Lisa Brace

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 required classification fire extinguisher was not available for review. The provider said the fire extinguisher was brought to be tagged the prior day and that it would be available later that week. Corrective Action: By 06/02/2026 have the required classification fire extinguisher inspected and tagged with the official tag. Inspect and tag the fire extinguisher yearly. Submit confirmation of completion to this Licensor. Status: Appeal Period.”

Correction date in the state record: May 27, 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.

“During a review of the provider's BFIS quality and credential account, and confirmation of the date trainings were completed, it was determined the provider did not complete nine (9) hours of the required fifteen (15) hours of professional development between 9/1/2021-9/1/2022. Corrective Action: By 7/7/2023, complete the missing nine (9) hours of professional development and submit the training certificates to Northern Lights at CCV with the required cover sheet. Submit a plan to Licensor [name] Purinton on how you will complete the required fifteen (15) hours of professional development that are due 9/1/2023.”

Correction date in the state record: Jun 7, 2024

Regulation 3.3.6.1: The FCCP shall maintain a record of the date of each evacuation drill as required in the rules in section 3.6.2 of these regulations that includes the number of children, staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. Evacuation records shall be kept for two (2) years.

“The last date the fire drill was documented was 3/27/2023. The provider stated they completed fire drills but did not document them. Corrective Action: Immediately create a system where fire drills are documented monthly. By 6/19/2023, submit a confirmation to Licensor [name] Purinton with how monthly fire drills will be documented.”

Correction date in the state record: Jun 7, 2024

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 had an official tag stating the last date of inspection was 2/2021. Corrective Action: By 7/1/2022, have the fire extinguisher inspected and tagged and have it inspected and tagged yearly.”

Correction date in the state record: Jun 27, 2022

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment the FCCP shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“The children's files were audited, and the required well care exam was missing for two (2) children who have been in care for more than 45 days. Corrective Action: By 7/6/2022, obtain documentation that the two (2) children have received a well care exam and develop a system on how you will comply with this rule within 45 days of children's enrollment.”

Correction date in the state record: Jun 24, 2024

Regulation 5.1.3: Immunizations: The FCCP shall maintain documentation in the child's file of each child's current immunization status. * Immunization records shall include the immunization administered and the date of each immunization. The immunization record should be updated after each additional immunization has been received. * If an enrolled child is in the process of complying with immunization requirements in accordance with the Vermont recommended immunization schedule, documentation in the child's file shall include the required Vermont Department of Health form. * If a child has not had a required immunization due to a Vermont allowed exemption, documentation in the child's file shall include the required Vermont Department of Health form.

“The children's files were audited, and the required immunization record was missing for two (2) children. Corrective Action: By 7/6/2022, obtain the missing immunization record for the two children and create a system to ensure all immunization records are in each child's file upon enrollment.”

Correction date in the state record: Jun 24, 2022

Regulation 7.1.2.2: The FCCP shall ensure that at least one (1) responsible adult who has successfully completed and is currently certified in pediatric first aid and infant and child CPR is on the premises at all times children are present.

“After a review of staff BFIS Quality and Credential Accounts prior to the visit and staff documents presented by the provider, a staff person was not certified in pediatric first aid and/or infant and child CPR. Per start date, the staff person has been available to work at the program as a substitute longer than three months and the provider confirmed that when working, the substitute is working in the absence of the provider. Corrective Action: Ensure that the staff person obtains certification prior to working alone with children, submits a copy of that certification to Northern Lights for entry into BFIS, and that a system is developed to maintain compliance to the rule going forth.”

Correction date in the state record: May 13, 2021