4.3 · A child shall be admitted in an Afterschool Child Care Program when there is on file on the premises, either in hard copy or accessible and printable electronic format documentation in the child's file of each child's current immunization status. * Immunization records shall include the immunization administered and the date of each immunization. * If an enrolled child is in the process of complying with immunization requirements in accordance with the Vermont recommended immunization schedule, documentation in the child's file shall include the required Vermont Department of Health form. * If a child has not had a required immunization due to a Vermont allowed exemption, documentation in the child's file shall include the required Vermont Department of Health form.

Eight (8) children's files were reviewed; five (5) of the files did not have immunization records. When presented to Staff A, they stated that immunization records if obtained are stored in the child's file.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

4.4 · A system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the Afterschool Child Care Program, shall be established.

Upon arrival attendance was reviewed; Staff B stated there were thirty (30) children present, but only twenty-nine (29) reflected on the attendance. Staff B reviewed the attendance and found that Child A left at 11:00, two (2) hours prior to the review and had not been signed out, and Child B and Child C arrived at 9:00, four (4) hours prior to the review but had not been signed in.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

4.5 · Programs shall implement a system that documents the whereabouts of each child in attendance at all times.

Upon arrival at the program an announcement was made they'd be leaving shortly to go on a field trip. Staff B was asked if they were walking or taking transportation; they stated they use their bus and make a few trips in order to get everyone to the other location. When asked how it is documented which children remain at the program, and which children are trasported, Staff B stated they do not document this. Staff B confirmed that children are chosen to load into the bus if they are ready, and not necessarily by group. Staff B was asked if it was documented when children arrive at the alternate location; they stated no. Staff B confirmed that the attendance documents the arrival and departure of children but does not capture whereabouts of children as they move about their day.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.40 · Before the expiration date on the card, training for First Aid and CPR shall be validated by the American Red Cross, American Heart Association or other equivalent, state- recognized organization, and the specific certification documentation maintained in the appropriate Afterschool Child Care Program Staff file.

Upon review of BFIS accounts and on-site files it was confirmed that two (2) staff required to maintain CPR and First Aid certification remained employed at the program and had expired CPR and First Aid certification.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.4 · Afterschool Child Care Program Staff that work in the Afterschool Child Care Program are required to have at least one of the following within the first year of employment: * Vermont Afterschool Foundations Certificate or * Vermont Afterschool Essentials Certificate or * Vermont On-the-Job Training Certificate or * Vermont Afterschool Professional Credential or * Vermont Program Director Credential or * Vermont Teacher Licensure or * BA/BS or Associates degree

Upon review of staff BFIS accounts, on-site files, and confirmation from Staff A, it was determined that Staff C has been employed at the program since December 1, 2022 and has not obtained qualifications as Program Staff within the one (1) year of employment.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.3 · Afterschool Child Care Program Staff shall meet or exceed the following qualifications: be at least eighteen years of age and have a high school diploma or equivalent.

Upon review of staff BFIS accounts and on-site files, it was determined and confirmed by Staff A that education documents for five (5) staff had not been confirmed for this rule.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

10.9 · Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

Upon request to see the evacuation drill log, Staff B provided it and confimed the last evaucation drill was done in February 2023. Staff B was asked if it was the last one documented but the program continued to do them monthly or if it truly was the last drill done; they confirmed it was the last drill done.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.14 · The licensee shall ensure that no person shall be left alone with children without approval from the Division which shall be based on the results of the background check to include fingerprinting.

