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| Reg. No. |
Finding Date |
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| 5.11.4 |
03/09/2020 |
| Regulation 5.11.4: |
Drinking water shall be readily available to children at all times. |
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| 7.1.3 |
03/09/2020 |
| Regulation 7.1.3: |
Orientation of Staff The licensee, in consultation with the program director, shall establish written program policies and procedures and provide these to staff during an orientation training session approved by the Division prior to being left alone with children. Trainees under eighteen (18) years of age shall complete the orientation training within at least one (1) month of their first date of working with children. Complete written information and the orientation training session shall include: * Basic knowledge of child growth and development; * Routine and emergency health protection of children including health related exclusions; * Safety and sanitation requirements including handling and storage of hazardous materials and disposal of bio contaminants; * Positive behavior management; * Supervision of children; * Child accident and injury procedures including building and physical premises safety; * Safe sleep practices; * Administration of medication requirements; * Emergency and evacuation requirements; * Nutrition and food safety including prevention of and response to emergencies due to food and allergic reactions; * Recordkeeping; * Transportation and child passenger safety; * Release of children; * Respectful engagement of families; * Preventing, recognizing, and reporting child abuse and neglect; including information about the signs and symptoms of sexual abuse, sexual violence, grooming processes, recognizing the dangers of child sexual abuse, and other predatory behaviors of sex offenders; * Recognition of and response to the symptoms of common childhood illnesses; * Preventing the spread of infectious disease; * Providing developmentally appropriate activities and experiences for children; * Inclusion of children with special needs; * Guidelines for volunteers, partner staff, auxiliary staff, and business managers; * Responsibility to comply with current applicable licensing regulations; * Staffing requirements to include opening and closing; and * Ensuring children have extra clothes and diapers available. |
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| 6.1.4.1.1 |
03/09/2020 |
| 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. |
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| 6.1.4.2.1 |
03/09/2020 |
| Regulation 6.1.4.2.1: |
The amount of awake time children under twenty-four (24) months of age spend in any confining equipment, such as a crib, playpen, port-a-crib, swing, or seat shall be limited to less than thirty (30) minutes in any two (2) hour period. |
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| 6.1.5.1.1 |
03/09/2020 |
| Regulation 6.1.5.1.1: |
Individual development and learning activities shall be developed and implemented for the care of each child under twenty-four (24) months of age. These activities shall include individual developmental goals with specific activities and experiences to be provided by staff to support the goals. The child's progress shall be shared with parents. |
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| 6.1.5.1.2 |
03/09/2020 |
| Regulation 6.1.5.1.2: |
Staff shall maintain a daily written record of the feeding, sleeping, diapering, and developmental progress of all children under twelve (12) months of age to be shared with parents at the end of each day. |
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| 2.3.9.3 |
03/09/2020 |
| Regulation 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. |
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| 2.3.9.6 |
03/09/2020 |
| Regulation 2.3.9.6: |
If the licensed facility was constructed prior to 1978 and has not been determined to be lead free by an inspector licensed by Vermont Department of Health, 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) have been performed and documented. |
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| 2.3.9.7 |
03/09/2020 |
| Regulation 2.3.9.7: |
The licensee shall provide evidence of continuous insurance as defined in the rule 2.3.8.5 of these regulations. |
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| 3.3.5 |
03/09/2020 |
| Regulation 3.3.5: |
The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect. |
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| 3.4.1 |
03/09/2020 |
| 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. |
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| 3.4.3 |
03/09/2020 |
| 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. |
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| 3.4.7.5 |
03/09/2020 |
| Regulation 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. |
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| 3.7.1.1 |
03/09/2020 |
| 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. |
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| 3.7.3 |
03/09/2020 |
| 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. |
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| 4.3.1 |
03/09/2020 |
| Regulation 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. |
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| 5.1.3 |
03/09/2020 |
| Regulation 5.1.3: |
