Karen Delbeck

Regulation 5.10.1.11.1: The FCCP shall ensure that the use of tobacco and tobacco substitutes (including e-cigarettes), alcohol and illegal drugs is prohibited at the FCCH (both indoor and outdoor environments used by children) when children are present and also in any vehicle used to transport children for program purposes.

“This violation was cited originally after a visit on 10/10/2025 when the provider admitted to vaping in the presence of children. The corrective action due date was 11/17/2025. It was cited again on 1/20/2026 due to missing corrective action. As of 1/27/2026, the provider did not send a statement to Licensor [name] describing her understanding of this rule as required. Corrective Action: By 2/4/2026, email a statement to Licensor [name] describing your understanding of this rule and confirming that you no longer vape in the presence of children. Failure to meet this deadline may result in further regulatory action.”

Correction date in the state record: Mar 2, 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.

“This violation was cited originally after the 11/12/2025 compliance visit, and again on 1/20/2026 after corrective action was not received. A review of the provider's BFIS quality and credential account and documentation provided by the provider shows that in the period of 9/18/2024 to 9/17/2025, three (3) out of fifteen (15) required hours of annual professional development were completed. There are four (4) additional hours completed that count toward the period of 9/18/2025 through 9/17/2026. Corrective Action: Email a professional development plan to Licensor [name] outlining how the remaining twelve (12) hours of annual professional development due for the period of 9/18/2024 through 9/17/2025, in addition to the remaining eleven (11) hours that are due by 9/17/2026 for a total of twenty-three (23) hours will be completed by 9/17/2026. In the plan, include, 1) titles of the training courses and dates they will be completed, 2) how you will ensure that the training certificates are sent to Northern Lights at CCV in a timely manner. You can contact Northern Lights at CCV Resource Advisor Adri Taylo-Behrman at adri.taylo-behrman@ccv.edu for support finding qualifying trainings if necessary. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 2026

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“This violation was cited originally after the 11/12/2025 compliance visit, and again on 1/20/2026 after corrective action was not received. The child who did not have an enrollment file at the visit on 11/12/2025 still does not have an enrollment file. The provider said that the parents continue to not fill out the form. Corrective Action: The child may not be at the program without a file that includes all items listed in this rule, and specifically emergency contacts, physician contact information, and permission for emergency medical care and transportation. The provider agreed to require the child's parents to complete the form at pick up today or drop off tomorrow before they can leave the child in her care. Send a copy or photo of the enrollment form to Licensor [name] no later than the morning of 1/29/2026. By 2/4/2026 collect the child's current immunizations and documentation of their age appropriate well check and send them to Licensor [name]. Failure to meet this deadline may result in further regulatory action.”

Correction date in the state record: Mar 27, 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.

“This violation was cited originally after the 11/12/2025 compliance visit, and again on 1/20/2026 after corrective action was not received. A review of past emails to Licensor on Duty and internal storage of record check authorization forms show that the Division did not receive the record check authorization form for the household member as required. Corrective Action: A record check authorization form was left with the provider for the household member. Ensure that the household member completes the record check authorization form and sends it back to Licensor [name]. Ensure that the household member makes an appointment to ensure that fingerprints are taken on or before 2/4/2026 and send Licensor [name] documentation in the form of a receipt or TVT number. A secure email was sent to the provider to attach the record check authorization form. A list of all fingerprint locations from the Vermont Criminal Information Center website was provided in the email sent to the provider. Failure to meet this deadline may result in further regulatory action.”

Correction date in the state record: Feb 6, 2026

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.

“This violation was cited originally after the 11/12/2025 compliance visit, and again on 1/20/2026 after corrective action was not received. The provider's First Aid/CPR certification expired on 9/30/2025. The corrective action was to complete the First Aid/CPR certification and submit the certificate to Northern Lights at CCV. The certification was completed on 1/27/2026, but the certificate has not yet been sent to Northern Lights at CCV. Corrective Action: Send the new First Aid/CPR certificate to Northern Lights at CCV and provide documentation to Licensor [name] when it has been sent. Instructions for how to use Direct Send to send the certificate were provided during the visit. Failure to meet this deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 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.

“This violation was cited originally after the 11/12/2025 compliance visit, and again on 1/20/2026 after corrective action was not received. An onsite review of children's attendance shows that the provider has taken attendance daily since the compliance visit on 11/12/2025. The provider has not yet submitted a plan that describes how attendance will be maintained daily when there are outside issues that may derail the practice. Corrective Action: Submit a plan that describes how attendance will be maintained daily when there are outside issues that may derail the practice. Failure to meet this deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 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.