Staff C was observed in an office alone with a child. Staff C had not been cleared to be alone with children, pending the results of fingerprinting. Staff A stated that staff are informed if they are unable to be alone with children and they should have not been alone.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.8 · The following shall be maintained in good condition: * roofs * chimneys * interior and exterior walls * doors * skylights * windows * floors * ceilings * stairways * ramps * porches * gates

Three (3) large holes were observed in the sheetrock in the first classroom upon entering the building. The tile in the art room was found with broken pieces, and tape residue on the floor resulting in dirt, hair and grime being collected on and around those sections.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

16.9 · The written aquatic safety plan shall include: * an assessment of each child's swimming ability, performed by a person who holds a valid American Red Cross Water Safety Instructor certificate or current certificate issued by an approved certifying agency providing for equivalent levels of training. * a system whereby each child's designation of swimmer or non-swimmer shall be predetermined, documented and on file. When all bathers are in water less than waist deep on them, swimming ability assessment is not required. * a system whereby non-swimmers are restricted to areas where the water is less then waist deep on them (except for learn to swim programs or when shallow water is in a non-swimming area). * the emergency plan should a child be missing or in distress in the water. The plan shall include supervising children during times of emergency.

Staff B stated the group was intending to go to the town pool upon arrival. Staff B was asked where the aquatic plan was; they stated in the handbook. When asked if swimming assessments had been done for children, Staff B stated yes. When asked where that was documented, Staff B stated they didn't dcoument the determination of swim assesments. When asked how they confirm each child had one (1) completed, Staff B stated they rely on their memory.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.14 · The Licensee shall ensure garbage, recycling and compost is not allowed to exceed the limits of its container and is removed from rooms used by children at least once the container is full, if it develops an odor, or presents some other health or safety risk.

Near the exit at the back of the building but within the space care is provided, were recycling bins with cardboard exceeding the amount the bin would hold, preventing the tops from closing. Additional cardboard was placed on top of the bin leaning against the wall.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

15.23 · When a dishwasher is not available and single service items are not used; a three- compartment sink with adequate space for drain boards shall be required for the dishwashing, rinsing and sanitizing of dishes and utensils. Dishes shall be washed in hot, clean water at 120 degrees Fahrenheit (49 degrees Celsius), rinsed in hot, clean water and immersed for 2 minutes in sanitizing rinse. Bleach solution shall be used following the instruction of the manufacturer regarding sanitizing. Hand washed dishes shall be air-dried.

Staff were observed hand washing dishes despite a dishwasher on site. Staff D stated they prefer to hand wash dishes. Observations were made of the process; they hand washed, rinsed and air dryed items. The program did not sanitize as required by this rule.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

13.3 · Devices that diffuse or emit airborne chemicals, such as anti-pest strips, ozone generators, plug-in air fresheners, nail polish, nail polish remover, and aerosol sprays shall not be used in the Afterschool Child Care Program.

Four (4) plug in air fresheners were located in rooms throughout the program.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.3 · The facility shall provide a pleasant, safe, and clean, environment suitable for children.

Floors throughout the program were found with dirt, paper, and other debris. Walls were found with dirt and grime. The refrigerators were found with food particles, and dried on substances.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

10.9 · Emergency evacuations shall be practiced with the children each month. A record of practice drills for the previous and current year shall be maintained and available onsite. Practice drills may be pre-announced. There shall be: * a system in place to assure that all children are accounted for at a predetermined safe place; * a safety plan that may include additional lock down practices and procedures.

Staff A confirmed the last drill was conducted in August 2022; that one (1) had not been completed in September 2022. Upon review of the evacuation drill log, it was found that three (3) lock down drills were conducted in months that evacuation drills had not been but were required.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

18.79 · The Licensee shall maintain a current list of the Licensee or Designee, Staff, and Volunteers, as applicable in BFIS. Any changes shall be reported through BFIS within five working days of the change.

Upon review of the Associated Parties list with Staff B, it was determined that three (3) staff and three (3) volunteers were no longer associated with the program. Some of these individuals left the program back in August 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

15.11 · Refrigerated foods shall be labeled and dated.

