Constance Mandigo

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.

“A review of staff's BFIs Quality and Credential account, discussion with the provider and a review of the staff files confirmed one staff and five (5) substitutes did not complete the required professional development hours required in this rule. Staff A training hours from 9/06/2024 to 9/06/2025 were missing fifteen (15) hours of professional development. Staff B training hours 03/05/24 to 3/05/2026 were missing two (2) hours of professional development. Staff C training hours from 2/27/25 to 2/27/2026, Staff D training hours from 08/02/2024 to 08/02/2025, Staff E training hours from 06/18/2024 to 06/18/2025, and Staff F training hours from 03/02/2024 to 03/02/2025 were missing the required four (4) hours of professional development. This has been previously cited on 2/24/2025 and 5/3/2023. Corrective Action: By 03/20/26, have the staff complete the required fifteen (15) hours of professional development hours, one (1) substitute complete two (2) hours of professional development and four (4) substitutes complete the required four (4) hours of professional development. These training hours will not count towards the following year's training hours due date for each member of staff. Submit all training certificates to Northern Lights at CCV through Direct Send or through e-mail with the cover sheet. By 03/20/26, submit confirmation to this Licensor that the training certificates have been submitted to Northern Lights for review. In addition, indicate how you will monitor the professional development of your assistant and substitutes for the 2025-2026 time period, in this plan indicate the timeframe for completion.”

Correction date in the state record: Apr 2, 2026

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.

“Upon review of BFIS records, it was identified that a staff member had not submitted to the fingerprinting process. The annual assurance letter submitted through the program BFIS account, dated 11/17/2023 and 01/11/2024, had informed the provider that the staff needed to complete the fingerprinting process. During this visit, the provider stated she was not aware that the staff member did not complete the fingerprinting process. Corrective Action: Immediately request that the staff member to submit to fingerprinting as required. By 3/20/26, provide photo evidence of the fingerprint receipt to this licensor.”

Correction date in the state record: Apr 25, 2026

Regulation 6.1.2.1: Children shall be provided opportunities for moderate to vigorous play and gross motor activity outdoors on the premises or within a safe walking distance of the FCCH for at least sixty (60) minutes each day. For programs that operate less than four (4) hours per day, the FCCP shall ensure that children are provided at least thirty (30) minutes of outside physical activity each day.

“The fenced in outdoor area did not have any footprints indicating anyone had been playing. The gate had about a foot of snow in front of it making it impossible to open the gate. When asked to describe the childcare daily schedule, the provider did not include outdoor activities. The provider stated that children did not go outside every day, when asked when the last time was the children were outside the provider stated it was at least two (2) weeks. This has been previously cited on 2/24/25. Corrective Action: By 3/20/26, submit to your licensor a program improvement plan describing your planned outdoor time. The plan shall include the time(s) you will be outside, the activities you will be offering and what are the alternative gross motor activities you will provide if the weather does not permit you to be outside. In addition, forward photo evidence of the children playing outside to your licensor.”

Correction date in the state record: Mar 16, 2026

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.

“A review of the program BFIS Quality and Credential account showed that the provider and staff had not completed nine (9) hours each of professional development for the period of 1/13/2024-1/13/2025 for the provider and the period of 9/06/2023-9/06/2024 for staff. Conversation with the provider confirmed that the professional development hours had not been completed. The provider stated that the staff had moved in August and was now a substitute.This is a repeat violation previously cited on 05/03/2023. Corrective Action: By 4/02/2025, submit a program improvement plan indicating how you will complete the remaining nine (9) hours for 2024-2025 and the next 15 hours for the period of 1/13/2025-1/13/2026. This plan should include a time frame for completion of the past nine (9) hours and the name of the training you will complete. In addition, indicate the time frame for the completion of the following 15 hours. Submit electronically the training certificates to Northern Lights at CCV with a cover sheet and copying ann.sparrow@vermont.gov on the same email for the past nine (9) hours. Submit additional training certificates electronically to Northern Lights moving forward.”