“This violation was originally cited after the visit on 11/12/2025 with a corrective action due date of 12/17/2025. Children's attendance was documented up to 10/10/2025, and then no attendance was taken for the following month. This rule was previously cited at compliance visits on 11/14/2024, 1/16/2024, and 2/1/2023. Corrective Action: Since the former plan worked for most of the year, email a plan to Licensor [name] that describes how attendance will be maintained daily when there are outside issues that may derail this practice. This rule is being cited out of compliance for a second time because corrective action was not received by the due date. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 2026

Regulation 5.4.2.4: Each crib and port-a-crib shall have a firm, tight-fitting mattress covered by a tight-fitting crib sheet.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. The provider said that the port-a-crib was used for the infant to sleep without a crib sheet. A talking point was issued for this same rule at the compliance visit on 11/14/2024 because the crib sheet was not tight-fitting. Corrective Action: It was discussed that there must be a tight-fitting crib sheet on the port-a-crib mattress before the infant can sleep in the crib again. Email Licensor [name] to confirm that a sheet has been purchased and is being used in the crib while the infant is sleeping. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Jan 28, 2026

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. One (1) child who was present during the visit did not have a file onsite. This rule was previously cited at a compliance visit on 1/16/2024. Corrective Action: Ensure that the family completes the application and brings a copy of the child's immunizations and a copy of documentation from their last well-child visit. Ensure that the application includes permission to use a pacifier in their crib per rule 5.4.2.8. Email Licensor [name] the file once it is collected. If a secure email is needed, please request one from Licensor [name]. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 27, 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.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. One (1) household member has not completed their five-year fingerprint renewal. which was due 3/13/2025. Corrective Action: Send a new record check authorization form to the Division for the identified household member and follow through with fingerprinting. Copy Licensor [name] in the email when the record check authorization form is sent to the Division. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Feb 6, 2026

Regulation 5.10.6.1.1: The FCCP shall ensure that any vehicle used for transporting children shall be registered, inspected and insured according to state law.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. The provider produced a document indicating that insurance expired on 10/10/2025 and a temporary registration that expired on 8/23/2025. The vehicle's inspection is current until July 2026. Corrective Action: Do not use this vehicle to transport children until all documents are current. Email documentation of current registration and insurance for the vehicle used to transport children. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Jan 28, 2026

Regulation 5.10.1.11.1: The FCCP shall ensure that the use of tobacco and tobacco substitutes (including e-cigarettes), alcohol and illegal drugs is prohibited at the FCCH (both indoor and outdoor environments used by children) when children are present and also in any vehicle used to transport children for program purposes.

“This violation was originally cited after a visit on 10/10/2025 with a corrective action due date of 11/17/2025. The provider admitted to using an herbal vape pen and a nicotine vape in the presence of children. Corrective Action: Immediately cease using the vape pen or any other tobacco product or tobacco substitute in the presence of children, including when outside. By 1/27/2026, email a statement to Licensor [name] describing your understanding of the rule. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 2, 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.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. A review of the provider's BFIS quality and credential account and documentation provided by the provider shows that in the period of 9/18/2024 to 9/17/2025, three (3) out of fifteen (15) required hours of annual professional development were completed. There are four (4) additional hours completed that count toward the period of 9/18/2025 through 9/17/2026. This violation was previously cited at visits on 1/16/2024 and 2/1/2023. Corrective Action: Email a professional development plan to Licensor [name] outlining how the remaining twelve (12) hours of annual professional development due for the period of 9/18/2024 through 9/17/2025, in addition to the remaining eleven (11) hours that are due by 9/17/2026 for a total of twenty-three (23) hours will be completed by 9/17/2026. In the plan, include, 1) titles of the training courses and dates they will be completed, 2) how you will ensure that the training certificates are sent to Northern Lights at CCV in a timely manner. You can contact Northern Lights at CCV Resource Advisor Adri Taylo-Behrman at adri.taylo-behrman@ccv.edu for support finding qualifying trainings if necessary. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 2026

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.

“This violation was originally cited after a visit on 11/12/2025 with a corrective action due date of 12/17/2025. The provider's First Aid/CPR certification expired on 9/30/2025. The provider confirmed that she had not yet completed First Aid/CPR re-certification as of the date of the visit. Corrective Action: Complete First Aid/CPR re-certification and send the certificate to Northern Lights at CCV via Direct Send. In addition, email the certificate to Licensor [name]. An email with instructions for Direct Send will be emailed to the provider at the time of this report. This rule is being cited out of compliance for a second time because corrective action was not received. Failure to meet the new deadline may result in further regulatory action.”

