Kids' School

Regulation 5.10.1.1.3: Furniture and equipment shall be sturdy. Furniture and equipment that present a tipping or falling hazard shall be secured.

“The children's cubbies for the toddler classroom, the preschool classroom and the infant classroom were not secured and posed as a tipping hazard during this licensing visit. Corrective Action: Immediately secure the children's cubbies to the wall. By 12/01/2025 submit confirmation with a photo to this Licensor that the shelves have been secured.”

Correction date in the state record: Dec 15, 2025

Regulation 5.6.5: All prescription medication administered by staff shall be in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“A child's epi pen and allergy medication was not in the original box with the child's name, date and dose of the medication. Corrective Action: Immediately have the parent provide the original box for the epi pen and allergy medication. By 12/01/2025, submit confirmation of completion to this Licensor.”

Correction date in the state record: Nov 7, 2025

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“There were six (6) staff listed on the associated parties list who did not have their First Aid and CPR certificates in their staff file or in their BFIS Quality and Credential account during this licensing visit. A date to confirm compliance was provided to the program to submit to Northern Lights and to this Licensor. The Licensor could not confirm compliance with the six (6) staff members with First Aid and CPR certificates prior to writing this report. This rule was cited previously on 11/7/2024 and 12/20/2023. Corrective Action: By 12/08/2025, have the six staff complete and submit their First Aid and CPR certificates to Northern Lights through Direct Send or e-mailing the certificates with the cover sheet. Submit confirmation of completion to this Licensor.”

Correction date in the state record: Apr 10, 2026

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and 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, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“Staff A hired 5/21/2025 confirmed they had not completed the VT Orientation training and has been working with children. The program was given time to submit confirmation of Staff B's VT Orientation certificate and was not provided to this Licensor by the date requested. This rule was cited previously on 11/7/2024. Corrective Action: By 12/01/2025, submit the VT Orientation certificate for both staff to Licensor [name] and to Northern Lights at CCV through Direct Send or e-mail with the required cover sheet.”

Correction date in the state record: Apr 10, 2026

Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

“A review of staff's BFIs Quality and Credential account, a review of the staff files and time given to submit training certificates to the Licensor by a due date to confirm compliance, confirmed two (2) staff and one (1) substitute did not complete the required professional development hours required in this rule. Staff A training hours from 8/16/2024 to 8/16/2025 were missing fifteen (15) hours of professional development. Staff B training hours 11/9/2023 to 11/9/2024 were missing nine (9) hours of professional development. Staff C training hours from 10/3/2024 to 10/3/2025 were missing the required four (4) hours of professional development. Corrective Action: By 12/8/2025, have the two (2) staff complete the required fifteen (15) hours of professional development hours and one (1) substitute complete the required four (4) hours of professional development. These training hours will not count towards the following year's training hours due date for each member of staff. Submit all training certificates to Northern Lights at CCV through Direct Send or through e-mail with the cover sheet. By 12/8/2025, submit confirmation to this Licensor that the training certificates have been submitted to Northern Lights for review.”

Correction date in the state record: Apr 13, 2026

Regulation 3.4.6.1: The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and 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. When the CBCCPP counts lock-down drills as allowed in the rules in section 3.7.2 of these regulations, the licensee shall maintain a record of the date of each lock-down drill, the number of CBCCPP children and staff who participated, and note that the drill performed was a lock-down drill.

“The fire drill documentation was missing evacuation drills from February, March, and June of 2025. The staff and director stated they complete fire drills but did not document them. This rule was cited previously on 1/4/2023 and 12/20/2023. Corrective Action: Complete two (2) fire drills in the month of November and two (2) fire drills in December and monthly thereafter to come back into compliance. By 12/01/2025, submit a program improvement plan with how fire drill documentation will be maintained monthly.”

Correction date in the state record: Dec 15, 2025

Regulation 5.6.10: All medication and non-medications described in the rule 5.6.9 of these regulations shall be securely stored and inaccessible to children.

“The sunscreen and bug spray was in the organizer hung on the door in reach of children during this licensing visit. On 5/28/2025, the director was asked to move these products and relocate them to an area where children cannot access them. The products were moved during this licensing visit. Corrective Action: By 8/4/2025, submit confirmation that the sunscreen and bug spray are out of reach of children and all staff understand they need to be kept out of reach of children.”

