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Provider: Hunger Mountain Children's Center   Provider ID: 245573
Site Visit Details
    :  
(mm/dd/yyyy)
  07/19/2019
 
Violations and Corrective Actions
Corrective Actions and Narratives
3.4.7.3 07/19/2019 Immediately plan to submit all current qualification, annual professional development and CPR and first aid documentation to Northern Lights at CCV. Create a system which will prompt you and your staff to submit all required documentation to NLCCV in a timely manner. If you need assistance with this process, contact your NLCCV resource coordinator, Joanne Rouleau at (802) 828-0621 or joanne.rouleau01@ccv.edu. 08/02/2019 10/21/2021 Final
A review of staff BFIS Quality and Credential Accounts reflected missing professional developemnt documentation, current CPR and first aid certificates and qualifying documentation for substitutes.
  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.
 
Observations
The program met the follow regulations (were in compliance) at this visit.
Reg. No. Finding Date
5.11.2.1 07/19/2019
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.
7.1.3 07/19/2019
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.
6.1.2.1 07/19/2019
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.
6.1.2.4 07/19/2019
Regulation 6.1.2.4: Staff shall be interacting with children during outside play.
6.1.4.1.1 07/19/2019
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.
6.1.4.2.1 07/19/2019
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.
6.1.4.4.5 07/19/2019
Regulation 6.1.4.4.5: Screen time shall not exceed thirty (30) minutes daily per child or group of children except for school age children using technology to complete homework assignments and a once per month two (2) hour movie.
6.1.5.1.1 07/19/2019
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.
6.1.5.1.2 07/19/2019
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.
6.1.5.1.3 07/19/2019
Regulation 6.1.5.1.3: Children under twenty-four (24) months of age shall experience frequent positive interactions with a consistent staff member or team that provides each child with the following opportunities throughout the day: * Face to face interaction; * Being held and carried; * Individual and parallel play; * Cooperative play and small group activities; * Being talked to during play, feeding, and routine care; * Being read to and looking at books; * Naming of objects and experiences in the environment; * Space and equipment to support developing gross motor skills such as rolling over, sitting, scooting, crawling, standing, climbing and walking; * Space and materials to support developing small motor skills such as eating finger foods, stacking, balancing, scribbling, and drawing; * Developmentally appropriate problem solving; * Encouragement to explore, experiment and initiate activities; * Open ended play and activities; and * Time and space to gain mastery through play and learning by doing.
6.1.5.2.1 07/19/2019
Regulation 6.1.5.2.1: Children two (2) years of age to school-age experience shall experience frequent positive interactions with a consistent staff member or team that provides each child with the following opportunities throughout the day: * Face to face interaction; * A combination of individual, small group, and large group experiences; * Conversation with adults and peers during play, eating, and routine care; * Being read to and looking at books, individually and in a group; * Space and equipment to support developing gross motor skills such as catching and throwing, balancing, jumping, climbing, running and skipping; * Space and materials to support developing small motor skills such as using manipulatives, scribbling, drawing and writing; * Materials, experiences and support for developmentally appropriate pre-literacy and literacy skills; * Materials, experiences and support for developmentally appropriate mathematical and scientific concepts; * Open-ended play and activities; * Positive recognition of efforts, not just results; * Developmentally appropriate problem solving; * Materials, time and encouragement to engage in extended and complex play alone and with peers; * Experiences that promote social competence and cooperative play; * Encouragement to explore, experiment and initiate activities; * Developmentally appropriate independence; and * Time, space and encouragement to gain mastery through play and learning by doing.
2.3.9.7 07/19/2019
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.
3.3.5 07/19/2019
Regulation 3.3.5: The licensee, staff, and auxiliary staff shall be trained in prevention, identification and mandatory reporting of child abuse and neglect.
3.4.1 07/19/2019
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.
3.4.3 07/19/2019
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.
3.4.4.1 07/19/2019
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; * 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.
3.4.5.1 07/19/2019
Regulation 3.4.5.1: A licensee shall maintain a complete and up-to-date personnel file for staff working at the CBCCPP. A complete file shall contain, at minimum, the following information: * Name, date of birth, home address and telephone number; * Copies of current first aid and CPR certification; * Signed statement verifying understanding of legal requirement to report suspected child abuse and neglect; * Documentation of a current Records Check Authorization form; * Documentation of having read and having ready access to a current copy of applicable child care licensing regulations; * Administration of Medication training certification (if applicable); * Signed statement verifying current job title and supervisor's name; * Application for employment including references or reference checks; * Employment start date; * Documentation of completed Orientation Training; * Employment end date and reason for leaving, if applicable; * IPDP; and * Written annual performance reviews.
3.4.6.1 07/19/2019
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.
3.4.6.5 07/19/2019
Regulation 3.4.6.5: Staffing Schedule: A licensee shall maintain a written record of the daily schedule for at least 365 days of all staff including exact days and hours worked and the group of children to whom they are assigned.
