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Provider: VT Achievement Center Early Education & Care Program   Provider ID: 2805
Site Visit Details
    :  
(mm/dd/yyyy)
  09/27/2019
 
Violations and Corrective Actions
Corrective Actions and Narratives
5.10.2.3.2 09/27/2019 Develop a system to ensure all perishable food intended to be served to children, is dated and labeled. For food not intended to be served to children, develop a system to identify it as such. 10/14/2019 10/04/2019 Final
Upon observations of the walk in coolers in the kitchen, seven (7) containers, and one (1) tray storing food were not labeled or dated. Staff A indicated some food in classroom refrigerators were that of staff, but were not identifiable as such.
  All food shall be stored in containers that are dated. Food items used by or intended for specific children shall be plainly labeled.
 
Observations
The program met the follow regulations (were in compliance) at this visit.
Reg. No. Finding Date
5.11.1.3 09/27/2019
Regulation 5.11.1.3: The program director shall ensure that menus are planned in advance, dated, and posted so that they are clearly visible to parents. Any changes to the posted menu shall be noted. Menus of meals and snacks for the preceding six (6) weeks shall be kept on file.
7.1.3 09/27/2019
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.
5.11.6.4 09/27/2019
Regulation 5.11.6.4: Infants shall be held for bottle-feeding until they are able to hold an unsupported bottle. At no time shall a bottle be propped for feeding an infant.
6.1.2.1 09/27/2019
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 09/27/2019
Regulation 6.1.2.4: Staff shall be interacting with children during outside play.
6.1.4.1.1 09/27/2019
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 09/27/2019
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.
6.1.4.4.1 09/27/2019
Regulation 6.1.4.4.1: Screen time shall not be used for children younger than two (2) years of age.
6.1.5.1.2 09/27/2019
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.
2.3.9.6 09/27/2019
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.
2.3.9.7 09/27/2019
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.
3.4.3 09/27/2019
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.
3.4.6.1 09/27/2019
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.
3.7.1.1 09/27/2019
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.
4.3.1 09/27/2019
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.
5.1.3 09/27/2019
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.
5.1.4 09/27/2019
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.
5.3.2 09/27/2019
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.
5.4.1.1 09/27/2019
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 09/27/2019
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.
5.4.1.5 09/27/2019
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 09/27/2019
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.
5.10.3.1.2 09/27/2019
Regulation 5.10.3.1.2: The outdoor play area shall include a provision for shade.
5.10.3.1.3 09/27/2019
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.
6.1.6.1 09/27/2019
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 09/27/2019
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 09/27/2019
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.
6.2.5.4 09/27/2019
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 09/27/2019
Regulation 6.2.5.5: At least one (1) staff member shall sit with children during meals and snacks.
6.2.5.6 09/27/2019
Regulation 6.2.5.6: Staff shall listen to children with attention and respect.
6.2.5.7 09/27/2019
Regulation 6.2.5.7: Children shall be attended to when they cry.
6.2.7.3 09/27/2019
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 09/27/2019
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.
7.5.4 09/27/2019
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.
5.11.4 09/27/2019
Regulation 5.11.4: Drinking water shall be readily available to children at all times.
 
 


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