10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2201 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0601 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0801 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/29/2026 Number Present: 34 Completed Date: 1/29/2026 Age: From 1 To 5 Total Minutes: 135 Time In: 11:15 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow up visit was to monitor compliance of child care requirements. During the 12/11/2025 complaint visit a supervision violation was cited. Please refer to the visit dated 12/11/2025 for full details regarding the violation cited. A computerized report of today’s visit was reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, general safety, and nurture and care. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. The initial visit was conducted on 12/11/2025. During the initial complaint visit on 12/11/25, one (1) violation(s) regarding supervision was cited. A complaint follow-up visit was conducted on 12/22/2025, with no violations documented. Since the 12/11/2025 visit, the facility has walkie talkies in each classroom to assist with communication and emergency situations. The administrator and staff completed interactive supervision training on 1/8/2026 provided by Buncombe County Partnership for Children, and medication training on 1/2/2026 provided by the local Child Care Health Consultant. A follow-up visit with the Child Care Health Consultant is scheduled for 2/6/2026. Today, I observed space #1 the group of three- to five-year-old children were using the restroom and preparing for nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Space #2 the group of two- to four-year-old children were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. While monitoring medication, I observed one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Space #3 the group of three- to four-year-old children were finishing lunch, using the restroom, and preparing for nap. The staff were assisting the children with using the restroom and going to their cot. Calming music was playing to assist those on their cots with calming down. While monitoring the classroom, I observed two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Space #4 is currently closed. Space #5, the group of one-year-olds were at nap. The staff used natural lighting and calming music to assist the children with calming down to rest. Space #6 was not in use. This room is currently used as the therapist room. Space #7 was currently closed. Space #8 -10 is currently not in use. The school-age children were not present. During today’s visit, children were adequately supervised at all times. While monitoring outdoors, I observed two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. 10A NCAC 09 .0803(1)(a & b) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Space #1, one (1) emergency medication action plan that expired 1/17/2026. .0801(b) 9995 A violation was found for which there is no item number. Employee purses and other personal effects shall be kept out of reach of children. Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. Technical assistance was provided as follows: Item 705- Outdoors, two (2) riding toys were broken showing signs of wear. The blue riding toy on the side playground handle was broken with sharp edges exposed. The red riding toy on the middle back playground with climbing structure back umbrella cover was broken with sharp edges exposed. We discussed removing and replacing the toys. Rule Reference: 10A NCAC 09.0601(c) Item 842- Space #2, one (1) emergency medication missing the parent signature authorizing the facility to administer the medications should the child need it. The administrator spoke with the teachers during the visit to state that the parent will need to sign the form at pick up today. We also discussed that the form would need to be reviewed in six (6) months to verify the medication information is still valid. The administrator also contacted the parent and sent the form to the parent. During the visit, the parent returned the form signed and dated giving the facility authorization to administer the medication. Rule Reference: 10A NCAC 09.0803(1)(a&b) Item 1834- Space #1, one (1) emergency medication action plan that expired 1/17/2026. When asked if a new action plan has been submitted, the administrator reviewed the child’s master file and stated a new action plan has not been received. She contacted the parent during the visit to make them aware that an updated action plan was due. Rule Reference: 10A NCAC 09.0801(b)(1-4) Item 9995- Space 3, two (2) staff purses/bags were sitting on the block center shelf near the back exterior door accessible to children. The staff member moved the purses/bags during the visit. Rule Reference: 15A NCAC 18A .2820(f) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: - Based on the nature of the violation that was cited on December 11, 2025, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required every four (4) to six (6) weeks. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: 1225-018L Visit Date: 12/11/2025 Number Present: 34 Completed Date: 12/11/2025 Age: From 0 To 12 Total Minutes: 190 Time In: 11:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-nine percent (89%) as of 12/10/2025. The facility operates with a five-star license issued on 5/8/2025. The Special Services/Restrictions includes first shift, meets enhanced space, meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. There is a concern of inadequate supervision A three-year-old child was made to go outside the classroom by themselves. The teacher closed the door leaving the child unattended in the hallway. The report stated the child has asthma and the child was made to go in the hallway because the child would not stop coughing. The child was in the hallway for thirty (30) to forty-five (45) minutes. In the medical plan, the instructions are to give child her inhaler when there is constant coughing. Video camera footage was viewed from nap time (12:00p-1:00p) on 12/2/2025. The staff member was observed exiting the room from 12:00p-12:02p to get a cup leaving the children alone in the room. At 12:08p, it was observed that a child was needing assistance the staff member was observed getting up to assist the child. The staff member got the child water, and the child drank some water while sitting on their cot in the classroom. The staff member was observed putting a rolled-up blanket on the cot with the child to prop their head up. At. 12:12p the staff member checked on the child again. The child was observed getting up and walking with the staff member carrying the child’s cot to the hallway. At 12:13p the staff member returned to the classroom. The child was in the hallway. The staff member closed the door leaving it cracked open a little. The staff member returned to the table to sit down and was on their phone. At 12:16p the staff member got up walked to sink and microwave area, and then came to shut the door all the way at 12:17p. The staff member left the room at 12:28p and returned at 12:29p shutting the door all the way. The child is still in the hallway. At 12:37p a staff member comes in through the back exterior door walking through the classroom and by the staff member sitting at the table. Exit the classroom shutting the door behind them. The child was still in the hallway. At 12:40p another staff member enters the classroom, walks through the room, and exits the classroom door to the hallway shutting the door behind them. The child is still in the hallway. At 12:47p the staff member checks on the child in the hallway. At 12:50p the staff member exited the classroom leaving the door halfway open. The staff member was observed walking up the hallway to the left of classroom door. The staff member returned to the hallway at 12:52p with another staff member. At 12:53p three (3) staff members were observed in the classroom getting the medicine box and emergency medication. Staff members were observed texting and attempting to contact someone at 12:54p. At 12:55p one (1) staff member was observed taking the emergency medication to the hallway. The staff member returned with the emergency medication to return to the medicine box. At. 12:58p the staff member checked on the child in the hallway and went up the hallway to the left to get another staff member. At 12:59p the staff member returned in the classroom bring the child that was in the hallways cot back in the room. I interviewed the three (3) staff members involved in the incident that occurred on 12/2/2025 and the administrator. The staff member in the three-year-old classroom was providing coverage during the regular staff members lunch break. The staff member stated the child was coughing on their cot. The staff member got the child water to assist with helping calm the cough. The child continued to cough, the staff member got a rolled-up blanket to prop under the child’s head to help with drainage. The staff member stated that the cough didn’t get worse and the child didn’t wheeze. The child didn’t stop coughing. Other children couldn’t sleep. The staff member thought the child was sick and sat the child on the other side of the classroom door. Two (2) staff members walked through the classroom during this time. One (1) staff member walked through and came back to say “it’s her asthma.” The staff member said the child’s mom told us we could give two (2) puffs when coughing a lot. Neither staff members knew where to find the information. Another staff member came in to get the emergency medication and administer