Jennelle Gallagher

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.

“Out of four (4) files reviewed, three (3) were missing documentation of the children's age appropriate well-child visit. Corrective Action: Collect documentation of well-care exams for all enrolled children. Develop a system to ensure that documentation of well-care exams is gathered within the required forty-five (45) days of enrollment. In the corrective action, provide evidence that well-child exam documentation has been collected for all enrolled children and the details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Feb 6, 2026

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.

“Fingerprints expired on 1/31/2025 for both the provider and one (1) other household member. Corrective Action: New record check authorization forms were sent to the Division and Fingerprint Authorization Certificates were issued on 12/23/2025. By 1/9/2026, both the provider and household member must have fingerprints taken, and the receipts must be emailed to Licensor [name]. Failure to complete this by 1/9/2026 may result in temporary suspension of the license until the fingerprints have been taken.”

Correction date in the state record: Jan 12, 2026

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.

“None of the four (4) children's files reviewed included current immunization forms. Corrective Action: Collect documentation of immunization forms for all enrolled children. Develop a system to ensure that all immunization forms are gathered on or before children's first day of care and upon receiving new immunizations. In the corrective action, provide evidence that immunization forms have been collected for all enrolled children and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Feb 6, 2026

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.

“Children's attendance was documented up through 11/12/2025, but the week between 11/13/2025 and 11/19/2025 was not documented. This rule was cited out of compliance in 2018, 2021, and 2022. Corrective Action: Email a plan to Licensor [name] that describes how attendance will be consistently maintained. In the plan, include, 1) how attendance will be kept; 2) where it will be kept so it is handy for daily use; and 3) how you will remember to record attendance daily all year round.”

Correction date in the state record: Feb 2, 2026

Regulation 5.10.1.14.2: The FCCP shall ensure that any animals or pets present at or brought into the FCCH are vaccinated as prescribed by law, with documentation maintained at the FCCH.

“The provider did not provide documentation of immunizations for their puppy. Corrective Action: Email documentation of the puppy's current immunizations to Licensor [name].”

Correction date in the state record: Feb 2, 2026

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.

“A reunification plan was not added to the emergency response plan as per federal requirements. Corrective Action: Add a plan to reunify with families in case of relocation due to emergency. Send the plan to Licensor [name].”

Correction date in the state record: Feb 2, 2026

Regulation 2.3.7.10: The prospective FCCP shall ensure that the drinking water system complies with the testing requirements in the Vermont Water Supply Rule and have a first draw test for lead analyzed by a Drinking Water Laboratory certified by the State of Vermont according to 18 V.S.A. S501b. * Results shall meet Vermont standards. * Water may be remedied and retested to ensure potability if any test(s) are elevated. * Bottled water for drinking shall be provided until such time as the drinking water system meets Vermont standards. * Information from this water test shall be included in the initial application.

“The lead water testing was supposed to be completed by 10/31/2022 and has not been completed. Corrective Action: By 1/10/2025, email Licensor [name] with confirmation that the water test kit has been ordered. Follow through with lead water testing. Until the test returns indicating acceptable levels of lead, use bottled water for consumption or food preparation. Information on how to contact the Vermont Department of Health lead water testing was provided to the provider via email.”

Correction date in the state record: Oct 14, 2025

Regulation 2.3.9.5.4: The FCCP shall ensure that a drinking water system serving less than twenty-five (25) persons daily, served by their own well or spring, is chemically tested for arsenic, uranium, nitrite, manganese, and fluoride once every six (6) years. This testing shall be analyzed by a Drinking Water Laboratory certified by the State of Vermont according to 18 V.S.A. S501b. * Results shall meet Vermont standards. Water shall be remedied and retested to ensure potability if any test(s) are elevated. * Bottled water for drinking shall be provided until such time as the drinking water system meets Vermont standards. * The sample shall be a representative sample from the tap most frequently used for drinking after any treatment (for example a UV light system, a softener or charcoal filter). * Information from these water tests shall be included in the license renewal.

“The chemical water testing for the well was supposed to be completed by 10/18/2024 and has not been completed. Corrective Action: By 1/10/2025, email Licensor [name] with confirmation that the water test kit has been ordered. Follow through with chemical water testing. Until the test returns indicating acceptable levels of chemicals, use bottled water for consumption or food preparation. Information on how to contact the Vermont Department of Health chemical water testing was provided to the provider via email.”

Correction date in the state record: Jun 26, 2025

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.