Correction date in the state record: Mar 24, 2025

Regulation 5.2.6.5: Sanitizing of the following items shall be done on the following schedule: Before and after each use: * Food preparation surfaces; and * Dining tables and highchair trays. After each use: * Eating utensils and dishes At the end of each day: * Food preparation appliances; * Plastic mouthed toys; and * Pacifiers.

“During the visit, food was served on the dining table and high chair food trays to five (5) children, without sanitizing the table and the trays before and after the meals as required by this regulation. Corrective Action: Immediately sanitize table and trays prior and after meals or snacks. By 4/02/2025 submit a plan describing the steps you will utilize to sanitize where food is being served and how you will inform staff in the future.”

Correction date in the state record: Mar 24, 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.

“Five (5) of the six (6) childrens files reviewed did not have documentation of a well child exam.The provider stated she had not received the well care exam within 45 days of enrollment as required by this regulation Corrective Action: By 4/02/2025, obtain documentation of each child's age appropriate well care exam and develop a system to ensure that documentation of children's general health exams is obtained within forty-five (45) days of each child's enrollment moving forward. In the corrective action email, provide evidence that documentation for each currently enrolled child has been obtained, and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Mar 24, 2025

Regulation 5.6.6: The FCCP shall ensure that all prescription medication is in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“The provider was asked to show any medications that are being administered to children, she reached into her pocket and took out a prescription bottle with no label and no instructions. Inside the bottle were two (2) tablets encased in pill tablet packages. The provider was not able to provide an original container and properly labeled for the child. Corrective Action: Immediately request medication to be given in properly labeled container with expiration date. By 3/20/25, provide a picture of the medication container, with the name of the child, dosage and date of expiration to your licensor.”

Correction date in the state record: Mar 24, 2025

Regulation 6.1.2.1: Children shall be provided opportunities for moderate to vigorous play and gross motor activity outdoors on the premises or within a safe walking distance of the FCCH for at least sixty (60) minutes each day. For programs that operate less than four (4) hours per day, the FCCP shall ensure that children are provided at least thirty (30) minutes of outside physical activity each day.

“The fenced in outdoor area did not have any footprints indicating anyone had been playing. The pathway to the gate had about a foot of snow in front of it making it impossible to open the gate. When asked to describe the childcare daily schedule, the provider did not include outdoor activities. The provider stated that children did not go outside every day, when asked when was the last time was the children were outside the provider could not provide a day or date. Corrective Action: By 4/02/25, submit to your licensor a program improvement plan describing your planned outdoor time. The plan shall include the time(s) you will be outside, the activities you will be offering and what are the alternative gross motor activities you will provide if the weather does not permit you to be outside”

Correction date in the state record: Mar 24, 2025

Regulation 6.1.4.4.1: Screen time shall never be used as a planned activity for children younger than two (2) years of age.

“Three children under the age of two were seen sitting and watching television Corrective Action: Immediately prevent children under the age of two spending any time in front of a screen. By 4/02/2025, submit a program improvement plan indicating how you will prevent children under the age of having screen time and what activities you will provide instead.”

Correction date in the state record: Mar 24, 2025

Regulation 3.6.2.3: At least one (1) drill every 365 days shall be conducted while children are sleeping or resting.

“A review of the evacuation drill log for 2024 did not have any drill completed during rest time. The provider stated that the earliest rest time is 12:30. Corrective Action: By 4/2/25 plan, conduct, and document two (2) evacuation drills during the scheduled rest time. Conduct additional drills if needed until evacuation is successfully completed. Forward a copy of the date and time you have completed/planned to complete the rest time drill to your licensor.”

Correction date in the state record: Mar 24, 2025

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.

“Upon arrival at the childcare, a child was seen sleeping on the couch. An individual stated he had fallen asleep while holding him, and she had laid him down on the couch. Corrective Action: Immediately stop allowing children to sleep on the couch. By 4/02/2025 Submit a plan on how you will ensure that sleeping children are moved to sleeping mats/cots, porta crib/crib and how you will instruct staff and future staff moving forward.”

