Neshobe Pre K Program

Regulation 5.6.7: A record of the administration of all medications shall be made including medication dosage, time of administration, name of staff administering, and any adverse effects observed. These records shall be maintained for 365 days from the start date of medication administration and may be kept in the child's file or in a medication administration log.

“During the visit staff identified that a medication is administered to an enrolled child daily, and that there is not procedure in place record the administration of the medication. Corrective Action: Immediately develop a system to record the medication dosage, time of administration, name of staff administering, and any adverse effects observed each time a medication is administered. In the corrective action email provide details of the system developed to ensure compliance moving forward. Status: Appeal Period.”

Correction date in the state record: Apr 6, 2026

Regulation 5.6.2: The program director shall ensure that only staff, who have completed a training course approved by the Division, administer medication in the CBCCPP. With written parental permission, a school age child may self-medicate under the direct supervision of staff who meets the training requirement within this rule.

“Staff A sated that they administer medication to an enrolled child daily, but was unsure if they had completed an approved administration training. Communication with the Director and PreK Coordinator confirmed that Staff A had not completed a training that meets the requirements of this rule. Corrective Action: Immediately ensure that Staff A does not administer medication until completing an approved medication administration training. Develop a system to ensure that only individuals who have completed an approved medication administration training administer medications to enrolled children moving forward. In the corrective action email provide details of the system developed to ensure compliance moving forward. Status: Appeal Period.”

Correction date in the state record: Apr 6, 2026

Regulation 5.10.3.2.1: All outdoor play equipment shall be sturdy, safe, clean and free from rough edges, sharp corners, pinch and crush points, splinters, and exposed bolts. To prevent entrapment, no openings in equipment shall be between 3.5 and nine (9) inches. Chains on swings shall have protective coverings and swing seats shall be made of soft materials with no sharp edges.

“Both slides in the outdoor play area were observed to broken at the very top, exposing sharp plastic and openings that could catch children's clothing when sliding down. Staff statements reflect that new playground equipment is intended to be installed soon. Corrective Action: Immediately discontinue use of the slides until such a time when temporary solution is put in place. All broken/cracked plastic must be covered to prevent access to children until the equipment is replaced permanently. In the corrective action email provide photo evidence that the breaks have been covered safely and will remain so moving forward. Status: Appeal Period.”

Correction date in the state record: Apr 6, 2026

Regulation 5.10.1.1.2: Children shall be protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephones.

“During the visit, it was observed that multiple cords were in areas accessible to children and were not secured. The cords belonged to a power strip, twinkle lights and other electrical equipment in the classroom. Corrective Action: Immediately plan to make all cords inaccessible to children. Develop a system which will ensure regular checks of classrooms and other spaces used by children and ensure all cords are made inaccessible to children prior to each school day moving forward. Include details of how the program has come back into compliance and the system for ensuring continued compliance moving forward.”

Correction date in the state record: Jun 13, 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.

“During the visit, it was disclosed that two children in one preschool classroom had a medically identified need for prescribed epi-pens. While there was a box with two Epi-Pens in the classroom, the box did not have a prescription label containing the child's name or prescription information from a medical professional or pharmacy. Corrective Action: Immediately plan to obtain Epi-Pens prescribed for the children who medically require them and to keep the medication and the allergy action plan immediately available to the staff caring for that child at all times. Develop a system which ensures all prescription rescue medications are in their original container and properly labelled for the child or children moving forward. Additionally, ensure that any staff member who may work with the child or children requiring these rescue medications obtain an approved medication administration training in a timely manner. If you need assistance locating an approved medication administration training, you may visit the Northern Lights at CCV website or contact your Norhtern Lights at CCV resource advisor.”

Correction date in the state record: Jun 13, 2024

Regulation 5.10.1.1.1: The licensee shall ensure that children are protected from electrical outlets, such as by using protective covers, tamper-proof outlets, or other devices manufactured for this purpose.

