Emily Clark

Regulation 3.6.1.1: The FCCP shall develop and maintain a written Emergency Response Plan to respond to a full range of emergencies both natural and man-made. A complete plan shall include how the FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises and lockdown situations; * Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; * Notifying the local authorities of the emergency; * A system for notifying the parents of the emergency; * Notifying the local emergency planning committee regarding the location of the FCCH and using the committee as a resource in emergency planning for the program; * A system of identifying the children and staff present at the time of the emergency and maintaining knowledge of their whereabouts; * A system for handling infants, toddlers, and children with special needs; * An established evacuation meeting location within walking distance of the FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“The provider could not produce an Emergency Response Plan. The required documentation and established practices reuqired by this rule were acknowledged to not be in place at this time. Corrective Action: Develop and submit to Licensin Field Specialist Crawford an Emergency Response Plan that addresses each of the required items. As discussed during the visit, the procedure for relocating to an off site location using transportation will need to include the planned off site locations, how parents will be notifed when program has been moved off site, how parents will be notified when it is safe to come to the off site location, and how communication will be maintained. Consult with the local Emergency Management designee for the Brattleboro area. The name and contact information for this person is available at https://vem.vermont.gov/programs/emd/partners. 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.

“It was acknowledged in email correspondence on 11/01/2024, that the fifteen (15) hours of professional development required between August 2023- August 2024 was not completed. Corrective Action: Submit to Licensing Field Specialist a plan to complete the outstanding hours. This plan will need to include trainings/courses planned and the expected completion date of the hours. These fifteen (15) hours cannot be counted towards the hours needed for August 2024-August 2025.”

Correction date in the state record: Jan 3, 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.

“The documentation verifying current CPR, orientation completion, and completion of the required abuse and neglect training is not present in the BFIS quality and credential account. This requirement was reviewed during a site visit on 10/12/2023. Corrective Action: Develop a plan to ensure timely submissions of trainings and certifications to ensure the account is kept up to date. The identified documents were submitted to NL@CCV for uploading to the Quality and Credential Account on 10/31/2024.”

Correction date in the state record: Jan 3, 2025

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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.

“The attendance records for 10/11/2024 does not list a departure time for any of the children noted to be in care. The arrival times for all children on 10/09, 10/10, & 10/11 is missing. This is a repeat violation. Failing to maintain up to date attendance was cited on 10/12/2023. Corrective Action: Ensure daily attendance is kept up to date and completed in a timely fashion. Notify Licensing Field Specialist Crawford of the steps put in place to ensure attendance is taken as required by this rule.”

Correction date in the state record: Jan 3, 2025

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.

“The fire drill logs do not record the time needed to evacuate. It is not possible to assess that evacuation drills take less than three (3) minutes. Corrective Action: Update the documentation for emergency evacuation drills to ensure all requirements are met. Submit the revised form to Licensing Field Specialist Crawford for review. There is a template form on the Child Development Division website that can serve as the required documentation and/or as a guide for creating a new form. This template is available at https://dcf.vermont.gov/cdd/providers/forms”

Correction date in the state record: Jan 3, 2025

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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.

“The daily attendance for 10/10 and 10/11 is blank for all children. Emily confirmed that children were in care on these days. The arrival times for the two children in care on the date of this visit, 10/12, is blank. This is a repeat violation. Failing to maintain complete and up to date attendance records was cited in July 2022. Corrective Action: Develop a plan to ensure attendance is recorded at the time of children's arrivals and departures. In this plan, include where attendance will be located within the home and times of day that it will be checked to ensure completion.”

Correction date in the state record: Nov 15, 2023

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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.

“A child has been in care for the previous two days and is not listed upon the attendance records. This is a repeat violation. Failing to maintain complete attendance records was cited on site visits on 06/09/2006, 04/02/2009, 08/22/2011, 11/12/2018, and 10/13/2000. Corrective Action: Develop and submit for aproval, a program improvement plan for maintaining on site and/or submitting to the Division documentation required by these rules. In this plan include the steps taken to establish and maintain a system of daily attendance.”

