Shelia Hathorn

Regulation 3.6.2.1: The FCCP shall have a written evacuation diagram with evacuation routes posted on each level of the home that is used by the children.

“No evacuation diagrams were observed to be posted within the home. Provider statements reflected that no such diagram was posted. Corrective Action: Ensure that an evacuation diagram with evacuation routes is posted on each level of the home used by children. In the corrective action email provide photo evidence confirming the location of the posted diagram(s).”

Correction date in the state record: Jun 10, 2025

Regulation 3.3.4.1: The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. A complete file shall contain, at minimum, the following information: * A completed child's admission form signed and dated by the parent that includes the first date the child attended the FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * The child's name, current home address and current home telephone number; * The child's date of birth; * Name, address and all applicable current telephone numbers for parents; * Name, address and all applicable current telephone numbers for at least two (2) other people designated by the parents as emergency contacts; * Names for all persons authorized to pick the child up from the FCCH; * Record of an annual physical and health history as required in the rule 5.1.2 of these regulations that includes the name and telephone of the child's primary health care and dental care providers (if the child has a dental care provider); * A description of any special medical, developmental, emotional or educational needs of the child including allergies, existing illnesses or injuries, previous serious illnesses or injuries and any prescribed medication including those for emergency situations; * Written authorization from the parent for the FCCP to be able to obtain emergency medical care and transportation; * Child's immunization record or Vermont Department of Health approved exemption document as required in the rules in section 5.1.3 of these regulations; * Written permission from parents for the FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for child to participate in swimming activities, if swimming activities are a part of the program, as required in the rule 5.10.5.1 of these regulations; * If applicable, a copy of court orders on custody and visitation arrangements as required in the rule 3.5.4 of these regulations; and * If applicable, any obvious injuries discovered and documented on daily health check as required in the rule 5.3.2 of these regulations.

“Upon review of six (6) childrens files, three (3) files were missing admission forms. Corrective Action: Collect admissions forms for the three (3) children identified prior to the next time they are in care. Create and implement a system for ensuring all forms are received and on file.”

Correction date in the state record: Jul 11, 2022