A bowl of canned fruit, a tray of pasta, and a ziploc bag of stuffing were found in the kitchen refrigerator without labels or dates.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.8 · The following shall be maintained in good condition: * roofs * chimneys * interior and exterior walls * doors * skylights * windows * floors * ceilings * stairways * ramps * porches * gates

Carpet throughout the program had exposed rips and tears. An outlet cover near the front bathrooms was missing a protective cover. Baseboard trim was missing in the dining room near the front windows. A floor radiator cover found in the main room up front was found bent.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.39 · Within six months of hire, all paid Staff counted in the staff/child ratios shall have obtained CDD-approved training in infant/child CPR and basic first aid for children, injury prevention and emergency readiness. All Staff shall receive retraining in first aid prior to the expiration date on each Staff person's first aid card.

Upon review of staff BFIS Quality and Credential accounts, and on-site files, it was determined that four (4) staff had not completed CPR/First Aid training.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.31 · Orientation training shall be conducted for every employee before they are left alone with children. This training shall be documented and shall cover material included in the Staff handbook and licensing regulations. 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 and child guidance; * Curriculum development policies and responsibilities; * Supervision of children; * Policies and procedures for reporting a missing child; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Requirements for administration and storage of medication; * Emergency Response Plan and emergency procedures, including: staffing emergencies, school closings, evacuation plans such as site evacuations in case of national or environmental emergency, lock-down procedures, responding to a sick or injured child and medical emergencies; * Use of fire extinguishers; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping, including daily attendance procedures; * Transportation and child passenger safety; * Off-site activities (field trips) * Release of children; * Respectful engagement of families, including daily communication with parents about their child's activities; * 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; * Responsibility to comply with current applicable licensing regulations; * Staffing plans and definitions of related duties to include opening and closing procedures; * Afterschool Child Care Program licensing regulations; * Employee complaint and grievance procedures; and * Assuring children have extra clothes and diapers available.

Upon review of staff BFIS Quality and Credential accounts, and on-site files, it was determined that two (2) staff had not completed the required Orientation training, to include the Protecting Vermont's Children: Reporting Abuse & Neglect training.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

15.4 · Kitchen facilities shall be maintained in a sanitary condition, free of dust, insects and other contaminants.

The kitchen was found to have cooked pasta, crumbs, and brown substances on the floor, green beans in the sink, spills and substances in three (3) refrigerators, and crumbs on the counter. Observations were made prior to meal preparation for the day, and Staff A confirmed that the floors had not been cleaned from the previous day.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

18.77 · Within six months of the initial date of employment, Staff working with children and the Site Director and/or Program Administrator 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 Section 5 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS.

Upon review of staff BFIS Quality and Credential accounts, they were found to be incomplete. Six (6) staff who have been employed for six (6) months or longer, had one (1) or more documents missing in their BFIS account.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.12 · The licensee shall ensure that all new staff prior to working with children in the Afterschool Child Care Program; 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.

A review of the associated parties list revealed that staff David Woolby was not listed, He has been at the program since August. David stated he had sent it in September but did not follow up to see if he was added to the associated parties list. David does not work directly/alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.14 · The licensee shall ensure that no person shall be left alone with children without approval from the Division which shall be based on the results of the background check to include fingerprinting.

Upon arrival at the program, Staff A and B were in separate classrooms with children. Upon review of the associated parties list, it was found that Staff B was not reflected, but through follow up with the Licensing Technician, it was confirmed that Staff B's background check had been received and was being processed. Additionally, Staff A and B confirmed they had not completed the fingerprinting process. No other staff were present at the program who had completed the fingerprinting process.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.28 · The Licensee is required to maintain an accurate record of Staff schedules and assignments for all Staff including substitutes.

