Staff shall ensure that if an accident or injury occurs to a child, while in attendance, immediate action is taken to protect the child from further harm and notification of the child's parents as quickly as possible.

On September 26, 2025, Child X sustained a significant head injury at approximately 9:45 a.m. after reportedly falling in the hallway. The bump on Child X's forehead was approximately 2 inches long and included bruising that went up to the hairline. The family was not notified about the injury until the child's grandmother was informed by the paraeducator during pickup at 11:15 a.m. A written injury report was not provided as required. Details about the fall and what transpired after the fall were only disclosed when the mother contacted the school. Information provided by the special educator who was with Child X when they fell and the school nurse that treated Child X, inidcates that after the fall, Child X became escalated. Child X's subsequent escalated bahaviors, including hitting their head on the floor multiple times and biting their arm, was not recognized by staff as a potential response to the head injury and were instead perceived and described to this licensor as a behavioral incident. Furthermore, the nurse reported she was unable to apply ice or provide any other type of treatment because Child X was flailing on the floor. Interventions such as holding Child X, putting them on a swing and moving them to a padded space did not calm Child X's body. Child X is non verbal and has special medical needs as such they could not communicate if they were feeling pain or experiencing concerning symptoms that would indicate immediate medical attention was needed. The mother was advised by non-school professionals to seek medical attention for Child X. Child X was seen at CVMC's emergency room where medical professionals determined that a CAT scan was needed. The program's lack of appropriate response to Child X's injuries resulted in delayed medical treatment and directly put Child X's health and safety at risk. This is considered a serious violation.

5.8.2 · Not corrected

All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

Upon review of BFIS it was observed that a staff member did not complete the required professional development trainings for their previous annual requirement, which was 5/20/2023-5/20/2024.

7.4.4 · Not corrected

Children shall be protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephones.

During the visit, it was noted that there was one unsecured cord to the large visual board in room 121 and unsecured cords to window fixtures in rooms 121 and 125.

5.10.1.1.2 · Not corrected

The program director shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the CBCCPP. 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 CBCCPP and the days and hours the child is regularly scheduled to attend the CBCCPP; The child's name, current home address, and current home telephone number; Identification of child's home language; 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 CBCCPP; 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 number 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 CBCCPP 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 CBCCPP to transport the child, if transportation is provided, as required in the rule 5.10.6.6.1 of the regulations; Written permission from parents for the 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 3.6.4 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.