Correction date in the state record: Jul 25, 2022

Regulation 5.11.1.3: The FCCP shall ensure that menus are planned in advance, dated, and posted so that they are clearly visible to parents. Any changes to the posted menu shall be noted. Menus of meals and snacks for the preceding six (6) weeks shall be kept on file.

“The daily menu and the preceding six (6) weeks of menus are not documented. This is a repeat violation. Failing to maintain menus as required by this rule was cited on 10/13/2000. Corrective Action: Identify a location within the home visible to parents to post the daily/weekly menu. Establish a location within the home to maintain the previous menus as required by this rule.”

Correction date in the state record: Jul 25, 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.

“A child was in care for seven (7) days during the month of June without the required enrollment file. This is a repeat violation. Failing to have complete children's enrollment files were cited on 04/02/2009, 07/28/2011, 10/16/2014, 07/25/2016, and 10/13/2000. Corrective Action: Develop a system to ensure all required enrollment documentation is in place as required prior to care being provided.”

Correction date in the state record: Jul 25, 2022

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.

“A person lived in the home for 60 days without completing the required background record check process. This individual has moved out of the home in the past month and is no longer coming to the home. Corrective Action: Develop and submit for aproval, a program improvement plan for maintaining on site and/or submitting to the Division documentation required by these rules. Include in this plan, what steps will be taken to ensure persons residing in the home complete the required fingerprint supported clearance process in a timely and complete fashion. Ensure any person meeting the requirements of this rule complete the required record check process.”

Correction date in the state record: Jul 25, 2022

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.

“There are seven (7) preschool age and younger children in care with two (2) school age children. Regulations allow for six (6) children preschool age or younger only. This is a repeat violation of the allowable number and ages of children in care this was cited on 12/14/2007 and 08/01/2013. This is a serious violation of regulations requiring a parental notification letter. Corrective Action: Effective immediately, compliance to the allowable number and ages of children in care is to be maintained at all times. Submit for approval a program improvement plan detailing how compliance to the number and ages of children in care will be maintained at all times. In this plan, also list each child's initials and dates of birth for each child who will be attending care. In this plan, include the names and ages of children who attend intermittently and how it will be determined if/when there is an opening for those children. Send an electronic or U.S. mail copy of this site visit to the parents of each child in care for the previous 30 days. Send the names and contact information for all parents of children in care to this licenser.”

Correction date in the state record: Jul 25, 2022

Regulation 3.3.7.5: The FCCP shall maintain a current list of the staff, persons who reside in the FCCH, and non-parental volunteers, as applicable, in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“A family member who reportedly moved out of the home in November 2020 is still listed on the associated parties list. As discussed, this list is to be maintained up to date. . Corrective Action: Review the associated parties list for completeness and accuracy. Remove the name of the person who no longer lives in the home. Ensure the listing is accurate and continue to update it within the required timeframe requirements of this rule. If you have any questions about how to maintain or update the associated parties list, please contact your Childcare Business Technician, [name] at tiffany.le@vermont.gov. Send confirmation to this licenser that the list is update to date and accurate by the noted due date.”

Correction date in the state record: Mar 5, 2021

Regulation 3.3.1: The FCCP shall keep all required records, schedules, materials and equipment used to operate and maintain the FCCH in good order and in locations appropriate for day to day access.

“The attendance records which were not available for review as they were reportedly off site with a tax professional. The recorded dates for emergency evacuation drills is reported to be maintained upon the attendance records. Corrective Action: Ensure access to all records and reports required by these regulations. Develop a plan that will ensure all required information is available either in paper or electronically as required by this regulation. Send to this licenser what plan will be in place during tax season in the future to ensure all records remain accessible.”

Correction date in the state record: Jul 25, 2022

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.

