Island Pond Child & Family Development Program

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 the program BFIS Quality and Credential account indicated missing training and/or educational certification. The program director stated that not all certifications had been sent or added to staff BFIS Quality and Credential. The program director was able to show all documentation requested. Corrective Action: By 12/20/2025, all existing documents must be submitted electronically to Northern Lights at CCV. Provide a copy of the email indicating documents have been received. If emailing the documents cc your licensor on the same email. Submit all documents to Northern Lights on an on-going basis moving forward.”

Correction date in the state record: Dec 20, 2025

Regulation 6.2.7.3: Staff shall use positive methods of guidance and behavior management that encourage self-control, self-direction, self-esteem, and cooperation.

“Multiple staff observation indicated that at lunch time a staff was bracing the chair a child was sitting in against the table with her foot so the child could not back away from the table and get up. The child repeatedly bent his body over the side of the chair, over the armrests in protest however, the staff would not release him. Earlier in the day a staff saw the same staff holding the hands of the child guiding him forcefully to bring his dishes in the kitchen while he was crying and trying to escape their grip. The child had visible red marks on his body. Corrective Action: Effective immediately instruct staff to use developmentally appropriate expectations of children's behavior. By 12/09/24 submit a program improvement plan to this licensor that states how the program will ensure staff's children behavior expectations and responses are developmentally appropriate to each child's level of understanding and meets the individual needs of each child. The plan shall include the program's management team ensuring trainings with all staff about positive guidance of children, providing ongoing observations of each staff member's work with children to ensure positive guidance, and ongoing mentor time to support current and future staff in positive guidance of children. The plan should identify specific training that will be provided, the name and position of staff that will provide guidance, support, observation and mentorship. The frequency of observation and mentorship time to existing staff, as well as onboarding plan and mentoring plan of new staff.”

Correction date in the state record: Dec 12, 2024

Regulation 5.10.1.2.1: The licensee shall ensure that the CBCCPP is in compliance with Vermont Division of Fire Safety rules at all times. This includes but is not limited to: * Complying with Vermont Division of Fire Safety inspection reports; * Having regular fire systems inspected with violations identified during the inspection noted as corrected; and * Having fire extinguishers tagged with valid inspection tags.

“The fire extinguisher accessible to the program bears an outdated tag with an inspection date of January of 2022. Corrective Action: By 2/17/2023, have the fire extinguisher inspected by a person who may issue, initial, and date the inspection tag and ensure future compliance by having the fire extinguisher inspected annually.”

Correction date in the state record: Feb 14, 2023

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 and discussion with the program director, it was found that staff had missing or incomplete documentation in their accounts. Staff A and B are missing their educational documentation. Staff A, C, D, E and F are missing their Mandated Reporter certification. Corrective Action: By June 15, 2021, submit staff education and training documentation to Northern Lights at CCV, for all staff missing documentation in their BFIS Quality and Credential Accounts. Email this licensor when documentation has been forwarded to Northern Lights. Develop a plan on how the BFIS Quality and Credential Accounts will be updated and kept up to date in the future. Submit a copy of the plan to this licensor.”

Correction date in the state record: Jun 3, 2021

Regulation 3.4.7.3: Within six (6) months of the initial date of employment, staff working with children 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 NLCDC to be verified and maintained in BFIS.

“A review of Shannon O'Rourke, [name], [name], [name] and [name] BFIS Quality and Credential Accounts did not reflect the required documentation of CPR, First Aid and/or documentation needed to support qualifications of positions. These staff have been employed longer than six months. Corrective Action: Submit all current qualification, annual professional development and CPR and first aid documentation to Northern Lights at CCV. Develop a procedure on how you will maintain up to date BFIS Quality and Credential accounts and submit a copy to this licensor by November 1st, 2019.”

Correction date in the state record: Oct 31, 2019