Correction date in the state record: Aug 4, 2025

Regulation 5.10.1.1: General Safety: The licensee shall ensure the physical facilities of the CBCCPP, grounds, equipment, and toys present no hazard to the health, safety, and well-being of the children.

“The licensing site visit report from 05/01/2025 cited a violation for this regulation and provided required corrective action.During the 04/04/2025 it was noted that a cylinder shaped fish tank that contained water and fake fish could present a tipping hazard because only the bottom was secured to the wall with a metal strap. This licensor was able to wiggle the tank back and forth. On 04/15/2025 the director sent an email stating that they had ordered a strap to secure the top of the tank and would install it the next day. When this licensor returned to the program on 05/19/2025, over a month after the director sent the email, the tank remained secured only at the bottom and the top strap was not present. On 05/19/2025 I notified the director that I would cite this violation again and the tank needed to be secured or removed immediately. The director stated they did order the strap but was having troubles installing it, as it was not the right fit. When this licensor returned on 05/28/2025 the fish tank was no longer present. This is being cited again as the tank remained in place a month after the director was instructed to secure it. The prior report identified this tank as made of glass, this was an error the tank is made of plastic. The violation was not cited because of the material it was made of, it was cited because the height of the unit is taller than some of the children in care, it was not properly secured and could create a tipping hazard and when moved around created space where a child's hand or foot get pinched. A video was taken that captures the instability of the unit when it was pushed on. Corrective Action: Corrective action requirements have been met. Moving forward ensure that when licensing identifies a hazard and requires action, the program follow through with the corrective action by the due date.”

Correction date in the state record: May 28, 2025

Regulation 5.4.3.2: Children shall not be required to sleep. Children who do not nap shall be provided space and equipment for quiet play.

“During a licensing visit on 04/10/25, regarding a concern reported to the Child Development Division, this licensor observed staff requiring children to remain on their nap mats for thirty-five minutes and non nappers were not provided with quiet activities. The director was notifed that this practice was in violation of this regulation. The site visit report issued on 05/01/2025, notified the program that a violation would have been cited if these observations were made during a yearly regulatory visit, and that violation would not be cited because this incident did not directly related to the concern that was being investigated during thst visit. During a visit to the program on 05/19/2025 to investigate a new concern recieved by the Child Develpment Division the following was observed. Children finished lunch and were directed to use the bathroom and then go to their nap mats. At 12:30 all nine (9) Pre-K children were in the classroom with Staff A and the director. Of the nine(9) children I observed two(2) settle down onto their nap mats. The remaining seven(7) children were either moving around on their mat or were up and moving around the room. The director and Staff A followed the children around the room and repeatedly told them to get onto their nap mats. Children continued to walk around the room, interact with each other, and ignore requests to remain on their nap mat. A child appeared to be upset and was yelling at staff stating they did not want to get on their nap mat, eventually that child opened the door and left the room. The director followed the child into the hallway and directed them back into the room. After thirty(30) minutes Staff A handed out boxes containing manipulatives for quiet play, however the expectation to remain on their cot continued. During this time I observed the director say to Staff A that this is impossible. After several minutes the director put the lights on and said naptime was over. Later the director told me that most of the children nap each day and perhaps my vist is causing the children not to sleep. I asked if she knew how many of the four(4) and five(5) year olds were still napping at home. She stated that parents report they all nap at home. I shared with the director that I spoke with a parent as part of the previous concern in April and learned that their child does not nap at home, the director stated recently the family started having the child nap at home again so that they would nap while at the program. Since that visit the program sends the Pre-K children that nap to the toddler room and the non nappers remain in the Pre-K. This can only happen when they have enough staff to meet ratio requirements. During the visit on 05/28/2025, this practice was observed. Licensor [name] was present in the Pre-K classroom and reported that Staff A attempted to have the children settle on their nap mats so she could read to them. She started to read the book but the children were not paying attention to her. After about three(3) minutes Staff A stopped reading, turned on the lights and allowed children to engage in free play. Corrective Action: The program is required to engage with a Quality Support Specialist from the SPARQS program, provide overdue corrective action, attend progress meetings between the Quality Support Specialist and Licensor [name], and is found in compliance with this regulation during a follow up licensing visit. The director agreed not enroll any new children until are corrective actions requirements are met.”