Correction date in the state record: Mar 26, 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 to 10/10/2025, and then no attendance was taken for the following month. This rule was previously cited at compliance visits on 11/14/2024, 1/16/2024, and 2/1/2023. Corrective Action: Since it seems that the former plan worked for most of the year, email a plan to Licensor [name] that describes how attendance will be maintained daily when there are outside issues that may derail this practice.”

Correction date in the state record: Mar 26, 2026

Regulation 5.10.6.1.1: The FCCP shall ensure that any vehicle used for transporting children shall be registered, inspected and insured according to state law.

“The provider produced a document indicating that insurance expired on 10/10/2025 and a temporary registration that expired on 8/23/2025. The vehicle's inspection is current until July 2026. Corrective Action: Do not use this vehicle to transport children until all documents are current. Email documentation of current registration and insurance for the vehicle used to transport children.”

Correction date in the state record: Jan 28, 2026

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“One (1) child who was present during the visit did not have a file onsite. This rule was previously cited at a compliance visit on 1/16/2024. Corrective Action: Ensure that the family completes the application and brings a copy of the child's immunizations and a copy of documentation from their last well-child visit. Ensure that the application includes permission to use a pacifier in their crib per rule 5.4.2.8. Email Licensor [name] the file once it is collected. If a secure email is needed, please request one from Licensor [name].”

Correction date in the state record: Mar 27, 2026

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 on 9/30/2025. The provider confirmed that she had not yet completed First Aid/CPR re-certification as of the date of the visit. Corrective Action: Complete First Aid/CPR re-certification and send the certificate to Northern Lights at CCV. In addition, email the certificate to Licensor [name].”

Correction date in the state record: Mar 26, 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.

“A review of the provider's BFIS quality and credential account and documentation provided by the provider shows that in the period of 9/18/2024 to 9/17/2025, three (3) out of fifteen (15) required hours of annual professional development were completed. There are four (4) additional hours completed that count toward the period of 9/18/2025 through 9/17/2026. This violation was previously cited at visits on 1/16/2024 and 2/1/2023. Corrective Action: By 12/17/2025, please email a professional development plan to Licensor [name] outlining how the remaining twelve (12) hours of annual professional development due for the period of 9/18/2024 through 9/17/2025, in addition to the remaining eleven (11) hours that are due by 9/17/2026 for a total of twenty-three (23) hours will be completed by 9/17/2026. In the plan, include, 1) titles of the training courses and dates they will be completed, 2) how you will ensure that the training certificates are sent to Northern Lights at CCV in a timely manner. You can contact Northern Lights at CCV Resource Advisor Adri Taylo-Behrman at adri.taylo-behrman@ccv.edu for support finding qualifying trainings if necessary.”

Correction date in the state record: Mar 26, 2026

Regulation 5.4.2.4: Each crib and port-a-crib shall have a firm, tight-fitting mattress covered by a tight-fitting crib sheet.

“The provider said that the port-a-crib was used for the infant to sleep without a crib sheet. A talking point was issued for this same rule at the compliance visit on 11/14/2024 because the crib sheet was not tight-fitting. Corrective Action: It was discussed that there must be a tight fitting crib sheet on the port-a-crib mattress before the infant can sleep in the crib again. Email Licensor [name] by 12/17/2025 to confirm that a sheet has been purchased and is being used in the crib while the infant is sleeping.”

Correction date in the state record: Jan 28, 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.

“One (1) household member has not completed their five-year fingerprint renewal. which was due 3/13/2025. Corrective Action: Send a new record check authorization form to the Division for the identified household member and follow through with fingerprinting. Copy Licensor [name] in the email when the record check authorization form is sent to the Division.”

Correction date in the state record: Feb 6, 2026

Regulation 5.10.1.11.1: The FCCP shall ensure that the use of tobacco and tobacco substitutes (including e-cigarettes), alcohol and illegal drugs is prohibited at the FCCH (both indoor and outdoor environments used by children) when children are present and also in any vehicle used to transport children for program purposes.

“The provider admitted to using an herbal vape pen and a nicotine vape in the presence of children. Corrective Action: Immediately cease using the vape pen or any other tobacco product or tobacco substitute in the presence of children, including when outside. By 11/17/2025, email a statement to Licensor [name] describing your understanding of the rule.”