the medication to the child. One (1) staff member stated that she was coming back from break. She stated the staff member in the three-year-old classroom came down the hall stating that the child was crying for mom. The staff member from the three-year-old classroom asked if another staff member could calm the child down. I asked if the classroom had coverage, the staff member stated that there was no coverage in the three-year-old classroom. When the staff members returned to the three-year-old on their cot in the hallway, the child was still coughing. The staff member got the child’s emergency medication and gave the child two (2) puffs of the medicine. She then called and texted the regular three-year-old teacher to let her know that she gave two (2) puff of medicine to the child. One (1) staff member stated that she walked through the three-year-old classroom coming back from break to observe the classroom door shut. The child was in the hallway on their cot. She stated the child in the hallway stated they wanted mom. The staff member went back to their assigned classroom. The staff member providing coverage for break in the three-year-old classroom came down the hallway. The child was crying in the hallway. I asked if the classroom had coverage and the staff member stated there was no coverage in the three-year-old classroom. The administrator stated that she was not present during the incident. She was made aware of the situation and reviewed the camera footage. The footage showed that the staff member did leave the three-year-old child in the hallway unsupervised. I asked what action was taken for the staff member that was providing coverage. The administrator stated that the staff member was unable to work for a week. The staff member just returned to work this week. She stated that she was holding off on what to do with the staff member until after a visit was conducted. Based on the interview and video footage, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. .1801(a)(1-5) Technical assistance was provided as follows: Item 303- An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Children must be actively supervised at all times. We discussed adding walking talkies to each classroom for all staff to be able to access in the event of an emergency. I suggest reaching out to Buncombe County Partnership for Child to request the staff member receive active supervision and medication training. The administrator should review with all staff supervision procedures in the event of a medical emergency, and where to locate all medical documentation for children with a medical condition. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/25/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed reaching out to Chrissy Wolfe (Chrissy.wolfe@mahec.net or 828-424-0562) or Robin Worley (robin.worley@mahec.net or 828-772-0504), with MAHEC to conduct medication training with all staff, and review all medical action plans with the staff who directly care for children. -We discussed reviewing the centers’ policies and procedures for supervision and reaching out to Buncombe County Partnership for Children to schedule an active supervision training for staff. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: 1225-018L Visit Date: 12/11/2025 Number Present: 34 Completed Date: 12/11/2025 Age: From 0 To 12 Total Minutes: 190 Time In: 11:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-nine percent (89%) as of 12/10/2025. The facility operates with a five-star license issued on 5/8/2025. The Special Services/Restrictions includes first shift, meets enhanced space, meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. There is a concern of inadequate supervision A three-year-old child was made to go outside the classroom by themselves. The teacher closed the door leaving the child unattended in the hallway. The report stated the child has asthma and the child was made to go in the hallway because the child would not stop coughing. The child was in the hallway for thirty (30) to forty-five (45) minutes. In the medical plan, the instructions are to give child her inhaler when there is constant coughing. Video camera footage was viewed from nap time (12:00p-1:00p) on 12/2/2025. The staff member was observed exiting the room from 12:00p-12:02p to get a cup leaving the children alone in the room. At 12:08p, it was observed that a child was needing assistance the staff member was observed getting up to assist the child. The staff member got the child water, and the child drank some water while sitting on their cot in the classroom. The staff member was observed putting a rolled-up blanket on the cot with the child to prop their head up. At. 12:12p the staff member checked on the child again. The child was observed getting up and walking with the staff member carrying the child’s cot to the hallway. At 12:13p the staff member returned to the classroom. The child was in the hallway. The staff member closed the door leaving it cracked open a little. The staff member returned to the table to sit down and was on their phone. At 12:16p the staff member got up walked to sink and microwave area, and then came to shut the door all the way at 12:17p. The staff member left the room at 12:28p and returned at 12:29p shutting the door all the way. The child is still in the hallway. At 12:37p a staff member comes in through the back exterior door walking through the classroom and by the staff member sitting at the table. Exit the classroom shutting the door behind them. The child was still in the hallway. At 12:40p another staff member enters the classroom, walks through the room, and exits the classroom door to the hallway shutting the door behind them. The child is still in the hallway. At 12:47p the staff member checks on the child in the hallway. At 12:50p the staff member exited the classroom leaving the door halfway open. The staff member was observed walking up the hallway to the left of classroom door. The staff member returned to the hallway at 12:52p with another staff member. At 12:53p three (3) staff members were observed in the classroom getting the medicine box and emergency medication. Staff members were observed texting and attempting to contact someone at 12:54p. At 12:55p one (1) staff member was observed taking the emergency medication to the hallway. The staff member returned with the emergency medication to return to the medicine box. At. 12:58p the staff member checked on the child in the hallway and went up the hallway to the left to get another staff member. At 12:59p the staff member returned in the classroom bring the child that was in the hallways cot back in the room. I interviewed the three (3) staff members involved in the incident that occurred on 12/2/2025 and the administrator. The staff member in the three-year-old classroom was providing coverage during the regular staff members lunch break. The staff member stated the child was coughing on their cot. The staff member got the child water to assist with helping calm the cough. The child continued to cough, the staff member got a rolled-up blanket to prop under the child’s head to help with drainage. The staff member stated that the cough didn’t get worse and the child didn’t wheeze. The child didn’t stop coughing. Other children couldn’t sleep. The staff member thought the child was sick and sat the child on the other side of the classroom door. Two (2) staff members walked through the classroom during this time. One (1) staff member walked through and came back to say “it’s her asthma.” The staff member said the child’s mom told us we could give two (2) puffs when coughing a lot. Neither staff members knew where to find the information. Another staff member came in to get the emergency medication and administer the medication to the child. One (1) staff member stated that she was coming back from break. She stated the staff member in the three-year-old classroom came down the hall stating that the child was crying for mom. The staff member from the three-year-old classroom asked if another staff member could calm the child down. I asked if the classroom had coverage, the staff member stated that there was no coverage in the three-year-old classroom. When the staff members returned to the three-year-old on their cot in the hallway, the child was still coughing. The staff member got the child’s emergency medication and gave the child two (2) puffs of the medicine. She then called and texted the regular three-year-old teacher to let her know that she gave two (2) puff of medicine to the child. One (1) staff member stated that she walked through the three-year-old classroom coming back from break to observe the classroom door shut. The child was in the hallway on their cot. She stated the child in the hallway stated they wanted mom. The staff member went back to their assigned classroom. The staff member providing coverage for break in the three-year-old classroom came down the hallway. The child was crying in the hallway. I asked if the classroom had coverage and the staff member stated there was no coverage in the three-year-old classroom. The administrator stated that she was not present during the incident. She was made aware of the situation and reviewed the camera footage. The footage showed that the staff member did leave the three-year-old child in the hallway unsupervised. I asked what action was taken for the staff member that was providing coverage. The administrator stated that the staff member was unable to work for a week. The staff member just returned to work this week. She stated that she was holding off on what to do with the staff member until after a visit was conducted. Based on the interview and video footage, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. .1801(a)(1-5) Technical assistance was provided as follows: Item 303- An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Children must be actively supervised at all times. We discussed adding walking talkies to each classroom for all staff to be able to access in the event of an emergency. I suggest reaching out to Buncombe County Partnership for Child to request the staff member receive active supervision and medication training. The administrator should review with all staff supervision procedures in the event of a medical emergency, and where to locate all medical documentation for children with a medical condition. