Tina Tuttle

Regulation 5.6.8: The FCCP shall ensure that there is a record of the administration of all medications including medication dosage, time of administration, name of staff administering, and any adverse effects observed. These records shall be maintained for 365 days from the start date of medication administration, and may be kept in the child's file or in a medication administration log.

“The provider has not kept a written record of medication they have given to a child who requires daily medication before meals. Corrective Action: Immediately start a medication log to record the time medication is administered, the dosage and if any side effects were observed and save this document in the child's file as required in this rule. By 1/26/2026 submit a confirmation of compliance to this Licensor.”

Correction date in the state record: Jan 26, 2026

Regulation 7.4.4: All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

“A review of the provider's BFIS Quality and Credential account, and a review of the provider's documentation, it was determined that the provider is missing five (5) hours of professional development between 7/29/2024 to 7/29/2025. Corrective Action: By 1/26/2026, complete the missing five (5) hours of the missing professional development hours for 7/29/2024-2025. These five (5) hours will not count toward the required professional development hours that are due on 7/29/2026.”

Correction date in the state record: Jan 26, 2026

Regulation 7.1.2.1: The FCCP shall have successfully completed pediatric first aid and CPR prior to being licensed and must remain currently certified.

“A review of provider's BFIS Quality and Credential account and the provider's statement that their CPR and First Aid expired on 6/30/2025 and they had not renewed their CPR and First Aid certification prior to this licensing visit. Corrective Action: By 1/26/2026 submit the new CPR and First Aid certificate to Northern Lights and submit confirmation to this Licensor.”

Correction date in the state record: Jan 26, 2026

Regulation 5.1.4: The FCCP 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.

“The required annual immunization survey was not submitted to Vermont Department of Health by midnight on 12/31/25. Initial notification of this requirement was sent the beginning of November, with reminders provided weekly, then daily, closer to the due date. Corrective Action: You must submit the past due 2025 annual immunization survey to Vermont Department of Health by midnight on 1/14/26. Failure to submit this survey will result in further regulatory action. Additionally, submit a statement to Kristy.Haapala@vermont.gov indicating who will be responsible for submitting this survey in the future.”

Correction date in the state record: Jan 27, 2026

Regulation 5.6.6: The FCCP shall ensure that all prescription medication is in its original container, properly labeled for the child, and administered prior to the expiration date on the container.

“The provider had medication for a child that was not in the original box, and did not have the original label that had the name of the medication, the child's name or the expiration date of the medication. This medication is needed to be administered to the child daily at meal times. Corrective Action: Immediately have the parent supply the medication in the original box with the label of the medication. Submit confirmation of completion and understanding to this Licensor.”

Correction date in the state record: Mar 25, 2024

Regulation 5.10.5.2.2: For in ground or above ground pools or natural or manmade bodies of water accessible from the outdoor play area, the FCCP shall ensure that a fence is installed so that no child may gain access without FCCP and/or staff approval, observation and supervision. Fences around pools shall be at least four (4) feet high with a maximum vertical clearance of 3.5 inches at the bottom. Gates shall swing outward with self-closing and self-latching devices installed at least three (3) inches below the top of the gate on the side facing the pool/water. Gates shall be locked when not in use.

“The gate to the above ground swimming pool was open during this licensing visit. Corrective Action: Immediately keep the pool gate closed and always keep the gate locked when children are in care. By 3/10/2023, submit a photo of the locked gate to this licensor.”

Correction date in the state record: Mar 10, 2023

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“The fire drill documentation was missing fire drills from August 2022, December 2022 and January 2023. The provider stated they did not complete fire drills on the months the date was missing. This violation was cited previously on 9/29/2020 and 3/14/2022. Corrective Action: Complete two (2) fire drills in the month of March and two (2) fire drills in April and monthly thereafter to come back into compliance. By 3/10/2023 submit a program improvment plan with how monthly fire drills will be completed.”

Correction date in the state record: Apr 11, 2023

Regulation 5.10.1.10.3: All poisonous or toxic materials shall be inaccessible to children.

“There were bottles of cleaning products, such as disinfectant spray, Lysol spray and Clorox cleaner on the floor next to the washer machine. A young child was placed on the floor near the entrance of the laundry room and it was open to the kitchen. There was disinfectant spray in the bathroom cupboard that did not have a lock on the door. The children use the bathroom independently. This violation was cited previously on 9/29/2020 and 3/14/2022. Corrective Action: Immediately remove all cleaning products from the floor and cupboard to prevent children access to all cleaning products.”

Correction date in the state record: Feb 27, 2023

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“When asked to review the evacuation drill log, the provider stated fire drills are not conducted. This is a repeat violation previously cited 5/22/2010, 5/07/2012, 1/06/2014, and 9/29/2020. Corrective Action: By 3/31/2022 practice the evacuation drill and record as required in Rule 3.3.6.1. Submit a program improvement plan to this licenser which includes a developed system which will ensure evacuation drills are practiced and recorded at least once a month as required.”