Correction date in the state record: Mar 2, 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.

“The provider confirmed that she has given Tylenol to a child and the provider has not completed a medication administration training. Corrective Action: Immediately cease administering any medications to children in care. By 12/31/2024, sign up for an approved medication administration training. If help is needed to find a medication administration training, contact Northern Lights at CCV Resource Coordinator, Adri Taylo-Behrman at adri.taylo-behrman@ccv.edu.”

Correction date in the state record: Feb 1, 2025

Regulation 5.10.1.3.4: The FCCP shall ensure that drinking water is potable by meeting Vermont standards at all times or shall provide bottled water for drinking.

“The lead water testing was due 7/21/2021 and the provider is not using bottled water according to regulation. Corrective Action: By 12/31/2024, email Licensor [name] to confirm that you have ordered the bottles for lead water testing. Visit https://www.healthvermont.gov/environment/healthy-schools/how-test-lead-drinking-water-your-school-or-child-care-facility for information about how to order test kits and perform the test. Contact AHS.LeadChildCare@vermont.gov if you have questions about any part of the process.”

Correction date in the state record: Feb 3, 2025

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.

“The fire extinguisher mounted in the garage is out of date, and also the arrow is in the red zone, indicating that it is either empty or otherwise not effective. Corrective Action: Ensure that there is a current working fire extinguisher that meets the specifications in this rule mounted near an exit door. Email a photo of the extinguisher to Licensor [name] by 12/31/2024”

Correction date in the state record: Jan 6, 2025

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 provider's BFIS Quality and Credential account is missing qualification documents, and certificates for Vermont Orientation and First Aid/CPR. This is a repeat violation. Corrective Action: By 12/31/2024, submit training certificates for Vermont Orientation and First Aid/CPR certification to Northern Lights at CCV and copy Licensor [name] on the submission. Once qualification documentation has been received, submit that to Northern Lights at CCV and copy Licensor [name] on the submision.”

Correction date in the state record: Mar 26, 2026

Regulation 3.6.1.3: The FCCP shall ensure that the Emergency Response Plan is reviewed and updated at least once every 365 days.

“The provider stated that the emergency response plan is not reviewed annually. Corrective Action: Email Licensor [name] a plan that describes how you will ensure that the emergency response plan is reviewed and updated, if needed, at least once a year.”

Correction date in the state record: Jan 9, 2025

Regulation 5.4.2.2: Infants shall always be placed on their backs to sleep.

“The provider stated that the five-month-old infant in care is put down on their belly in their crib to fall asleep. The provider stated that she was unaware that infants should be placed on their backs to sleep. Corrective Action: Immediately begin putting the baby on their back to sleep. By 12/31/24, enroll in a training that focuses on infant safe sleep. Email Licensor [name] to confirm which training will be taken and on what date.”

Correction date in the state record: Mar 20, 2025

Regulation 5.3.2: Daily Health Check Upon arrival into the FCCH staff shall observe each child for symptoms of communicable disease and signs of injuries. Any obvious injuries shall be documented along with any comments from the parent pertaining to the child's condition. This documentation shall be maintained in the child's file for a minimum of 365 days.

“The provider said that when children arrive with injuries, families usually tell her how injuries occur, and she asks about anything she sees, but does not document the injuries or families' comments about the injuries. Corrective Action: Devise a system to document obvious injuries and also the families' responses or explanation of the injuries. Email Licensor [name] a plan that shows how this will be documented and where the documentation will be kept.”

Correction date in the state record: Jul 23, 2025

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.

“Attendance was taken for half of January through April 2024, then missed for May through September, 2024. Corrective Action: Email a plan to Licensor [name] that describes how attendance will be 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 take attendance daily all year round.”

Correction date in the state record: Jan 9, 2025

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.

“Attendance records were found for some months but have not been recorded in the past several months. the provider acknowledged that she has not kept up with recording attendance recently. Corrective Action: Immediately begin recording when each child arrives and departs each day they attend the program. On 2/12/2024 email Licensor [name] all attendance recorded between 1/16/2024 and 2/9/2024. In addition, by 2/12/2024 email Licensor [name] a program improvement plan that describes a system that will be used to ensure that attendance is taken daily.”

Correction date in the state record: Dec 10, 2024

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 provider's BFIS Quality and Credential account is missing certificates for Vermont Orientation, Protecting Vermont's Children: Reporting Abuse and Neglect, and First Aid/CPR. The provider has completed all of these trainings. Corrective Action: By 2/9/2024, submit training certificates for Vermont Orientation, Protecting Vermont's Children: Reporting Abuse and Neglect, and First Aid/CPR to Northern Lights at CCV. Copy Licensor [name] on the submission.”

