 |
| Reg. No. |
Finding Date |
|
| 5.11.1.1 |
12/04/2023 |
| Regulation 5.11.1.1: |
The program director shall develop and implement a written policy concerning meals and snacks. This policy shall be provided to all parents at the time of enrollment as required in the rule 4.7 of these regulations. It shall include: * A description of all food services provided; * Usual time of snacks and meals; * Policies and procedures related to food allergies, religious dietary requirements and other special needs; and * Policies and procedures for safe eating habits. |
|
| 5.11.2.1 |
12/04/2023 |
| Regulation 5.11.2.1: |
The program director shall ensure that children are minimally served the following meals and snacks based on the time the children are present: * Four (4) hours or less: one (1) snack; * Four (4) to six (6) hours: one (1) meal and one (1) snack; * Six (6) to eleven (11) hours: two (2) meals and one (1) snack, or one (1) meal and two (2) snacks; * More than eleven (11) hours: three (3) meals and two (2) snacks; and * School age children attending school for a full day shall be offered a snack within one (1) hour of their afternoon arrival. |
|
| 5.11.4 |
12/04/2023 |
| Regulation 5.11.4: |
Drinking water shall be readily available to children at all times. |
|
| 5.11.6.5 |
12/04/2023 |
| Regulation 5.11.6.5: |
Bottles shall be individually labeled with the infant's name and refrigerated immediately after preparation by staff or upon arrival if prepared by a parent. |
|
| 5.11.8.4 |
12/04/2023 |
| Regulation 5.11.8.4: |
As long as appropriate documentation is provided, staff shall consistently accommodate special nutritional requests and restrictions from parents. Staff shall know and accommodate children's food allergies. |
|
| 6.1.2.1 |
12/04/2023 |
| Regulation 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. |
|
| 6.1.4.1.1 |
12/04/2023 |
| Regulation 6.1.4.1.1: |
Toys, materials and equipment shall be varied and available in a quantity that allows all children to benefit from their use, allows a range of choices, and reduces conflicts between children. |
|
| 3.3.3 |
12/04/2023 |
| Regulation 3.3.3: |
The licensee, staff, auxiliary staff, and partner staff shall understand that abuse and/or neglect of children is against the law and that all child care workers are legally required to report suspected child abuse or neglect as specified in the rule 3.3.2 of these regulations. |
|
| 3.3.4 |
12/04/2023 |
| Regulation 3.3.4: |
The program director shall develop and implement a written policy requiring the licensee, staff, and auxiliary staff to report suspected child abuse or neglect to the Department as specified in the rule 3.3.2 of these regulations. |
|
| 3.4.3 |
12/04/2023 |
| Regulation 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. |
|
| 3.7.1.2 |
12/04/2023 |
| Regulation 3.7.1.2: |
The licensee shall ensure that all staff are trained on the Emergency Response Plan and are aware of where to find the written plan in the CBCCPP. |
|
| 3.7.2.1 |
12/04/2023 |
| Regulation 3.7.2.1: |
The licensee shall have a written evacuation diagram with evacuation routes posted in each classroom that is used by the children. |
|
| 3.7.3 |
12/04/2023 |
| Regulation 3.7.3: |
Emergency Preparedness Training: Within 365 days of opening a CBCCPP, the licensee shall attend emergency preparedness training which shall include content specifically related to sheltering in place in the event of an emergency in which the licensee and children present need to remain in the CBCCPP for an extended period. |
|
| 5.1.2 |
12/04/2023 |
| Regulation 5.1.2: |
General Health Examinations: Within forty-five (45) days of enrollment, the licensee 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. |
|
| 5.1.4 |
12/04/2023 |
| Regulation 5.1.4: |
The licensee shall submit a Vermont Child Care Immunization Report at least once every 365 days to the Vermont Department of Health, Immunization Office as required by 18 V.S.A. SS 1120 - 1129. |
|
| 5.2.1.1 |
12/04/2023 |
| Regulation 5.2.1.1: |
CBCCPP staff shall ensure that adults and children wash their hands: * Upon arrival at the CBCCPP; * Before they eat, prepare or handle food; * Before and after handling raw meat; * Before feeding children; * After toileting or diapering; * After cleaning; * After taking out the garbage; * After handling animals; and * After outdoor play. |
|
| 5.2.1.3 |
12/04/2023 |
| Regulation 5.2.1.3: |
The licensee shall ensure the hand washing procedures include the following steps in order: * Use of warm running water and liquid soap; * Moistening hands with water, applying soap, and washing hands for a minimum of twenty (20) seconds; * Rinsing hands under running water; * Drying hands with a single use towel or paper towel; and then * Disposing of the towel. |
|
| 5.2.1.8 |
12/04/2023 |
| Regulation 5.2.1.8: |
