licensee shall ensure the physical facilities of the CBCCPP, grounds, equipment, and toys present no hazard to the health, safety, and well-being of the children.

“Upon arrival at the program it was noted that the handrail affixed to the stairs at the main entrance of the program was not in good repair. The railing was noted to be metal and that the metal had deteriorated and rusted in several places making it jagged and sharp, therefore presenting a safety hazard to children at the program. Corrective Action: During a phone call with the Program Director on 06/05/2024, the Director testified that the railing had been fully repaired and no longer presented a hazard to children. Immediately submit photograph evidence of the repairs to Licensor [name] via email by 06/21/2024. Please also develop a system that will 1. Prompt staff to perform regular checks for outdoor hazards at the program 2. When hazards are identified prompt staff to initiate contact with the proper individuals, and continue communicating with them, to ensure repairs are made in a timely manner. In the corrective action email include details about this system and how it will be used to maintain compliance with this rule moving forward.”

Correction date in the state record: Jun 27, 2024

Regulation 2.3.9.3: The licensee shall ensure that all staff 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.

“Upon review of staff BFIS credential accounts, it was noted that Staff A's last fingerprint determination date was 03/02/2018. It was noted that Staff A had last been notified of the requirement to submit to fingerprinting on 03/09/2023. As of 06/05/2024, the program was not able to provide evidence of Staff A submitting to fingerprinting as required. Staff A was observed to be left alone with children during this visit. Corrective Action: Immediately plan for Staff A to submit to fingerprinting as required by this rule. Once fingerprinting is completed, please provide a receipt from the fingerprinting establishment to Licensor [name] and ensure Staff A is not left alone with children until the program received notification from the Division that Staff A has been cleared. Please also develop a system to notify staff who's fingerprints are coming due to submit to fingerprinting. In the corrective action email please include details of said system.”

Correction date in the state record: Sep 16, 2024

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.

“Upon review of staff BFIS credential accounts and staff files on site, it was noted that Staff B and Staff C had no documentation that they had renewed their training in Pediatric First Aid and CPR. Both Staff B and C were present and counted in ratio during this visit and hold titles that would allow them to be left alone with children. Both Staff B and C have worked within the program for at least three (3) months. Corrective Action: Immediately plan for Staff B and Staff C to obtain training in Pediatric First Aid and CPR. Once the training is completed submit documentation with cover sheets to Northern Lights at CCV and copy Licensor [name] on the submission email. Develop a system to prompt staff to renew their certifications in Pediatric First Aid and CPR in a timely manner moving forward. In the corrective action email include details of the system that has been put into place to meet the requirements of this rule.”

Correction date in the state record: Jun 27, 2024

Regulation 12.14: Cushioning material which is absorbent shall be in place under climbers, slides, swings, or other structures which allow children to achieve a height of more than thirty inches. The depth of surfacing materials shall be appropriate to the height and use of the equipment as outlined by the Consumer Product Safety Commission's National Playground Safety Standards (see Appendix B). Surfacing material shall be maintained in good condition. Grass, bare ground, asphalt and concrete are prohibited under these structures. If weather conditions make the use of equipment unsafe, Staff shall keep children off of the equipment.

“Cushioning material was found to be insufficient under and around equipment measuring thirty (30) inches or greater off the ground. Areas were noted to be bare to the ground, and concrete exposed with no cushioning material under poles that provide bars for children to climb. Corrective Action: As stated during the licensing visit, discontinue allowing children the use of equipment measuring thirty (30) inches or greater off the ground until sufficient cushioning material is in place. Develop a plan to ensure monitoring and replenshing of cushioning material occurs ongoing to maintain compliance.”

Correction date in the state record: Mar 1, 2024

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.

“The Licensee was due for fingerprinting as of 3/2/2023. The program was advised of this through the reapplication letter dated 11/9/22 as well as a letter on 3/9/23 after receiving the updated record check they were required to submit to fingerprinting. As of the date of the visit the Licensee had not completed that requirement. Corrective Action: Ensure the Licensee submits to fingerprinting and provides a copy of the receipt to confirm completion.”

Correction date in the state record: Apr 24, 2024

Regulation 5.34: The Program Administrator and the Site Director shall annually complete at least a minimum of twelve clock hours of Professional Development Activities which may be applied toward their Individual Professional Development Plan (IPDP) or equivalent excluding any additionally required training for Specialized Child Care or First Aid and CPR.

“Staff A did not obtain the required twelve (12) hours of professional development between the period of 12/4/22-12/3/23. Since the visit, Staff A has completed the twelve (12) hours and submitted the documentation to Northern Lights at CCV. Corrective Action: Ensure ongoing compliance is met with staff obtaining the required hours of annual professional development.”

Correction date in the state record: Feb 28, 2024