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.

A variance was received by the program on 9/1/2020 for the director to be in the director position until a 3-credit college course in program management or staff supervision was completed. This variance expired on 1/2021 and an extension for this variance was approved for a program management or staff supervision course to be completed by 1/1/2022. During this licensing visit, the director stated she has not completed a program management or staff supervision course to meet director qualifications as stated in this rule.

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3.4.3 · A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

The preschool classroom has six (6) children sign in on their Bright Wheel attendance and there were seven (7) children in care. The teacher stated the seventh child arrived at approximately 10:00 and the child was not signed in till after 11:30 when the Licensor questioned the attendance. This violation was cited previously on 6/29/2017, 1/2/2020 and 3/2/2020.

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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.

The fire drill documentation and confirmation from staff, confirmed the program has not conducted fire drills monthly. The fire drill documentation confirm fire drills were missing in the months of July, August and October 2021 and January and February 2022.

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5.10.1.1.3 · Furniture and equipment shall be sturdy. Furniture and equipment that present a tipping or falling hazard shall be secured.

A shelf that is approximately 4 feet high posed as a tipping hazard and moved easily. This shelf is in the toddler classroom and had teacher supplies including notebooks and was located where children wash their hands.

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6.2.7.2 · Staff's expectations of children's behavior and responses to children's behavior shall be appropriate to each child's level of development and understanding. Guidance shall be designed to meet the individual needs of each child.

Staff A witnessed Staff B grab Child A's arm and agressively push his arm down and tell him to go to friggin sleep.Staff A stated that Staff B appeared frustrated that Child A was running his fingers down the rungs of a piece of furniture. Additionally Staff C and Staff D have witnessed inappropriate tone and language used in reponse to children's behaviors.Staff A was hired on 04/14/2021 and was terminated on 05/28/2021 due to the interaction with Child A.

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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.

A review of staff files revealed that staff A, B, and C did not have current certifications in pediatric first aid and infant and child CPR. THIS IS A REPEAT VIOLATION.

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2.3.9.3 · The licensee shall ensure that all staff have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

A review of staff BFIS Quality and Credentialing accounts reflected that Staff A, B, C and D have not yet submitted to fingerprinting. THIS IS A REPEAT VIOLATION.

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3.4.3 · A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

Upon arrival, there were 9 children in care in the Preschool room and only 8 children were signed in. There were also 4 children in care in the infant room and only 2 were signed in. THIS IS A REPEAT 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.

A review of staff files and BFIS Quality and Credentialing accounts reflected that the staff do not have adequate qualifications for the positions to which they are assigned. There are no current staff members qualified as at least teacher associates. THIS IS A REPEAT VIOLATION.

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2.8.1 · The licensee shall post site visit reports as directed, notices of violations, or notices of regulatory action for no fewer than fifteen (15) days following receipt by the CBCCPP in a place where the information is clearly visible to parents.

The acting director stated that the site visit report for 01/02/2020, containing violations, was not posted for parents or staff for any amount of time.

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6.2.4.1 · The licensee shall ensure that the CBCCPP has at least one (1) staff member who meets the qualification for the position of program director and that the program director is present at the CBCCPP at least 60% of the hours of operation.

The acting director stated that she is not qualified as director and was ask to step in provisionally when the last director left to allow the board time to hire a new director. The acting director stated that she was briefly trained on payroll and submitting subsidy paperwork, but no other training was provided. The acting director stated that a new Director, Jamie Blondin, has been hired and will begin on 03/09/2020. The qualifications for Jamie are unknown as she is not yet on the staf list for the program. THIS IS A REPEAT 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.

Staff A and Staff B stated that on 02/13/2020, the program was over ratio. Staff A and B stated the following: On the morning of 02/13/2020, 12 children were in care, including 2 children under 24 months, 6 two year old children and 5 preschool age children. There were 3 staff, Staff B, C, and D, available. At approximately 10:30, one parent arrived and picked up her 8 month old child. At approximately 11:00, Staff D took her 2 year old child and left. This left Staff B and C with 10 children, includng 1 infant, 4 2 year old children and 5 preschool age children. Staff D did not return. Staff B contacted all substitutes, but no one was available. Staff B contacted the board immediately to let them know that staff D had left and that the program was over ratio. The board did not make a plan, send any help ,or call any parents to pick up their children. THIS IS A SERIOUS VIOLATION.