Documentation of staff schedules and assignments were requested. Staff A indicated that staff arrival and departure times are reflected on their time card, and that documentation of which group of children they work with at any point during their shift is not tracked by the program. Upon review of the time cards, it was found that staff arrival and departure times is the only information reflected.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.11 · The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

Upon arrival, Volunteer A was found working in a classroom with Staff A. Upon review of the Associated Parties list, it was found that Volunteer A was not listed. Confirmation was received from the Licensing Technican, that a background check for Volunteer A had not been received by the Division. Volunteer A stated that he has worked at the program weekly since the end of August, beginning of September.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.22 · The Licensee shall maintain hard copy or accessible electronic records for each Staff person, including: * start date * job title * record of education, training, and experience that demonstrates how the Staff member meets the required qualifications for the position * signed and dated statement(s) indicating that the employee has read and understands the Licensing Regulations for Afterschool Child Care Programs * current and dated Individual Professional Development Plan (IPDP) * a copy of the current First Aid and CPR training cards from either the American Red Cross or American Heart Association or other recognized organization(s), as required * a signed and dated statement verifying understanding of the legal requirement to report suspected child abuse or neglect.

Upon review of staff files it was noted that the following items were missing: documentation supporting education, training, and experiene required to meet qualifications, a signed and dated statement that employees have read and understands the Licensing Regulations for Afterschool Childcare Programs, IPDP's, and a signed and dated statement verifying staff's understanding of the legal requirement to report suspected child abuse or neglect.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

10.8 · The licensee 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 licensee will address and manage the following situations and responsibilities: * Evacuations of the building for fire or other emergencies such as lockdown situations and sheltering-in-place; * 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 Afterschool Child Care Program 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 plan for handling children with special needs; * An established evacuation meeting location within walking distance of the Afterschool Child Care Program; * Responsibility to account for all children and staff at the evacuation meeting place; * An established plan for relocation if necessary including safe transportation; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

Provider A was asked for the programs emergency response plan. Provider A gave Licensor Sheldrick two documents; Workplace Safety Program- Tips & Considerations, and the Boys & Girls Club of Rutland County Workplace Safety Program. Neither document meets the requirements for an emergency response plan.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

15.16 · Utensils shall be covered or inverted in a container when not in use.

Utensils used by the program were located in rectangle baskets on the counter. Those utensils were placed flat in the baskets, and were not covered.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

4.7 · The following written information shall be provided to parents and prospective parents; for example, in a handbook or other format such as website access: * typical daily schedule * check-in and check-out attendance procedures * pick-up/drop-off policies; including releasing of children to authorized persons * description of the Afterschool Child Care Program which identifies the philosophy on goals for children and families * description of religious activities, if any * schedule of fees and payment plans * statement allowing parental access to the facility, their child's records and the Staff * explanation of program confidentiality policies * a policy regarding inclusion and exclusion of ill children in the Afterschool Child Care Program * a policy regarding storage and administration of medications * policies related to the inclusion of children with special needs and disabilities * policy regarding the reporting of suspected child abuse and/or neglect * policies for reporting a missing child * description of how to access and view these regulations and Division Afterschool Child Care Program information at: http://dcf.vermont.gov/cdd * requirements for maintaining accurate and up-to-date immunization records * offsite activity (field trip) policies * if offered, swimming activities policies * parent involvement opportunities * no smoking policy * relevant information about the program's Emergency Response Plan including communication and meeting site information * procedure on what to do in the case of a general emergency such as a school closing, etc. * policy regarding excluding persons whose presence is prohibited by these regulations * policy regarding use of pesticides as part of a least toxic integrated pest management policy * information concerning complaint procedures regarding the welfare of children and the Child Care Consumer Line telephone number

Upon review of the parent handbook, it was noted that eighteen (18) required components of this regulation were either missing or incomplete.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.15 · Reasonable efforts shall be made to keep the center free of insects and rodents.

Ants were observed in the art room near the window. The ants were concentrated on a substance near the base of the heater, but were observed spreading out approximately three feet from that area. Mouse droppings were found in a kitchen cupboard where pots and pans used for the program are stored.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

11.3 · The facility shall provide a pleasant, safe, and clean, environment suitable for children.