Correction date in the state record: Jun 27, 2025

Regulation 6.2.6.5: Children shall be protected from the harmful acts of other children.

“On 05/01/2025 a violation was cited for non compliance with this regulation and the following corrective action was required by 05/12/2025. Create a program improvement plan that includes the following. How staff will intervene when they observe a child or children engaged in behaviors that could cause injury or bodily harm to themselves or another child. Please review the observations captured in this violation and have a conversation with staff about the potential injuries that could have resulted. The plan should also address how staff will communicate with each other if they have a safety concern about a child or children that are not in their classroom. This licensor did not receive a copy of that plan,a verbal reminder of the overdue corrective action was provided to the director on 05/19/2025. Additionally, during a follow up licensing visit on 05/28/2025, five(5) Pre-K children were observed hitting each other with stuffed animals while sitting in a cozy area set up for use by the toddlers during transitions. Staff A walked over and directed them to stop hitting each other several times, when they continued hitting each other, Staff A stopped the verbal redirection and walked away. The children continued to hit each with stuffed animals for two(2) to three(3) more minutes. Later in the Pre-K room a toddler was hitting and kicking a Pre-K child, staff did not appear to notice and did not stop the child from hitting and kicking the other child. Corrective Action: The program is required to engage with a Quality Support Specialist from the SPARQS program, provide overdue corrective action, attend progress meetings between the Quality Support Specialist and Licensor [name], and is in compliance with this regulation during a follow up licensing visit. The director agreed not to enroll any new children until all corrective actions requirements are met.”

Correction date in the state record: Jun 27, 2025

Regulation 6.2.7.4.4: No form of inappropriate discipline or corporal punishment shall be used with children such as but not limited to: Confining a child in an enclosed or darkened area, such as a closet or a locked room;

“On 05/01/2025 a violation was cited for non compliance with this regulation and the following corrective action was required.Please review this regulation with all staff to ensure ongoing compliance with this regulation is met. Email this licensor by the corrective action due date and confirm that this regulation was reviewed with staff. Corrective action has not been received. On 05/19/2025 the director was provided with a verbal reminder that corrective action was overdue. Corrective Action: The program is required to engage with a Quality Support Specialist from the SPARQS program, provide overdue corrective action, attend progress meetings between the Quality Support Specialist and Licensor [name], and is found in compliance with this regulation during a follow up licensing visit. The director has agreed not to enroll any new children until all corrective actions requirements are met.”