“Between 01/09/2020 and 12/21/2020, the Child Development Division sent two seperate emails to all programs, one reminder letter using U.S. Postal Service, one reminder letter sent through the program's BFIS account and a final email reminder. This communication provided the link to be used and Child Development Division contact information for questions or challenges with submitting the report. During today's visit, Emily acknowledged receiving notification from the Child Development Division of this requirement and reported that she had lost track/forgotten to submit the report. Corrective Action: Develop a system to ensure the required report is submitted next year within the required timeframe. Submit to this licenser what reminders/prompts will be put into place to ensure this requirement is met next year.”

Correction date in the state record: Jan 1, 2022

Regulation 5.10.4.3.2: The FCCP shall ensure that safe and sturdy gates are used on stairways, accessible to children, at all times when children younger than thirty-six (36) months of age are present.

“The stairs to the second floor are ungated and accessible in the livingroom. During the observation, a child under one year of age was observed playing within two feet of the steps while the provider was in the kitchen area. Corrective Action: Ensure that a gate is in place for the stairs.”

Correction date in the state record: Oct 10, 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.

“In a sampling of three children's files, two were missing immunization records and one file was missing the annual physical and health history. This is a repeat violation. Failing to have complete children's records was cited during licensing site visits on 01/2018, 07/2016, 10/2014, 07/2011, and 04/2009. Corrective Action: Review all children's files and update missing information. Have the required documentation in each child's file. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. In this plan, include what system will be established to ensure children's files are complete at time of admission and maintained up to date while in care. This system needs to account for documentation at time of enrollment, monitoring immunization needs, and expectation that files are monitored/updated as needed.”

Correction date in the state record: Nov 12, 2020

Regulation 7.1.3: Orientation of FCCP and New Staff The FCCP shall complete an orientation training session approved by the Division prior to beginning care for children. The FCCP shall ensure staff complete an orientation training session approved by the Division prior to being left alone with children. Trainees shall complete the orientation training within one (1) month of their first date of working with children. 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, trainees, and partner staff; * Responsibility to comply with current applicable licensing regulations; * Background check requirements to include changes in situations, restrictions, and exceptions for those prohibited by these regulations; * Staffing requirements to include opening and closing; and * Ensuring children have extra clothes and diapers available.

“Emily acknowledged that orientation has not been completed. Family child care providers were notified of this requirement via e-mail correspondence from the Division on 11/14/2017 and there has been ongoing information about this requirement on the Child Development Division website since that time. Corrective Action: Complete the required orientation training listed upon the Child Development Divison website at https://dcf.vermont.gov/cdd/professional-development/requirements. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. Include in this plan what steps will be taken to ensure all training requirements have been met and what system will be in place to ensure all ongoing training requirements will be completed within the required timeframes.”

Correction date in the state record: Nov 12, 2020

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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.

“As of 2:00 p.m., arrival times were not recorded for the six children in care. This is a repeat violation. Failing to maintain complete and up to date attendance records was cited as a violation during licensing visits conducted in 01/2018, 08/2011, 07/2011, 04/2009, 12/2006, Corrective Action: Effective immediately, record the time upon arrival of each child. by 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. In this plan, include where within the home the attendance records will be maintained to ensure they are readily accessible and what check system during the day/week will be in place to ensure attendance reccords are completed.”

Correction date in the state record: Nov 12, 2020

Regulation 5.10.1.2.6: The extinguisher shall be visibly mounted to the wall near an exit door.

“The fire extinguisher is stored in the closet upon the floor, Corrective Action: Mount the extinguisher near an exit door.”

Correction date in the state record: Nov 12, 2020

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.

“An adult family member moved into the home approximately 30 days ago and a record check authorization form has not been submitted to the Division for this individual. Corrective Action: Effective immediately, submit a record check authorization form for this individual. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. Include in this plan, what steps will be taken to monitor the BFIS account for notifications from the Division, what review of the background clearance process has been done, and prompts within a record keeping system to ensure record check authorization forms are submitted as required going forward”

Correction date in the state record: Oct 12, 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.

