Immersion Montessori School @MCS

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; 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.

“Upon arrival Staff A was observed on-site and working with children. Upon review of BFIS it was identified that Staff A did not submit a Record Check Authorization form to the Division until 02/16/2026. This is a repeat violation. Corrective Action: Develop a system to ensure that Record Check Authorization forms are submitted to the Division for new staff prior to working with children in the CBCCPP. In the corrective action email provide details about the system developed, and a statement regarding who will be responsible for submitting Record Checks to the Division, in order to maintain compliance moving forward.”

Correction date in the state record: Mar 12, 2026

Regulation 5.1.4: The licensee 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.

“The required annual immunization survey was not submitted to Vermont Department of Health by midnight on 12/31/25. Initial notification of this requirement was sent the beginning of November, with reminders provided weekly, then daily, closer to the due date. Corrective Action: You must submit the past due 2025 annual immunization survey to Vermont Department of Health by midnight on 1/14/26. Failure to submit this survey will result in further regulatory action. Additionally, submit a statement to Kristy.Haapala@vermont.gov indicating who will be responsible for submitting this survey in the future.”

Correction date in the state record: Jan 31, 2026

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.

“At the time of the licensing visit, five (5) staff required to take this training had not done so. Corrective Action: Ensure all required staff have completed this training by the stated due date. In an email to this Licensor identify the system used to track required trainings, and completion date to ensure compliance is maintained for all future required staff.”

Correction date in the state record: Sep 15, 2025

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.

“Upon review of staff BFIS Quality and Credential accounts it was determined that compliance to this rule was not met. Corrective Action: Ensure education and training documents are submitted to Northern Lights at CCV and that this Licensor is notified of those submissions. A follow up focused compliance visit will be conducted, at which time staff qualifications will be assesed for compliance. Status: Appeal Period.”

Regulation 5.10.1.1.1: The licensee shall ensure that children are protected from electrical outlets, such as by using protective covers, tamper-proof outlets, or other devices manufactured for this purpose.

“Outlet covers throughout the space used by children did not meet compliance with this rule. Corrective Action: Confirm that outlets have all been covered. Ensure there is a system to maintain compliance with this rule. In the corrective action email provide photo evidence that all electrical outlets have been covered. In addition, identify who will be responsible for this task.”

Correction date in the state record: Jan 23, 2026

Regulation 5.6.2: The program director shall ensure that only staff, who have completed a training course approved by the Division, administer medication in the CBCCPP. With written parental permission, a school age child may self-medicate under the direct supervision of staff who meets the training requirement within this rule.

“Children had medication on site to include emergency medications, however staff on site either had not 1) completed a medication training approved by the Divsion, or 2) submitted documentation of their training to Northern Lights at CCV to confirm it meets training requirements. Corrective Action: Ensure there is at least one (1) staff on site at all times that has obtained an approved medication training. In an email to this Licensor confirm staff who will be required to give medication to children have submitted previous medication training to Northern Lights at CCV for review, and/or have registered to obtain the Medication training provided by Northern Lights at CCV.”

Correction date in the state record: Jan 23, 2026

Regulation 3.7.2.1: The licensee shall have a written evacuation diagram with evacuation routes posted in each classroom that is used by the children.

“The written evaucation diagram was not posted as required by this rule. Corrective Action: Ensure the evaucation diagram is posted in each room used by children.”

Correction date in the state record: Sep 15, 2025

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.

“When requested to view evidence of continuous insurance, staff files, children files, emergency response plan, and evacuation records, the Director was unable to access those while on site. The program was requested to provide documentation by 9/4/25 at 12:30 PM; access to children's files was not provided until 9/10/25, were not in organized files, but rather indendent pages not directly linked to each individual child who is enrolled. The emergency response plan was not received until 9/12/25. Corrective Action: Ensure that all documentation is orderly and maintained on site for immediate access. In an email to this Licensor confirm that all pieces of documentation are up to date and accessible on site, to include each child having their own independent file.”

Correction date in the state record: Sep 15, 2025

Regulation 2.3.11.1: The official posted license shall contain and display the following: * Status of the license: full or provisional; * Effective date of the license; * Expiration date of the license; * The maximum number of children who may be served at one (1) time; * The ages of the children who may be served; * The applicable type of regulated service for which authorization to operate has been granted; * Terms and/or conditions added to the license; and * Approval to prepare and provide meals if granted.

“The license was not posted as required by this rule. Corrective Action: Ensure the current license is posted as required by this rule. As new licenses are generated they are posted and replace the previous license.”

Correction date in the state record: Sep 15, 2025

Regulation 3.4.5.1: A licensee shall maintain a complete and up-to-date personnel file for staff working at the CBCCPP. A complete file shall contain, at minimum, the following information: Name, date of birth, home address and telephone number; Copies of current first aid and CPR certification; Signed statement verifying understanding of legal requirement to report suspected child abuse and neglect; Documentation of a current Records Check Authorization form; Documentation of having read and having ready access to a current copy of applicable child care licensing regulations; Administration of Medication training certification (if applicable); Signed statement verifying current job title and supervisor's name; Application for employment including references or reference checks; Employment start date; Documentation of completed orientation Training; Employment end date; IPDP (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt); and Written annual performance reviews (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt).