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6.1.2.1 · Except as specified in rule 6.1.2.2 of these regulations, children shall be provided opportunities for moderate to vigorous play and gross motor activity outdoors on the premises or within a safe walking distance of the CBCCPP for at least sixty (60) minutes each day. For programs that operate less than four (4) hours per day, staff shall ensure that children are provided at least thirty (30) minutes of outside physical activity each day.

The acting director stated that the children are not getting outside to play everyday due to being short staffed. The acting director stated that children are getting outside approximately 3 times or less per week. THIS IS A REPEAT VIOLATION.

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3.4.4.1 · 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; * 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.

The acting director stated that no parents had brought in any new paperwork and none of the children's files had been updated with immunization records or General Health Exam forms since the last compliance visit on 01/02/2020. THIS IS A REPEAT VIOLATION.

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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.

A review of staff BFIS Quality and Credentialing accounts reflected that all staff were missing documentation, verification of qualifications, and/or professional development documents. The acting director stated that no one was made aware of the violations of the last compliance visit and no one had submitted any new documents to Northern Lights at CCV to be added to Quality and Credentialing Accounts. THIS IS A REPEAT VIOLATION.

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6.1.6.1 · A developmentally appropriate system for observing, assessing and documenting each child's learning and growth shall be implemented.

The acting director stated that there was no discussion about implementing a system for observing, assessing and documenting each child's growth prior to the departure of the last Director and that there is currently no system being used. THIS IS A REPEAT VIOLATION.

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2.3.9.3 · The licensee shall ensure that all staff have met ongoing background check requirements by submitting at least once every five (5) years a Records Check Authorization form to the Division and as required shall submit to fingerprinting.

A review of BFIS Quality and Credentialing Accounts showed that four staff members had not yet submitted to fingerprinting.

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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.

A review of staff BFIS Quality and Credentialing Accounts reflected that all staff were missing documentation, verification of qualifications, and/or annual professional development documentation; including documentation of completing an Orientation training, Mandated Reporter training, and up-to-date CPR and first aid certificates. During the visit, the director was not able to provide this documentation from staff files.

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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.

A review of staff BFIS Quality and Credentialing accounts and staff files, reflected that one staff member was currently certified in CPR and first aid. The director stated that the new staff members had not completed CPR and first aid training within 3 months of hire and that most of the other staff members had not remained currently certified. The director stated that there was an upcoming training set up for the month of January and that all staff members were supposed to attend.

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6.1.6.1 · A developmentally appropriate system for observing, assessing and documenting each child's learning and growth shall be implemented.

The director stated that the program is not consistantly using a system for observing, assessing and documenting each child's learning and growth.

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5.10.4.5.1 · The program director shall ensure that the CBCCPP, its furnishings, and toys are kept in a clean and orderly condition.

The vinyl couch in the toddler room and the large foam climbing blocks in the preschool room had many tears and worn areas causing areas of foam to be exposed. These items are no longer non-porous or easy to clean.

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3.4.4.1 · 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; * 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.

A review of children files reflected a lack of immunization records and general health exam forms. Six files were reviewed, 1 file included a completed General Health Exam form and 2 files included immuniaztion records. THIS IS A REPEAT VIOLATION.

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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.

The director reviewed the list of staff members on the program's BFIS account. Of the 41 listed staff members, only 10 currently work at the program. The director stated that some of the staff members had not worked at the program in several years.

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3.4.3 · A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

Upon arrival, there were 5 children present in the toddler room. None of these children were recorded on the attendence sheet for the day. THIS IS A REPEAT VIOLATION.

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5.4.1.8 · Bedding used by a child shall be stored in a manner that prevents contact with bedding used by other children.

In the toddler room, all of the children's bedding was piled together on top of the mats in the closet.

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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.