3.7.1.1 07/19/2019
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.
3.7.3 07/19/2019
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.
4.3.1 07/19/2019
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.
5.1.4 07/19/2019
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.
5.2.3.12 07/19/2019
Regulation 5.2.3.12: The licensee shall post the diaper changing procedure at each diaper changing area.
5.4.1.1 07/19/2019
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.
5.4.1.4 07/19/2019
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.
5.4.1.6 07/19/2019
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.
5.4.1.8 07/19/2019
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.
5.6.2 07/19/2019
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.
5.10.1.1 07/19/2019
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.
5.10.2.3.2 07/19/2019
Regulation 5.10.2.3.2: All food shall be stored in containers that are dated. Food items used by or intended for specific children shall be plainly labeled.
5.10.3.1.2 07/19/2019
Regulation 5.10.3.1.2: The outdoor play area shall include a provision for shade.
5.10.3.1.3 07/19/2019
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.
5.10.3.2.1 07/19/2019
Regulation 5.10.3.2.1: All outdoor play equipment shall be sturdy, safe, clean and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. * To prevent entrapment, no openings in equipment shall be between 3.5 and nine (9) inches. * Chains on swings shall have protective coverings and swing seats shall be made of soft materials with no sharp edges.
5.10.3.2.2 07/19/2019
Regulation 5.10.3.2.2: Equipment shall be arranged so that children playing on one (1) piece of equipment will not interfere with children playing on another piece of equipment.
5.10.3.2.4 07/19/2019
Regulation 5.10.3.2.4: Sandboxes shall be maintained in a safe and sanitary manner.
5.10.3.3 07/19/2019
Regulation 5.10.3.3: Safe Use Zones For all play equipment that is thirty (30) inches or higher from the ground, including climbing equipment, slides, swings and other similar equipment, the licensee shall ensure that the surface under and around the equipment, including recommended use zones, is of approved resilient material that protects children if they fall. * Materials in the use zone shall consist of wood chips, pea stone, mulch, engineered wood fibers, sand, safety-tested shredded or rubber like material or rubber mats designed for protective cushioning; * Materials used in the use zone shall follow the recommendations listed in the most recent publication of U.S. Consumer Product Safety Commission's Public Playground Safety Handbook regarding critical depth of tested materials determined by the height of the highest climbing surface of the equipment; * Materials used in the use zone shall be installed and maintained according to the manufacturer's instructions; * If the loose material such as sand, mulch, or shredded rubber is used in use zones, the licensee shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, staff shall ensure that children will not play on the equipment until the resilient material has thawed and is once again resilient.
5.10.4.5.1 07/19/2019
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.
5.10.4.5.5 07/19/2019
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.
6.1.6.1 07/19/2019
Regulation 6.1.6.1: A developmentally appropriate system for observing, assessing and documenting each child's learning and growth shall be implemented.
6.2.1.2 07/19/2019
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 07/19/2019
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.
6.2.1.4 07/19/2019
Regulation 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.
6.2.4.1 07/19/2019
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.
6.2.4.3 07/19/2019
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.
6.2.4.6 07/19/2019
Regulation 6.2.4.6: When a substitute fills a staff position for thirty (30) or more days within a 365 day period, the substitute shall be fully qualified for the position he/she fills and shall no longer be considered a substitute but is considered a full staff person subject to all requirements for staff in these regulations.
6.2.5.4 07/19/2019
Regulation 6.2.5.4: Staff shall be available and responsive to children, encouraging them to share experiences, ideas, and feelings.
6.2.5.5 07/19/2019
Regulation 6.2.5.5: At least one (1) staff member shall sit with children during meals and snacks.
6.2.5.6 07/19/2019
Regulation 6.2.5.6: Staff shall listen to children with attention and respect.
6.2.5.7 07/19/2019
Regulation 6.2.5.7: Children shall be attended to when they cry.
6.2.6 07/19/2019
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.
6.2.7.3 07/19/2019
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.
6.3.1 07/19/2019
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.
7.1.2 07/19/2019
Regulation 7.1.2: First Aid and CPR Staff who are counted in the staff/child ratios shall obtain training in pediatric first aid and infant and child CPR within six (6) months of beginning work in the CBCCPP and remain currently certified.
7.3.2 07/19/2019
Regulation 7.3.2: Staff The program director shall ensure and maintain documentation that staff meet one (1) of the following qualifications:
7.4.4 07/19/2019
Regulation 7.4.4: All staff shall complete fifteen (15) clock hours of annual professional development activities as required in the rule 7.4.2 of these regulations.
7.5.4 07/19/2019
Regulation 7.5.4: The program director shall establish and implement a system of communication among staff to ensure that any staff member assuming responsibility for a child or group is informed of significant information related to the care and education of the child or children.
7.6.1 07/19/2019
Regulation 7.6.1: Prior to initial licensure, the prospective licensee shall provide written documentation that the proposed business manager has at least an associate degree in Business.
5.11.4 07/19/2019
Regulation 5.11.4: Drinking water shall be readily available to children at all times.
 
 


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