Tinmouth School Pre-K/Afterschool

Regulation 5.6.2: The program director shall ensure that only staff, who have completed a training course approved by the Division, administer medication in the CBCCPP. With written parental permission, a school age child may self-medicate under the direct supervision of staff who meets the training requirement within this rule.

“When asked about medication administration procedures, Staff A was identified as the only staff member who would administer medication to enrolled children. Staff A has not completed a a training course approved by the Division as required. There are enrolled children who require prescription rescue medications. Corrective Action: Immediately develop a system to ensure that only individuals who have completed a training course approved by the Division administer medications to enrolled children. In the corrective action email include details of the system developed to ensure compliance moving forward, to include evidence of any training courses completed.”

Correction date in the state record: Dec 12, 2025

Regulation 5.1.2: General Health Examinations: Within forty-five (45) days of enrollment, the licensee shall obtain documentation of the child's age appropriate well care exam from the parent. Documentation shall include information regarding any health conditions and medications that may impact the care of the child.

“Upon review of a random sampling of three (3) children's files, it was identified that no documentation of age appropriate well care exams had been gathered for enrolled children. Corrective Action: Immediately obtain documentation of general health exams for all enrolled children. Develop a system to ensure that all health exams are gathered within forty-five (45) days of enrollment moving forward. In the corrective action email, provide evidence that all children's age appropriate well care exams have been obtained and details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Dec 12, 2025

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.

“Staff statements reflected that they did not have a record of evacuation drills that had been conducted for the current school year nor the previous school year. Corrective Action: Immediately develop a system to document all evacuation drills that are conducted, as required by this rule. Ensure that such documentation is maintained for two (2) years. In the corrective action provide details of the system developed to ensure compliance with this rule moving forward.”

Correction date in the state record: Dec 12, 2025

Regulation 3.7.2.2: The licensee shall ensure that evacuation drills are conducted at least once a month, and children and staff are evacuated in under three (3) minutes. Licensees of a CBCCPP located within a public or independent school building may count a lock-down drill performed while the CBCCPP is in operation in place of a monthly evacuation drill with the CBCCPP children and staff and at least three (3) of the monthly drills conducted within 365 days shall be evacuation drills.

“Staff statements reflect that they had conducted evacuation drills during the months of September and November but had not conducted a drill during the month of October. Corrective Action: Immediately develop a system to ensure that an evacuation drill is conducted at least once a month moving forward. Ensure that two (2) drills are conducted in the month of December to make up for the drill missed in October. In the corrective action email, include details of the system developed to ensure compliance moving forward.”

Correction date in the state record: Dec 12, 2025

Regulation 7.3.2.4: "Trainee" A trainee is at least fifteen (15) years of age, able to comprehend basic written format, and meets one (1) of the following qualifications: 1) At least a high school graduate or has completed a GED and completes the Fundamentals for Early Childhood Professionals'course or the Vermont Afterschool Essentials Certificate within the first twelve (12) months of employment; or 2) At least a high school graduate or has completed a GED and successful completion of a three (3) college credit course in child or human development or in school age care and education within the first twelve (12) months of employment; or 3) At least is enrolled in or has received a State Board of Education approved Human Services Program Certificate that emphasizes child development or early childhood education.

“Staff A does not meet the qualifications for this position. This was reviewed with the Child Development Division Licensor on Duty on 10/14/2021, and the option of requesting a variance was discussed. No variance was requested and the situation was not resolved in another way. Corrective Action: Develop a plan for Staff A to come into compliance with the requirements for their position. Submit the plan to sarah.crosier@vermont.gov for review and approval by 2/15/2022.”

Correction date in the state record: Mar 10, 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.

“Documentation including Vermont Orientation Training, Protecting Vermont's Children (mandated reporter), First Aid and CPR, and education documents such as diplomas and transcripts, are available and had not been sent to Northern Lights for entry into BFIS Quality and Credential Accounts. Corrective Action: Immediately send all documents to Northern Lights for entry into BFIS accounts. Copy sarah.crosier@vermont.gov on those emails.”

Correction date in the state record: Jan 27, 2022

Regulation 3.4.7.3: Within six (6) months of the initial date of employment, staff working with children 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 NLCDC to be verified and maintained in BFIS.

