Shrewsbury Mountain School

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 was observed on the playground with Staff B. Staff A was providing supervision and guidance to children as well as bringing children indoors to meet their parents who had arrived for pick up. Staff A is not reflected on the associated parties list as a record check had not been submitted to the Division. Corrective Action: Ensure a record check is submitted to the Division for Staff A. Develop a system to ensure new staff and auxiliary staff submit a record check to the Division prior to working with children in the program.”

Correction date in the state record: Sep 16, 2023

Regulation 5.2.3.12: The licensee shall post the diaper changing procedure at each diaper changing area.

“The diaper changing area was identified as being in the nurses office; the diaper changing procedure was not posted as required. Corrective Action: Ensure the diaper changing procedure is posted at the diaper changing area and remains posted.”

Correction date in the state record: Sep 26, 2023

Regulation 5.10.1.10.4: Materials required for routine cleaning shall be stored and used in a safe manner out of the reach of children.

“Febreeze spray was found on the toilet tank cover in the bathroom observed being used by children, to include times without any supervision. Dishwashing liquid was found on the counter next to the sink within the classroom. Both items are intended to keep out of reach of children. Corrective Action: Ensure all cleaning products are kept out of reach of children at all times.”

Correction date in the state record: Sep 26, 2023

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.

“Upon review of the Associated Parties list with Staff C, it was found that Staff D and Staff E were not listed on the Associated Parties list. Staff C has been employed at the program since the beginning of the 2020-2021 school year, and Staff E has been employed for months at the program. Corrective Action: Submit a background check to the Division for Staff D & Staff E. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: Jun 16, 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. 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.

“Upon request for the evacuation drill records, Staff A provided the school calendar with dates at the bottom to indicate when fire drills, clear the halls, and lock down drills were completed. Staff B was asked if there were additional records maintained specifically by the preschool program, and was advised no. The evacuation logs did not account for the number of staff and children present, the length of time it took to evacuate, nor whether at least one (1) drill was completed while children were resting. Corrective Action: Ensure evacuation drills are completed and documented as required by this rule.”

Correction date in the state record: May 28, 2021

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.

“Upon review of staff BFIS Quality and Credential accounts they were determined to be incomplete. Nine (9) staff were missing one (1) or more documents required to be in their BFIS Quality and Credential account. Confirmation was received from Northern Lights at CCV that the missing documentation had not been received by the staff or program prior to the 05/27/2021 visit. Corrective Action: Submit required documentation for each staff person to Northern Lights at CCV as required by this rule. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: Jun 16, 2021

Regulation 5.10.3.3: Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the licensee shall ensure that the surface under and around the equipment, including recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the licensee shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, staff shall ensure that children will not play on the equipment until the resilient material has thawed and is once again resilient.

“The playground area has structures used by children that are over thirty (30) inches off the ground. The wood chips in place are not sufficient to meet this regulation. Staff A stated that an order has been placed to replenish the wood chips. Corrective Action: Submit documentation to Northern Lights of the Mandatated Reporter training Staff E, F, G and H completed. Develop a system to ensure all required documentation is submitted to Northern Lights, and that staff BFIS Quality & Credential accounts are maintained.”

Correction date in the state record: Sep 26, 2023