Staff shall wash the hands of children who are unable to wash their own hands and provide developmentally appropriate guidance and supervision to help children learn and practice healthy hand washing. |
|
| 5.2.3.11 |
12/04/2023 |
| Regulation 5.2.3.11: |
Each diaper changing procedure shall include: * Preparation: assemble supplies, staff member washes hands, prepares changing surface with either a disposable covering or ensure that the surface was recently cleaned and disinfected and bring the child to the diaper changing area. * Dirty Phase: remove soiled diaper, dispose of diaper, and cleanse diaper area of the child. * Clean Phase: put on clean diaper, dress child, and wash the child's hands. * Clean up: clean and disinfect the diaper changing surface, and staff member washes their own hands. * Record diaper change. |
|
| 5.2.5 |
12/04/2023 |
| Regulation 5.2.5: |
Standard Practices for Exposure to Bodily Fluids Staff shall use standard precautions when exposed to blood or blood-containing bodily fluids. The standard precautions include: * Use of nonporous disposable gloves to clean up the blood or blood-containing fluid unless the material used to clean it up can easily contain the fluid; * Clean and disinfect the soiled surface; * Dispose of contaminated materials and store washable items in securely sealed plastic bags; and * Wash hands thoroughly as required in the rule 5.2.1.3 of these regulations. |
|
| 5.3.1 |
12/04/2023 |
| Regulation 5.3.1: |
The licensee shall develop and implement a plan for the management of communicable disease in the CBCCPP including the following: * Naming and identifying symptoms of illnesses for which a child will be excluded or sent home from the CBCCPP; * Identifying communicable diseases for which a child will not be admitted to the CBCCPP without a statement from a health care provider; and * Written notification to parents when children may have been exposed to a reportable communicable disease. |
|
| 5.3.2 |
12/04/2023 |
| Regulation 5.3.2: |
Daily Health Check Upon arrival into the CBCCPP staff shall observe each child for symptoms of communicable disease and signs of injuries. Any obvious injuries shall be documented along with any comments from the parent pertaining to the child's condition. This documentation shall be maintained in the child's file for a minimum of 365 days. |
|
| 5.3.3.1 |
12/04/2023 |
| Regulation 5.3.3.1: |
Staff shall follow the exclusion policies as set forth in Signs and Symptoms of Illness Chart, (see Appendix A). |
|
| 5.3.3.2 |
12/04/2023 |
| Regulation 5.3.3.2: |
Signs and Symptoms of Illness Chart document shall be posted where it is clearly visible to staff and parents. |
|
| 5.4.1.4 |
12/04/2023 |
| Regulation 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 licensee providing them directly or requiring parents to provide them. No child shall nap directly on nonporous coverings. |
|
| 5.4.1.5 |
12/04/2023 |
| Regulation 5.4.1.5: |
Children shall be supervised by staff while napping or resting. Staff shall directly observe a sleeping infant at least every fifteen (15) minutes to check the infant's face, view the color of the infant's skin, and check on the infant's breathing. |
|
| 5.4.1.6 |
12/04/2023 |
| Regulation 5.4.1.6: |
Lighting to permit appropriate supervision shall be provided in sleeping areas where children are napping or resting. This means that staff can see the child's face, view the color of the child's skin, and check on the child's breathing. |
|
| 5.4.2.2 |
12/04/2023 |
| Regulation 5.4.2.2: |
Infants shall always be placed on their backs to sleep. |
|
| 5.4.2.3 |
12/04/2023 |
| Regulation 5.4.2.3: |
Staff shall ensure that infants sleep in cribs or port-a-cribs. Infants shall not be placed to sleep on soft surfaces, such as a couch or sofa, pillow, quilts, sheepskins or blankets. Infants shall not be placed in car seats, swings, high chairs, jumping chairs or similar equipment for sleep. A child that falls asleep in this type of equipment shall be gently transferred to a crib or port-a-crib as soon as feasible. |
|
| 5.4.2.4 |
12/04/2023 |
| Regulation 5.4.2.4: |
Each crib and port-a-crib shall have a firm, tight-fitting mattress covered by a tight-fitting crib sheet. |
|
| 5.4.2.5 |
12/04/2023 |
| Regulation 5.4.2.5: |
Soft objects, toys or loose bedding shall not be used in infants' sleep areas. Soft or loose bedding includes: bumper pads, pillows, quilts, comforters, sheepskins, blankets, flat sheets, cloth diapers, and bibs. Infants shall not be swaddled for sleep. |
|
| 5.4.2.6 |
12/04/2023 |
| Regulation 5.4.2.6: |
Clothing sacks or similar clothing designed for safe sleep may be used. Bibs, necklaces, and garments with ties or hoods shall be removed from the child prior to placing the child in the crib or port-a-crib. |
|
| 5.4.2.8 |
12/04/2023 |
| Regulation 5.4.2.8: |