“Upon review of the staff quality and credential accounts within BFIS, it was found that eight (8) staff were missing documentation of their qualifications, two (2) staff were missing documentation of completing the Protecting Vermont's Children: Reporting Abuse and Neglect training, and one (1) staff was missing verification of completing Orientation. Documentation was provided to Licensor [name] to verify completion, however documents had not been reflected in BFIS accounts as required by this regulation. Corrective Action: Submit staff education and training documentation to Northern Lights for all staff with missing verification in their BFIS accounts. Submit a program improvement plan identifying how the program will maintain ongoing compliance to this regulation.”

Correction date in the state record: Oct 27, 2020

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

“Upon review of staff quality and credential accounts, and on site documents, it was found that fourteen (14) people had not completed the Protecting Vermont's Children-Reporting Abuse & Neglect training within the first month of employment. Corrective Action: Staff who have not completed the Protecting Vermont's Children-Reporting Abuse & Neglect training, shall do so by 08/30/2020. Submit a program improvement plan identifying how the program will maintain on-going compliance to this regulation.”

Correction date in the state record: Oct 27, 2020

Regulation 2.3.11.5: The licensee shall be responsible for compliance with all applicable state and federal laws even when they are more stringent than the rules in this set of CBCCPP regulations.

“Upon review of staff quality and credential accounts, on site documentation, and through post visit communication with the program, it was confirmed that five (5) staff required to be CPR/First Aid certified were not certified at the time of the visit. Corrective Action: Staff who are not currently CPR/First Aid certified, and are required to be, shall complete this training by 08/30/2020. Submit a program improvement plan identifying how the program will maintain on-going compliance to this regulation.”

Correction date in the state record: Oct 27, 2020

Regulation 7.3.1.3: The program director of a CBCCPP licensed to serve thirteen (13) - fifty-nine (59) children shall be qualified as a teacher associate, and shall have completed either: * A Vermont Early Childhood and Afterschool Program Director Step One (1) Certificate; or * Successful completion of a three (3) college credit course in program management for early care and education or for school age care and education, or in staff supervision related to early care and education of children; and a three (3) college credit course in curriculum.

“Upon review of Staff A's BFIS quality and credential account, and on-site files it was determined that Staff A does not meet quaifications for Director serving thirteen (13) - fifty-nine (59) children. Currently, Staff A meets Director qualifications for a program serving less than thirteen (13) children, as she has not completed a program managment or a staff supervision course, or obtained a Vermont Early Childhood and Afterschool Program Director Step One (1) Certificate. Corrective Action: Submit a program improvement plan identifying how Staff A will meet qualifications for Director serving thirteen (13)- fifty-nine (59) children.”

Correction date in the state record: Oct 27, 2020

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

“Upon review of staff BFIS quality and credential accounts, and on-site documents, it was determined that Staff B and C did not obtain the required annual professional development hours. Staff B obtained 6.25 hours of the required fifteen (15) hours between 09/01/2018-08/30/2019. Staff C did not obtain any professional development hours between 10/25/2018-10/2/2019. Corrective Action: Submit a program improvment plan identifying how Staff B will complete 8.75 hours of professional development hours in addition to the fifteen (15) hours required between 09/01/2019-08/30/2020, and how Staff C will complete fifteen (15) hours of professional development in addition to the required fifteen (15) hours between 10/25/2019-10/24/2020. As part of the program improvement plan, identify how the program will maintain on-going compliance to this regulation.”

Correction date in the state record: Oct 27, 2020

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.

“Upon review of the fire drill records, it was found the number of chidren and staff present, the length of time to evacuate, and a notation on whether children were awake or resting was not documented. Corrective Action: Submit a program improvement plan to ensure that monthly evacuation drills are conducted and fully documented as required by this rule.”

Correction date in the state record: Oct 27, 2020

Regulation 7.1.3: Orientation of Staff The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age 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 quality and credential accounts within BFIS, and on-site documentation, it was determined that six (6) staff had not completed the Orientation training prior to working in the program. Corrective Action: Staff who have not completed the Orientation training shall do so by 08/30/2020. Submit a program improvement plan identifying how the program will maintain on-going compliance to this regulation.”

Correction date in the state record: Oct 27, 2020