“Staff files were not available on site, nor was an affidavit per rule 3.4.5.4 available. Corrective Action: Ensure up-to-date staff files are on site and accessible upon request. In an email to this Licensor, confirm that all staff files have been reviewed, confirmed complete and identify the system to maintain staff files.”

Correction date in the state record: Sep 15, 2025

Regulation 5.11.8.4: As long as appropriate documentation is provided, staff shall consistently accommodate special nutritional requests and restrictions from parents. Staff shall know and accommodate children's food allergies.

“It was determined though children on site have allergies requiring the administration of on-site medication, staff on site were unaware of this. Corrective Action: Ensure all staff are aware of children's allergies, the plans to address expsoure to allergies to include providing emergency medications as needed. In an email to this Licensor provide the written response plan to addressing allergies to include providing confirmation through a signed statement that this has been reviewed with all staff.”

Correction date in the state record: Sep 15, 2025

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; 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.

“Director and Staff A were present working in the program without a record check having been submitted to the Division. The Director has been employed in the position since 8/21/25, and Staff A since 8/22/25. This is a repeat violation. Corrective Action: This has been corrected since the time of the visit. In an email to this Licensor identify who is responsible for submitting record checks to the Division and ensuring they are processed and reflected on the programs associated parties list.”

Correction date in the state record: Jan 23, 2026

Regulation 6.2.6.3: When children are eating, 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.

“During the licensing visit while children were eating, staff were observed moving around the room addressing children's needs in lieu maintaining visual supervision required by this rule. Corrective Action: As discussed, effective immediately position to ensure staff are focused on children eating at all times. Provide a signed document outlining this expectation for staff, confirming their understanding by signing the outlined guidance.”

Correction date in the state record: Sep 15, 2025

Regulation 6.2.1.3: The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

“During the visit Staff A was the only Staff Member assigned to the Red group. The Red group was made up of thirteen (13) children, to include three (3) preschool age children, which would require a 1:10 ratio. This is a serious violation that requires a Parental Notification Letter (see rule 2.8.2). Corrective Action: Since this licensing visit the program has provided a schedule to identify how compliance will be met moving forward. Please provide a copy of this licensing report to each child's parent, and provide this Licensor with the names and contact information of each parent (guardian) the report was provided to.”

Correction date in the state record: Feb 20, 2026

Regulation 3.7.1.2: The licensee shall ensure that all staff are trained on the Emergency Response Plan and are aware of where to find the written plan in the CBCCPP.

“When asked, the Director indicated they had not been trained on the Emergency Response Plan and was not aware of the location of the written plan. Corrective Action: During a staff meeting prior to providing care to children ensure all staff have been trained on what their duties are during emergency drills; lockdowns, and evaucations and where they are to relocate to if necessary. Provide a signed statement confirming this has been reviewed with each staff.”

Correction date in the state record: Sep 15, 2025

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 this licensing visit there were cords accessible to children presenting several areas of hazard to children. Corrective Action: As discussed, ensure all cords are no longer accessible to children before children are back in care, and develop a system to ensure someone is responsible for compliance with this rule ongoing. In an email to this Licensor provide photo evidence that all loose cords have been secured or otherwise made inaccessible to children. In addition, identify the plan created to monitor ongoing compliance.”

Correction date in the state record: Jan 23, 2026

Regulation 6.2.6.6: The program director shall ensure that no person be left alone with children without approval from the Division based on the results of a background check that includes fingerprinting; with the exception of a parent may be left alone with his/her own child(ren).

“During the licensing visit the program was operating with three (3) groups; one (1) of those groups did not have any staff present who had been cleared through the background clearance process to include fingerprinting. Additionally, the Director who has not been cleared, was observed taking children inside alone to go to the bathroom. This is a repeat violation. Corrective Action: Since the licensing visit the program has identified how their groups will be scheduled to ensure at least one (1) person is with each group who has been cleared through the background clearance process. In an email to this Licensor identify who will be in charge to ensure this is maintained, and how staff will be informed of who can be alone with children.”

Correction date in the state record: Sep 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.

“It was determined at this visit that several staff were listed in position titles they were not serving in. The program did not notify the Division of this change nor submit updated record checks to capture this change. In addition, a minimum of four (4) staff members were listed on the Associated Parties list who the Director identified were no longer employed by the program. This is a repeat violation. Corrective Action: Since the licensing visit, the program has provided the Division of a list of currently employed staff and the correct titles they should be reflected as. In an email to this Licensor identify who is responsible for ensuring updates to BFIS are made within five (5) working days of the change, to include and not limited to: staff position titles, and staff employment end dates.”

Correction date in the state record: Sep 15, 2025

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“During the licensing visit Staff B was observed on their cell phone leaning up against a fence for a minimum of four (4) minutes while children were playing. During this time supervision was not maintained of children to see them with a quick glance or be able to respond immediately. Children were also observed running out of the classroom and when asked how many children had left the room Staff C was unable to state how many. Corrective Action: As stated, effective immediately ensure staff are not on their cell phones while caring for children and maintaining supervision as required by this rule. Additionally, identify how children will be accounted for and supervision maintained when needing to exit the classroom.”

