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.

Two (2) staff who have been employed for over six (6) months have not completed all portions of their background clearances.

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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 BFIS and support from Northern Lights at CCV shows that at the time of the visit, eighteen (18) out of twenty (20) staff were missing various documents in BFIS.

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7.1.2.2 · Staff who are counted in the staff/child ratios 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 shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

A review of BFIS and documents provided by the program shows that one (1) staff member who had been employed for over three (3) months at the time of the visit did not have documentation of having completed First Aid/CPR certification.

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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. Substitutes filling a staff position for less than thirty (30) consecutive days within a 365 day period shall be exempt.

A review of BFIS and documents provided by the program show that six staff are either missing annual professional development or missing documentation of annual professional development. Staff C is missing 12.5 hours between 12/6/2024 and 12/5/2026. Staff D is missing 3.5 hours between 10/14/2024 and 10/13/2025. Staff E is missing 13.5 hours between 8/21/2024 and 8/20/2025. Staff F is missing 12.5 hours of PD between 4/2/25 and 4/1/26. Staff G is missing 15 hours of PD between 10/2/24 and 10/1/25. Staff H is missing 2.5 hours of annual PD between 11/14/24 and 11/13/25.

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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.

A review of BFIS and documents provided by the program show that there are six (6) staff who have either not completed the required orientation training or do not have documentation of the training having been completed. Two (2) of the six (6) staff have also not completed the approved mandated reporter training. Two (2) additional staff have completed all of their orientation training except the approved mandated reporter training.

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7.3.1.4 · The program director of a CBCCPP licensed to care for sixty (60) or more children shall be qualified as a teacher, shall have at least an additional twenty-four (24) months of experience working with groups of children from grade three (3) or younger, and shall have completed either: * A Vermont Early Childhood and Afterschool Program Director Step Two (2) Certificate or Vermont Early Childhood and Afterschool Program Director Credential, Step Three (3); or * Successful completion of a three (3) college credit course in curriculum, and an additional nine (9) college credits in program management, staff supervision, administration, or human resource management.

The program director is two (2) college credits away from qualifying as a teacher and is missing nine (9) college credits in the topics of program management, staff supervision, administration, or human resource management. A variance request was not submitted to allow the director to act as director while completing coursework.

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6.2.6.1 · Staff shall be able to hear all children of pre-kindergarten age and younger at all times, shall be able to see the children with a quick glance, and shall be able to physically respond immediately.

On 5/30/2025, the program submitted a self-report indicating that Child A was left unsupervised inside the building while the rest of the class transitioned upstairs to their classroom. Staff X and Y did not realize that Child A was missing until Staff Z returned the child to the classroom. It was determined that Child A was unsupervised for approximately five (5) to seven (7) minutes. Staff X reported that they did not complete the required head count at the bottom or top of the stairs, as outlined by program's supervision policy. The Director reviewed the head count documentation forms completed by staff during transitions and determined that many of the forms had been completed incorrectly. This is a serious violation.

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6.2.1.4 · Staff who are qualified as defined in the rules in section 7.3 of these regulations, meet professional development requirements as defined in the rules in section 7.4 of these regulations, and are physically present and working with children may be counted in staff/child ratios.

Staff A and Staff B, who are both trainees have been employed for over twelve (12) months, have not completed the minimum qualifications for any position other than substitute.

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6.2.1.3 · The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

After a review of staff schedules, children's attendance, and statements made by the program, it was found that there were two (2) occasions when staff/child ratio was out of compliance for several hours on each occasion. On 7/12/2022, the Three/Four classroom had one (1) staff member and eleven (11) children present. On 7/15/2022, the Pre-K 2 classroom had one (1) staff member and thirteen (13) children present. The ratio for these groups of children is one (1) staff member to ten (10) children. This is a serious violation.

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6.2.1.3 · The program director shall ensure that the number of staff present meets requirements described in the chart below for ages of children, maximum group size, and staff/child ratios at any time of day.

In the Toddler 2 classroom, there were ten (10) children and one (1) staff member. The ages of the children ranged from fifteen (15) months to twenty-six (26) months. The ratio for this age range is four (4) children to one (1) staff, and group size cannot exceed eight (8). The staff member in the room said that four (4) staff had called out that day, and that she was working alone. An additional staff member arrived from a different site approximately ten (10) minutes after this licensor left the Toddler 2 classroom. This is a serious violation.

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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.

A review of documentation provided by the program confirms that evacuation drills have only occurred three (3) times in the past twelve (12) months and not monthly as required.

Open Not marked corrected in the state record

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7.1.2.2 · Staff who are counted in the staff/child ratios 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 shall obtain training in pediatric first aid and in infant and child CPR within three (3) months of beginning work in the CBCCPP and remain currently certified.

A review of BFIS Quality and Credentialing accounts and documentation provided by the program shows that three (3) staff who have been employed by the program for more than three (3) months and are either left alone with children or count in staff/child ratios do not have current CPR/First Aid certification as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

A review of BFIS and documentation provided by the program shows that eight (8) staff who work alone with children and/or are counted in child/staff ratio and have been employed by the program for over one (1) month have not completed an orientation approved by the Division. In addition, four (4) staff have not completed a mandatory reporting training approved by the Division.

Open Not marked corrected in the state record

Open / not marked corrected.