“You were notified on 06/20/2019, that two household members were required to have their fingerprints processed. As of 10/13/2020, these individuals have not done so. Corrective Action: Effective immediately, compliance with all background clearance requirements is to be maintained. Ensure children are in the visual supervision of a staff person who has completed the record check and fingerprint process at all times. Arrange for the identified persons to have scheduled appointments for fingerprinting processing. Notify this licenser of the scheduled date of appointments. Submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. Include in this plan, what steps will be taken to monitor the BFIS account for notifications from the Division, what review of the background clearance process has been done, and prompts within a record keeping system to ensure fingerprints are processed as required going forward.”

Correction date in the state record: Oct 12, 2023

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.

“The quality and credential account for Emily does not contain documentation confirming that Emily has the required qualifications to meet Rule 7.3.1, the required 15 hours of annual professional development hours for Rule 7.4.4, or current CPR certification for Rule 7.1.2.1, The two persons noted as substitutes do not have the required high school diploma listed in their quality and credential accounts. Corrective Action: Submit the required documentation to Northern Lights at CCV for uploading to the quality and credential accounts. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. This plan needs to include what steps will be taken to ensure the on-going yearly requirements for Emily, substitutes and any other persons who may come into the program meeting the definition of staff are submitted to the quality and credential accounts within the required timeframes.”

Correction date in the state record: Nov 12, 2020

Regulation 5.11.1.3: The FCCP shall ensure that menus are planned in advance, dated, and posted so that they are clearly visible to parents. Any changes to the posted menu shall be noted. Menus of meals and snacks for the preceding six (6) weeks shall be kept on file.

“Emily acknowledged that the program does not have a pre-planned menu and documentation of food served daily is not maintained Corrective Action: Establish, document and maintain menus as required. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. In this plan, how menus will be stored and how daily changes to the menus will be noted.”

Correction date in the state record: Nov 12, 2020

Regulation 3.6.1.1: The FCCP shall develop and maintain a written Emergency Response Plan to respond to a full range of emergencies both natural and man-made. A complete plan shall include how the FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises and lockdown situations; * Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; * Notifying the local authorities of the emergency; * A system for notifying the parents of the emergency; * Notifying the local emergency planning committee regarding the location of the FCCH and using the committee as a resource in emergency planning for the program; * A system of identifying the children and staff present at the time of the emergency and maintaining knowledge of their whereabouts; * A system for handling infants, toddlers, and children with special needs; * An established evacuation meeting location within walking distance of the FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“Emily acknowledged that she has not developed nor documented an emergency response plan. Corrective Action: Develop and document an emergency response plan in accordance with each requirement noted in this rule. Submit the plan to Licenser Crawford for review.”

Correction date in the state record: Feb 7, 2021

Regulation 2.3.8.6: The FCCP shall maintain on site evidence of continuous insurance as defined in the rule 2.3.7.6 of these regulations.

“The insurance for the Family Child Care home expired on 08/01/2020. Corrective Action: Have the required insurance in place. Send a copy of the updated insurance document to this licenser. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. Include in this plan the steps that will be taken to ensure insurance coverage is maintained.”

Correction date in the state record: Nov 12, 2020

Regulation 5.4.2.5: Soft objects, toys or loose bedding shall not be used in infant sleep areas. Soft or loose bedding includes: bumper pads, pillows, quilts, comforters, sheepskins, blankets, flat sheets, cloth diapers, and bibs. Infants shall not be swaddled for sleep.

“A child under the age of one year of age was observed sleeping a portable crib with a blanket. Corrective Action: Effective immediately, all safe sleep practices are to be followed including that this child is to not sleep with a blanket. By 10/24/2020, review the safe sleep practice requirements noted upon the Vermont Department of Health website at https://www.healthvermont.gov/safesleep. Submit in writing to this licenser the safe sleep practices implemented in the program and include how the safe sleep practices have been communicated to parents.”

Correction date in the state record: Feb 7, 2021

Regulation 6.2.4.5: When children are eating, the FCCP and/or staff shall be positioned to allow for visual supervision of all children and shall be able to physically respond immediately to any child that may be choking.