“During the visit, it was observed that a power strip with at least four empty outlets did not have protective coverings and was in an area accessible to children. Corrective Action: Immediately plan to place protective covers on all outlets accessible to children. Develop a system which will ensure regular checks of classrooms and other areas used by children and ensure children are protected from outlets as described in this rule prior to the children's arrival each day. Include details of how the program has come back into compliance and the system the program will implement in the corrective action email.”

Correction date in the state record: Jun 13, 2024

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment, the licensee 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.

“A review of children's files reflected that five (5) of the ten (10) files reviewed did not contain General Health Exan Forms. While the staff testified that the program does notify parents of this requirement, there is generally no further follow-up with the families of the children who do not submit the documentation in a timely manner. Corrective Action: As discussed, prior to the 2024-2025 school year, the director and/or Supervisor of Preschool Programming will develop and implement a system which will ensure continued reminders and communication with families until proper documentation is obtained and maintain a record of that communication that can be made available upon request moving forward. Provide details of this plan in the corrective action email.”

Correction date in the state record: Jun 13, 2024

Regulation 5.2.3.4: The licensee shall ensure that there is a sturdy diaper changing area with a clean, washable and non-absorbent surface. The diaper changing area shall not be located in the kitchen or any area where food is stored, prepared or served.

“Both bathrooms used by the program do not have a diaper changing area despite children in the program wearing pull ups. Corrective Action: Ensure there is an area to change children that follows the diaper changing procedure as outlined in rule 5.2.3.11 to include space for children practicing independence with toilet training who may require additional assistance.”

Correction date in the state record: Oct 13, 2023

Regulation 2.3.9.3: The licensee shall ensure that all staff 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.

“Record check authorizations and fingeprinting expired for Staff A on 4/30/23, and for Staff B on 5/18/23. Fingerprints expired for Staff C on 7/6/23. Corrective Action: Ensure record checks are submitted to the Division and fingerprinting completed for Staff A, Staff B and Staff C. Develop a system to ensure ongoing record checks and fingerprinting occur prior to the expiration date.”

Correction date in the state record: Oct 25, 2023

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 B and Staff C have not completed Orientation as required by this rule. Corrective Action: Ensure Staff B and C complete Orientation to include Protecting Vermont's Children: Reporting Abuse & Neglect training if not already completed.”

Correction date in the state record: Mar 14, 2023

Regulation 2.3.9.3: The licensee shall ensure that all staff 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 record check and fingerprints for Staff A expired in December 2021. Corrective Action: Staff A shall submit a record check to the Division and complete fingerprinting. Develop a system to ensure all record checks and fingerprinting are renewed as required by this rule.”

Correction date in the state record: Dec 22, 2022

Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.

“A review of staff BFIS Quality and Credential Accounts and conversation with the director,confirm that 8 staff have not completed the Protecting Vermont's Children mandated reporter training. All staff identified are in positions to be left alone with children.The director did state that all staff have received informal training on abuse and neglect as part of ongoing professional development. Corrective Action: Have staff complete the Protecting Vermont's Children mandated reporter training. Link to training was supplied to director. Ensure that new staff complete the training before being left alone with children. Submit documentation of training completion to Northern Lights @CCV.”

Correction date in the state record: Sep 23, 2021

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.

“Evacuation drills were not conducted for January and February. The documented drills for March and April did not record the number of children and staff present. Corrective Action: Effective immediately, establish and maintain a practice of conducting monthly evacuation drills and recording the number of children and staff evacuated and the time taken to evacuate. Conduct and document three emergency evacuation drills by the end of the 2018-2019 school year. Documentation of evacuation drills will be maintained on site for two years.”

Correction date in the state record: May 30, 2024

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 and Staff B hold positions where they are counted in the child/staff ratio and they have not submitted background record checks. Staff A has held this position since August and has been included in the daily child/staff ratio. Staff B substituted for a period of approximately 30 days in the fall of 2018 in the three year old classroom. Over the last several months staff B has substituted in the four year old classroom for at least 10 days. Corrective Action: : Effective immediately, Staff A and Staff B will submit a record check authorization form in accordance with the rules in section 7.2. A system will be developed to ensure that all new staff submit record check forms before they are counted in the child/staff ratio. A description of this system will be provided to this licensor”

Correction date in the state record: May 30, 2024