Correction date in the state record: Mar 24, 2025

Regulation 5.2.1.1: The FCCP shall ensure that adults and children wash their hands: * Upon arrival at the FCCH; * Before they eat, prepare or handle food; * Before and after handling raw meat; * Before feeding children; * After toileting or diapering; * After cleaning; * After taking out the garbage; * After handling animals; and * After outdoor play.

“Five (5) children did not wash their own hands or have their hands washed before lunch. The provider and a second individual did not wash their hands prior to feeding the children. A third individual was seen picking up a French fry with her bare hands and offered it to a child, both child and individual did not was their hands. Corrective Action: Immediately instruct individuals to wash their hands prior to feeding children, have children wash their hands before meals as well as assist children who cannot wash their own hands. By 4/02/2025, submit a program improvement plan indicating how they will ensure handwashing procedures and how you inform other individuals working/volunteering in the FCCH.”

Correction date in the state record: Mar 24, 2025

Regulation 7.2.1: The FCCP shall ensure that all new staff, and any new individual with unsupervised access to children in the FCCH submits 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.

“Two individuals helping with the children were not on the provider's associated party list and had not submitted a record check authorization form to the Division. A phone call was made to the provider on 2/26/2025, informing her that both individuals needed to complete a record check to be present during childcare hours. A second visit was made by this licensor to obtain a record check for the proposed assistant. The individual stated that they had been working in the childcare since February 1, 2025. This is a repeat violation previously cited on 5/10/22. Corrective Action: By 4/2/2025, submit a program improvement plan indicating the steps you will take to ensure that only individual present volunteering or working during childcare hours, will have submitted a record check to the Child Development Division and submitted to fingerprinting.”

Correction date in the state record: Mar 24, 2025

Regulation 6.2.1: Maximum Capacity and Staffing in a registered FCCH The registered FCCP shall ensure that the registered FCCH shall not exceed the limits described in this section, including the charts below.

“A review of the attendance showed the provider was out of compliance with staff to child ratios with the provider present for seven (7) days in January, February and March with three (3) children under the age of two (2) ,( January 16, 20, 24, February 19, 20, 24, and March 3). This is a serious violation previously cited on 03/18/2024 and 09/23/2021 . Corrective Action: Immediately reduce your enrollment to ensure compliance with this rule. By 4/2/2025, send a program improvement plan on how you intend to come into compliance and the step you have taken to ensure compliance in the future. By 4/2/2025, complete the parental notification letter as outlined above. It is required to submit a statement indicating your understanding of this rule and an e-mail with a list of names and phone numbers of parents who were sent the Parental Notification Letter to this licensor.”

Correction date in the state record: Apr 2, 2025

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“A child listed on the provider's attendance for January, February and March did not have an enrollment file on site. The child is still in attendance. This is repeat violation previously cited on 09/23/2021. Corrective Action: Immediately complete a children's file for all enrolled children. By 4/5/24 develop a system to assure that all children's files are complete. Forward a copy of this plan to this licensor.”

Correction date in the state record: Mar 27, 2024

Regulation 6.2.1: Maximum Capacity and Staffing in a registered FCCH The registered FCCP shall ensure that the registered FCCH shall not exceed the limits described in this section, including the charts below.

“A review of the attendance for January, February and March 2024, showed the provider was out of compliance with exceeding the allowed maximum of 10 children on six (6) days in March. 11 children were present on March 1, 4 and 8. 12 children were present on March 11 and 13. 14 children were present on March 15. On March 11 and 15, eight (8) non-school age children were in care, which exceeded the allowed maximum of six (6) children. This is a repeat violation previously cited on 9/23/21. This is a serious violation. Corrective Action: Reduce your enrollment to ensure compliance with this rule of no more than 10 children with no more than six (6) non-school age children. By 4/5/24, send to your licensor a program improvement plan indicating how you intend to come into compliance, provide the name of the enrolled children with the days and time they will be in care and the steps you have taken to ensure compliance in the future. Complete the parental notification letter as outlined above. E-mail a list of names and phone numbers of parents who were sent the Parental Notification Letter to this licensor.”