Infants shall not be placed in cribs or port-a-cribs with bottles. Pacifiers are permitted in cribs and port-a-cribs with parental permission. Pacifiers may not have cords or clips that may pose a strangulation risk. |
|
| 5.4.3.2 |
12/04/2023 |
| Regulation 5.4.3.2: |
Children shall not be required to sleep. Children who do not nap shall be provided space and equipment for quiet play. |
|
| 5.6.1 |
12/04/2023 |
| Regulation 5.6.1: |
The program director shall develop and consistently implement a written policy and plan regarding the administration of medication to children. |
|
| 5.6.4 |
12/04/2023 |
| Regulation 5.6.4: |
Written permission from parents to administer medication must include all of the following information for each prescription and non-prescription medication administered to children: * Name of the child; * Child's date of birth; * Any medication allergies; * Name of medication; * Dosage to be given; * Time when medication is to be given; * Route of administration (mouth, ear, nose, topical, inhalation); * Reason for the medication; * Start and end dates for administration of the medication; and * Any special instructions. |
|
| 5.6.7 |
12/04/2023 |
| Regulation 5.6.7: |
A record of the administration of all medications shall be made including medication dosage, time of administration, name of staff administering, and any adverse effects observed. These records shall be maintained for 365 days from the start date of medication administration and may be kept in the child's file or in a medication administration log. |
|
| 5.6.11 |
12/04/2023 |
| Regulation 5.6.11: |
Prescription rescue medication, such as rescue inhalers, epinephrine (epi) pen, and seizure medication must be kept immediately accessible for use in cases of emergency. |
|
| 5.10.1.1.2 |
12/04/2023 |
| Regulation 5.10.1.1.2: |
Children shall be protected from choking hazards presented by cords on window coverings, electric or electronic appliances or equipment and telephones. |
|
| 5.10.1.1.3 |
12/04/2023 |
| Regulation 5.10.1.1.3: |
Furniture and equipment shall be sturdy. Furniture and equipment that present a tipping or falling hazard shall be secured. |
|
| 5.10.1.2.1 |
12/04/2023 |
| Regulation 5.10.1.2.1: |
The licensee shall ensure that the CBCCPP is in compliance with Vermont Division of Fire Safety rules at all times. This includes but is not limited to: * Complying with Vermont Division of Fire Safety inspection reports; * Having regular fire systems inspected with violations identified during the inspection noted as corrected; and * Having fire extinguishers tagged with valid inspection tags. |
|
| 5.10.1.8 |
12/04/2023 |
| Regulation 5.10.1.8: |
Childhood Lead Poisoning Prevention The licensee shall comply with the requirements of 18 V.S.A. Chapter 38 Vermont Lead Law and shall ensure that Essential Maintenance Practices (EMP) is performed. This includes but is not limited to protecting children from peeling or chipping paint, and dust build up from the friction of moving doors or windows. |
|
| 5.10.1.10.1 |
12/04/2023 |
| Regulation 5.10.1.10.1: |
All containers of poisonous, toxic, or hazardous materials present in the CBCCPP shall be labeled for easy identification and used only in such a manner and under conditions that will not contaminate food or create a hazard to the children or staff. |
|
| 5.10.1.10.3 |
12/04/2023 |
| Regulation 5.10.1.10.3: |
All poisonous or toxic materials, except materials required for routine cleaning, shall be locked in a secure storage area. |
|
| 5.10.1.10.4 |
12/04/2023 |
| Regulation 5.10.1.10.4: |
Materials required for routine cleaning shall be stored and used in a safe manner out of the reach of children. |
|
| 5.10.1.14.1 |
12/04/2023 |
| Regulation 5.10.1.14.1: |
The program director shall ensure that animals present at the CBCCPP do not present a danger or health hazard to the children and staff. |
|
| 5.10.3.1.2 |
12/04/2023 |
| Regulation 5.10.3.1.2: |
The outdoor play area shall include a provision for shade. |
|
| 5.10.3.1.3 |
12/04/2023 |
| Regulation 5.10.3.1.3: |
The play area shall be fenced or otherwise protected from traffic and other hazards. Fencing or natural barriers, such as hedges or other clear land boundaries, shall prevent children from exiting and allow for safe supervision of outdoor play. |
|
| 5.10.3.1.6 |
12/04/2023 |
| Regulation 5.10.3.1.6: |
The outdoor play area shall be free of dumpsters, uncovered trash cans, highly flammable materials, standing pools of water and other hazards. Staff shall inspect the outdoor play area before children begin to play to make sure there are no hazards present such as, but not limited to, animal feces, litter, adult tools, or other items that might injure a child. |
|
| 5.10.4.5.1 |
12/04/2023 |
| Regulation 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. |
|
| 5.10.5.1 |
12/04/2023 |
| Regulation 5.10.5.1: |