Correction date in the state record: Jan 23, 2026

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.

“At the licensing visit it was determined the Director began on 8/21/25 but a change in Director notice had not been submitted as required by this rule. In addition it was determined that the governing bodies submitted with the application is no longer current. Corrective Action: Since the licensing visit a change in Director notification was submitted. In an email to this Licensor identify the person responsible for notifying the Division of any change as noted. Submit a change in governing bodies form to this Licensor.”

Correction date in the state record: Jan 28, 2026

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.

“Review of Evacuation Drill records for September 2023 through August 2024 revealed drills were only completed Nov and Dec 2023, Jan 2024, and May 2024. Program follows the School District schedule and is not in operation from mid-June thru August. Corrective Action: For the months of October, November and December 2024, and for January and February 2025, complete a second evacuation drill in addition to the required monthly drill. As of March 2025, program may return to conducting the one (1) monthly required drill, as long as drills are under the three (3) minute mark outlined by this rule. Provide this Licensor with a plan as to what system the program is going to implement to ensure Evacuation Drills are conducted in ordance with this rule.”

Correction date in the state record: Feb 3, 2025

Regulation 2.3.11.1: The official posted license shall contain and display the following: * Status of the license: full or provisional; * Effective date of the license; * Expiration date of the license; * The maximum number of children who may be served at one (1) time; * The ages of the children who may be served; * The applicable type of regulated service for which authorization to operate has been granted; * Terms and/or conditions added to the license; and * Approval to prepare and provide meals if granted.

“Assessment of program space identified program's license was not posted as required by this rule. Corrective Action: By the corrective action due date, ensure license is displayed in a common area.”

Correction date in the state record: Jan 31, 2025

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.

“Review of BFIS determined Staff E's clearance expired on 4/30/23. Staff E submitted a new Records Check Authorizaton on 1/19/24, on which date a letter notifying Staff E of fingerprinting requirement was issued to Staff E. As of the date of this visit, fingerprinting for Staff E has not yet been completed. Corrective Action: Ensure Staff E makes an appointment for fingerprinting and advise what the date of the appointment is. Create a system for tracking when background clearances are due to be renewed.”

Correction date in the state record: Feb 4, 2025

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; 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.

“Staff C and Staff D were observed to be working at the program, however the required Record Check Authorizations for either staff had not been submitted to the Division. This is a repeat violation. Corrective Action: Immediately ensure that no staff member who has not submitted the required Records Check Authorization is not working with children. Create, and submit to this Licensor, a plan for ensuring program maintains ratios using only staff who have submitted Record Check Authorizations, and for ensuring going forward that Record Check Authorizations are submitted prior to an individual working with children.”

Correction date in the state record: Jan 31, 2025

Regulation 3.7.2.1: The licensee shall have a written evacuation diagram with evacuation routes posted in each classroom that is used by the children.

“Assessment of indoor program space found no evacuation route to be posted. Corrective Action: Ensure an evacuation route is posted by the corrective action due date given, in accordance with the requirements of this rule.”

Correction date in the state record: Jan 31, 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.

“Follow up email correspondance with Staff A determined there are staff currently listed on the Associated Parties list that are no longer working for the program as of the end of June 2024. Corrective Action: Immediately update the Associated Parties list by putting in end of employment dates for any staff no longer with the program. Create a system for ensuring any changes to the Associated Parties list are completed within five (5) days as required by this rule.”

Correction date in the state record: Sep 15, 2025

Regulation 6.2.6.6: The program director shall ensure that no person be left alone with children without approval from the Division based on the results of a background check that includes fingerprinting; with the exception of a parent may be left alone with his/her own child(ren).

“None of the four (4) staff present on the day of this visit have been cleared through the Division's Background Check process. This was confirmed via review of program's Associated Parties list, as well as documents for Staff A, Staff B, Staff C, and Staff D, the four (4) staff present. Corrective Action: Create and submit a plan to this Licensor detailing how the program will ensure that staff who have been cleared to be alone with children are in each group and remain in the groups until further staff are cleared. If there are no staff who are currently cleared, then advise this Licensor of the program's plan to ensure compliance to this rule until such time as current staff are cleared.”

Correction date in the state record: Sep 15, 2025

Regulation 7.2.1: The licensee shall ensure that any new individuals regularly present at the CBCCPP submit a Records Check Authorization form to the Division prior to working with children in the CBCCPP.

“Present working at the program and being counted in ratio at the time of this Licensor's visit were Staff A, Staff B, and Staff C. Review of Associated Parties list determined that neither Staff B or Staff C were listed on the list. Follow up communication with Staff D revealed Records Check Authorizations for Staff B and Staff C had not yet been submitted to the Division. Corrective Action: Create a system to ensure Records Check Authorizations are submitted for all new staff prior to them working with children. Ensure plan specify which staff member is responsible for ensure RCA's are completed and submitted.”

Correction date in the state record: Jan 31, 2025