Mid-Vermont Christian Preschool

Regulation 5.10.1.2.1: The licensee shall ensure that the CBCCPP is in compliance with Vermont Division of Fire Safety rules at all times. This includes but is not limited to: * Complying with Vermont Division of Fire Safety inspection reports; * Having regular fire systems inspected with violations identified during the inspection noted as corrected; and * Having fire extinguishers tagged with valid inspection tags.

“Two (2) fire extinguisher inspection tags were observed to be last inspected in December of 2024. The fire safety panel had been inspected in July 2025 with no violations. Corrective Action: Immediately have all fire extinguishers on the premises serviced and tagged. Email Licensing Field Specialist Stark photo evidence of the fire extinguisher closest to the preschool classroom tagged with valid inspection tags. Develop and implement a plan to monitor the status of all fire extinguishers at the program and ensure compliance with fire safety rules. Identify the individual responsible for implementing the plan. Email Licensing Field Specialist Stark a detailed description of the plan, when it was implemented, and who will carry out the plan. Status: Appeal Period.”

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.

“Evacuation log contained name of building, type of drill, date of drill. Required information missing from log included number of children and staff evacuated, time taken to evacuate, and notation of the drill conducted while children were sleeping or resting. Corrective Action: Immediately develop and implement an evacuation log that contains the required information in this rule. A template is available at https://dcf.vermont.gov/cdd/providers/forms . Time taken to evacuate can be calculated from start of drill to arrival at meeting location. Email evacuation log to Licensing Field Specialist Stark with a minimum of one (1) evacuation drill recorded. Status: Appeal Period.”

Regulation 7.2.2: The licensee shall ensure that all new staff and auxiliary staff, prior to working with children in the CBCCPP; and any new individual designated as the representative of the licensee shall submit a Records Check Authorization form to the Division and shall submit to fingerprinting at a location designated by the Division after having received the Fingerprinting Authorization Certificate by the Division.

“Staff A has been employed at the program since 9/9/2024 and was required to return out of state record check forms to the Division at that time. As of 3/27/2025 Staff A has not returned these forms. Corrective Action: Staff A shall return out of state record check forms to the Division. In the corrective action email, confirm the date those forms were returned to the Division, and identify the system the program has implemented to maintain ongoing compliance with this rule.”

Correction date in the state record: May 6, 2025

Regulation 3.4.7.3: Within six (6) months of the initial date of employment; staff 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, and the program director 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 in sections 7.3 and 7.4 of these regulations shall be submitted to Northern Lights at CCV to be verified and maintained in BFIS.

“Upon review of BFIS account, it was found seven (7) of ten (10) staff BFIS Quality and Credentail accounts were not up to date within six (6) months of the initial date of employment. Corrective Action: Ensure all staff documentation, verification of qualifications, and all annual professional are submitted to Northern Lights at CCV and cc: kristy.haapala@vermont.gov. Maintain ongoing compliance with this rule.”

Correction date in the state record: May 6, 2025

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.

“At the time of licensing visit, three (3) staff required to have completed Orientation had not done so. Corrective Action: Ensure staff who have not completed Orientation do so, to include Protecting Vermont's Children: Reporting Abuse & Neglect training. Both portions of the training must be completed for Orientation to be considered complete. In the corrective action email sent to Northern Lights at CCV and cc: kristy.haapala@vermont.gov, provide completion certificates and identify the system to maintain ongoing compliance with this rule.”

Correction date in the state record: May 27, 2025

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.

“Staff B obtained 13.5 of the required fifteen (15) hours of annual professional development hours between 12/27/23-12/27/24. Staff C obtained 1.5 hours of the required fifteen (15) hours of annual professional development hours between 7/8/23-7/7/24. Corrective Action: Ensure identified staff complete the incomplete hours for their past period of review in addition to what is required under their upcoming period of review. In the corrective action email to: professional.development@ccv.edu and cc: kristyhaapala@vermont.gov, provide completion certificates for those missing hours for each staff, and identify the system the program has implemented to monitor and ensure ongoing compliance with this rule.”

Correction date in the state record: May 6, 2025

Regulation 6.2.1.3: The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

“Upon arrival, eleven (11) children ranging from three (3) to five (5) years of age were with one (1) staff in the cafeteria. The number of children present required two (2) staff be present. This is a serious violation. Corrective Action: Maintain compliance to child ratios at all times. Provide a copy of this report to to each parent of every child enrolled. Provide Licensor [name] a list of enrolled children, their parent name and contact information once the report has been provided to all families. In the corrective action email identify how ratios will be maintained to include during staff breaks.”

Correction date in the state record: May 28, 2025

Regulation 3.4.5.1: A licensee shall maintain a complete and up-to-date personnel file for staff working at the CBCCPP. A complete file shall contain, at minimum, the following information: Name, date of birth, home address and telephone number; Copies of current first aid and CPR certification; Signed statement verifying understanding of legal requirement to report suspected child abuse and neglect; Documentation of a current Records Check Authorization form; Documentation of having read and having ready access to a current copy of applicable child care licensing regulations; Administration of Medication training certification (if applicable); Signed statement verifying current job title and supervisor's name; Application for employment including references or reference checks; Employment start date; Documentation of completed orientation Training; Employment end date; IPDP (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt); and Written annual performance reviews (Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt).

“Upon review of staff files it was found six (7) of ten (10) files were incomplete. Corrective Action: Ensure incomplete staff files are reviewed and missing documentation is located and kept in personnel files. Develop a plan to include who is responsible for collecting personnel documentation, how it will be collected timely and where the personnel files will be kept. In corrective action email include plan to: kristy.haapala@vermont.gov. Ensure ongoing compliance with this rule.”

Correction date in the state record: May 6, 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.

“Staff A has been employed at the program since 9/9/2024 and was required to have obtained CPR and First Aid certification by 12/9/2025. As of 3/27/2025 Staff A had not obtained this training. Corrective Action: Since the visit, Staff A provided CPR and First Aid certification. In the corrective action email, identify the system the program has implemented to ensure ongoing compliance to this rule.”

Correction date in the state record: May 6, 2025

Regulation 2.3.10.4.2: A licensee shall ensure that the drinking water system complies with the lead water testing requirements according to 18 V.S.A. Chapter 24A and all relevant Vermont Department of Health water testing regulations. Bottled water for drinking, cooking purposes, and brushing teeth shall be provided until such time as at least one (1) outlet meets the Vermont standards and is in compliance with CBCCPP rule 5.10.2.1.2.

“Review of State online Lead Water Testing results indentified program last completed testing in January 2020. Follow up commuication with Staff A confirmed testing was last completed in January 2020. Testing should have been completed again in January 2023. Corrective Action: Staff A has informed this Licensor the program has already started the process for coming in to compliance with testing as a kit was requested 4/11/24. Create a system for tracking when testing is due so as to ensure testing remains in compliance with this rule.”

Correction date in the state record: Apr 22, 2024