“A school-age child was observed opening a package of Corn Pops Jumbo Puffs and handing a round puff to a child under the age of one years of age. The child sat on the floor in the kitchen, dropped the piece of food on the floor, picked it up and ate it. The school-age child had left the kitchen prior to the young child eating the puff. Emily was in the bathroom assisting another child with handwashing at the time. Emily was not visible in the doorframe of the bathroom and was not observed looking into the kitchen area whilst the child had the corn puff. Corrective Action: Effective immediately, children are to eat only under the visual supervision of the Family Child Care Provider (Emily) or an adult meeting the requirements of staff person. Children are to refrain from feeding other children.”

Correction date in the state record: Oct 14, 2020

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.

“The documentation for emergency evacuation drills notes the last drill completed as 05/2020. The provider confirmed that care was provided during the months of May, June, July, August and September 2020 and that emergency evacuation drills were not conducted. This is a repeat violation. Failing to conduct and/or document required drills was cited during licensing site visits on 01/2018, 07/2016, 10/2014, and 07/2011. Corrective Action: Conduct and record two monthly evacuation drills for the months of October, November, December 2020. Submit the dates of those planned drills to Licenser Crawford by the noted due date for this corrective action. As of January 2021, conduct and record at least one monthly evacuation drill as required. By 10/24/2020, submit for approval, a program improvement plan that explains the systems to be put into place to ensure that all required record keeping is maintained in accordance with regulatory requirements. This plan needs to include the planned actions to ensure drills occur including plan for changing dates if weather requires, variation in planning time of day and day of the week for drills and system to ensure documentation is maintained.”

Correction date in the state record: Nov 12, 2020

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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.

“Emily stated that children's attendance in her program had not been recorded for the month of December. A review of her attendance records confirm attendance was not recorded from November 30, 2017 until January 01, 2018. This is a repeat violation. Failing to document daily attendance was cited as a violation on 07/28/2011, 04/02/2009, 12/20/2006 and 06/09/2006. Corrective Action: Effective immediately, each child's arrival and departure time shall be recorded. Submit a program improvement plan outlining the system to be used to ensure arrival and departure times are recorded daily. Include in this plan the method for taking attendance (calendar keeper, notebook, electronically), the steps to ensure attendance is maintained throughout the program day and the location records shall be kept for easy access. This plan shall be submitted via e-mail to elaine.crawford@vermont.gov”

Correction date in the state record: Apr 2, 2018

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“No evacuation drills were noted for the previous four months and provider was uncertain as to when drills had occurred each month.. When asked for this documentation, provider was unable to produce the requested documentation. This is a repeat violation and was previously cited on 7-25-2016 and 7-28-2011. Corrective Action: Provider will establish a set routine identifying the specific day that the drill will be conducted each month (such as the 3rd of each month or the 2nd Tuesday of each month). She will also identify a back up plan in case the drill is unable to be conducted on this particular day. Additionally, the provider will note in the plan the manner in which she will document the dates and maintain a record of the drills as required in regulations. Provider will email [name] (elaine.crawford@vermont.gov) this information.”

Correction date in the state record: Apr 2, 2018

Regulation 5.1.3: Immunizations: The FCCP shall maintain documentation in the child's file of each child's current immunization status. * Immunization records shall include the immunization administered and the date of each immunization. The immunization record should be updated after each additional immunization has been received. * If an enrolled child is in the process of complying with immunization requirements in accordance with the Vermont recommended immunization schedule, documentation in the child's file shall include the required Vermont Department of Health form. * If a child has not had a required immunization due to a Vermont allowed exemption, documentation in the child's file shall include the required Vermont Department of Health form.

“In a sampling of three files, each file was missing immunization information. This is a repeat violation and was previously cited on 10-16-14. Corrective Action: Provider will review all children's files to ensure that they are complete. The missing immunization information shall be in children's files by 2/19/2018. Provider should email [name] (elaine.crawford@vermont.gov) confirming that the required information is in the children's files.”

Correction date in the state record: Apr 2, 2018