Dothan Brook School

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 credential accounts and staff files reflected that sixteen of the twenty-eight listed staff and auxiliary staff at the time of the visit had not yet submitted required doumentation to Northern Lights at CCV. All sixteen staff had been working with the program for six months to eight and a half years. Corrective Action: All documents were sent to Northern Lights at CCV by June 6, 2025. Develop a system which will ensure that all required documents are sent to Northern Lights at CCV within six month of hire and in a manner which ensures up-to-date BFIS accounts for all staff moving forward. Include details of what system will be utilized, who will be responsible for maintaining the system and ongoing communication with staff, and who will ensure that documents are submitted to Northern Lights at CCV in a timely manner, uploaded to accounts as expected, and/or maintain ongoing communication with Northern Lights at CCV until such a time when submitted documents are reflected in staff credential accounts as expected.”

Correction date in the state record: Oct 15, 2025

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 accounts and staff files reflects that five (5) Auxiliary staff, who have worked with the program for four (4) months to four and a half (4 1/2) years, had not yet completed the required Mandated Reporter Training, Protecting Vermont's Children: Reporting Abuse and Neglect. It was confirmed that these staff members do work within the program and have access to children. The director stated in an email that they had removed the listed auxiliary staff as they were not able to provide the document. As the individuals previously worked inthe program, this action does not meet the intent of the rule. Corrective Action: The listed auxiliary staff were removed from the staff list when documentation of the required mandated reporter training, Protecting Vermont's Children: Reporting Abuse and Neglect. Develop a system which ensure all newly hired staff and auxiliary staff complete the required training prior to working with children moving forward. Include details of what system will be used, who will be responsible for maintaining the system and ongoing communication with staff, and who will be reqponsible for ensuring professional development documents are sent to Northern Lights at CCV in a timely manner moving forward.”

Correction date in the state record: Oct 15, 2025

Regulation 3.4.7.5: The licensee shall maintain a current list of the licensee or designee, staff, auxiliary staff, and volunteers as in the rules in section 7.7.5 of these regulations, as applicable in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“The associated parties list was reviewed with the program and it was found that there were eleven (11) individuals on the list that have not been present since June 2022. This is a violation because the associated parties list still lists the individuals that have not been present and the list was not updated within five (5) working days. Corrective Action: It is required to review the associated parties list and remove any individuals that are no longer present. It is required to develop a system that ensures the associated parties list is kept up to date in the future. A description of the developed system, including details and staff roles and responsibilities, shall be sent to this licensor for review.”

Correction date in the state record: Sep 27, 2022

Regulation 7.1.2: First Aid and CPR Staff who are counted in the staff/child ratios shall obtain training in pediatric first aid and infant and child CPR within six (6) months of beginning work in the CBCCPP and remain currently certified.

“Laurie stated that not all staff members are currently certified in CPR and first aid. Laurie was able to provide documentation reflecting that at least one staff member was currently trained in CPR and first aid and said that she is working on a plan to get all staff certified as soon as possible. Corrective Action: Immediately plan to have all staff members attend and complete CPR and first aid training and to retain a copy of their first aid and CPR certificates on site. Create a system which will prompt you when each staff member is due for CPR and first aid certification renewal and to ensure that they sign up for and complete trainings to remain currently certified moving forward.”

Correction date in the state record: Sep 18, 2019