Kelly Garcia

Regulation 6.2.4: Supervision of Children The FCCP and/or staff shall ensure visual supervision of children except as allowed in rules 6.2.4.1 - 6.2.4.4 of these regulations.

“Upon arrival to the FCCH, the provider was in the outdoor play area supervising eight (8) children of mixed ages between ten (10) months and eight (8) years old. When asked about the number of children in care on this day, the provider stated that the five (5) month old infant was inside sleeping. She stated that she was checking on them every fifteen (15) minutes while the rest of the children continued playing outside. The napping infant was sleeping in a bedroom located through the entryway, through the kitchen, and through the dining room, approximately 50 feet from where the provider stood supervising the other children. The infant was sleeping in a portable crib in a bedroom, with the door closed and white noise machine playing loudly. The provider stated that the infant fell asleep in the stroller outside during their outdoor play time. The provider transferred the infant to the crib in an effort to be in compliance with rule 5.4.2.3. The provider stated that the infant had been sleeping inside for about twenty (20) minutes. The distance between the location of the children playing outside and the location of the sleeping infant, along with the closed entrance door, closed bedroom door, loud noise machine significantly impacted the provider's ability to visualize, hear and physically respond immediately to the sleeping infant or the group of children remaining outside unsupervised. This is a serious violation. Corrective Action: Develop a plan to ensure visual supervision of all children in care while playing outside. This plan shall include being present while children younger than school age are playing outside, a plan to position oneself to allow for visual supervision of sleeping children, and a plan to hear all children of pre-Kindergarten age and younger at all times and physically respond immediately. Send a detailed description of this plan to Licensing Field Specialist Stark at jennifer.stark@vermont.gov. A Parental Notification Letter (PNL), which is a copy of the licensing report, must be provided to each parent of every child enrolled within ten (10) days of the report submission.”

Correction date in the state record: May 27, 2026

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.

“The EPI pen for a child in care did not have a label identifying the child and was not stored in any identifying packaging. Corrective Action: On 05/02/2025, provider confirmed that the child's parent had been contacted about updating the medication. Have a system in place to monitor children's medications for expiration dates, and planning to ensure updating medications are received prior to any expiration dates. Send an email to elaine.crawford@vermont.gov detailing the system put in place.”

Correction date in the state record: May 2, 2025

Regulation 5.10.1.8: Childhood Lead Poisoning Prevention The FCCP shall comply with the requirements of 18 V.S.A. Chapter 38 Vermont Lead Law and shall ensure that Essential Maintenance Practices (EMP) is performed. This includes but is not limited to protecting children from peeling or chipping paint, and dust build up from the friction of moving doors or windows.

“The family child care home was built in 1965 and required to comply with Vermont Lead Law Essential Maintenance Practices, now referred to as Inspection, Renovation, and Cleaning (IRC) requirements. It was confirmed with the Vermont Department of Health that the compliance statement for 2024 was not submitted. During this site visit, no additional information or documentation was available to confirm completion of the required inspection or submission of compliance statement. Corrective Action: Contact the Vermont Department of Health at IRCpractices@vermont.gov or call (802)863-7220 for guidance on requirements. Complete the required IRC compliance requirements and send confirmation to elaine.crawford@vermont.gov by the noted due date that the requirements were completed and the compliance statement submitted to the Vermont Department of Health. Include in the email to Licensing Field Specialist Crawford what reminder system will be in place to ensure this yearly submission in completed within every 365 days as required.”

Correction date in the state record: May 2, 2025

Regulation 7.2.2: The FCCP shall submit a Records Check Authorization form to the Division for any new individuals, sixteen (16) years of age or older, residing in the FCCH or present more than five (5) times in 365 days during the FCCH's hours of operation as required in the rule 2.3.7.2 of these regulations.

“A household member was removed from the associated parties list as of 05/01/2024. It was confirmed during this visit that this individual has continued to reside in the home from 05/01/2024 to the date of this visit. Corrective Action: Ensure all persons meeting the requirement of this rule submit the required record check authorization form in a timely manner and stay current on background clearance requirements. Develop a system to monitor the associated parties lists for the program to ensure persons are listed as required. Have contact information for the Child Development Division Licensing Unit readily available to address any questions regarding background clearance requirements or processes. The required record check for the household member was submitted to the Division on 05/02/2025.”

Correction date in the state record: May 2, 2025