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Bright Futures
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Provider: Nelson, Christina   Provider ID: 2963
Site Visit Details
    :  
(mm/dd/yyyy)
  07/20/2022
 
Violations and Corrective Actions
Corrective Actions and Narratives
There have been no violations entered for this site visit.
 
Observations
The program met the follow regulations (were in compliance) at this visit.
Reg. No. Finding Date
3.3.1 07/20/2022
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.
6.2.1.6 07/20/2022
Regulation 6.2.1.6: In Option one (1): Year Round Care, described in the chart below, during summer school vacation a registered FCCP may care for up to ten (10) children total without a second adult, provided that all school aged children have been in care prior to May 1st during the preceding school year or are siblings of younger children enrolled in the registered FCCH.
3.3.4.1 07/20/2022
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.
3.3.6.1 07/20/2022
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.
3.3.7.5 07/20/2022
Regulation 3.3.7.5: The FCCP shall maintain a current list of the staff, persons who reside in the FCCH, and non-parental volunteers, as applicable, in BFIS. Any changes shall be reported through BFIS within five (5) working days of the change.
5.1.2 07/20/2022
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.
5.1.3 07/20/2022
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.
5.2.1.1 07/20/2022
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.
5.2.1.8 07/20/2022
Regulation 5.2.1.8: The FCCP and/or staff shall wash the hands of children who are unable to wash their own and provide developmentally appropriate guidance and supervision to help children learn and practice healthy hand washing.
5.2.3.11 07/20/2022
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 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, dispose of diaper, and staff member washes their own hands. * Record diaper change.
5.4.1.1 07/20/2022
Regulation 5.4.1.1: The FCCP 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 the age of twelve (12) months. Children shall not nap in cribs or port-a-cribs if they are physically able to climb out unassisted.
5.4.1.4 07/20/2022
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.
5.4.1.8 07/20/2022
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.
5.6.5 07/20/2022
Regulation 5.6.5: The FCCP shall ensure that 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.
5.6.6 07/20/2022
Regulation 5.6.6: The FCCP shall ensure that all prescription medication is in its original container, properly labeled for the child, and administered prior to the expiration date on the container.
5.6.11 07/20/2022
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.
5.10.1.1 07/20/2022
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.
5.10.1.2.2 07/20/2022
Regulation 5.10.1.2.2: The FCCP shall limit the care of children to the ground floor of the home unless another level used has two (2) separate means of exit to the outside of the home. If the second floor is used there shall be a safe evacuation plan for children from the second floor.
5.10.1.2.5 07/20/2022
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.
5.10.1.2.6 07/20/2022
Regulation 5.10.1.2.6: The extinguisher shall be visibly mounted to the wall near an exit door.
5.10.1.14.2 07/20/2022
Regulation 5.10.1.14.2: The FCCP shall ensure that any animals or pets present at or brought into the FCCH are vaccinated as prescribed by law, with documentation maintained at the FCCH.
5.10.2.3.2 07/20/2022
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 07/20/2022
Regulation 5.10.3.1.2: The outdoor play area shall include a provision for shade.
5.10.3.1.3 07/20/2022
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.
5.10.3.2.1 07/20/2022
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.
5.10.3.3 07/20/2022
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 FCCP shall ensure that the surface under and around the equipment, included 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 FCCP shall ensure that the material is raked regularly and replenished to maintain depth and resilience; and * If the resilient material in use zones freezes, the FCCP shall ensure that the children will not play on the equipment until the resilient material has thawed and is once again resilient.
5.10.4.5.1 07/20/2022
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.
5.11.4 07/20/2022
Regulation 5.11.4: Drinking water shall be readily available to children at all times.
6.1.2.1 07/20/2022
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.
6.1.2.4 07/20/2022
Regulation 6.1.2.4: The FCCP and/or staff shall be interacting with children during outside play.
6.1.4.1.1 07/20/2022
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.
6.2.3.2 07/20/2022
Regulation 6.2.3.2: The FCCP and/or staff shall appropriately hold, touch, smile and talk to children.
6.2.3.3 07/20/2022
Regulation 6.2.3.3: The FCCP and/or staff shall speak to children at their eye level.
6.2.3.4 07/20/2022
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.
6.2.3.6 07/20/2022
Regulation 6.2.3.6: The FCCP and/or staff shall listen to children with attention and respect.
6.2.5.3 07/20/2022
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.
3.3.3 07/20/2022
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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