“The provider did not complete fifteen (15) hours of required annual professional development between 11/1/2022 and 11/1/2023. Corrective Action: Complete thirty (30) hours of professional development by 11/1/2024. By 2/19/2024, email Licensor [name] a plan that shows which trainings will be completed and when they will be completed.”

Correction date in the state record: Mar 7, 2024

Regulation 7.1.2.1: The FCCP shall have successfully completed pediatric first aid and CPR prior to being licensed and must remain currently certified.

“The provider's First Aid/CPR certification expired in October 2023 and has not been renewed. Corrective Action: By 2/19/2024, complete First Aid/CPR certification and email the certificate to Northern Lights at CCV. Copy Licensor [name] on the submission. Moving forward, design a system to ensure that First Aid/CPR certification is renewed prior to the end of the current certificate.”

Correction date in the state record: Mar 7, 2024

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 review of the children's attendance confirmed that attendance has not been documented since 2/22/2022. The provider said that the program was closed between 3/3/2022 and 3/17/2022 due to illness, but that the program was open the weeks prior to 3/3/2022 and after 3/17/2022. This is a repeat violation. Corrective Action: Immediately begin documenting daily attendance. Email Licensor [name] with a plan that describes how the provider will assure that attendance is documented daily moving forward.”

Correction date in the state record: May 6, 2022

Regulation 5.4.1.8: Bedding used by a child shall be stored in a manner that prevents contact with bedding used by other children.

“The children's nap bed rolls were rolled up but were all stacked together and were touching. Corrective Action: Devise a system to store children's bedding that does not allow the bedding to touch. Email Licensor [name] photos when the system is in place.”

Correction date in the state record: May 6, 2022

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.

“A review of the provider's BFIS Quality and Credentialing account and a statement by the provider confirmed that First Aid/CPR certification and annual professional development documentation was not sent to Northern Lights at CCV to be uploaded as required. Corrective Action: Send all training documents to Northern Lights at CCV. Email Licensor [name] a plan that describes how documents will be submitted to Northern Lights at CCV in a timely manner moving forward.”

Correction date in the state record: May 2, 2022

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.

“There was a dry chemical fire extinguisher with a 2-A: 10BC classification mounted in the child care space near an exit. The fire extinguisher was past due for an inspection and the provider stated it had not been inspected in over a year. Corrective Action: By 3/3/21, have the fire extinguisher inspected and properly tagged. If the fire extinguisher does not pass inspection, a new extinguisher shall be mounted by 3/5/20. By 3/3/20 submit an improvement plan on how the program will ensure fire extinguishers are inspected and properly tagged on a yearly basis.”

Correction date in the state record: Mar 5, 2021

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 provider has not recorded daily attendance since November 20th, 2020 and stated she does not take attendance daily as required. Corrective Action: Effective immediatley, children's attendance shall be recorded on a daily basis.”

Correction date in the state record: Mar 5, 2021

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 provider stated evacuation drills have not been conducted or recorded since December 21st, 2020. . Corrective Action: For the months of February 2021 through September 2021, two evacuation drills must be conducted and recorded each month. By 3/3/21, submit an improvement plan on how the program will ensure the two evacuation drills are conducted monthly for the next six months and how the program will conduct and record evacuation drills monthly beginning October 2021.”

Correction date in the state record: Mar 5, 2021

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 11/9/2020 and 12/21/2020, CDD sent 2 separate emails to all programs, 1 reminder letter using US Postal Service, 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 provider stated that she has not submitted the report. Corrective Action: By 03/03/2021, submit a program improvement plan that identifies the steps that will be taken to ensure that the 2021 annual immunization report will be filed between 11/1/2021-12/31/2021.”

Correction date in the state record: Mar 5, 2021

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 provider stated she provides meals daily to children in care but does not plan and post a menu as required. Corrective Action: By 3/3/21, plan and post a menu weekly and submit an improvement plan on how the program will maintain compliance with this rule.”

Correction date in the state record: Mar 5, 2021

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.

“A review of BFIS Quality and Credentialing accounts showed that the registrant and a household member had not submitted to fingerprinting. The Fingerprint Authorization Certificate was issued to the registrant on July 5, 2018 and to the household member on June 25, 2019. On the day of the visit, the registrant stated she and the household member have been fingerprinted. Corrective Action: By 2/21/2020, submit an improvement plan that identifies how the program will adhere to fingerprinting requirements when Fingerprint Authorization Certificates are issued in the future.”

Correction date in the state record: Jan 31, 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.

“The last date attendance was documented was on March 13, 2018. Corrective Action: Effective immediately, develop and implement a system that accurately documents the arrival and departure time of each child daily.”

Correction date in the state record: Jul 6, 2018