Correction date in the state record: Jun 27, 2025

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“During the licensing visit on 04/10/2025, supervision concerns in the common area were discussed with the director and the concerns were captured on the site visit report issued on 05/01/2025. The program was required to spilt up the Pre-k group of children when transitioning to the playground from the common room. The program did make this change however the following observations indicate that the placement of the cubbies continued to create supervison challeges for staff. On 05/19/2025 one staff member was observed sitting at the lunch table in the common area with five(5) toddlers. One of the toddlers left the table and walked around the cubbies and entered the area where Pre-K was eating. The toddler staff member had to call over to the Pre-K staff for assistance because she could not leave the toddlers she was supervising to retrieve the child. Later several Pre-K children were observed running away from Pre-K staff and entering the toddler side of the cubbies. One staff member was at the bathroom assisting children and the remaining staff member had to stand at the end of the cubbies and yell at the children to come back, as they could not leave the Pre-K children eating at the table. During the visit this licensor told the director that the cubbies would need to be removed as they were creating a blind spot that created non compliance with this regulation. The cubbies were removed from the center of the common area on 05/23/2025, however the following observations indicate that even with the cubbies removed supervision concerns remain. During the 05/28/2025 visit, Licensor [name] observed that Child X left the classroom with Staff A to get something from their cubby. Meanwhile this licensor was in the common area outside of the Pre-K classroom. I observed Staff A open the door and Child X walked to their cubby, located to the left of the Pre-K door. Staff A became engaged in a conversation about naptime with the director who was standing in the entrance way of the toddler room. Staff A and the director ended the conversation, the director returned to the toddler room and Staff A went back into the Pre-K classroom and closed the door leaving Child X alone in the common area. I heard Child X say hey, as they watched the classroom door close. Child X left their cubby and let themself back into the classroom. It appears that Staff A forgot that Child X was in the common area when they closed the classroom door. During lunch time the director was helping children in the bathroom and Staff A was at the lunch table and Staff B was transitioning toddlers into the classroom. Staff A,B and the director did not notice a toddler that was climbing up onto the large four child stoller used to transport infants. At one point the toddler had climbed up far enough where most of their body was in the stroller. The toddler eventually got off of the stroller and returned to the group. Later, Licensor [name], observed a Pre-K child kneeling on a table and climbing up on the aquarium containing turtles, staff did not appear to notice this and did not intervene, the child eventually moved away from the aquarium. Although staff were in the same space they were not actively supervising the children and physically responding when children were engaged in behaviors that could cause injury. Corrective Action: The program is required to engage with a Quality Support Specialist from the SPARQS program, provide overdue corrective action, attend progress meetings between the Quality Support Specialist and Licensor [name], and is found in compliance with this regulation during a follow up licensing visit. The director agreed not enroll any new children until are corrective actions requirements are met.”

Correction date in the state record: Jun 27, 2025

Regulation 6.2.7.5: No punitive action shall be taken with children for not going to sleep, for toileting accidents, for failure to eat all or part of a meal or for failure to complete a prescribed activity.

“Licensor [name] observed a child crying at the lunch table, their lunch box was not on the table. Staff A told the child that their sandwich(which was refered to as a meat pattie) was thrown out because the child did not put it back in their lunch box after snack. Staff A continued to tell the crying child that they are asked everyday to put their food in their lunch box and instead put it back in their cubby, the food got warm and it had to be thrown out. The child continued to cry and I did not see Staff A attempt to provide the child with any other food options. I intervened and asked the director if there was extra food that could be provided to the child as their lunch was thrown out. The director stated that the child had a lunch box full of food but is refusing to eat it and only wants his meat pattie. I asked the director to provide the child with their lunch box. Staff A retrieved the lunch box and gave it to the child. The child opened the lunch box took out a pouch and started eating it. He then requested his mac and cheese. Staff A brought the mac and cheese to the microwave but appears to have forgotten it as about ten(10) minutes later was heard telling the director that the child's food was still in the microwave. The director did not respond and about one(1) minute later Staff A was heard saying, I guess I will go get it. By the time the child was provided with their mac and cheese many of the children were already finishing lunch and transitioning back to the classroom. Licensor [name] reported that she observed Staff A tell a child that if they did not sit on their butt they would pack up their food. Other children were told not to talk and that if they did not eat their food would be packed up or thrown out. Staff were not seen using positive guidance to encourage children to eat, a child did become upset because their food was cleared by staff before they were done eating. Observations during the visit indicate that punitive and threats of punitive action were taken for failure to complete a prescribed activity. (1) children would have their food taken away if they did not sit in their chair. (2) the child did not listen and put their food back in their lunch box which resulted it in being thrown away and attempts were not made to provide other food options. Corrective Action: The program is required to engage with a Quality Support Specialist from the SPARQS program, provide overdue corrective action, attend progress meetings between the Quality Support Specialist and Licensor [name], and is found in compliance with this regulation during a follow up licensing visit. The director agreed not enroll any new children until are corrective actions requirements are met.”

Correction date in the state record: Jun 27, 2025

Regulation 5.10.1.1: General Safety: The licensee shall ensure the physical facilities of the CBCCPP, grounds, equipment, and toys present no hazard to the health, safety, and well-being of the children.