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/25/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed reaching out to Chrissy Wolfe (Chrissy.wolfe@mahec.net or 828-424-0562) or Robin Worley (robin.worley@mahec.net or 828-772-0504), with MAHEC to conduct medication training with all staff, and review all medical action plans with the staff who directly care for children. -We discussed reviewing the centers’ policies and procedures for supervision and reaching out to Buncombe County Partnership for Children to schedule an active supervision training for staff. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: 1225-018L Visit Date: 12/11/2025 Number Present: 34 Completed Date: 12/11/2025 Age: From 0 To 12 Total Minutes: 190 Time In: 11:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-nine percent (89%) as of 12/10/2025. The facility operates with a five-star license issued on 5/8/2025. The Special Services/Restrictions includes first shift, meets enhanced space, meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. There is a concern of inadequate supervision A three-year-old child was made to go outside the classroom by themselves. The teacher closed the door leaving the child unattended in the hallway. The report stated the child has asthma and the child was made to go in the hallway because the child would not stop coughing. The child was in the hallway for thirty (30) to forty-five (45) minutes. In the medical plan, the instructions are to give child her inhaler when there is constant coughing. Video camera footage was viewed from nap time (12:00p-1:00p) on 12/2/2025. The staff member was observed exiting the room from 12:00p-12:02p to get a cup leaving the children alone in the room. At 12:08p, it was observed that a child was needing assistance the staff member was observed getting up to assist the child. The staff member got the child water, and the child drank some water while sitting on their cot in the classroom. The staff member was observed putting a rolled-up blanket on the cot with the child to prop their head up. At. 12:12p the staff member checked on the child again. The child was observed getting up and walking with the staff member carrying the child’s cot to the hallway. At 12:13p the staff member returned to the classroom. The child was in the hallway. The staff member closed the door leaving it cracked open a little. The staff member returned to the table to sit down and was on their phone. At 12:16p the staff member got up walked to sink and microwave area, and then came to shut the door all the way at 12:17p. The staff member left the room at 12:28p and returned at 12:29p shutting the door all the way. The child is still in the hallway. At 12:37p a staff member comes in through the back exterior door walking through the classroom and by the staff member sitting at the table. Exit the classroom shutting the door behind them. The child was still in the hallway. At 12:40p another staff member enters the classroom, walks through the room, and exits the classroom door to the hallway shutting the door behind them. The child is still in the hallway. At 12:47p the staff member checks on the child in the hallway. At 12:50p the staff member exited the classroom leaving the door halfway open. The staff member was observed walking up the hallway to the left of classroom door. The staff member returned to the hallway at 12:52p with another staff member. At 12:53p three (3) staff members were observed in the classroom getting the medicine box and emergency medication. Staff members were observed texting and attempting to contact someone at 12:54p. At 12:55p one (1) staff member was observed taking the emergency medication to the hallway. The staff member returned with the emergency medication to return to the medicine box. At. 12:58p the staff member checked on the child in the hallway and went up the hallway to the left to get another staff member. At 12:59p the staff member returned in the classroom bring the child that was in the hallways cot back in the room. I interviewed the three (3) staff members involved in the incident that occurred on 12/2/2025 and the administrator. The staff member in the three-year-old classroom was providing coverage during the regular staff members lunch break. The staff member stated the child was coughing on their cot. The staff member got the child water to assist with helping calm the cough. The child continued to cough, the staff member got a rolled-up blanket to prop under the child’s head to help with drainage. The staff member stated that the cough didn’t get worse and the child didn’t wheeze. The child didn’t stop coughing. Other children couldn’t sleep. The staff member thought the child was sick and sat the child on the other side of the classroom door. Two (2) staff members walked through the classroom during this time. One (1) staff member walked through and came back to say “it’s her asthma.” The staff member said the child’s mom told us we could give two (2) puffs when coughing a lot. Neither staff members knew where to find the information. Another staff member came in to get the emergency medication and administer the medication to the child. One (1) staff member stated that she was coming back from break. She stated the staff member in the three-year-old classroom came down the hall stating that the child was crying for mom. The staff member from the three-year-old classroom asked if another staff member could calm the child down. I asked if the classroom had coverage, the staff member stated that there was no coverage in the three-year-old classroom. When the staff members returned to the three-year-old on their cot in the hallway, the child was still coughing. The staff member got the child’s emergency medication and gave the child two (2) puffs of the medicine. She then called and texted the regular three-year-old teacher to let her know that she gave two (2) puff of medicine to the child. One (1) staff member stated that she walked through the three-year-old classroom coming back from break to observe the classroom door shut. The child was in the hallway on their cot. She stated the child in the hallway stated they wanted mom. The staff member went back to their assigned classroom. The staff member providing coverage for break in the three-year-old classroom came down the hallway. The child was crying in the hallway. I asked if the classroom had coverage and the staff member stated there was no coverage in the three-year-old classroom. The administrator stated that she was not present during the incident. She was made aware of the situation and reviewed the camera footage. The footage showed that the staff member did leave the three-year-old child in the hallway unsupervised. I asked what action was taken for the staff member that was providing coverage. The administrator stated that the staff member was unable to work for a week. The staff member just returned to work this week. She stated that she was holding off on what to do with the staff member until after a visit was conducted. Based on the interview and video footage, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. .1801(a)(1-5) Technical assistance was provided as follows: Item 303- An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Children must be actively supervised at all times. We discussed adding walking talkies to each classroom for all staff to be able to access in the event of an emergency. I suggest reaching out to Buncombe County Partnership for Child to request the staff member receive active supervision and medication training. The administrator should review with all staff supervision procedures in the event of a medical emergency, and where to locate all medical documentation for children with a medical condition. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/25/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed reaching out to Chrissy Wolfe (Chrissy.wolfe@mahec.net or 828-424-0562) or Robin Worley (robin.worley@mahec.net or 828-772-0504), with MAHEC to conduct medication training with all staff, and review all medical action plans with the staff who directly care for children. -We discussed reviewing the centers’ policies and procedures for supervision and reaching out to Buncombe County Partnership for Children to schedule an active supervision training for staff. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: 1225-018L Visit Date: 12/11/2025 Number Present: 34 Completed Date: 12/11/2025 Age: From 0 To 12 Total Minutes: 190 Time In: 11:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-nine percent (89%) as of 12/10/2025. The facility operates with a five-star license issued on 5/8/2025. The Special Services/Restrictions includes first shift, meets enhanced space, meets reduced ratios. The complaint was received by the Division of Child Development and Early Education on 12/3/2025 and sent to me on 12/3/2025. There is a concern of inadequate supervision A three-year-old child was made to go outside the classroom by themselves. The teacher closed the door leaving the child unattended in the hallway. The report stated the child has asthma and the child was made to go in the hallway because the child would not stop coughing. The child was in the hallway for thirty (30) to forty-five (45) minutes. In the medical plan, the instructions are to give child her inhaler when there is constant coughing. Video camera footage was viewed from nap time (12:00p-1:00p) on 12/2/2025. The staff member was observed exiting the room from 12:00p-12:02p to get a cup leaving the children alone in the room. At 12:08p, it was observed that a child was needing assistance the staff member was observed getting up to assist the child. The staff member got the child water, and the child drank some water while sitting on their cot in the classroom. The staff member was observed putting a rolled-up blanket on the cot with the child to prop their head up. At. 12:12p the staff member checked on the child again. The child was observed getting up and walking with the staff member carrying the child’s cot to the hallway. At 12:13p the staff member returned to the classroom. The child was in the hallway. The staff member closed the door leaving it cracked open a little. The staff member returned to the table to sit down and was on their phone. At 12:16p the staff member got up walked to sink and microwave area, and then came to shut the door all the way at 12:17p. The staff member left the room at 12:28p and returned at 12:29p shutting the door all the way. The child is still in the hallway. At 12:37p a staff member comes in through the back exterior door walking through the classroom and by the staff member sitting at the table. Exit the classroom shutting the door behind them. The child was still in the hallway. At 12:40p another staff member enters the classroom, walks through the room, and exits the classroom door to the hallway shutting the door behind them. The child is still in the hallway. At 12:47p the staff member checks on the child in the hallway. At 12:50p the staff member exited the classroom leaving the door halfway open. The staff member was observed walking up the hallway to the left of classroom door. The staff member returned to the hallway at 12:52p with another staff member. At 12:53p three (3) staff members were observed in the classroom getting the medicine box and emergency medication. Staff members were observed texting and attempting to contact someone at 12:54p. At 12:55p one (1) staff member was observed taking the emergency medication to the hallway. The staff member returned with the emergency medication to return to the medicine box. At. 12:58p the staff member checked on the child in the hallway and went up the hallway to the left to get another staff member. At 12:59p the staff member returned in the classroom bring the child that was in the hallways cot back in the room. I interviewed the three (3) staff members involved in the incident that occurred on 12/2/2025 and the administrator. The staff member in the three-year-old classroom was providing coverage during the regular staff members lunch break. The staff member stated the child was coughing on their cot. The staff member got the child water to assist with helping calm the cough. The child continued to cough, the staff member got a rolled-up blanket to prop under the child’s head to help with drainage. The staff member stated that the cough didn’t get worse and the child didn’t wheeze. The child didn’t stop coughing. Other children couldn’t sleep. The staff member thought the child was sick and sat the child on the other side of the classroom door. Two (2) staff members walked through the classroom during this time. One (1) staff member walked through and came back to say “it’s her asthma.” The staff member said the child’s mom told us we could give two (2) puffs when coughing a lot. Neither staff members knew where to find the information. Another staff member came in to get the emergency medication and administer the medication to the child. One (1) staff member stated that she was coming back from break. She stated the staff member in the three-year-old classroom came down the hall stating that the child was crying for mom. The staff member from the three-year-old classroom asked if another staff member could calm the child down. I asked if the classroom had coverage, the staff member stated that there was no coverage in the three-year-old classroom. When the staff members returned to the three-year-old on their cot in the hallway, the child was still coughing. The staff member got the child’s emergency medication and gave the child two (2) puffs of the medicine. She then called and texted the regular three-year-old teacher to let her know that she gave two (2) puff of medicine to the child. One (1) staff member stated that she walked through the three-year-old classroom coming back from break to observe the classroom door shut. The child was in the hallway on their cot. She stated the child in the hallway stated they wanted mom. The staff member went back to their assigned classroom. The staff member providing coverage for break in the three-year-old classroom came down the hallway. The child was crying in the hallway. I asked if the classroom had coverage and the staff member stated there was no coverage in the three-year-old classroom. The administrator stated that she was not present during the incident. She was made aware of the situation and reviewed the camera footage. The footage showed that the staff member did leave the three-year-old child in the hallway unsupervised. I asked what action was taken for the staff member that was providing coverage. The administrator stated that the staff member was unable to work for a week. The staff member just returned to work this week. She stated that she was holding off on what to do with the staff member until after a visit was conducted. Based on the interview and video footage, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. .1801(a)(1-5) Technical assistance was provided as follows: Item 303- An incident occurred on 12/2/2025, where a three-year-old child was left unattended on their cot in the hallway for forty-five (45) minutes. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Children must be actively supervised at all times. We discussed adding walking talkies to each classroom for all staff to be able to access in the event of an emergency. I suggest reaching out to Buncombe County Partnership for Child to request the staff member receive active supervision and medication training. The administrator should review with all staff supervision procedures in the event of a medical emergency, and where to locate all medical documentation for children with a medical condition. Rule Reference: 10A NCAC 09 .1801(a)(1-5) Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/25/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed reaching out to Chrissy Wolfe (Chrissy.wolfe@mahec.net or 828-424-0562) or Robin Worley (robin.worley@mahec.net or 828-772-0504), with MAHEC to conduct medication training with all staff, and review all medical action plans with the staff who directly care for children. -We discussed reviewing the centers’ policies and procedures for supervision and reaching out to Buncombe County Partnership for Children to schedule an active supervision training for staff. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/4/2025 Number Present: 39 Completed Date: 11/4/2025 Age: From 0 To 12 Total Minutes: 220 Time In: 01:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. A signed copy of the visit summary was left on-site with to you. Kim Waters, Administrator, was available to assist with questions. The program’s annual compliance with rated license visit was conducted on 5/8/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 11/3/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center, Inc, is current/active as of 11/3/2025. Permit type – Five (5) Star Rated License, issued 5/8/2025. Special Services/Restrictions – first shift, meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 5/8/2025 The last fire drill was practiced on 10/6/2025. The last shelter-in-place drill was practiced on 10/6/2025. The last playground inspection was documented on 10/6/2025. The last fire inspection was approved on 8/28/2025. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. Lead water testing was completed on 5/21/2024 without hazards. Lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. The program does provide transportation. Transportation was monitored during the 5/8/2025 annual compliance visit. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters was on-site and available during the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infants to one-year-olds were at nap. The children from space #7 one year old children were combined with the infant classroom for naptime to help with lunch breaks. While monitoring the classroom, I observed one (1) diaper cream form that was not signed and dated by the parent, and one (1) bottle was not dated. The center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. We discussed lighting during nap time. The lighting during today’s visit was sufficient, but on cloudy and rainy days, nap time lighting could be too dark. I observed the staff had fleece blankets covering the windows in addition to blinds. We also discussed that the Fire Marshall may have an issue with blankets covering the window. I recommend reaching out to the Fire Marshall for recommendations on options for window treatments. Space #6 was not in use. This room is currently used as the therapist room. Space #7 the class was combined with space #5 for naptime and lunch breaks. Space #4 is currently closed. Space #3 the group of three- to four-year-old children were at nap. After naptime, the group woke up, used the restroom, washed hands, and went to snack at the tables. While monitoring the classroom, I observed one (1) inhaler that expired 9/2025, two (2) medical action plan expired 6/4/2025 and 10/14/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2 the group of two- to four-year-old children were waking up from nap. The children were putting away their belongings in their cubbies, using the restroom, washing hands, and going to the table for snack. While monitoring the classroom, I observed six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. Two (2) diaper creams were leftover from a previous child. The staff member discarded those during the visit. Space #1 the group of three- to five-year-old children were waking up from nap. The children put their belongings away, used the restroom, washed hands, and went to snack. After snack the group transitioned to free play. While monitoring the classroom, I observed three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. The lead teacher returned from lunch break at 2:15p and washed hands upon arrival into the classroom. Space #8 the school age children ages five- to twelve-years-old were observed arriving at 3:00p. When monitoring the classroom, the children were engaged in free play at the tables. The second group of school age children arrived at 3:45p. Giving a total of thirteen (13) children present in space #8 that has an approved space of nine (9) children at thirty (30) square feet. We had a discussion regarding space requirements for school-age building. The administrator stated that she was under the assumption that the capacity for the whole building was nineteen (19), she did not realize the space capacity was different for each room within the school age building. We reviewed the school-age space capacity for space #8 is nine (9) children at thirty (30) square feet, space #9 (front room) space capacity is four (4) children at thirty (30) square feet, and space #10 (back room with bathroom) space capacity is five (5) children at thirty (30) square feet. I worked with the administrator to update the staff/child ratio and space capacity sheet for each space in the school-age room. Snack today consisted of rice cake, and juice. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 5/8/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to May 8, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space #5, one (1) bottle was not dated. 15A NCAC 18A .2804(d) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot 15A NCAC 18A .2821(e) 847 Parent's medication authorization did not include required information. Space #5, one (1) diaper cream form that was not signed and dated by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Space #5, the center safe sleep policy was not posted. .0606(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. G.S. 110-90.2 & .2703(r) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. .0801(b) Technical assistance was provided as follows: Item 533- Space #5, one (1) bottle was not dated. We discussed that all bottles should be labeled with the child’s name and date. The staff member corrected this during the visit. Rule Reference: 15A NCAC 18A.2804(d) Item 614- Space #1, three (3) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extends the full length of the cot. Space #2, six (6) cots measuring less than the required eighteen (18) inches apart without a solid barrier that extended the full length of the cot. We discussed that all cots must be a minimum of eighteen (18) inches apart of have a solid barrier extending the full length of the cot. Rule Reference: 15A NCAC 18A.2821(e) Item 847- Space #5, one (1) diaper cream form that was not signed and dated by the parent. We discussed that when a permission to administer medication form is completed and on-site, the parent signature must be on the form giving authorization for the medication to be administered to the child. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 849- Space #3, one (1) inhaler that expired 9/2025, and one (1) permission to administer medication form that expired 9/2025. The administrator contacted both parents and/or guardians during the visit to request new medical information. Space #2, Two (2) diaper creams were left over from a previous child. The staff member discarded those during the visit. We discussed to prevent reoccurrence, staff should conduct a medication check monthly to ensure the required medication documents and the medication is in compliance and not expired. Rule Reference: 10A NCAC 09 .0803(12) Item 892- Space #5, the center safe sleep policy was not posted. When asked, the staff had each individual child’s safe sleep policy near the back door. During the visit, the staff member posted a blank copy of the safe sleep policy for the parents and staff to reference. Rule Reference: 10A NCAC 09 .0606(b) Item 1835- Space #3, two (2) medical action plan expired 6/4/2025 and 10/14/2025. We discussed that the medical action plan must be updated annually. The administrator contacted the parent and/or guardian during the visit to request an updated action plan. Rule Reference: 10A NCAC 09 .0801(b)(1-4) Item 1805- The child care operator has not notified the Division of the seven (7) staff, including the administrator, that are hired by His Watchmen Child Care. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. Rule Reference: G.S. 110-90.2 &.2703(r) New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed nutrition requirements and meals brought from home. -We reviewed the outdoor requirements. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 37 Completed Date: 5/8/2025 Age: From 0 To 12 Total Minutes: 236 Time In: 09:49 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Kim Waters, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 5/6/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/6/2025. Permit type – Four (4) Star Rated License, issued 3/14/2018 Special Services/Restrictions – first shift (daytime care), meets enhanced space, and meets enhanced ratios. The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 5/6/2025. The last lockdown drill was practiced on 4/22/2025. The next emergency drill is due by 7/22/2025. The last playground inspection was documented on 5/6/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/7/2025 with six (6) demerits for a superior classification. The last lead water testing was completed on 5/21/2024. The next testing is due on or before 5/21/2027. The last lead paint and asbestos testing was completed on 10/2/2024. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Mother Goose Time. Upon arrival, I was greeted by Kim Waters, Administrator. Ms. Waters accompanied me on the walkthrough of the facility. The indoors and outdoor environment was monitored. Space #5, the group of infant to one year olds were engaged in free play. The staff member present meeting the individual needs of the children. Space #6 was not in use. This room is currently used as the therapist room. Space #7 is currently closed. Space #4 is currently closed. Space #3 the group of two- to four-year-old children were engaged in story time on the carpet. After group time concluded the group transitioned outdoors for gross motor play. While monitoring the medications, I observed one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Space #2 the group of two- to three-year-old children were engaged in cleaning up from free play. The class prepared to transition outdoors for gross motor play. While monitoring the sunscreen, I observed one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator discarded the medication during the visit. Space #1 the group of four- to five-year-old children were engaged in free play with legos, Mr. Potato head, blocks, and counting bears. The staff was actively supervising the children while conducting a one on one activity. Space #9 the school age building monitored and the children were not present. The outdoor environment met requirements. The program does provide transportation. You stated that you transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. Both vans meet transportation requirements. I asked if the provider was considering taking the school-age children on field trips this summer and she stated that she was not sure. I asked that she notify me if she does plan to take children on field trips. Lunch today consisted of rice, chicken, peaches, bread, mixed vegetables, and milk. While reviewing staff files, I observed that staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The staff member went to her doctors office during her break to obtain a completed copy with the full day showing. Children’s files were reviewed and in compliance. ITERS-R assessment – 4/24/2024 – (N. Griffin, J. Waters) Total score – 5.77 Item 7 Indicator: 3.4 (see pages: 20-21 in the ITERS-R) Score: 2 pts Assessor Comments: At the beginning of breakfast, while children ate at the table both teachers assisted children with handwashing away from the table. There was also another staff member in the room; however, she walked over to the closet area away from the children eating. Because the teachers