5.4.1.4 · Cots, mats, and mattresses shall be nonporous or have nonporous coverings. Each child shall be provided clean, individual bed linens either by the FCCP providing them or requiring parents to provide them. No child shall nap directly on nonporous coverings.

The napmats currently being used are made of cloth and are not a non-absorbant material as required.

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5.10.1.2.5 · There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

The fire extinguisher mounted near the exit door bears an outdated inspection tag.

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3.3.4.2 · Each child's file shall be complete with all required information within the first week that the child begins to attend care. The required annual physical shall be obtained within forty-five (45) days of enrollment as required in rule 5.1.2 of these regulations.

An audit of child files was conducted. The provider stated that four (4) of the children present and who have been in care for longer than a week, did not have their file available for review.

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3.3.6.1 · The FCCP shall maintain a record of the date of each evacuation drill as required in the rules in section 3.6.2 of these regulations that includes the number of children, 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.

The FCCP said they had completed evacuation drills but had not documented any of them.

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5.1.2 · General Health Examinations: Within forty-five (45) days of enrollment the FCCP 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.

A review of children's files reflected that documentation of general health exam forms was not included. The FCCP confirmed that general health exam forms had not been collected for the enrolled children.

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7.3.1 · A Registered FCCP that operates a registered FCCH shall ensure and maintain documentation that he/she is at least eighteen (18) years of age, is a high school graduate or has completed a GED, and meets or exceeds one (1) of the following qualifications prior to licensure or within twelve (12) months of initial licensure: * At least a Vermont Early Childhood Career Ladder Level One (1) Certificate or higher; or * At least successful completion of the Fundamentals for Early Childhood Professionals' course; or * At least a current CDA (Child Development Association Credential) from the National Council for Professional Recognition); or * At least a Child Care Certificate from Community College of Vermont; or * At least successful completion of twelve (12) college credits in content consistent with the core knowledge areas identified by NLCDC.

The FCCP does not meet qualifications as outlined in this rule. The FCCP has had since 9/1/2016 to come into compliance with qualifications and a variance has not been requested.

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7.4.4 · All staff, with the exception of substitutes, shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.

It was identified and confirmed that the FCCP is missing four and a half (4.5) hours of annual professional development for the 9/2019-9/2020 year.

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3.6.3 · Emergency preparedness Training: Within 365 days of opening a FCCH, the FCCP shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the FCCP and children present need to remain in the FCCH for an extended period.

The provider has not completed an emergency preparedness training.

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3.6.1.1 · The FCCP 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 FCCP will address and manage the following situations and responsibilities: * Evacuations or other emergencies such as leaving the premises and lockdown situations; * 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 FCCH 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 system for handling infants, toddlers, and children with special needs; * An established evacuation meeting location within walking distance of the FCCH; * A system to account for all children and staff at evacuation meeting place; * An process for relocation if necessary including safe transportation; * A system for sheltering in place if the FCCP and children present need to remain in the FCCH for an extended period; and * Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies.

The Emergency Response Plan was reviewed and was found not to include the information as required by this rule.

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5.10.1.2.5 · There shall be at least one (1) easily accessible dry chemical fire extinguisher which has at least a 2-A: 10BC classification. This fire extinguisher shall be maintained in operating condition. It shall bear an official tag, properly signed, attesting to current operating condition.

The fire extinguisher accessible to the program bears an outdated tag with an inspection date of August 2017.

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7.1.3 · Orientation of FCCP and New Staff The FCCP shall complete an orientation training session approved by the Division prior to beginning care for children. The FCCP shall ensure staff complete an orientation training session approved by the Division prior to being left alone with children. Trainees shall complete the orientation training within one (1) month of their first date of working with children. 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, trainees, and partner staff; * Responsibility to comply with current applicable licensing regulations; * Background check requirements to include changes in situations, restrictions, and exceptions for those prohibited by these regulations; * Staffing requirements to include opening and closing; and * Ensuring children have extra clothes and diapers available.

The FCCP said she has not completed the required orientation training.

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3.3.3 · The FCCP shall establish a system for taking attendance, including documentation of the time when each child arrives and departs each day he/she attends the FCCH. The FCCP 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 provider states the recorded attendance for each child is not 100% accurate as she has not been recording the precise arrival and departure times for each child that has been in care.

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6.2.1 · Maximum Capacity and Staffing in a registered FCCH The registered FCCP shall ensure that the registered FCCH shall not exceed the limits described in this section, including the charts below.

In conversation the provider has admitted that there has been an overlap of children in care. The provider admitted there were too many children in her care at one time on 1/16/18. On 1/16/18, the provider was present by herself with 3 children under the age of twenty-four months, 3 children between the ages of two through five, and 5 school age children. There is not a chart that allows for this combination. This is a serious violation which requires parental notification.

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