“Staff X blocked Child A and Child B from leaving a bathroom by holding the door shut while they were in there without an adult. In that space multiple hazards were identified. There is an approximetely four(4) foot tall glass cylinder that holds water and plastic fish. The bottom of the unit is secured to the wall with a metal strap. The top is not secured to the wall and I was able to wiggle the cylinder back and forth. This unit has a power cord that is plugged in to an outlet several feet away. The cord goes along the wall and then up to the outlet. The section of the cord that goes directly up to the outlet is not secured. The cord hangs loose and could allow a child to pull it from the outlet. There is a wooden divider between the two toilets, it was loose because a screw is missing from the bottom bracket that secures it to the wall. The mirror that the soap dispenser is attached to is missing screws. When you dispense soap the bottom of the mirror moves. Additionally, I was able to pull the bottom of the mirror away from the wall because of the missing screws. Corrective Action: Since the visit the program has addressed the concerns captured in this violation. Please ensure ongoing compliance with this regulation.”

Correction date in the state record: Apr 15, 2025

Regulation 6.2.6.5: Children shall be protected from the harmful acts of other children.

“On March 28th 2025, Staff X used their body to block the bathroom door so that Child A and B could not leave the room. Based on staff accounts during this time the children were being silly. One staff member described them as wrestling and being silly another staff member stated she noticed Child A push Child B over. Staff X did not enter the bathroom and intervene. One of the staff members who witnessed the incident, came into the hallway near the bathroom because they could hear Child A and B banging on the walls in the bathroom. During the visit on 04/04/2025 this licensor and [name] from the Agency of Education, observed Child A on the floor using his hands to push another child's head down towards the floor. [name] observed Staff X look over at Child A but did not go over and intervene. I observed a toddler teacher standing two(2) to three(3) feet away from Child A washing a table. I observed that staff member look at what Child A was doing and did not intervene.Staff Y did intervene when they observed what Child A was doing. It did not appear that the child was injured, they were not crying and stood up and joined the group as they headed outside. On 04/10/2025 this licensor and [name] observed children playing in a small space between the doors that lead to the playground. Children were opening and then slamming the door shut. The door is a heavy glass door. At one point a young toddler walked over and almost had their fingers shut in the door. Three staff members were in the common area in view of the doorway and did not intervene. Corrective Action: Please review this regulation with all staff and create a program improvement plan that addresses how staff will intervene when they observe a child or children engaged in behaviors that could cause injury or bodily harm to themselves or another child. Please review the observations captured in this violation and have a conversation with staff about the potential injuries that could have resulted. The plan should also address how staff will communicate with each other if they have a safety concern about a child or children that are not in their classroom.”

Correction date in the state record: Jun 27, 2025

Regulation 6.2.7.4.4: No form of inappropriate discipline or corporal punishment shall be used with children such as but not limited to: Confining a child in an enclosed or darkened area, such as a closet or a locked room;

“The bathroom is considered an enclosed space and Staff X used their body to hold the door shut so that Child A and B could not leave that space. Corrective Action: Although Staff X is no longer employed at the program and therefore a program improvement plan will not be required. However the program is responsible to ensure staff are not confining children for any reason. Please review this regulation with all staff to ensure ongoing compliance with this regulation is met. Email this licensor by the corrective action due date and confirm that this regulation was reviewed with staff.”

Correction date in the state record: Jun 27, 2025

Regulation 3.4.7.5: The licensee shall maintain a current list of the licensee or designee, staff, auxiliary staff, and volunteers as in the rules in section 7.7.5 of these regulations, as applicable in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.

“A request to see and confirm compliance with training requirements, the director remove five (5) staff from the program's associated parties list and stated that some staff had not worked at the program for approximately sixty (60) days. Corrective Action: By 12/13/2024 submit a confirmation of understanding to this licensor that all staff who no longer work for the program need to be removed from the associated parties list within five (5) business days.”

Correction date in the state record: Dec 12, 2024

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“After a review of the staff's BFIS Quality and Credential account and the staff files, it was confirmed that staff A's CPR and First Aid certificate expired 9/30/2023. The program was unable to provide a current CPR and First Aid certificate for staff A when requested. Corrective Action: By 12/13/2024, send proof of a current CPR and First Aid certificate to Licensor [name] and send a copy to Northern Lights with the required cover sheet.”