Written permission from each child's parent shall be obtained prior to the child engaging in swimming or wading activities. This written permission shall be retained in each child's file. |
|
| 6.2.1.2 |
12/04/2023 |
| Regulation 6.2.1.2: |
The number of children served by the CBCCPP at any one (1) time shall not exceed the maximum capacity allowed written on the license certificate. |
|
| 6.2.1.3 |
12/04/2023 |
| Regulation 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. |
|
| 6.2.3.1 |
12/04/2023 |
| Regulation 6.2.3.1: |
When children twenty-four (24) months of age and older are napping, at least one (1) staff member shall supervise each group of sleeping children. When children are sleeping, staff shall be positioned to allow for visual supervision of the children. |
|
| 6.2.4.1 |
12/04/2023 |
| Regulation 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. |
|
| 6.2.5.2 |
12/04/2023 |
| Regulation 6.2.5.2: |
Staff shall appropriately hold, touch, smile and talk to children. |
|
| 6.2.5.4 |
12/04/2023 |
| Regulation 6.2.5.4: |
Staff shall be available and responsive to children, encouraging them to share experiences, ideas, and feelings. |
|
| 6.2.5.6 |
12/04/2023 |
| Regulation 6.2.5.6: |
Staff shall listen to children with attention and respect. |
|
| 6.2.6.1 |
12/04/2023 |
| Regulation 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. |
|
| 6.2.6.3 |
12/04/2023 |
| Regulation 6.2.6.3: |
When children are eating, staff shall be positioned to allow for visual supervision of all children and shall be able to physically respond immediately to any child that may be choking. |
|
| 5.4.2.7 |
12/04/2023 |
| Regulation 5.4.2.7: |
No positioning devices shall be used unless required by the child's health care provider. Instructions for the use of any such device shall be kept in the child's file in writing from the child's health care provider. |
|
| 6.2.7.4 |
12/04/2023 |
| Regulation 6.2.7.4: |
No form of inappropriate discipline or corporal punishment shall be used with children such as but not limited to: |
|
| 3.4.4.1 |
12/04/2023 |
| Regulation 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; 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. |
|
| 3.4.1 |
12/04/2023 |
| Regulation 3.4.1: |
The licensee shall keep all required records, schedules, materials, and equipment used to operate and maintain the CBCCPP in good order and in locations appropriate for day to day access. |
|
| 3.4.6.1 |
12/04/2023 |
| Regulation 3.4.6.1: |
The licensee shall maintain a record of the date of each evacuation drill as required in the rules in section 3.7.2 of these regulations that includes the number of children and 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. When the CBCCPP counts lock-down drills as allowed in the rules in section 3.7.2 of these regulations, the licensee shall maintain a record of the date of each lock-down drill, the number of CBCCPP children and staff who participated, and note that the drill performed was a lock-down drill. |
|
| 3.4.7.3 |
12/04/2023 |
| Regulation 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. |
|
| 3.7.1.1 |
12/04/2023 |
| Regulation 3.7.1.1: |
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 or other emergencies such as leaving the premise 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 CBCCPP 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 CBCCPP; A system to account for all children and staff at the evacuation meeting place; A process for relocation if necessary, including safe transportation; A system for shelter in place if the staff and children present need to remain in the CBCCPP for an extended period; and Staff chain of command and individual staff roles and responsibilities, (if applicable) during emergencies. |
|
| 5.6.2 |
12/04/2023 |
| Regulation 5.6.2: |
The program director shall ensure that only staff, who have completed a training course approved by the Division, administer medication in the CBCCPP. With written parental permission, a school age child may self-medicate under the direct supervision of staff who meets the training requirement within this rule. |
|
| 5.10.1.1 |
12/04/2023 |
| Regulation 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. |
|
| 5.10.6.1.1 |
12/04/2023 |
| Regulation 5.10.6.1.1: |
The licensee shall ensure that any vehicle, owned by the CBCCPP, used for transporting children be registered, inspected, and insured according to state law. |
|
| 5.11.6.11 |
12/04/2023 |
| Regulation 5.11.6.11: |
Foods for infants shall be of a texture and consistency that promotes safe consumption and reduces the risk of choking. |
|
| 7.1.2.1 |
12/04/2023 |
| Regulation 7.1.2.1: |
The licensee shall ensure that at least one (1) staff who has successfully completed and is currently certified in pediatric first aid and in infant and child CPR is on the premises at all times children are present. |
|
