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| Reg. No. |
Finding Date |
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| 7.1.3 |
03/16/2022 |
| Regulation 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. |
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| 6.2.1 |
03/16/2022 |
| Regulation 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. |
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| 3.3.1 |
03/16/2022 |
| Regulation 3.3.1: |
The FCCP shall keep all required records, schedules, materials and equipment used to operate and maintain the FCCH in good order and in locations appropriate for day to day access. |
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| 3.3.3 |
03/16/2022 |
| Regulation 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. |
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| 3.3.4.1 |
03/16/2022 |
| Regulation 3.3.4.1: |
The FCCP shall maintain a complete and up-to-date enrollment file on-site for each child enrolled in the FCCH. 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 FCCH and the days and hours the child is regularly scheduled to attend the FCCH; * 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 FCCH; * 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 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 FCCP 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 FCCP to transport the child, if transportation is provided, as required in section 5.10.6.6.1 of these regulations; * Written permission from parents for 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 3.5.4 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. |
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| 3.3.6.1 |
03/16/2022 |
| Regulation 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. |
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| 3.3.7.3 |
03/16/2022 |
| Regulation 3.3.7.3: |
Within six (6) months of initial date of employment, the FCCP and all staff 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 sections 7.3 and 7.4 of these regulations shall be submitted to NLCDC to be verified and maintained in BFIS. |
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| 5.1.2 |
03/16/2022 |
| Regulation 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. |
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| 5.1.3 |
03/16/2022 |
| Regulation 5.1.3: |
Immunizations: The FCCP 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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| 5.2.1.1 |
03/16/2022 |
| Regulation 5.2.1.1: |
The FCCP shall ensure that adults and children wash their hands: * Upon arrival at the FCCH; * 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. |
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| 5.3.2 |
03/16/2022 |
| Regulation 5.3.2: |
Daily Health Check Upon arrival into the FCCH 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. |
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| 5.4.1.4 |
03/16/2022 |
| 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 FCCP providing them or requiring parents to provide them. No child shall nap directly on nonporous coverings. |
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| 5.4.1.5 |
03/16/2022 |
| Regulation 5.4.1.5: |
Children shall be supervised by FCCP and/or staff while napping or resting. The FCCP and/or staff shall directly observe a sleeping child at least every fifteen (15) minutes to check 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 |
03/16/2022 |
| 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 |
03/16/2022 |
| Regulation 5.6.2: |
The FCCP shall ensure that only staff, who have completed a training course, approved by the Division, administer medication in the FCCH. |
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| 5.6.11 |
03/16/2022 |
| Regulation 5.6.11: |
The FCCP shall ensure that all medication and non-medications described in the rule 5.6.10 of these regulations shall be securely stored and inaccessible to children. |
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| 5.10.1.1 |
03/16/2022 |
| Regulation 5.10.1.1: |
General Safety: The FCCP shall ensure the physical facilities of the FCCH, grounds, equipment, and toys present no hazard to the health, safety and well-being of the children. |
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| 5.10.1.2.3 |
03/16/2022 |
| Regulation 5.10.1.2.3: |
On the basement level, at least one (1) exit shall be directly to the outside of the home. Bulkhead type doors are prohibited as exits. If the basement is used, one (1) of the exits may be a window provided the window is no more than forty-four (44) inches from the sill of the window to the floor and has a minimum opening of at least twenty (20) inches wide by twenty-four (24) inches high. The window shall be accessible to children and staff and easy to open. |
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| 5.10.1.2.5 |
03/16/2022 |
| Regulation 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. |
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| 5.10.1.2.6 |
03/16/2022 |
| Regulation 5.10.1.2.6: |
The extinguisher shall be visibly mounted to the wall near an exit door. |
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| 5.10.3.1.3 |
03/16/2022 |
| Regulation 5.10.3.1.3: |
The outdoor 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. |
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| 5.10.3.2.1 |
03/16/2022 |
| Regulation 5.10.3.2.1: |
All outdoor play equipment is 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. |
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| 5.10.4.5.1 |
03/16/2022 |
| Regulation 5.10.4.5.1: |
The FCCP shall ensure that the FCCH, its furnishings, and toys are kept in a clean and orderly condition. |
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| 5.11.1.3 |
03/16/2022 |
| Regulation 5.11.1.3: |
The FCCP 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. |
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| 5.11.2.2 |
03/16/2022 |
| Regulation 5.11.2.2: |
The FCCP shall ensure that the meals and snacks provided meet the current USDA/Child and Adult Care Food Program (CACFP) meal pattern requirements that are adjusted according the age of each child. |
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| 5.11.4 |
03/16/2022 |
| Regulation 5.11.4: |
Drinking water shall be readily available to children at all times. |
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| 5.11.6.4 |
03/16/2022 |
| 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. |
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| 6.1.2.1 |
03/16/2022 |
| Regulation 6.1.2.1: |
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 FCCH for at least sixty (60) minutes each day. For programs that operate less than four (4) hours per day, the FCCP shall ensure that children are provided at least thirty (30) minutes of outside physical activity each day. |
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| 6.1.4.1.1 |
03/16/2022 |
| 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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| 6.2.3.4 |
03/16/2022 |
| Regulation 6.2.3.4: |
The FCCP and/or staff shall be available and responsive to children, encouraging them to share experiences, ideas, and feelings. |
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| 6.2.3.6 |
03/16/2022 |
| Regulation 6.2.3.6: |
The FCCP and/or staff shall listen to children with attention and respect. |
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| 6.2.3.7 |
03/16/2022 |
| Regulation 6.2.3.7: |
Children shall be attended to when they cry. |
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| 6.2.4 |
03/16/2022 |
| Regulation 6.2.4: |
Supervision of Children The FCCP and/or staff shall ensure visual supervision of children except as allowed in rules 6.2.4.1 - 6.2.4.4 of these regulations. |
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| 6.2.5.3 |
03/16/2022 |
| Regulation 6.2.5.3: |
The FCCP and/or staff shall use positive methods of guidance and behavior management that encourage self-control, self-direction, self-esteem and cooperation. |
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| 7.1.2.1 |
03/16/2022 |
| Regulation 7.1.2.1: |
The FCCP shall have successfully completed pediatric first aid and CPR prior to being licensed and must remain currently certified. |
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| 7.4.4 |
03/16/2022 |
| Regulation 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. |
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| 2.3.8.6 |
03/16/2022 |
| Regulation 2.3.8.6: |
The FCCP shall maintain on site evidence of continuous insurance as defined in the rule 2.3.7.6 of these regulations. |
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