Observations were made of the program space. The art room floors had a build up of dirt in the corners, and sticky substances on the floors. The tables used by children at the program had sticky substances and smears on them. The freezer in the art room had brown streaks down the front and sides of it. The washing machine and dryer in the art room had a blue substance on the tops and sides. In the game room there was a build up of dust on the window sills, and on the bases of desks and standing fans. A wall in the game room had a hole in the sheetrock approximately four (4) inches deep. Walls throughout the program had smears and stains.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

18.79 · The Licensee shall maintain a current list of the Licensee or Designee, Staff, and Volunteers, as applicable in BFIS. Any changes shall be reported through BFIS within five working days of the change.

While reviewing the Associated Parties list with Staff A, it was found that nine (9) out of the sixteen (16) people listed in the program's BFIS account, were no longer working at the program. Of the remaining staff, three (3) staff were listed with incorrect titles. The associated parties list did not list Staff B.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.11 · The licensee shall ensure that any new individuals regularly present at the Afterschool Child Care Program submit a Records Check Authorization form to the Division prior to working with children in the Afterschool Child Care Program.

Upon review of the Associated Parties list, Staff A stated that Staff B was not listed.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

5.31 · Orientation training shall be conducted for every employee before they are left alone with children. This training shall be documented and shall cover material included in the Staff handbook and licensing regulations. 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 and child guidance; * Curriculum development policies and responsibilities; * Supervision of children; * Policies and procedures for reporting a missing child; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Requirements for administration and storage of medication; * Emergency Response Plan and emergency procedures, including: staffing emergencies, school closings, evacuation plans such as site evacuations in case of national or environmental emergency, lock-down procedures, responding to a sick or injured child and medical emergencies; * Use of fire extinguishers; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping, including daily attendance procedures; * Transportation and child passenger safety; * Off-site activities (field trips) * Release of children; * Respectful engagement of families, including daily communication with parents about their child's activities; * 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; * Responsibility to comply with current applicable licensing regulations; * Staffing plans and definitions of related duties to include opening and closing procedures; * Afterschool Child Care Program licensing regulations; * Employee complaint and grievance procedures; and * Assuring children have extra clothes and diapers available.

Upon review of the staff handbook it was noted that twenty-four (24) of the twenty-nine (29) required components are not reflected. Five (5) of the components are insufficient; supervison of children, policies and procedures for reporting a missing child, preventing, reporting and recognizing child abuse and neglect, guidelines for volunteers, and staffing plans and definitions of related duties to include opening and closing procedures.

Open Not marked corrected in the state record

11.15 · Reasonable efforts shall be made to keep the center free of insects and rodents.

In an office utilized by the program there is a massive amount of mouse and rat droppings upon the floor, on a desk surface, inside a desk drawer, and on shelving. The same floor has a large size rodent trap and a pile of food consisting of saltine crackers, candy corn, popcorn seeds, and uncooked pasta. Program staff report the office space has not been cleaned for weeks as they just haven't gotten around to cleaning this room. The program identified there was a rat problem as they had trapped four rats, yet, they had not cleaned the food source where it was believed they were eating.There are mouse droppings in the art room, in boxes of food that are upon a shelf and behind the refrigerators located in the dining area.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

13.15 · Hard floors and carpets shall be cleaned at least daily. Carpets shall be vacuumed daily. Carpets shall be hot water extracted at least twice per year.

In an office utilized by the program there is a massive amount of mouse and rat droppings upon the floor, on a desk surface, inside a desk drawer, and on shelving. Also, upon the same floor is a pile of food consisting of saltine crackers, candy corn, popcorn seeds, and uncooked pasta. Program staff report the office space has not been cleaned for weeks as they just haven't gotten around to cleaning this room. There are mouse droppings on the floor in an art room and behind the refrigerators located in the dining space.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record

15.4 · Kitchen facilities shall be maintained in a sanitary condition, free of dust, insects and other contaminants.

A staff member reports she has cleaned rat traps in the program's kitchen sink. This is the same kitchen sink utilized for food preparation for the children.

Open Not marked corrected in the state record

Open / not marked corrected.

View state record