Correction date in the state record: Dec 10, 2024

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“Three (3) children's enrollment files were audited. One (1) file only had the child's well-care documentation and immunization record and no other information. The other two (2) files were incomplete in varying degrees. Corrective Action: By 2/9/2024, audit all children's enrollment files and determine what is missing, using rule 3.3.4.1 as guidance. Collect all necessary documentation from the parents. Email the completed files to Licensor [name], along with a program improvement plan that describes how you will ensure that the children's enrollment files are complete prior to their first day of attendance, and how they will be maintained moving forward.”

Correction date in the state record: Nov 14, 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.

“The provider is missing five (5) hours of annual professional development for the period between 9/18/2022 and 9/18/2023. This is a repeat violation. Corrective Action: Complete the missing five (5) hours of annual professional development for the year 9/2022 - 9/2023 in addition to the required fifteen (15) hours of annual professional development for the 9/2023 - 9/2024 year by 9/18/2024. By 2/9/2024, email a program improvement plan to Licensor [name] that lists which trainings will be taken for each month, including the number of hours for each training.”

Correction date in the state record: Mar 6, 2024

Regulation 4.7: The FCCP shall establish written policies and procedures. Written information provided to parents of all children enrolled in the FCCH shall include, at minimum: * Assurance that parents have access to the FCCH and their child(ren) without prior notice and have access to their children's records as required in the rule 3.3.4.6 of these regulations; * A description of information needed from parents for child's enrollment file as required in rules in section 3.3.4.1 of these regulations; * A typical daily schedule of activities; * Information about fees and payment policies; * Information about hours of operation and closings; * Procedures for signing children in and out; * Procedures for emergencies as required in the rules in section 3.6 of these regulations; * Information about the nutrition, meals and meal preparation at the FCCH; * Safe sleep policies, as applicable; * No smoking policy; * Information about results from the test for lead in the drinking water and any plan for remediation; * FCCH policies on field trips, other off-site activity and transportation; * FCCH health policies including illness exclusions, administration of medication, and immunizations; * FCCH policies and practice regarding positive guidance and behavior management; * Assurance that confidentiality of child and family information is maintained; * Information about the requirement to report suspected child abuse and/or neglect as required in the rules in section 3.2 of these regulations; * Assurance that non-discrimination and respect for each child's family and culture is maintained; * FCCH approach to ensure wholesome growth and positive developmental experiences for children enrolled; * FCCH policies related to the inclusion of children with special needs and disabilities; * A description of religious activities, if any; * Information on how to access these FCCH regulations and other information about child development online; * Information concerning complaint procedures; * Information about the Child Care Consumer Line, including the telephone number (1-800-649-2642); and * FCCH policies and procedures related to the expulsion of children.

“The parent handbook with written policies and procedures to provide to parents of the children enrolled at the FCCH is incomplete, with more than fifty (50) percent of the required information missing. Corrective Action: By 3/6/2023 submit to Licensor [name] a draft of the parent handbook that describes all of the program's policies and procedures as mentioned in rule 4.7.”

Correction date in the state record: Mar 27, 2023

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.

“The FCCP has not recorded evacuation drills since 5/15/2022. The FCCP said that drills are completed sometimes as an activity, but it's not on a regular basis. This is a repeat violation. Corrective Action: Practice and document one (1) evacuation drill per week from 2/6/2023 through 3/17/2023, and then monthly thereafter. In addition, by 2/20/2023, send Licensor [name] a program improvement plan that describes the system that will be used to assure that evacuation drills are completed every month as required. In the plan include what system will be used as a reminder to assure evacuation drills are completed monthly, how and when each evacuation drill will be documented, and where the evacuation drill log will be kept.”

Correction date in the state record: Mar 29, 2023

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.

“Through an audit of the FCCP's BFIS quality and credential account and documents onsite, it was determined that the FCCP has completed five (5) of fifteen (15) hours of the annual professional development required between 9/2021 and 9/2022. Corrective Action: Complete ten (10) hours of professional development in addition to the fifteen (15) hours of professional development required by 9/2023 and assure that all training certificates are submitted to Northern Lights at CCV. By 2/20/2023 submit a plan to Licensor [name] that describes how all required hours of professional development will be completed by 9/2023.”