Immunizations: The licensee shall maintain 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. The immunization record should be updated after each additional immunization has been received. * 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. |
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| 5.2.1.3 |
03/09/2020 |
| 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. |
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| 5.2.1.8 |
03/09/2020 |
| 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. |
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| 5.2.3.11 |
03/09/2020 |
| 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. |
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| 5.2.3.12 |
03/09/2020 |
| Regulation 5.2.3.12: |
The licensee shall post the diaper changing procedure at each diaper changing area. |
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| 5.4.1.1 |
03/09/2020 |
| Regulation 5.4.1.1: |
The licensee shall ensure that each child, except school-age children, has an individual crib, port-a-crib, cot, mat, or bed that is safe for the child's age and development, in good repair, and used by only one child each day. No child shall nap directly on the floor or on furniture not designed for sleeping. Cribs or port-a-cribs shall be used for children under twelve (12) months of age. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted. |
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| 5.4.1.4 |
03/09/2020 |
| 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. |
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| 5.4.1.6 |
03/09/2020 |
| 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. |
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| 5.4.1.8 |
03/09/2020 |
| Regulation 5.4.1.8: |
Bedding used by a child shall be stored in a manner that prevents contact with bedding used by other children. |
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| 5.6.2 |
03/09/2020 |
| 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. |
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| 5.10.1.1 |
03/09/2020 |
| 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. |
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| 5.10.1.8 |
03/09/2020 |
| 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. |
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| 5.10.3.1.2 |
03/09/2020 |
| Regulation 5.10.3.1.2: |
The outdoor play area shall include a provision for shade. |
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| 5.10.4.5.1 |
03/09/2020 |
| 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. |
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| 5.10.4.5.5 |
03/09/2020 |
| Regulation 5.10.4.5.5: |
Hard surfaces accessible to children shall be smooth, non-porous, and easy to clean. See the rules in section 5.2.6 of these regulations for a schedule for cleaning, disinfecting and sanitizing of specific surfaces and items. |
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| 6.1.6.1 |
03/09/2020 |
| Regulation 6.1.6.1: |
A developmentally appropriate system for observing, assessing and documenting each child's learning and growth shall be implemented. |
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| 6.2.1.2 |
03/09/2020 |
| 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. |
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| 6.2.1.3 |
03/09/2020 |
| 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. |
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| 6.2.4.1 |
03/09/2020 |
| 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. |
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| 6.2.4.3 |
03/09/2020 |
| Regulation 6.2.4.3: |
The program director shall ensure that each group of children is led by a staff member who is at least qualified as a teacher associate for at least 75% of the hours of operation. |
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| 6.2.5.4 |
03/09/2020 |
| Regulation 6.2.5.4: |
Staff shall be available and responsive to children, encouraging them to share experiences, ideas, and feelings. |
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| 6.2.5.5 |
03/09/2020 |
| Regulation 6.2.5.5: |
At least one (1) staff member shall sit with children during meals and snacks. |
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| 6.2.5.6 |
03/09/2020 |
| Regulation 6.2.5.6: |
Staff shall listen to children with attention and respect. |
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| 6.2.5.7 |
03/09/2020 |
| Regulation 6.2.5.7: |
Children shall be attended to when they cry. |
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| 6.2.6 |
03/09/2020 |
| Regulation 6.2.6: |
Supervision of Children Staff shall ensure visual supervision of children, except as allowed in rules 6.2.6.1-6.2.6.4 of these regulations. |
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| 6.2.7.3 |
03/09/2020 |
| Regulation 6.2.7.3: |
Staff shall use positive methods of guidance and behavior management that encourage self-control, self-direction, self-esteem and cooperation. |
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| 6.3.1 |
03/09/2020 |
| Regulation 6.3.1: |
The curriculum shall be adapted to provide all children opportunities to participate in all activities that are appropriate to their age and development. |
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| 5.11.6.5 |
03/09/2020 |
| 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. |
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