Correction date in the state record: Apr 17, 2022

Regulation 3.6.1.1: The FCCP 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 FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises 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 FCCH 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 FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“The provider showed the Emergency Respons Plan, said it is incomplete, and showed the components which still remain to be added. This is a repeat violation first cited 09/29/2020. Corrective Action: By 04/18/2022 complete the written Emergency Response Plan with all components contained within the rule and submit for review to this licensor.”

Correction date in the state record: Apr 17, 2022

Regulation 3.3.7.3: Within six (6) months of initial date of employment, the FCCP and all staff 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 sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“The BFIS Quality and Credential Account does not contain verification of qualification of completion of the Fundamentals training or current certification of CPR and first aid. These documents were on-stie and the provider confirmed the documents have not been submitted to Northern Lights. This is a repeat violation first cited 09/29/2020. Corrective Action: By 04/18/2022, submit to Northern Lights with verification of completion of the Fundamentals training and the current certification for CPR and first aid. Submit a program improvement plan to this licensor on how the BFIS Quality and Credential Account will be maintained up to date.”

Correction date in the state record: Apr 17, 2022

Regulation 5.10.1.10.3: All poisonous or toxic materials shall be inaccessible to children.

“There were cleaning products and a household item with labels which state Keep Out of the Reach of Children which were located in reach of children in three areas assessable to children. There was a disinfectant spray located on the floor next to the toilet in the bathroom on the second floor which is the one used by children. This bathroom is located on the second floor and the provider said that one child goes upstairs to the bathroom independently. There was a large basket placed on the floor accessible to children in the room one must walk through in order to get this bathroom. It contained several cleaning supply labelled Keep Out of Reach of Children. The stairway to the second floor bathroom had several products located on some stair treads in reach of children including: Febreze spray, Clorox fabric sanitizer, Lysol disinfectant spray, Clorox bleach wipes, and two (2) containers of spackling all of which state Keep Out of the Reach of Children. The provider serves school aged children and said one preschool child goes upstairs independently to use the bathroom. This is a repeat violation previously cited: 9/02/2010, 5/07/2012, and 1/06/2014. Corrective Action: Effective immediately, move all cleaning and household product in reach of children that pose a safety hazard to children, to locations that are inaccessible to children. By 03/31/2022 submit a program improvement plan to this licenser that outlines how the home will be accessed for hazards on a regular basis and how hazards will be addressed to be inassessable to children to ensure safety.”

Correction date in the state record: Apr 17, 2022

Regulation 5.2.3.11: Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, dispose of diaper, and staff member washes their own hands. * Record diaper change.

“A child's diaper was changed without the child's hands being washed. The provider said she does not ensure children's hands are washed after a diaper change unless she knows they are dirty. Corrective Action: Effective immediately, ensure that children's hands are washed after diaper changing as well as all other times listed within the rule and submit an email to this licensor confirming compliance has been met and will be maintained.”

Correction date in the state record: Apr 17, 2022

Regulation 5.10.1.10.3: All poisonous or toxic materials shall be inaccessible to children.

“In the bathroom used by children, there were bottles of poisonous cleaning solutions on the floor between the sink and toilet making them accessible to children. Corrective Action: Immediately make cleaning chemicals inaccessible to children. By 10/20/20, submit an improvement plan on how the program will ensure cleaning chemicals are kept out of reach of children.”

Correction date in the state record: Nov 4, 2020

Regulation 3.6.2.2: The FCCP shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in less than three (3) minutes.

“Registrant stated fire drills have not been conducted monthly from January through September 2020. Corrective Action: Conduct three fire drills during the months of October, November and December 2020 and once a month beginning January 2021. Submit an improvement plan on how the program will ensure monthly fire drills are conducted.”

Correction date in the state record: Nov 4, 2020

Regulation 3.3.7.3: Within six (6) months of initial date of employment, the FCCP and all staff 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 sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

“The FCCP's BFIS Quality and Credential Account does not contain verification of high school or GED completion. Corrective Action: By 10/27/20, submit to Northern Lights at CCV verification registrant has completed high school or has earned a GED and submit a program improvement plan to this licensor on how the BFIS Quality and Credential Account will remain up to date.”

Correction date in the state record: Nov 4, 2020

Regulation 3.6.1.1: The FCCP 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 FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises 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 FCCH 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 FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

“The registrant stated she has not written an Emergency Response Plan. Corrective Action: By 11/3/20, write an Emergency Response Plan and share the plan with all enrolled families. Submit an improvement plan on how the program will ensure the Emergency Response Plan is reviewed annually and necessary updates are done.”

Correction date in the state record: Feb 27, 2023

Regulation 5.10.1.2.6: The extinguisher shall be visibly mounted to the wall near an exit door.

“The fire extinguisher was located on the floor next to the door leading to the basement, which is not near an exit. Corrective Action: By 10/20/20, mount the fire extinguisher near an exit.”

Correction date in the state record: Dec 1, 2020