Milton Family Community Center

Regulation 3.2.1: Serious injury or death of a child: The licensee shall make a timely report to the Division of any injury or accident involving an enrolled child resulting in in-patient or out-patient medical or dental treatment or death. In the event of a death, a verbal report shall be made immediately followed by a written report within twenty-four (24) hours. In the event of an injury or accident resulting in in-patient or out-patient medical treatment, a verbal report shall be made within forty-eight (48) hours and the written report shall be made within five (5) business days.

“Child A's parents notified the program that they were taking Child A to the pediatrician after they hit their head at the program. The program did not notify licensing as required by this regulation. Corrective Action: The director will review the regulations in section 3.2 that lists the type of incidents that require notification to licensing. Please email Robin.Rielly@vermont.gov and confirm that you have reviewed the regulations and will maintain compliance moving forward.”

Correction date in the state record: Apr 30, 2026

Regulation 5.8.3: Staff shall create and file an incident report for each accident, injury or medical emergency that leaves a visible mark, or first aid has been administered, even when medical treatment is not required. An incident report shall include the name of the child, date, description of the injury or medical emergency, how it occurred, adult witnesses, first aid provided, and medical care required. The child's parent shall be provided a copy of the report at pick up that day. Serious injuries, animal bites and death must be reported to the Division as specified in the rules in section 3.2 of these regulations.

“Nine(9) month old Child A was holding onto Staff X's fingers while in a slightly upright position on their feet. As Staff X guided Child A backwards, they fell hitting the back of their head on the floor. The program director sent a notification through Brightwheel, but it did not name the adults that were present when the injury occured. At pick up the parent was not provided with a written injury report contained all of the information required in this regulation. Corrective Action: As discussed if injury reports will be captured in Brightwheel they must contain all of the required information and must be kept in the children's file whether that is a file within Brightwheel or a paper copy. If you are using Brightwheel ask the parents if they would like a written copy in additional to the Brightwheel injury notification. Please send an email to Licensor [name].Rielly@vermont.gov confirming that you have reviewed this regulation and have created a system to ensure the program maintains compliance with this regulation. The program will provide Child A's family with a written injury report.”

Correction date in the state record: Apr 30, 2026

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 review of individuals BFIS Quality and Credential account and a review of staff files, it was confirmed ten (10) staff members who worked longer than six (6) months did not have an up-to-date BFIS Quality and Credential account and was missing their current CPR and First Aid certificates and required training certificates. This violation was cited previously on 1/3/2024, 1/4/2023 and 1/21/2020. Corrective Action: By 11/29/2024, submit all staff's missing training certificates and transcripts to Northern Lights at CCV with the required cover sheet. Submit a program improvement plan which outlines who and how training certificates will get sent to Northern Lights at CCV.”

Correction date in the state record: Nov 29, 2024

Regulation 3.7.3: Emergency Preparedness Training: Within 365 days of opening a CBCCPP, the licensee shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the licensee and children present need to remain in the CBCCPP for an extended period.

“The director nor the excecutive director has taken an Emergency Preparedness Training. Corrective Action: By 11/29/2024, submit confirmation of completion of an Emergency Preparedness training and send the training certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: Nov 29, 2024

Regulation 5.2.1.1: CBCCPP staff shall ensure that adults and children wash their hands: * Upon arrival at the CBCCPP; * Before they eat, prepare or handle food; * Before and after handling raw meat; * Before feeding children; * After toileting or diapering; * After cleaning; * After taking out the garbage; * After handling animals; and * After outdoor play.

“A staff member did not wash their hands after changing two (2) diapers and helping another child wipe their bottom. The staff member did wear gloves and stated if they wear gloves they don't often wash their hands. Corrective Action: Immediately instruct staff to wash hands after changing diapers and supporting children in the bathroom, even when they put on gloves. Submit an e-mail confirmation that staff have been instructed on hand washing requirements and ensure compliance.”

Correction date in the state record: Nov 6, 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 verbal confirmation from the two (2) staff members that they had not renewed their CPR and First Aid certificate prior to the expiration date. The CPR and First Aid certificate expired on 8/31/2024. This rule was cited previously on 1/3/2024 and 1/4/2022. Corrective Action: By 11/29/2024 have the two (2) staff members complete their CPR and First Aid course and submit the training certificates to Northern Lights with the required cover sheet. Submit a program improvement plan which has a system where current staff complete a CPR and First Aid course prior to the expiration date.”

Correction date in the state record: Nov 8, 2024

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.

“An infant's heart medication was not in the original box or labeled with the child's name and dose to be given. The medication was in a syringe in a container in the refrigerator. The child's name was not on the container. Corrective Action: Immediately problem solve with the parent to have the medication brought into the program with the original label which had the child's name and dose of medication. By 11/30/2024 submit an e-mail confirmation to this Licensor.”

Correction date in the state record: Nov 7, 2024

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.