Correction date in the state record: Mar 27, 2024

Regulation 5.8.3: The FCCP shall create and file an incident report for each accident, injury or medical emergency that leaves a visible mark or first aid has been administered, even when medical treatment is not required. An incident report shall include the name of the child, date, description of the injury or medical emergency, how it occurred, adult witnesses, first aid provided and medical care required. The child's parent shall be provided a copy of the report at pick up that day. Serious injuries, animal bites and death must be reported to the Division as specified in the rules in section 3.1 of these regulations.

“The provider stated that she had not completed and given to the parent an incident report for two incidents that left a mark on a child and for one of them where first aid had been administered. Corrective Action: By November 23, 2023, submit a detail plan describing how you will determine when an incident report will be completed, how you are going to ensure completion of the forms and how you will share and train your staff on incident reports. Include a copy of the incident report form you will be utilizing.”

Correction date in the state record: Nov 15, 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.

“A review of BFIS Credential Account for the provider and Staff A as well as discussion with the provider revealed Staff A has not completed any of the required fifteen (15) professional development hours for the annual period of 9/6/21 thru 9/06/22 and the provider had only completed .75 hours of professional development for the annual period of 1/13/22 thru 1/13/2023. Corrective Action: Ensure you complete 29.25 hours of professional development for the annual period of 1/13/23 through 1/13/2024. 14.25 are for the period of 1/13/22-1/13/23 and 15 hours are for the period of 1/13/23 through 1/13/24. Ensure Staff A complete 30 hours of professional development for the annual period of 9/6/22 through 9/6/23. This 30 hour is the 15 hours required for 9/06/22 through 9/06/23 in addition to the 15 hours missing for 9/06/21 to 9/6/22. By 5/26/23, submit a plan on how you and staff A will complete this and how you will ensure compliance with this rule moving forward.”

Correction date in the state record: May 10, 2023

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 accessible to the program bears an outdated tag with an inspection date of August of 2021. Corrective Action: By 5/26/23 have your fire extinguisher inspected and properly tagged. Submit a photo of the inspection tag, both front and back along with a copy or photo of the receipt for the inspection.”

Correction date in the state record: May 22, 2023

Regulation 7.2.1: The FCCP shall ensure that all new staff, and any new individual with unsupervised access to children in the FCCH submits 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.

“After reviewing the BFIS account for the program and speaking with the Registrant directly, it was determined that a household member had not completed the fingerprint supported clearances as required. The registrant stated she had printed the Fingerprint authorization forms that had been issued for the household member on 9/7/21. Corrective Action: By May 26, 2022, schedule an appointment for the household member to comply with the fingerprint supported clearance. Submit to your licensor the date of the fingerprinting appointment and when it has been completed.”

Correction date in the state record: May 20, 2022

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“Five (5) children listed on the provider's attendance for August and September did not have an enrollment file on site. Three (3) of the children are still attending care. Corrective Action: Immediately complete a children's file for all enrolled children. By 10/30/21 develop a system to assure that all children's files are complete. Forward a copy of this plan to this licensor.”

Correction date in the state record: Oct 26, 2021

Regulation 6.2.1: Maximum Capacity and Staffing in a registered FCCH The registered FCCP shall ensure that the registered FCCH shall not exceed the limits described in this section, including the charts below.

“A review of the attendance showed the provider was out of compliance with staff to child ratios with both the provider and assistant present for 14 days in August with seven (7) children, three (3) of which were under the age of two (2) ,( August 3, 4, 5, 9, 10, 11, 12, 13, 23, 24,25,26, 30 and 31) and 16 days in September with eight (8) children with four (4) being under the age of two (2). This is a serious violation. Corrective Action: Immediately reduce your enrollment to ensure compliance with this rule. By 10/30/2021, send a program improvement plan on how you intend to come into compliance and the step you have taken to ensure compliance in the future. Complete the parental notification letter as outlined above. It is required to submit a statement indicating your understanding of this rule and an e-mail with a list of names and phone numbers of parents who were sent the Parental Notification Letter to this licensor.”

Correction date in the state record: Oct 26, 2021

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.