Correction date in the state record: Mar 27, 2023

Regulation 5.4.2.3: The FCCP and staff shall ensure that infants sleep in cribs or port-a-cribs. Infants shall not be placed to sleep on soft surfaces, such as a couch or sofa, pillow, quilts, sheepskins or blankets. Infants shall not be placed in car seats, swings, high chairs, jumping chairs or similar equipment for sleep. A child that falls asleep in this type of equipment shall be gently transferred to a crib or port-a-crib as soon as feasible.

“The FCCP said that the four-month-old infant enrolled only sleeps for twenty (20) minutes at a time and the infant is laid in their car set to sleep. Safe sleep practices require infants to be placed in a crib or port-a-crib to sleep. Corrective Action: Immediately begin using a crib or port-a-crib for the infant to sleep in. Assure that there is only the crib mattress and a tightly fitted sheet in the crib when the child sleeps.”

Correction date in the state record: Mar 29, 2023

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.

“The inspection tag on the fire extinguisher stated that it had last been inspected in September 2021. Fire extinguishers must be inspected annually to assure current operating condition. Corrective Action: By 2/20/2023 have the fire extinguisher inspected and tagged, and email a photo of the new inspection tag to Licensor [name]”

Correction date in the state record: Feb 10, 2023

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.

“The FCCP had documentation of a general health examination for one (1) out of six (6) children enrolled. This is a repeat violation. Corrective Action: By 2/20/2023 ensure that each child currently enrolled has a general health exam on file. In addition, by 2/20/2023 email Locensor Rielly a plan that describes how documentation of general health exams is collected within forty-five (45) days of enrollment for each new child enrolled.”

Correction date in the state record: Mar 27, 2023

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 FCCP said that she has not taken attendance at the program for the last couple of months. The FCCP said that she purchased an app where she could keep attendance and other child care records but has not been using it. Corrective Action: Immediately begin documenting daily attendance to include the time each child arrives and leaves. By 2/20/2023 submit a program improvement plan that describes what system is being used to ensure that attendance is recorded daily, as children arrive at the program and leave the program. In the plan, describe who will sign children in and out, the system used to remember to document attendance, and where the attendance will be kept.”

Correction date in the state record: Mar 29, 2023

Regulation 5.4.1.4: Cots, mats, and mattresses shall be nonporous or have nonporous coverings. Each child shall be provided clean, individual bed linens either by the FCCP providing them or requiring parents to provide them. No child shall nap directly on nonporous coverings.

“Soft bedrolls that are not nonporous and are laid directly on the carpet are being used for naps. Corrective Action: By 2/20/2023 begin using nonporous mats or other nonporous barriers between the bedrolls and the carpet and email Licensor [name] a photo of what is being used.”

Correction date in the state record: Mar 27, 2023

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.

“The provider said that no evacuation drills had been conducted since the COVID-19 pandemic began. It is required to conduct monthly evacuation drills. Corrective Action: Conduct evacuation drills with children twice per month in the months of March, April, and May and then once a month thereafter. Document for each evacuation drill: date of evacuation drill; number of staff and children evacuated; time taken to evacuate; and notation of whether the drill conducted was while children were sleeping or resting. Submit a copy of the evacuation drills conducted in March, April and May to Licensor [name] by 6/1/2022.”

Correction date in the state record: May 30, 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 provider statements confirms that training certificates for Medication Administration, Emergency Response, Mandated Reporting, Orientation, First Aid/CPR, and annual professional development have not been submitted to Northern Lights at CCV since 2017. In addition, verification of qualification has not been submitted to Northern Lights at CCV. Corrective Action: Submit all required training certificates and annual professional development training certificates from 2018 forward to Northern Lights at CCV. Using resources provided by Licensor [name], obtain verification of qualification and submit it to Northern Lights at CCV. Copy Licensor [name] on all submissions to Northern Lights at CCV.”

Correction date in the state record: Jan 16, 2024

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 children's files and a conversation with the provider found that documentation of the General Health Examinations has not been collected for each child. Corrective Action: Work with current families to obtain the documentation of the General Health Examinations. Submit a plan to ensure that this documentation is collected as new children are enrolled.”

Correction date in the state record: Feb 1, 2023

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.

“There are two (2) individuals residing in the home who have not completed the fingerprinting process as required. Fingerprint Authorization Certificates were issued on 7/19/2019 for both individuals. Corrective Action: By 3/06/2020, make an appointment to complete the required fingerprinting. Email confirmation to this licensor when the fingerprinting process is complete for both individuals.”

Correction date in the state record: Mar 13, 2020