“The staff's BFIS quality and credential accounts were reviewed prior to this licensing visit. Staff members who have worked longer than six (6) months are missing their current CPR and First Aid certificates, their required Mandated Reporter training certificates, their education, and the VT Orientation training certificates. Corrective Action: By 1/24/2024 review staff's BFIS Quality and Credential accounts and submit all missing information electronically via e-mail to Northern Lights at CCV with the required cover sheet, copying ellen.livingston@vermont.gov. Submit a program improvement plan on how staff's required documents will be submitted to Northern Lights within their first six (6) months of hire.”

Correction date in the state record: Nov 29, 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 statement that they had not completed a CPR and First Aid course and has worked at the program since 6/14/2023 which is longer than the required three (3) months. Corrective Action: Immediately have this staff member complete the CPR and First Aid course and create a system where new staff complete the CPR and First Aid course within three (3) month of their hire date. By 1/17/2024, submit the CPR and First Aid certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: Jan 12, 2024

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.

“The staff's BFIS quality and credential accounts were reviewed prior to this licensing visit. Staff members who have worked longer than six (6) months are missing their current CPR and First Aid certificates, their required Mandated Reporter training certificates, their education, and the VT Orientation training certificates. Corrective Action: By 1/24/2024 review staff's BFIS Quality and Credential accounts and submit all missing information electronically via e-mail to Northern Lights at CCV with the required cover sheet, copying ellen.livingston@vermont.gov. Submit a program improvement plan on how staff's required documents will be submitted to Northern Lights within their first six (6) months of hire.”

Correction date in the state record: Nov 29, 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 statement that they had not completed a CPR and First Aid course and has worked at the program since 6/14/2023 which is longer than the required three (3) months. Corrective Action: Immediately have this staff member complete the CPR and First Aid course and create a system where new staff complete the CPR and First Aid course within three (3) month of their hire date. By 1/17/2024, submit the CPR and First Aid certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: Jan 12, 2024

Regulation 6.1.4.1.4: Furniture and equipment children use for play and daily routines shall be durable and appropriate for the size, abilities, and activities of the children.

“A child was sitting and bouncing on the edge of the yoga ball outside on the playground when they rolled off and broke bones near their elbow. The child needed surgery to add two (2) pins to the area of the broken bone. The child was not able to sit safely on top of the yoga ball due to the height of the ball. This yoga ball is designed for adults and is the wrong height for young children to safely sit on the ball. Corrective Action: Immediately remove the yoga ball from the playground so children cannot access the yoga ball. Instruct all teachers to review toys that are in the classrooms and on the playground to make sure they are durable and appropriate for the size and ability of children.”

Correction date in the state record: Aug 22, 2023

Regulation 5.2.1.8: Staff shall wash the hands of children who are unable to wash their own hands and provide developmentally appropriate guidance and supervision to help children learn and practice healthy hand washing.

“Staff A did not wash their own hands in between changing children's diapers. Staff B did not wash the infant's hands after they changed the infant's diaper and did not wash their own hands prior to handling toys to give to the infants. Corrective Action: Immediately instruct staff to wash their hands prior to and after changing children's diapers and before touching toys as well as washing infant's hands after changing their diapers. Submit an e-mail confirmation that staff have been instructed on hand washing requirements and ensure compliance.”

Correction date in the state record: Jan 11, 2023

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.

“Two staff members, who count in staff/child ratio and has worked longer than three (3) months had expired CPR and First Aid certificates. A verbal confirmation verified one certificate expired on 11/13/2022 and one on 11/24/2022. Corrective Action: Immediately have the two (2) staff members complete the CPR and First Aid course and create a system where staff remain currently certified. By 1/30/2023, submit the CPR and First Aid certificate to Northern Lights with the required cover sheet.”

Correction date in the state record: Jan 30, 2023

Regulation 7.2.1: The licensee shall ensure that any new individuals regularly present at the CBCCPP submit a Records Check Authorization form to the Division prior to working with children in the CBCCPP.

“There were two (2) staff members working with children, who had not submitted a record check authorization form to the Child Development Division and were not listed on the associated parties list for this program. These two (2) staff members have been working in the program for more than three (3) months. Corrective Action: Immediately have the two (2) staff members fill out the required Record Check Authorization Form and submit them to the Child Development Division to be processed and ensure all new staff members complete the Record Check Authorization Form prior to working with children.”

Correction date in the state record: Jan 5, 2023

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 review of the programs associated parties list in BFIS, it was determined that six (6) staff were listed that no longer work for the program. Corrective Action: Immediately remove staff who no longer work for your program and create a system where staff are removed from the associated parties list within the required five (5) business days.”

Correction date in the state record: Jan 4, 2023

Regulation 6.2.6.4: When children are outside playing, staff shall be outside visually supervising the children.

“A twenty-three (23) month old child opened the playground gate, closed the gate, and walked to a parked car without the teacher's noticing they were missing. The young child was out of the teacher's sight for approximately two (2) to three (3) minutes until a parent brought the child back to the playground. . Corrective Action: By 10/26/2022 submit a program improvement plan, listing in detail what has been implemented for staff and children since this incident occurred to maintain supervision of children while outside on the playground.”

Correction date in the state record: Aug 23, 2022