A review of staff BFIS Quality and Credentialing accounts and staff files reflected that there staff did not have adequate qualifications for the positions to which they were assigned. Most staff members appeared to have little to no qualifying documentation available. With the exception of the director, there were no staff members that appeared to have qualifications as teacher associate. THIS IS A REPEAT VIOLATION.

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4.3.1 · Every parent shall be offered an opportunity to participate in formal or informal parent conferences at least two (2) times every 365 days to discuss children's learning, development, and interactions in the CBCCPP. Staff will invite parents to share information about the child in his/her home environment and to provide input to the CBCCPP environment. CBCCPP staff with primary responsibility for the child shall participate in parent conferences.

The director stated that family conferences have not been offered to families since early 2018.

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6.1.2.1 · Except as specified in rule 6.1.2.2 of these regulations, children shall be provided opportunities for moderate to vigorous play and gross motor activity outdoors on the premises or within a safe walking distance of the CBCCPP for at least sixty (60) minutes each day. For programs that operate less than four (4) hours per day, staff shall ensure that children are provided at least thirty (30) minutes of outside physical activity each day.

The staff members and the director stated that the infants do not always get outside in the winter and that when they do, it is generally just for a walk in the stroller. The staff stated that this the biggest reason for this is that children do not have proper winter gear with them each day, so they use blankets to bundle them in a stroller for walks.

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6.2.4.1 · The licensee shall ensure that the CBCCPP has at least one (1) staff member who meets the qualification for the position of program director and that the program director is present at the CBCCPP at least 60% of the hours of operation.

A review of the director's BFIS Quality and Credentialing Account reflects that the director does nto have the proper coursework to meet qualifications for regulation 7.3.1.3, director of a CBCCPP with 13-59 children.

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5.10.4.5.6 · Exterior stairs, walks, ramps and porches shall be cleared of ice and snow or other environmental hazards that may block exits.

The exit door and ramp from the infant room was blocked by large amounts of ice and snow that would prevent a safe exit. Staff members and the director stated that this exit was considered an emergency exit.

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5.10.1.1 · General Safety: The licensee shall ensure the physical facilities of the CBCCPP, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children.

During the visit, 4 staff members reported that a child in the pre-K classroom had found and handled a cigarette lighter on at least one occassion. One staff member stated that a child had found a lighter and had handed it to her. The program director stated that she had been made aware that a child had found a cigarette lighter in the furniture of the Pre-K classroom.

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6.2.4.1 · The licensee shall ensure that the CBCCPP has at least one (1) staff member who meets the qualification for the position of program director and that the program director is present at the CBCCPP at least 60% of the hours of operation.

The person identified as the director in the associated parties list vacated the position on 2/8/19. No notification to the Division regarding the change was given, and there were no plans in place for an interim director. A memo given to families on 2/8/19 indicated that the board for the program would take over directorship of the program; however, as of the visit on 2/25/19, none of the board members are listed on the associated parties list. No staff currently onsite at the program, or regularly scheduled at the program, meet the qualification requirements for the position of Director. During the visit, staff were asked who has the role of Director and they were not able to answer consistently. As of 3/29/19, there is still no approved Director listed on the program's associated parties list.

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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.

It was observed that on two occasions on 2/25/19 during the site visit, children that were in the preschool group were allowed to go to their cubby area without adult supervision. The cubby area and the main play area are separated by the kitchen, which had a closed door. The cubby area for the preschoolers is not within sight of teachers in the loft room or the main play space for that group. The cubby room has a direct door that exits to the stairs which leads to the parking lot. This is a repeat violation, also previously cited on 06/21/2018. Due to the distance between the teachers, their inability to visually see the children and intervene immediately, in these instances, and this is a violation that has been cited before, this is a serious violation.

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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 6/21/2018, staff X sent a three year old child into the building without a staff member. The child walked up the stairs from the fenced in play yard and into the building. A staff member found the child alone inside the building trying to change their clothing.

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3.4.3 · A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the CBCCPP, shall be established. The licensee shall save all daily attendance records identifying the hours of children's attendance for at least twelve (12) months from the date that care is provided.

6 children are present in the toddler group and only 4 of these children were signed in on the attendance. One child had been present for over an hour and the other child had been present for approximately 2 hours.

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