Potter's House School and Child Care Center

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: Nov 21, 2025

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.

“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. This rule was cited previously on 12/10/2024. Corrective Action: By 12/01/2025 collect well-care exams for all children enrolled and create a system that supports receiving well-care exams within the required forty-five (45) days. Submit confirmation to this Licensor.”

Correction date in the state record: Nov 18, 2025

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.

“Of the five (5) files reviewed, three (3) were missing the general health exams. Corrective Action: Ensure a review is done of all children's files to ensure each contains a general health exam as required by this rule. Inform Supervisor Sheldrick-Humphries the system the program will use to ensure ongoing compliance to this rule is met.”

Correction date in the state record: Feb 7, 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.

“A review of the associated parties list and required documentation was reviewed prior to the licensing visit. Several pieces of information were not in staff BFIS Quality and Credential accounts and confirmed by Northern Lights at CCV to not have been received for uploading into staff accounts. Corrective Action: Ensure all missing documentation is submitted to Northern Lights at CCV; cc Supervisor Sheldrick-Humphries in those submissions. Inform Superivsor Sheldrick-Humphries of the system the program will implement to maintain compliance to this rule.”

Correction date in the state record: Feb 7, 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.

“Two (2) staff were noted as not having completed Vermont Orientation. Corrective Action: Ensure all staff have completed Vermont Orientation and submit the documentation to Northern Lights at CCV. Inform Supervisor Sheldrick-Humphries of the system the program will use to maintain compliance with this rule.”

Correction date in the state record: Feb 13, 2025

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 fingerprint authorization form was generated 12/29/23 for Staff A; the fingerprints have not been completed. Corrective Action: Ensure Staff A submits to fingerprinting by the due date. Inform Supervisor Sheldrick-Humphries of the system the program will implement to ensure staff submit updated record checks and complete fingeprinting at least once every five (5) years.”

Correction date in the state record: Feb 7, 2025

Regulation 3.4.1: The licensee shall keep all required records, schedules, materials, and equipment used to operate and maintain the CBCCPP in good order and in locations appropriate for day to day access.

“A virtual focus compliance visit will be conducted post corrective action due date to confirm all trainings, and education documents are reflected in staff BFIS quality and credential accounts to confirm compliance with rules cited in non-compliance as well as rules 3.3.5, 7.7.4, and 6.2.1.4. Corrective Action: Several documents not observed on site 12/10/24 were requested post visit. As of 1/2/25 several documents were not received prior to submission of this report.”

Correction date in the state record: Feb 7, 2025

Regulation 5.1.3: Immunizations: The licensee 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.

“Of the five (5) files reviewed, three (3) were missing immunization records required by this rule. Corrective Action: Ensure all children's files are reviewed to confirm immunization records are on file. Inform Supervisor Sheldrick-Humphries how ongoing compliance to this rule will be met.”

Correction date in the state record: Feb 7, 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.

“Three (3) staff as of the licensing visit did not have current CPR/First Aid certification. Corrective Action: Ensure all staff complete CPR/First Aid certification and submit documentation to Northern Lights at CCV. Inform Supervisor Sheldrick-Humphries of the system the program will have to ensure compliance is maintained to this rule.”

Correction date in the state record: Feb 13, 2025