“Upon review of two (2) substitutes and an assistant BFIS Quality and Credential account and discussion with the provider it was found their account was missing their CPR and First Aid certification. Corrective Action: By 07/15/2021, submit training certification to Northern Lights at CCV with the required cover sheet. The Verification Cover Sheet can be found at: https://northernlightsccv.org/resource/verification-cover-sheet/. Submit confirmation to ann.sparrow@vermont.gov that all required information has been sent to Northern Lights at CCV.”

Correction date in the state record: Jun 29, 2021

Regulation 7.2.2: The FCCP shall submit a Records Check Authorization form to the Division for any new individuals, sixteen (16) years of age or older, residing in the FCCH or present more than five (5) times in 365 days during the FCCH's hours of operation as required in the rule 2.3.7.2 of these regulations.

“A fingerprint authorization letter was issued on 05/24/2018 for a substitute and as of 6/22/2021, he has not submitted to the fingerprinting process. The provider acknowledged having been aware of the requirement. Corrective Action: By 7/15/2021, have the substitute complete the fingerprinting process. Send an e-mail to this licensor on the date of the fingerprint processing to confirm completion.”

Correction date in the state record: Jun 29, 2021

Regulation 2.3.7.6: Insurance Coverage: The FCCP shall carry liability insurance of a reasonable amount for its own protection and for the protection of children attending the FCCH. Evidence of insurance coverage shall be provided to the Division. Transportation insurance, if applicable, shall cover property damage, bodily injury and liability.

“At the time of the visit, the provider did not have proof of insurance. A email from the insurance company confirm that the provider did not have insurance coverage during the period of March 15, 2021 to June 25, 2021. Corrective Action: Since the last visit the provider has reinstated the insurance coverage. By 7/15/21 submit a program improvement plan to this licensor on how you will ensure that your insurance coverage will not be lapsed in the future.”

Correction date in the state record: Jun 25, 2021

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.

“After reviewing the BFIS account for the program and speaking with the registrant it was determined that the provider, assistant and 4 subs have not required fingerprinting as required. Fingerprint authorization forms were issued for these individuals on 9/6/17 (substitute 4), 5/24/18 (Provider, assistant, substitute 1) 6/29/18 (substitute 2) and 7/9/19 (substitute 3) Corrective Action: By 02/19/2020, make appointments for all 6 individuals to complete the required fingerprinting. Include information on when these appointments will occur in the program improvement plan submitted to this licensor.”

Correction date in the state record: Feb 17, 2020

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.

“After reviewing BFIS quality and credential account, speaking with the registrant it was determined that documentation of High School or GED diploma, or College transcript and documentation of annual professional development including CPR and First Aid certification were missing for the assisitant and 4 substitutes. Corrective Action: By 2/17/2020, submit all educational documentation and annual professional development training hours to include CPR and First aid certifications to Northern Lights at CCV. Once sent to Northern Lights, send confirmation to this Licensor.”

Correction date in the state record: Feb 1, 2020

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.

“All 16 of the children's files reviewed were missing the general health examination information. Children have been in care for more than 45 days. Corrective Action: By 02/17/2020, obtain documentation that the children have received a well care exam. Develop a system on how you will comply with this rule within 45 days of children's enrollment and submit the plan to this licensor.”

Correction date in the state record: Feb 17, 2020

Regulation 6.2.4: Supervision of Children The FCCP and/or staff shall ensure visual supervision of children except as allowed in rules 6.2.4.1 - 6.2.4.4 of these regulations.

“When asking Staff x about her supervision practices of children to ensure that she can immediately intervene if needed, Staff X stated that she sits at the dining room table and supervises the children that are across the hall in the playroom. It is not possible to see fully into the playroom from this location. When this information was discussed with the provider, the provider acknowledged that you can't see the children and went on to say that she also addressed this same concern with Staff X in the past, when the provider has observed Staff X sitting at the dining room table when she was supposed to be watching children in the other room. Corrective Action: Effective immediately, establish and maintain a practice that ensures that staff understand the importance of visual supervision of the children, and the need to immediately intervene if necessary. Submit a program improvement plan to the Division outlining how this information will be conveyed and staff will utilize.”

Correction date in the state record: May 19, 2019