Correction date in the state record: Dec 12, 2024

Regulation 7.1.3: The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff and to auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age and other staff not left alone with children shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and 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, partner staff, auxiliary staff, and business managers; Responsibility to comply with current applicable licensing regulations; Staffing requirements to include opening and closing; and Ensuring children have extra clothes and diapers available.

“A review of each staff member's BFIS Quality and Credential account and staff files, the program was unable to provide the certificate that shows completion of the VT Orientation for Staff A and Staff B. Corrective Action: By 12/13/2024, submit the VT Orientation certificates to Licensor [name] and to Northern Lights with the required cover sheet.”

Correction date in the state record: Dec 12, 2024

Regulation 3.2.5: Self-reported violations: If an incident or situation occurs in a CBCCPP while children are present that could be considered a serious violation as defined in the rule 2.2.50 of these regulations, the licensee has a responsibility to self-report this to the Division within twenty-four (24) hours of the incident. A complete report will include a description of the incident, what the licensee has done to verify the particulars of what occurred, and how the licensee has taken corrective action to ensure the safety and well-being of children and to prevent a future serious violation. If such a report is received in a timely manner from a licensee with a history of consistent regulatory compliance, no child has been seriously injured or harmed as a result of the incident or situation, and the licensee has taken prompt and appropriate corrective action; the Division may, on a case by case basis and at the Division's discretion, elect to issue a warning, rather than a violation related to that incident or situation.

“The program did not submit an incident report to the Child Development Division when a serious incident occurred at the program involving the lack of supervision and did not provide a plan for self-correction. It is required to self-report serious incidents to the Child Development Division within twenty-four (24) hours of the incident. Corrective Action: By 9/20/2024, submit a confirmation of understanding of this rule and submit a program improvement plan with how staff and management will self-report serious incidents in the future.”

Correction date in the state record: Dec 12, 2024

Regulation 6.2.6.1: Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

“It was determined that a toddler was left on the playground for approximately two (2) to three (3) minutes alone until the preschool children entered the playground. The teacher in the toddler classroom confirmed that they did not count the children when they went inside or know the child was left on the playground until the child was brought inside by the preschool teacher. The lack of staff supervision is a serious violation. Corrective Action: Immediately retrain staff to always count the children before leaving a space and always maintain supervision of all children. By 9/20/2024, submit a program improvement plan which will include how staff were trained on supervision of children and what changes were made to make sure all children are accounted for prior to leaving a space and entering a new space. By 9/27/24, submit this report as the Parent Notification Letter to all parents enrolled and send the list of parents who received the letter with their contact information to this Licensor.”

Correction date in the state record: Sep 27, 2024

Regulation 7.1.1.2: Staff and partner staff shall follow the exclusion policies as set forth in the Signs and Symptoms Illness Chart related to contagious illness, (See Appendix A).

“Management was notified by a staff person that they met illness exclusion criteria and allowed them to come to work for four (4) hours that day. Corrective Action: Moving forward, ensure that if management knows a staff meets illness exclusion criteria, ensure that they do not come to work. Email a plan to Licensor [name] indicating what the program will do when a staff person notifies management that they meet any of the exclusion criteria.”

Correction date in the state record: Jul 10, 247

Regulation 7.3.2.4: "Trainee" A trainee is at least fifteen (15) years of age, able to comprehend basic written format, and meets one (1) of the following qualifications: 1) At least a high school graduate or has completed a GED and completes the Fundamentals for Early Childhood Professionals'course or the Vermont Afterschool Essentials Certificate within the first twelve (12) months of employment; or 2) At least a high school graduate or has completed a GED and successful completion of a three (3) college credit course in child or human development or in school age care and education within the first twelve (12) months of employment; or 3) At least is enrolled in or has received a State Board of Education approved Human Services Program Certificate that emphasizes child development or early childhood education.

“The review of staff positions, the staff schedule and staff/child ratio, it was discovered that Staff A was counted in staff/child ratio and did not qualify for the position as a trainee. Corrective Action: By 2/27/24 submit a program improvement plan that identifies how each group of children will have staff meeting required qualifications counted in staff/child ratios. As part of that plan if Staff A remains employed at the program the plan for them to obtain qualifications to include 1) confirmation of enrollment in the GED program, 2) an anticipated completion date of the GED program confirmed by Staff A's counselor, 3) the mentoring plan to oversee Staff A while they obtain the qualifications, 4) confirmation of enrollment in Fundamentals, 5) completion of required trainings, and 6) an updated IPDP.”

