Stafford Children's Center

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.

“A child's inhaler was observed to be stored without its original container. The medication was not properly labeled for the child nor could the expiration date of the medication be identified. Corrective Action: Immediately obtain the original packaging for the medication or obtain a new medication that bares its original container and proper labeling. Develop a system to ensure that compliance will be maintained with this rule moving forward, to include who must verify proper packaging upon receipt of medications. Provider photo evidence that the packaging/labeling has been received and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Apr 7, 2026

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 staff BFIS credential accounts reflected that 11 out of 13 staff had not yet submitted all required documents to Nothern Lights at CCV as required by this rule. All 11 staff members have been working with the program for at least 180 days. While the director stated that documentation had been previously submitted, she was not able to provide email evidence as such. An email detailing the outstanding staff documents was sent to the director on 05/18/2024. As of 05/31/2024, Licensor [name] had not received documentation of previous submission. As a result, compliance with several other rules was not able to be assesed. These rules include but are not limited to: 7.1.3, 7.1.2.1, 7.1.2.2, and 6.2.1.4. Corrective Action: Immediately plan to submit cover sheets and all required documents for all staff identified in the email sent to the program on 05/18/2024 to Nothern Lights at CCV and copy Licensor [name] on those email submissions. If you need assistance with this process please reach out to Resource Advisor Ammie Collins. Her email is ammie.collins@ccv.edu. In the corrective action email, include details of how you have come back into compliance with this rule and a system which will: 1. track required documents and training submissions, 2. prompt you and/ or staff when records check and/ or fingerprinting renewals or recertifications are coming due, 3. prompt regular checks of staff BFIS accounts to ensure all sent documents have been added to accounts as expected, 4. ensure you and/ or staff check in with Northern Lights at CCV when documents are not added to accounts as expected moving forward. Additionally, include details of who will be responsible for each piece of this system moving forward.”

Correction date in the state record: Jun 3, 2024

Regulation 3.7.1.1: The licensee shall develop and maintain a written Emergency Response Plan to respond to a full range of emergencies both natural and man-made. A complete plan shall include how the licensee will address and manage the following situations and responsibilities: Evacuations or other emergencies such as leaving the premise and lockdown situations; Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; Notifying the local authorities of the emergency; A system for notifying the parents of the emergency; Notifying the local emergency planning committee regarding the location of the CBCCPP and using the committee as a resource in emergency planning for the program; A system of identifying the children and staff present at the time of the emergency and maintaining knowledge of their whereabouts; A system for handling infants, toddlers, and children with special needs; An established evacuation meeting location within walking distance of the CBCCPP; A system to account for all children and staff at the evacuation meeting place; A process for relocation if necessary, including safe transportation; A system for shelter in place if the staff and children present need to remain in the CBCCPP for an extended period; and Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“Upon review, the program's Emergency Response Plan was found to lack the following requirements: Specific concerns related to the location of the program, such as proximity to a nuclear reactor, an area prone to flooding or power loss; Notifying the local authorities of the emergency; A system for notifying the parents of the emergency; Notifying the local emergency planning committee regarding the location of the CBCCPP and using the committee as a resource in emergency planning for the program; A system for handling infants, toddlers, and children with special needs; A system for shelter in place if the staff and children present need to remain in the CBCCPP for an extended period; and Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies. This is substantially out of compliance. Corrective Action: Please review and revise the program's Emergency Response Plan to include all of the requirements of this rule. Submit the revisions to Licensor [name] and continue communications until such a time when you have received approval from the Division.”

Correction date in the state record: Jun 2, 2024

Regulation 6.2.5.2: Staff shall appropriately hold, touch, smile and talk to children.

“The program self reported an incident with Staff A and Child B; Child B indicated they had been squeezed too hard causing them to not be able to breathe. Staff C confirms they did not see the incident as Staff A and Child B were blocked by a cubby unit, but described the incident to have occurred. During the licensing visit, Staff D was heard saying to children: go to sleep, stop talking to each other, no (when asked for puzzles and books), why do you do this every day and asking a child if they needed to be brought out to the hall (in reference to them not listening to instruction to settle down for nap). Corrective Action: Review with staff on how to appropriately respond to children. Develop a plan to address concerns with each individual student as they arise to ensure constructive feedback is provided. Develop a system to monitor implementation of feedback.”

Correction date in the state record: Mar 10, 2023

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.

“Upon reviewing Associated Parties list with the Program Director, eleven (11) staff/volunteers listed were determined to have ended their work with the program more than five (5) days prior to the visit. Corrective Action: Update BFIS to accurately reflect current staff/volunteers. Create a system to ensure going forward that BFIS is updated within the time frame required by this rule.”

Correction date in the state record: Sep 28, 2022

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 found to be incomplete. Ten (10) staff were missing one (1) or more documents in their BFIS Quality and Credential accounts. Corrective Action: Ensure all staff have an up-to-date BFIS account as required by this rule. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 17, 2021

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, it was determined that Staff A was not listed, but was working in the program. Staff A was asked how long she has been employed at the program, and she stated five (5) years. Corrective Action: Submit a background check to the Division for Staff A. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 24, 2021

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.

“Upon review of staff BFIS Quality and Credential accounts, and on-site files, it was determined that eight (8) staff had not completed the required Orientation. Corrective Action: Ensure all staff required to complete the Orientation training, to include Protecting Vermont's Children: Reporting Abuse & Neglect training, do so. Develop a system to ensure ongoing compliance to this rule.”

Correction date in the state record: May 14, 2021