Fox Hollow Forest School

Regulation 5.6.5: All prescription medication administered by staff shall be in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“A child's epi-pen was observed and not stored in its original container properly labeled for the child. Corrective Action: Immediately ensure that the original container for the medication is obtained, or the medication is replaced with a device that is in its original container. In the corrective action email provide photo evidence that said medication is in its correct container and labeled for the child.”

Correction date in the state record: Jan 22, 2026

Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

“Upon review of staff BFIS Quality and Credenatial accounts and on-site staff files, it was identified that Staff A completed zero (0) of the required fifteen (15) hours of professional development activities between 09/2024 and 09/2025. In addition, it was identified that Staff B had completed only seven (7) of the fifteen (15) required hours between 08/2024 and 08/2025. Corrective Action: Ensure that Staff A completes fifteen (15) hours of professional development activities, in addition to the annually required fifteen (15) by 09/03/2026. In Addition ensure that Staff B completes eight (8) hours of professional development activities, in addition to the annually required fifteen (15) by 08/11/2026. In the corrective action email include details of how Staff A and B will successfully complete the additionally required hours to include names and dates of the intended training.”

Correction date in the state record: Jan 3, 2026

Regulation 3.4.1: The licensee shall keep all required records, schedules, materials, and equipment used to operate and maintain the CBCCPP in good order and in locations appropriate for day to day access.

“Upon review of Staff Files maintained in the program's Brightwheel Application, the Program Director was unable to access several forms of required documentation. All missing documentation was provided to Licensor [name] via email on 01/06/2025. Corrective Action: Develop a system to ensure that Staff Files are maintained in locations appropriate for day to day access. In the corrective action email include details of the system developed to ensure compliance is met moving forward.”

Correction date in the state record: Jan 20, 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.

“Upon review of Staff BFIS Quality and Credential Accounts it was identified that seven (7) staff who had been working at the program for more than six (6) months were lacking at least one (1) form of documentation in their BFIS accounts. Director statements reflected that five (5) of the seven (7) no longer worked at the program. Corrective Action: Develop a system to ensure that staff who are no longer employed at the program be removed from the Program's BFIS account within five (5) days of the staffing change. In the corrective action email include details of the system developed, including who is responsible for making the changes in BFIS.”

Correction date in the state record: Jan 20, 2025

Regulation 3.7.3: Emergency Preparedness Training: Within 365 days of opening a CBCCPP, the licensee shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the licensee and children present need to remain in the CBCCPP for an extended period.

“Upon review of staff BFIS Quality and Credential Accounts and on-site staff files it was identified that no Licensee, nor a representative of the Licensee, had completed an Emergency Preparedness training. Corrective Action: By 01/29/2025 ensure that a Licensee, or a representative of the Licensee, has obtained training in Emergency Preparedness to include content related to sheltering in place. If you need assistance in accessing an approved training you may reach out to Northern Lights at CCV. Ammie Collins is the Resource Advisor for the area. She can be reached at ammie.collins@ccv.edu. Once completed, submit the certificate of completion to Licensor [name] via email.”

Correction date in the state record: Mar 29, 2025

Regulation 2.3.12: Changes that Impact a License The licensee shall notify the Division prior to any of the following changes in the operation of the CBCCPP. The Division shall determine whether it will be possible to modify a current license, approve a time limited variance or if the licensee must submit an application for a new license: * A reduction, addition or substantial change in the indoor or outdoor spaces utilized for the care of children in the CBCCPP; * A change in the name of the CBCCPP; * A change in the CBCCPP's Taxpayer Identification Number; * A change in the authorized license type of regulated service as defined in these rules; * A change in the number of children the CBCCPP serves at any one (1) time; * A change in the ages of children the CBCCPP serves; * A personnel change designating a new/different program director; or * A change naming a new designated representative for the licensee.

“Upon review of program history it was identified that notification had not been provided to the Division upon designation of a new Director. In addition, upon review of the program space it was identified that a substantial change in the program's outdoor space had been made including the use of outhouse style toilets, without notifying the Division. Corrective Action: By 01/17/2025 the program is required to submit a Director Change Notification to include the date the change took place. Immediately discontinue use of outdoor space that has not been approved as Licensed Space by the Division. Notification of the additional space has been provided to the Division of Fire Safety. Ensure that recommendations set forth by the Division of Fire Safety are followed and that the program meets compliance with their rules.”

Correction date in the state record: Jan 18, 2025

Regulation 7.3.1.3: The program director of a CBCCPP licensed to serve thirteen (13) - fifty-nine (59) children shall be qualified as a teacher associate, and shall have completed either: * A Vermont Early Childhood and Afterschool Program Director Step One (1) Certificate; or * Successful completion of a three (3) college credit course in program management for early care and education or for school age care and education, or in staff supervision related to early care and education of children; and a three (3) college credit course in curriculum.

“Upon review of the Director's qualifications, it was identified that the Director does not meet minimum qualifications as a Teacher Associate, nor have they met one of the additional requirements to meet Director qualifications as set forth by this rule. Director statements reflect that they are currently completing a three (3) credit college course in Program Management for Early Care and Education. Corrective Action: By 01/29/2025 the program must request an expedited variance to be put in place, and copy Licensor [name] on the email submission of the Director's updated college transcript to Northern Lights at CCV upon completion of the three (3) credit course. Or, identify a qualified individual who will assume the role of Director moving forward.”

Correction date in the state record: Feb 3, 2025

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes. Licensees of a CBCCPP located within a public or independent school building may count a lock-down drill performed while the CBCCPP is in operation in place of a monthly evacuation drill with the CBCCPP children and staff and at least three (3) of the monthly drills conducted within 365 days shall be evacuation drills.

“Director statements reflected that evacuation drills had not been conducted. The program did not take part in the school's evacuation drills because they were outside during the drills. Corrective Action: Ensure that additional evacuation drills are conducted making up for those that were not previously. In the corrective action email include details of the plan to conduct additional evacuation drills as required, and details of the plan to ensure that regular monthly drills are conducted moving forward.”

Correction date in the state record: Jan 20, 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.

“Review of BFIS credential accounts as well as files on site and follow up communication with Director revealed Staff A and Staff B have not yet completed the training required by this rule. Corrective Action: Ensure staff complete this required training by the corrective action date given. Create a system to ensure training is completed prior to staff working with children.”

Correction date in the state record: Feb 20, 2024

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

“Three (3) out of five (5) children's file reviewed were determined to not contain the required general health exam form. All children have been in care since September 2023. Corrective Action: Ensure all files contain a general health exam form by the corrective action date given. Create a system for tracking files to ensure they contain the general health exam for within forty-five (45) days of enrollment as required by this rule.”

Correction date in the state record: Feb 9, 2024