engaged in other activities away from the table as children ate, credit could not be earned. Observations today: I observed the staff at lunch. Staff members were close to the tables assisting those who needed assistance. Item 9 Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Score: 2 pts Assessor Comments: All five children present wore diapers/pull ups. Three children had their diapers/pull ups changed within a 2 hour time period. The observed increments of time two children did not receive a diaper check/change or a trip to the bathroom were 2 hours 54 minutes and 2 hours 16 minutes. Observations today: I observed the diaper logs, the logs documented that diapers were checked within two (2) hours and staff noted whether the child was dry, wet, or BM. Item 10 Indicator: 3.1 (see page: 26-27 in the ITERS-R) Score: 2 pts Assessor Comments: Although one mouthed toy was removed, there were several additional mouthed items that were not removed before being used by other children. Observations today: During today’s visit, I did not observe any toys being mouthed. We discussed when toys are mouthed to remove them from play. We discussed adding a dirty toy bin to put the toy in until it can be cleaned. ECERS-R assessment – 4/6/2024 – (E. Murphy, K. Waters) Total score – 5.58 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: In addition to the playground that was used on the day of the observation, it was reported that the 3-4 year old children also use the concrete area and the playground with the large climber and stand alone slide. The stairs to the stand alone slide measured 3 feet 3 inches to the wood border and the exit of this slide measured 4 feet to the exit of the slide on the large climber, rather than 6 feet. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outside, the safety concern mentioned in item 7, applies to this indicator as well. Additionally, while indoors sanitizer was sprayed on the round table as two children played next to the table on the floor. The mist form the sanitizer is a potential eye/lung irritant. Observations today: I observed the slid large climber slide measured nine (9) feet from the wooden barrier. The stairs on the large climber measured seven and a half (7 1/2) feet from the wooden barrier. A portable slide two (2) feet tall was observed in the fall zone of the large climber. We discussed that the slide would need to be removed or moved to another location ensuring that the surfacing requirements are met. SACERS-U assessment – 5/14/2024 – (J. Waters, K. Waters) Total score – 5.63 Item 12 Indicator: 3.1 (see pages: 19 in the SACERS-U) Score: 2 pts Assessor Comments: The teacher reported that if children are sick they may wait at one of the classroom tables; the tables do not meet the requirements of this indicator because they are used by other children during the day. Observations today: The administrator stated that they called the parent when a child was sick and move the child away from the group to keep them away from others. The facilities staff and children’s files were monitored during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Four (4) Star Rated License, issued 3/14/2018. Earning three (3) points in the education component, six (6) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was eighty percent (80%) as of 5/6/2025. You submitted the Rated License Assessment Request Review for prep year on 2/23/2024, and the application for re-assessment was submitted. Your new Five (5) Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level II and has 2 years’ experience earning five (5) points. The one (1) required program coordinator has high school diploma, four-year degree in Birth-Kindergarten, BSAC, North Carolina Early Childhood Credentials (NCECC) earning seven (7) points. The average score for six (6) lead teachers’ fifty percent (50%) having North Carolina Early Childhood Credentials (NCECC), fifty percent (50%) completed nine (9) semester hours and enrolled in in three (3) semester hours and one year experience earning five (5) points. The one (1) teacher has high school diploma, North Carolina Early Childhood Credentials (NCECC) with twelve (12) semester hours, and seven (7) years’ experience earning seven (7) points. Based on the information noted above, your program earned five (5) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 2/23/2024. The ITERS-R was administered on 4/24/2024 with a score of 5.77. ECERS-R was administered on 4/6/2024 with a score of 5.58. SACERS-U was administered on 5/14/2024 with a score of 5.63. The assessment report was reviewed during today’s visit. The overall score is 5.66 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 5 + 1 = 13 = 5 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. We discussed that in order to score a seven (7) in program standards, the facility must agree to reduced ratios by one (1). The administrator stated that she agrees and understands that this restriction will be added to the new facility license. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, one (1) sunscreen expired 5/2019. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item 847 Space #3, one (1) emergency inhaler permission to administer medication form did not have a begin or end date for the administrator of the medication. The administrator called the parent during the visit and the parent gave verbal permission for the administrator to add the begin and end date for administration of the medication. Rule Reference: 10A NCAC 09.0803(4)&(6-9) Item 849 Space #2, one (1) sunscreen expired 5/2019. The administrator stated that the parent just brought the sunscreen in. We discussed having the parents and staff look closely at the expiration dates prior to bringing them into the classroom. The administrator moved the medication to her office until it can be returned to the parent. Rule Reference: 10A NCAC 09.0803(12) Item 1032 Staff member hired 3/3/25 medical report was dated 9/26 but the year was cut off on the copy in the file. I was unable to verify if the medical report was completed within twelve months prior to hire. The administrator asked the staff member to bring in the clear copy after her break today. We discussed reviewing each medical report closely to ensure it identifies the month, day, and year it was completed to verify compliance. The staff member came back from her break with the completed copy from her doctor. Rule Reference: 10A NCAC 09.0701(a) Consultation is provided as follows: We discussed staff continuing coursework will need to submit the most current transcript into WORKS. We reviewed children’s applications need to be reviewed/updated annually by the parents or guardians. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 32 Completed Date: 1/30/2025 Age: From 1 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kim Waters, Administrator. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhanced space, meets enhanced ratios. Approved for transportation. Kim Waters, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 5/17/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 10/10/2024. The last fire drill was practiced on 1/29/2025. The last emergency drill, lockdown drill, was practiced on 11/27/2024. The last fire inspection was approved on 8/12/2024. The program’s most recent sanitation inspection was completed on 1/7/2025, with six (6) demerits. The The Emergency Medical Care Plan is current and posted. During today’s visit, I conducted a walk through of the indoor and outdoor environment. Space #1 children ages four- to five-year-old were engaged in group time. The teacher was reading the story The Rainbow Fish. After group time, the children transitioned to free play. Space #2, children ages one- to three-year-old children were engaged in free play with blocks, bristle blocks, dramatic play, pegs and peg board. The class had a one-year-old that is fixing to turn two visiting the classroom to explore the environment. While monitoring medications, I observed two (2) emergency medications in the medication box that did not have a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. Space #3, children ages three- to four-year-old children were engaged in a snow activity. The children were determining if snow was cold or hot. The children washed their hands prior to feeling the snow. After they finished playing in the snow and giving their answer, the children washed their hands and transitioned to free play. While monitoring the medications, I observed a emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contacted the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. Space #4, is currently not in use. Space #5, the group of one-year olds were engaged in free play with blocks, pretend kitchen, and exploring the room. One (1) child that is fixing to turn two years old was visiting the two-year-old room. Space #6, was currently not in use. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch consisted of chicken nuggets, corn, oranges, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. .0601(c) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. . In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item #705 outdoors middle playground with climber, one (1) green turtle sandbox cover was cracked and showing signs of wear with potential pinch hazards. One (1) gray Rubbermaid lid was broken with sharp edge on the playground beside the steps. One (1) gray Rubbermaid container cracked on a storage shelf beside the stairs near space #3. Item #842 In space #2, two (2) emergency medications in the medication box that did not have the a signed permission to administer medication form onsite. When asked about the form, the staff stated that the action plan was the only form they had. In space #5, one (1) tube of A&D ointment was onsite with out a completed medication form. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. In space #3, one (1) emergency medication in the medication box that did not have a signed permission to administer medication form on site. The action plan was dated 1/17/2025. When I asked the administrator about this, she contact the teacher who was out to ask about the form. She stated that she received the medication and forms on Friday. She has not administered the medication to the child and would get the parents to have the form completed. We discussed that permission to administer medication form must be completed for each medication on-site. The staff stated that they would get the parents to have the form completed. We also discussed to review each medication closely to ensure the medication is in compliance with the expiration date, original container, and pharmacy label. Then to review the forms required to ensure they are completed before allowing the parent to leave the medication on-site to be administered. I provided the administrator with a copy of the form that must be completed and on-site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DB criminal background check qualifying letter expires 2/28/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. LN criminal background check qualifying letter expires 3/4/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. AH criminal background check qualifying letter expires 2/11/2025. An updated letter is showing on the ABCMS portal, please be sure to have the staff login to print a new letter for you to have on file. I recommend that a cover or pool noodle be added to the base of the carport shed that provides shade on the infant playground to cover the rough edge to prevent any injuries. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1104 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/17/2024 Number Present: 38 Completed Date: 5/17/2024 Age: From 1 To 5 Total Minutes: 272 Time In: 10:18 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Jasmine Waters, Teacher. Kim Waters, Administrator was off-site and returned later. Kim Waters, Administrator was available during the visit. The program operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/23/2023. The last fire drill was practiced on 4/29/2024. The last shelter-in-place drill was practiced on 3/29/2024. The last playground inspection was documented on 4/29/2024. The last fire inspection was approved on 8/9/2023. The last sanitation inspection was conducted on 12/19/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 5/8/2023. The approved curriculum for four-year-old children is Mother Goose Time. All medications were monitored and meet requirement. Medications in space #2 two (2) children with A&D ointment permission to administer medication form expired on 2/26/2024 and 2/27/2024. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-nine percent (79%) as of 5/14/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Business Corporation, His Watchmen Childcare Center Inc., is current/active as of 5/14/2024. During today’s visit, I observed the children engaged in gross motor play outdoors, routine restroom, lunch, and nap time. Space #1 children ages four- to five-year-old were engaged in digging, playing with ball, and cars. Space #2, children ages two- to three-year-old children were engaged in outdoor play with climber, cars, blocks, and cottage. While monitoring indoors, I observed three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. Activity plans posted were dated 5/6-5/10. The teacher corrected this during the visit. Space #3, children ages three- to five-year-old children were engaged in gross motor play with trikes, waffle blocks, and duck duck goose. While monitoring indoors, I observed the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. Space #4, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #5, children ages one to two years old were engaged in gross motor play outdoors with cottage, toy phone, and slides. While monitoring indoors, I observed one (1) unlabeled bottle for a child located in the refrigerator, plastic wipe, plastic diaper, and plastic cup packaging stored below five (5) feet. Activity plans posted were dated 3/20-3/24. The teacher and administrator corrected this during the visit. Space #6, a therapist was working one on one with a child. The space is currently not used by a group of children. Space #7 is currently not in use. Space #8, 9, and 10 school-age children were not present during the visit. Lunch pancakes, potato cake, apples and milk. Staff and children’s files were monitored during the visit. I monitored one (1) existing staff file was monitored. The staff and training worksheet was received during today’s visit. Staff file concerns: staff member hired 4/3/2017 annual professional development plan and evaluation was not on file for review. I monitored six (6) children’s files and completed the Children’s Record form. Children’s file concerns: child enrolled on 1/8/2024 and date of birth 2/7/2023 did not have a signed safe sleep policy on file for review. The program does provide transportation. You stated that you do transport school age children five to twelve years old for afternoon school pick. I monitored two (2) Ford Passenger Vans one (1) black 2011, and one (1) white 2020 today. The 2020 white van has a valid registration card that expired on 11/30/2024 but the tag sticker expired 11/2023. When asked the administrator about the sticker, she was aware of the sticker not being on the tag due to it would not stay stuck on the tag. She has to take the new sticker to the tag office to get a new sticker. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aersol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. 10A NCAC 09 .0606(c) 1041 Prior to employment a Criminal Background Check was not completed. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. 10A NCAC 09 .0514(f) 1757 A valid qualification letter was not on file and available to review at the facility. Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. .0607(e) 1887 Each infant was not served only bottles labeled with their individual name. Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. .0902(d) 1902 The professional development plan was not reviewed annually. Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. .1104 Technical assistance was provided as follows: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Space # 5 current activity plan was not posted. The plans posted were dated 3/20-3/24. The administrator posted the current activity plans during the visit. Space #2 current activity plans was not posted. The plans posted were dated 5/6-5/10. Staff corrected this during the visit. I recommend posting the next weeks activity plans prior to leaving work on Fridays to ensure that on Monday’s your activity plans are posted. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. -Space # 3 the storage closet that lead to the basement area was unlocked. When I opened the door, I observed two (2) gallons of Clorox bleach sitting on the floor, four (4) half gallons of soft soap hand soap, one (1) gallon of hand sanitizer, one (1) aerosol can of disinfectant spray, one (1) can of Febreze, one (1) Pine sol, and one (1) five (5) gallon bucket of paint. The teacher locked the closet door during the visit. Space #1, unlocked teacher supply filing cabinet in the second drawer down from the top, I observed three (3) aerosol cans of Barbasol shaving cream, one (1) Banana Boat sunscreen, one (1) half gallon of soft soap hand soap. The teacher locked the cabinet during the visit. I recommend putting a neon colored sign on the door or cabinet to say “keep locked at all times,” as a reminder to ensure the door or cabinet is locked. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. -Space #2, three (3) permission to administer medication forms expired. Two (2) A & D Ointment expired on 2/26/24 and 2/27/24. I recommend conducting a monthly medication check to ensure all medication expiration dates and permission to administer medication forms are still valid and in compliance. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. -Space #5, plastic wipe packaging, plastic diaper packaging, plastic cup packaging were observed stored below five (5) feet and accessible to children. The administrator and teacher moved these items to ensure that they were not accessible to children. I recommend conducting a daily check to ensure plastics are stored appropriately five (5) feet up or in a locked cabinet. Item #893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (c) A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. -Space #5, child was enrolled on 1/8/2024 and date of birth was 2/7/2023. Safe sleep policy as not given and/or explained to the parents of the child on or before the first day the child attended the center. During file review, a signed safe sleep policy was not on file for review. When I asked the administrator, she stated she must have failed to complete that since the child was getting ready to turn twelve (12) months old. I recommend when enrolling children to look at the date of birth to determine whether the child is younger than twelve (12) months old. If younger than twelve (12) months ensure that you review the safe sleep policy with the child’s parent. Item #1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. -Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. -Staff member hired 4/3/2017 annual staff evaluation was not on file for review. The last completed evaluation was completed on 1/3/2023. The administrator corrected during the visit. I recommend documenting on your calendar when each staff members evaluation is due to ensure they are completed annually. Item #1757 A valid qualification letter was not on file and available for review at the facility. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section. - Space #4 a therapist was working one on one with a child. Space #6 a therapist was working one on one with a child. When I asked the administrator about the qualifying letter, she stated that they were new and did not have a copy of their background check on file for review. I recommend prior to a therapist working alone with a child ensure that you have a valid qualifying letter on file for review. Otherwise a staff member with a valid qualifying letter will need to remain in the room with the therapist and child. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -Center EPR plan was not reviewed annually. The last documented review date was 5/8/2023. I recommend mark your calendar when the annual review date is due by so that you will be reminded to complete the review of the EPR plan. Item #1887 Each infant was not served only bottles labeled with their individual name. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (d) Each infant shall be served only bottles labeled with their individual name. -Space #5, one (1) bottle was observed not labeled with the child’s name and date in the refrigerator. I recommend when the children arrive first thing in the classroom to label the bottles with the child’s name and date. Item #1902 The professional development plan was not reviewed annually. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. -Staff member hired 4/3/2027 annual professional development plan was not on file for review. The last completed professional development plan was completed on 1/3/2023. The administrator corrected this during the visit. I recommend documenting on your calendar when each staff members professional development plan is due to ensure they are completed annually. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/31/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: -Outside watch the rubber mats curling up and creating a trip hazard, and keep an eye out for active ant mounds. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator during the visit. A copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: HIS WATCHMEN CHILDCARE, INC. Facility ID: 11000823 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 36 Completed Date: 11/27/2023 Age: From 1 To 5 Total Minutes: 227 Time In: 11:13 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with Jasmine Waters staff member in charge. Kim Waters, Administrator arrived 12:00p. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kim Waters, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License effective 3/14/2018. The permit restrictions were in compliance including first shift, meets enhance space, and meets enhanced ratios. Jasmine Waters, staff member in charge was available to assist with questions during the visit. Kim Waters, Administrator arrived at 12:00p and was available to assist with questions during the remainder of the visit. The program’s annual compliance visit was conducted on 5/23/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During my visit, I observed in space #4, the group of one- to two-year-old children engaged in free choice center play with puzzles, gears, and pretend food. The staff member was actively supervising the children and preparing to begin routine diaper changing. Space #5 is currently not in use and is used for storage. Space #7 is used as the therapy room. Space #6 is currently not in use. In space #3, the group of three- to four-year-old children were engaged in free choice center play with blocks, pompoms, and art. After free choice center play, the group prepared for lunch. In space #2, the group of two- to four-year-old children were transitioning to group time. Once at group time, the group engaged in counting and reviewing colors. The staff were engaged with the children and actively supervising. In space #1, the group of four- to five-year-old children were engaged in story time. The staff member was reading the books Chicka Chicka Boom Boom, you are not small, and Does a Bear wear a Hat in Winter. While reading the story, the staff were asking the children questions related to each story. In space #9, the school age children were not present. Lunch today was chicken and vegetables pasta, apples, bread, and milk. The last fire drill was practiced on 10/5/2023. The last emergency drill, shelter in place drill, was practiced on 10/5/2023. The last fire inspection was approved on 8/9/2023. The program’s most recent sanitation inspection was completed on 3/1/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was current and posted. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member hired since the last annual compliance visit. The staff and training worksheet was completed during the visit. The staff members file was missing the Documentation of Orientation, Prevention of Shaken Baby and Abusive Head Trauma policy review, review of personnel and operational policies, review of the EPR plan, Emergency Information, and Recognizing and Responding to Suspicions of Child Maltreatment completion certificate. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly playground inspection was not completed for August and September of 2023. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. .1101(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. .1102(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. .1102(g) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #3 Little tikes cottage window above the door was cracked and had two (2) sharp edges. Fence ties were missing and the fence was bowing away from the post. I suggested adding zip ties to secure the fence back to the post. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Hallway closet that housed the mop bucket, aerosol glass cleaner, comet cleaner, and bleach was unlocked and open with the key in the doorknob. The staff member in charge corrected this during the visit by closing the door, and removing the key from the doorknob. I suggested adding a sign to the door to notify staff to push the door to, remove key, and ensure it is locked. Item #859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. - The monthly playground inspection was not completed for August and September of 2023. I suggest to have blank copies the playground inspection form on a clip board to carry with you when you are inspecting the playground. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member AH hired 8/21/2023 did not complete the emergency information form on or before the first day of work. I suggest having staff complete the emergency information prior to their first day of work. Once completed add the emergency information to their personnel file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. - Staff member AH hired 8/21/2023 did not complete sixteen (16) clock hours of orientation training within the first six weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1065 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 did not complete six (6) clock hours of orientation training within the first two weeks of employment. I suggest having staff complete orientation prior to starting in the classroom or working with them over the course of the weeks during nap time or after hours. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. - Staff member AH hired 8/21/2023 file did not contain a signed and dated statement of the personnel and operational policies. I suggest having staff review and complete documentation for review of the personnel and operational policies prior to beginning in the classroom. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member AH hired 8/21/2023 did not documentation of review of the Emergency Preparedness and Response on file. I suggest having staff review and complete documentation of review of the Emergency Preparedness and Response prior to working in the classroom. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member AH hired 8/21/2023 did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file for review. I suggest having staff review and complete documentation of review of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member AH hired 8/21/2023 was due to complete Recognizing and Responding to Suspicions of Child Maltreatment training by 11/12/2023. I suggest to note the completion date on your calendar to let you know when the training is due by. Once complete have staff print and add to the personnel file. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The program’s year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. If you choose to complete the Preparation Year assessment, please complete the rated license assessment request review form and submit to me. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - The next facility visit will begin the rated license process. - Over the counter medication forms need to be completed in its entirety to ensure the dates are valid for a twelve (12) month period and the dosage a specific amount (ex. Dime size, pea size, etc). - Ensure activity plans are current and dated for the specific week. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times