Correction date in the state record: Mar 4, 2024

Regulation 7.1.2.2: Staff who are counted in the staff/child ratios and auxiliary staff left alone with children and/or counted in staff/child ratio as specified in the rule 6.2.1.8 of these regulations shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

“A review of staff's BFIS quality and credential account and the staff's statement that their CPR and First Aid expired on 9/30/2023 and they had not renewed their CPR and First Aid certification prior to this licensing visit. Corrective Action: By 1/6/2024 have this staff member renew their CPR and First Aid certificate and have staff remain currently certified. Submit the CPR and First Aid certificate to Northern Lights to be uploaded into their BFIS Quality and Credential account.”

Correction date in the state record: Dec 29, 2023

Regulation 3.4.6.1: The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and 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. When the CBCCPP counts lock-down drills as allowed in the rules in section 3.7.2 of these regulations, the licensee shall maintain a record of the date of each lock-down drill, the number of CBCCPP children and staff who participated, and note that the drill performed was a lock-down drill.

“The fire drill log was missing fire drills documented for the months of September, October and November. The director could not recall if fire drills occured during these months missing. This rule was cited previously on 1/4/2023. Corrective Action: Conduct two (2) fire drills in January and two (2) fire drills in February and monthly thereafter. By 1/6/2024 submit a program improvment plan with how fire drills will be documented.”

Correction date in the state record: Apr 19, 2024

Regulation 7.3.2.4: "Trainee" A trainee is at least fifteen (15) years of age, able to comprehend basic written format, and meets one (1) of the following qualifications: 1) At least a high school graduate or has completed a GED and completes the Fundamentals for Early Childhood Professionals'course or the Vermont Afterschool Essentials Certificate within the first twelve (12) months of employment; or 2) At least a high school graduate or has completed a GED and successful completion of a three (3) college credit course in child or human development or in school age care and education within the first twelve (12) months of employment; or 3) At least is enrolled in or has received a State Board of Education approved Human Services Program Certificate that emphasizes child development or early childhood education.

“A review of staff BFIS Quality and Credential accounts and staff files reflected that Staff A and Staff B had been employed as trainees with the program for more than twelve (12) months and had not yet fulfilled one of the bullets listed in this rule. Corrective Action: Immediate plan to have Staff A and Staff B complete the steps necessary to fulfill the requirements of one of the bullets listed in this rule in a timely manner. Submit Staff A's and Staff B's plans including expected dates of completion. Additionally, develop a system which will ensure that staff hired as trainees complete one of the bullets as required by this rule within twelve (12) months of employment moving forward. Include in the plan the details of: 1.who will communicate these requirements to new trainees at the time of hire, 2. when new trainees will be expected to choose a path to compliance, 3. a system to track each trainee's progress, 4. how often trainees will meet with the management to discuss progress and challenges, 5. how and when challenges will addressed, and 6. who will be responsible for collecting and submitting proper documentation of successful completion of one of the listed bullets in a timely manner moving forward.”

Correction date in the state record: Mar 21, 2023

Regulation 3.4.6.1: The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and 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. When the CBCCPP counts lock-down drills as allowed in the rules in section 3.7.2 of these regulations, the licensee shall maintain a record of the date of each lock-down drill, the number of CBCCPP children and staff who participated, and note that the drill performed was a lock-down drill.

“The evacuation drill log presented during the visit reflected that evacuation drills had been conducted for the months of January through June of 2022 and October of 2022. There was no document of evacuation drills for the months of July, August, September, November or December of 2022. The log also did not contain information regarding the number of staff evacuated or the time taken to evacuate. Corrective Action: Immediately plan to conduct and record 2 evacuation drills for the months of February, March and April 2023 and then one per month as required by regulation and to record the required information for each drill moving forward. Develop a system which will prompt you and/or staff to conduct and record monthly evacuation drills as required by regulation moving forward.”

Correction date in the state record: Mar 21, 2023