Molly Leach

Regulation 2.3.8.3: The FCCP shall ensure that the FCCP; all individuals residing in the home; staff; and any individuals who are left alone with children have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

“The Provider and Assistant both submitted their completed Records Check Authorization form on 07/20/2023 due to the Division. The staff then received notification that both of their finger prints were due to expire on 11/10/2023 and both were to submit to finger printing with the attached Finger Print Authoriztion Certificate forms by the expiration date. At the time of this visit, neither staff person had submitted to finger printing by expiration date which is a violation of this rule. Corrective Action: Schedule appointments for finger printing of both staff as soon as possible and send the scheduled dates to this licensor. By 03/01/2024 send to this licensor, the receipt of both finger prints and the plan developed to ensure ongoing compliance to this rule.”

Correction date in the state record: Feb 21, 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 evacuation drill record reflected that the past several months were not documentated. Corrective Action: Ensure that each evacuation drill is documented and maintained as required by this rule. Send an email to licensor [name].Purinton@vermont.gov as confirmation to ongoing compliance to the rule.”

Correction date in the state record: Feb 4, 2022

Regulation 3.3.3: The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP shall save all daily attendance records identifying the hours of children s attendance for at least twelve (12) months from the date that care is provided.

“There were five children in care without some children documented as present on this day on the daily attendance sheet. There were weeks that no daily attendance was recorded in the months of 01/2022 and 12/2021. The provider acknowledged that the daily attendance was being documented inconsistently. Corrective Action: Effective immediately, it is required to record the daily attendance at the time of each child's arrival and departure. The attendance record is to be maintained to include the Time In and the Time Out for each child. Send an email to licensor [name].Purinton@vermont.gov as confirmation to ongoing compliance to the rule.”

Correction date in the state record: Apr 4, 2022

Regulation 5.10.1.2.6: The extinguisher shall be visibly mounted to the wall near an exit door.

“The fire extinguisher was located on the floor in a foyer of an exit door. Corrective Action: Ensure that the fire extinguisher is mounted to the wall by an exit door. Send an email to licensor [name].Purinton@vermont.gov as confirmation of compliance to the rule.”

Correction date in the state record: Feb 4, 2022

Regulation 3.3.7.3: Within six (6) months of initial date of employment, the FCCP and all staff 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 sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“A review of BFIS Quality and Credential Accounts and a conversation with the Provider confirms that CPR and First Aid certificate, Professional Development Hours, Orientation and Protecting Vermont's Children: Reporting Abuse & Neglect training have not been sent to Northern Lights at CCV to be entered into your Staff person's BFIS Quality and Credential Accounts as required for all staff. Corrective Action: Submit certificates of completed required trainings to Northern Lights at CCV for entrance into BFIS as required. Send an email to licensor [name].Purinton@vermont.gov as confirmation to ongoing compliance to the rule.”

Correction date in the state record: Mar 28, 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.

“Three children's files were reviewed, two were missing a general health examination form and one contained an unsigned form. Corrective Action: Review all children's files, if a general health examination form is missing contact the parent/guardian and ask that one be provided. Email this licensor when documentation has been gathered. Moving forward ensure that all files are in compliance with this regulation.”

Correction date in the state record: Feb 3, 2022