Karen Butler

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.

“One staff member has completed 2 of the required 15 hours of annual professional develpment. Corrective Action: Ensure that the staff member completes 15 hours for the next review period by 12/5/25. The staff should also complete an additional 13 hours of professional development by 1/15/2026 to complete the missing hours for the current review period. A total of 28 hours of professional development should be completed. Ensure that all documents are submitted to Northern Lights for entry into BFIS. Send copies of completion certificates to sarah.crosier@vermont.gov. Create a plan to ensure that each staff completes at least 15 hours of annual professional development based on their start date.”

Correction date in the state record: May 5, 2026

Regulation 5.6.2: The FCCP shall ensure that only staff, who have completed a training course, approved by the Division, administer medication in the FCCH.

“Provider and staff member stated that medication was administered to a child during the summer by an individual who has not completed the Medication Administration training. Provider documented that both staff are now registered for this training. Corrective Action: Staff should complete medication administration training prior to administering any medication. Send documentation of training completion to Northern Lights for entry into BFIS accounts, and send a copy of the certificate to sarah.crosier@vermont.gov.”

Correction date in the state record: Nov 12, 2025

Regulation 5.6.8: The FCCP shall ensure that there is a record of the administration of all medications including medication dosage, time of administration, name of staff administering, and any adverse effects observed. These records shall be maintained for 365 days from the start date of medication administration, and may be kept in the child's file or in a medication administration log.

“Staff stated that medication had been administered to a child during the summer on a daily basis, and no record was kept of administering the medication. Corrective Action: Develop a plan to ensure that all required information is documented for each medication administered to any child. Send a copy of this plan to sarah.crosier@vermont.gov for approval.”

Correction date in the state record: May 4, 2026

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.

“In a review of professional development from 2/2023-2/2024, no professional developemnt hours were documented for the provider. Corrective Action: Develop a plan to ensure that 15 hours of professional development are completed by each staff member each year, and 4 hours are completed for any subsitute. The year to complete this training is based on each individual's start date. Provider has already completed 15 hours to address the missed time period. One additional hour has been documented toward the period from 2/2024-2/2025. Ensure that 14 additional hours are completed prior to 2/6/2025. These will be reviewed at the next licensing visit.”

Correction date in the state record: Nov 22, 2024

Regulation 5.2.1.1: The FCCP shall ensure that adults and children wash their hands: * Upon arrival at the FCCH; * Before they eat, prepare or handle food; * Before and after handling raw meat; * Before feeding children; * After toileting or diapering; * After cleaning; * After taking out the garbage; * After handling animals; and * After outdoor play.

“Hand washing was not observed by staff or children prior to handling, serving and eating food. Corrective Action: Ensure that hand washing by staff and children happens at each point identified in this rule beginning immediately. This should be hand washing with soap and water, not use of hand sanitizer unless soap and water is unavailable. Send an email to sarah.crosier@vermont.gov describing how you will ensure that hand washing will happen at all required times.”

Correction date in the state record: Jun 24, 2025

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“Documented evacuation drills ranged from 10-12 minutes to complete. When asked, provider explained that it takes that long for them to get to the door, get shoes on and go. Corrective Action: Develop a plan to ensure that evacuation drills take less than 3 minutes to complete, that does not include stopping to put on shoes or outdoor clothing. Complete two drills in December and two drills in January, and send a copy of the documentation to sarah.crosier@vermont.gov.”

Correction date in the state record: Jan 31, 2025

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“In describing a diaper change, washing children's hands afterward was not included by staff. When question staff stated that they wash hands after toileting but not after diapering. Corrective Action: Ensure that the full diaper changing procedure is follwed for each diaper change, including washing children's hands with soap and water afterward. Send an email to sarah.crosier@vermont.gov describing how you will ensure that this happens each time.”

Correction date in the state record: Jun 24, 2025

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.

“No written Emergency Response Plan is present on site. Provider states that there is a plan, but not a written plan, and that she does talk with her staff about what to do. Corrective Action: Create an Emergency Response Plan and submit it to sarah.crosier@vermont.gov for review. The sample form on the Child Development Division website may be used or may provide reference, but is not required. Train staff on this plan and have it available to staff within the program.”

Correction date in the state record: Jan 17, 2024

Regulation 5.2.3.6: The FCCP shall ensure that used disposable diapers are placed in a leak proof bag or container that is washable and has a firmly fitting cover.

“The diaper garbage was uncovered. Corrective Action: Replace the current garbage can with one that has a cover.”

Correction date in the state record: Jan 17, 2023

Regulation 6.1.4.2.1: The FCCP shall ensure that the amount of awake time children under twenty-four (24) months of age spend in any confining equipment, such as a crib, playpen, port-a-crib, swing, or seat is limited to less than thirty (30) minutes in any two (2) hour period.

“A child was placed in a jumper seat and remained there for 44 minutes before being removed. Corrective Action: Ensure that no child who is awake and under the age of 24 months is in any confining equipment for more than 30 minutes in any two hour block. Email sarah.crosier@vermont.gov with your plan to ensure compliance with this regulation.”

Correction date in the state record: Feb 17, 2023

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.

“Documentation is available including professional development, Protecting Vermont's Children certificate, and educational data that has not been submitted to Northern Lights for entry into BFIS Quality and Credential accounts. Corrective Action: Immediately send documents to professional.development@ccv.edu and copy sarah.crosier@vermont.gov on those emails. Develop a plan to ensure that future documents are submitted in a manner that maintains current BFIS accounts.”

Correction date in the state record: Mar 11, 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.

“Well visit documentation was missing for one of two files reviewed. Corrective Action: Ensure that each child's file has documentation of a current well visit. Develop a plan to ensure that this document is collected as new children are enrolled. Notify sarah.crosier@vermont.gov when all files contain that documentation.”

Correction date in the state record: Mar 11, 2022

Regulation 5.4.1.1: The FCCP shall ensure that each child, except school age children, has an individual crib, port-a-crib, cot, mat, or bed that is safe for the child's age and development, in good repair, and used by only one child each day. No child shall nap directly on the floor or on furniture not designed for sleeping. Cribs or port-a-cribs shall be used for children under the age of twelve (12) months. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.

“Rest mats were not available in the program. The children do not nap during the 6 hour day. Corrective Action: Ensure that each child has an individual rest mat or cot or port-a-crib available for rest. Send a photo of the items to sarah.crosier@vermont.gov when you receive them.”

Correction date in the state record: Feb 23, 2022

Regulation 5.10.1.2.6: The extinguisher shall be visibly mounted to the wall near an exit door.

“Fire extinguisher is placed on a shelf and is not mounted near an exit door. Corrective Action: Mount the fire extinguisher near an exit door and send a photo of this to [name] once it is completed.”

Correction date in the state record: Oct 6, 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 the Emergency Preparedeness training that is required within the first year of licensure. Corrective Action: Complete an Emergency Preparedness Training and ensure that documentation of completion is entered into the BFIS Quality and Credential account. Notify sarah.crosier@vermont.gov when the training is completed.”

Correction date in the state record: Oct 7, 2020

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.

“The Bright Futures accounts for staff are not up to date and do not contain documentation of all completed training and education documentation is missing for staff as well. Corrective Action: Ensure that all BFIS Quality and Credential accounts are up to date with training and education documentation. Please notify [name] once all materials have been sent to Northern Lights for entry into the BFIS accounts.”

Correction date in the state record: Oct 14, 2020

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.

“A staff member has not completed orientation. Corrective Action: Ensure that orientation training is completed by all staff members.”

Correction date in the state record: Oct 29, 2020