Jean Bourn

Regulation 5.6.6: The FCCP shall ensure that all prescription medication is in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“There was medication on site for one child and it did not have the original packaging or label present. This medication had not been administered. Corrective Action: Ensure that any medication on site meets all requirements of this rule. Send an email to sarah.crosier@vermont.gov updating when the packaging and label have been provided, or if the caregive opts not to provide the medication.”

Correction date in the state record: Dec 2, 2024

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.

“Provider stated that she was working on her emergency response plan at this time and does not have one to review at this time. Corrective Action: Complete an Emergency Response Plan (you may use the template available online, but are not required to) and submit the plan to sarah.crosier@vermont.gov for review. Include informatoin about how children will be physically reunified with their families in the event of an emergency.”

Correction date in the state record: Dec 20, 2024

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.

“Provider has 5.5 hours of professional development documented in BFIS for the period between 3/1/2023-3/1/2024 and stated that she had not completed additional training. Corrective Action: Complete 9.5 hours of professional development by 1/3/2025. Copy sarah.crosier@vermont.gov on emails sent to Northern Lights with professional development documents. Develop a plan to ensure that 15 additional hours of annual professional development are completed by 3/1/2025, and each year thereafter. This will be evaluated at the next site visit.”

Correction date in the state record: Jan 6, 2025

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

“A review of files found that 2 of 7 enrolled children had documentation of a well care exam in their files. Corrective Action: By 1/12/2024, ensure that each enrolled child has documentation of a well care visit in their file. Send an email to sarah.crosier@vermont.gov when all children have the documentation on file.”

Correction date in the state record: Nov 15, 2024

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.

“Staff A has not completed the Vermont Orientation Training or other approved Orientation Training. Corrective Action: Complete the Vermont Orientation Training and notify sarah.crosier@vermont.gov once completed.”

Correction date in the state record: Mar 21, 2022

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.

“No emergency drills were documented for November or December 2021. Corrective Action: Complete one emergency drill in January, and two emergency drills during February. Send a photo or scan of the documented drills for January and February to sarah.crosier@vermont.gov after completing the 2nd February drill.”

Correction date in the state record: Mar 21, 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 11/16/2021 and 12/17/2021, CDD sent two (2) separate emails to all programs, one (1) reminder letter using US Postal Service, one (1) reminder letter sent through the program's BFIS account, and a final email reminder. This communication provided the link to be used and CDD contact information for questions or challenges with submitting the report. The report was submitted on 1/1/2022, after the deadline. Corrective Action: Develop a plan to ensure that the report is completed and submitted in a timely manner each year moving forward. Email your plan to sarah.crosier@vermont.gov for review and approval.”

Correction date in the state record: Mar 21, 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.

“Three individuals have not submitted for fingerprinting as required. Corrective Action: Ensure that all staff and household members who are required to submit to fingerprinting do so as soon as possible. Notify sarah.crosier@vermont.gov when this has been completed.”

Correction date in the state record: Jan 25, 2022

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

“Two of three child files reviewed did not contain documentation of a general health exam. Corrective Action: Ensure that each child's file contains documentation of a general health exam. Notify sarah.crosier@vermont.gov when all files contain this documentation.”

Correction date in the state record: Dec 28, 2022

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.

“During the last full year of assessment, two staff members did not complete 15 hours of professional development as required. Corrective Action: Develop a plan to ensure that each staff member will complete at least 15 hours of annual professional development. The hours should be completed in the year based on hiring date. Email sarah.crosier@vermont.gov when the plan has been created.”

Correction date in the state record: Nov 4, 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.

“Provider stated that she has not created a menu in advance and posted it where parents could access it. Corrective Action: Immediately begin creating a menu in advance, ensuring that it is accessible to parents, and maintain the accurate menu on file for at least 6 weeks. Email sarah.crosier a copy of one week's menu.”

Correction date in the state record: Nov 4, 2020

Regulation 3.6.3: Emergency preparedness Training: Within 365 days of opening a FCCH, the FCCP shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the FCCP and children present need to remain in the FCCH for an extended period.

“[name] has not completed an Emergency Preparedness training. Corrective Action: Complete an emergency response training and notify sarah.crosier@vermont.gov when this has been completed.”

Correction date in the state record: Oct 19, 2020

Regulation 5.10.1.2.5: There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

“Fire extinguisher was serviced in January 2017 and is not current. Corrective Action: Have the extinguisher serviced and notify [name] when this has been completed.”

Correction date in the state record: Jul 27, 2018

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.

“Evacuation drills were recorded through February 2018, Provider stated that they had not been held or recorded since then. Corrective Action: Ensure that two drills are conducted in June 2018 and notify [name] when the drills are completed. Document each drill per regulations. Resume monthly evacation drills and documentation in July.”

Correction date in the state record: Jul 27, 2018