Saint Michael's Early Childhood and After School Program, rogram

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.

“The record of the required monthly emergency drills did not contain the number of children and staff evacuated, time taken to evacuate and some months were unavaible for review. Corrective Action: Ensure the drills are documented as required by this rule and records kept available for review. Send to Licensing Field Specialist Crawford what steps have been put in place to ensure compliance to this rule.”

Correction date in the state record: Jan 5, 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.

“The BFIS Quality and Credential accounts for the qualified teaching associate and assistant in the prekindergarten classroom are missing documents for current CPR certification, and fifteen hours of professional development. The Program Director's Quality and Credential account is missing current CPR certification and fifteen hours of professional development. Each person has been employed at the program for more than one (1) year. The need to maintain up to date Quality and Credential Accounts has been discussed in site visits in 2022 and 2023 and was cited as a violation in 2021. Corrective Action: Update the identified staff persons Quality and Credential account with the missing documentation. Review the Quality and Credential accounts for all persons meeting the defintion of staff (Rule 2.2.53) and have all required documentation submitted to Northern Lights @ CCV for uploading into the Quality and Credential accounts. Send an email to Licensing Field Specialist Crawford identifying who in the organization will be responsible for ensuring documents are submitted for uploading and who will monitor accounts for completeness.”

Correction date in the state record: Jan 5, 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.

“Two of the four files sampled did not contain the required immunization documentation. It was confirmed that each of these children were in their second school year of the program. Corrective Action: Update the identified files with the required documentation. Review all children's files to ensure they are complete. Develop a system that will ensure all children's immunization records are kept up to date.”

Correction date in the state record: Jan 5, 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.

“It was confirmed in a telephone call that a staff person counted in staff to child ratio daily since the start of the 2023-2024 school year has not completed the required orientation training. Corrective Action: Have the identified staff person complete the required on line orientation training. Send the certificate of completion to northern lights at CCV to be uploaded to the person's BFIS quality and credential account. Include a cc to this license on that email submission.”

Correction date in the state record: Nov 13, 2023

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

“Program and auxiliary staff have not completed the required Protecting Vermont's Children from Abuse and Neglect training offered by the State of Vermont Department for Children and Families. This is the required and only training meeting the requirements of this rule at the time. Corrective Action: Have all identified persons complete the required training. This training can be accessed on the Child Development Division's website at https://dcf.vermont.gov/cdd/providers/pd/licensing. Have the trainings completed by 10/31/2023. By 11/01/2023, send the certification of completion to northernlights@ccv for uploading to each staff person's quality and credential account. When submitted that email, cc this licensor.”

Correction date in the state record: Nov 28, 2023

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.

“It was acknowledged during this visit that Staff person A employed since 2018 and Staff person B employed since 2020, both of whom are counted in staff to child ratio daily have not submitted the required documentation to their Quality and Credential Accounts in the BFIS system. Corrective Action: Submit the required documentation to the Northern Lights @ Community College of Vermont to be uploaded into the identified staff persons Quality and Credential accounts. Send an email to this licenser confirming what documentation has been sent and by what date. Contact Northern Lights at (802) 540-8168 | northernlights@ccv.edu if unsure of how to submit documentation. Review all staff persons accounts to confirm that required documentation has been submitted, accepted, and uploaded to the staff persons account. Develop a system to monitor quality and credential account timely submissions.”

Correction date in the state record: Jan 5, 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.

“Two staff persons confirmed to be counted in staff to child ratio daily have expired CPR certifications. Corrective Action: Enroll the identified staff persons in CPR training. Develop a plan to monitor staff certificate renewal dates.”

Correction date in the state record: Oct 12, 2023

Regulation 3.4.6.5: Staffing Schedule: A licensee shall maintain a written record of the daily schedule for at least 365 days of all staff including exact days and hours worked and the group of children to whom they are assigned.

“The staff schedule presented during this visit records hours worked only and does not identify groups of children with whom a staff person worked. Corrective Action: Update the staff schedule to meet the requirements of this rule including documenting any staff break or unexpected absence coverage. Send confirmation of the change in practice to this licenser.”

Correction date in the state record: Jun 15, 2024

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.

“The program reportedly trains staff persons on many of the items listed in this rule but documentation of the materials covered and confirmation that all staff persons involved in the program have been trained on the information is not available. Corrective Action: Develop orientation training materials that comply with the requirements of this rule. It is the program's discretion whether to use the on-line orientation training available on the Child Development Division website or whether to create it's own orientation that addresses the required items. Submit to licensing for approval, the orienation plan for staff persons timeframe for all persons to complete the training, and how completion of the orienation will be documented on site.”

Correction date in the state record: Oct 12, 2022

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.

“Two auxiliary staff persons have been teaching specials to the preschool group one time per week for the school year 2018-2019 and will be for the school year 2019-2020. Neither individual has completed a record check authorization form or the required fingerprinting process. Corrective Action: Effective immediately both individuals are to submit the required record check authorization form to initiate the background clearance process. Establish a system to ensure all persons meeting criteria of auxilliary staff (Rule 2.2.2) submit to the required background clearance requirements. Send an e-mail to this license explaining the system put in place to ensure compliance to this rule will be maintained.”

Correction date in the state record: Sep 24, 2019

Regulation 5.1.4: The licensee shall submit a Vermont Child Care Immunization Report at least once every 365 days to the Vermont Department of Health, Immunization Office as required by 18 V.S.A. SS 1120 - 1129.

“Between 11/5/2018 and 12/21/2018, CDD sent 2 separate emails to all programs, 1 reminder letter using US Postal Service, 1 reminder letter sent through the program's BFIS account, and a final email reminder. This communication provided the link to be used and CDD contact information for questions or challenges with submitting the report. Corrective Action: By 09/26/2019, submit a program improvement plan that identifies the steps that will be taken to ensure that the 2019 annual immunization report will be filed between 11/1/2019 - 12/31/2019.”

Correction date in the state record: Sep 24, 2019