10A NCAC 09 .2201 · Violation

Name of Operation: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 20 Completed Date: 10/7/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 11:00 AM Time Out: 01:40 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 visit was to monitor compliance of the violations documented during the administrative action follow-up visit conducted on September 17, 2024. Upon my arrival, I was greeted by the front office clerk, S. Raynor. Dr. Langley, the administrator, was not present. Limited monitoring of the child care requirement occurred during today’s visit. I monitored the required postings, and attendance logs. I also reviewed the staff’s records for the newly hired staff members. I was unaccompanied as I completed a general walk-through of the facility. A total of twenty (20) children were present during today’s visit. The children were observed completing routine care tasks and preparing for lunch. Today’s lunch and snack were in compliance with the meal pattern requirements. A compliance letter was submitted on October 4, 2024. The following violations documented during the visit on September 17, 2024, were monitored for compliance during today’s visit: Item #1948. The administrative action, cover letter, corrective action plan and accompanying Provisional license was not posted during today’s visit. Therefore, an additional violation was documented during today’s visit. Item #124- All records were maintained as required in rule and/or were made available to the Division for review. Therefore, an additional violation was not documented. Item #125-Daily records of arrival and departure times for children enrolled at the center were maintained as children arrive and depart and/or were available for review. An additional violation was not documented. Item #840-Hazardous products, including those dispensed from an aerosol can, were stored in a locked room or cabinet. An additional violation was not documented. Item #1044- On September 17, 2024, an employee observed working in the classroom, had not completed and submitted the required forms to complete a criminal background check. In a compliance letter dated October 4, 2024, the administrator stated that the employee did not wish to complete the criminal background check process and renew her qualification letter. Therefore, he stated that the employee will not be used as a substitute in the child care classrooms. An additional violation was not documented. Item #1757- One staff member did not have a valid qualification letter on file and was available to review. The employee for which this violation was documented on September 17, 2024, is no longer serving as a substitute, so the violation for that visit is corrected. However, a second employee, Amy Hairr, did not have a valid qualification available for review during today’s visit. Therefore, an additional violation was observed and documented. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented monthly playground inspection was completed on August 26, 2024. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1) staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and the accompanying Provisional license were not posted during today’s visit 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 21, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE: A copy of the Administrative Action, cover letter, corrective action plan (CAP) and accompanying Provisional License, was left at the facility during today’s visit. Administrative Actions, and all of its components, must be posted and remain until you receive written notification from the Division of Child Development that all items of the CAP have been met. During today’s visit, I observed a staff member, Amy Hairr, who did not have a valid qualification letter on file to review. I accessed the ABCMS system and was able to verify that Ms. Hairr has completed a criminal background check and was issued a valid qualification letter on April 11, 2022, which is valid for 5 years. As defined in General Statute 110-90.2(a), all childcare providers must have a valid qualification letter, and it must be kept on file at the facility for review by representatives of the Division of Child Development and Early Education. CRIMINAL BACKGROUND CHECK SYSTEM: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. ABCMS allows administrators to see the real-time background check status of staff members, run printable report of the staff roster to assist with compliance visits, and see new background check applicants and add to the staff roster. To get started, complete the ABCMS Child Care Provider Portal training in Moodle. It is a video tutorial followed by a few questions. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171 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: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 10/7/2024 Number Present: 20 Completed Date: 10/7/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 11:00 AM Time Out: 01:40 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 visit was to monitor compliance of the violations documented during the administrative action follow-up visit conducted on September 17, 2024. Upon my arrival, I was greeted by the front office clerk, S. Raynor. Dr. Langley, the administrator, was not present. Limited monitoring of the child care requirement occurred during today’s visit. I monitored the required postings, and attendance logs. I also reviewed the staff’s records for the newly hired staff members. I was unaccompanied as I completed a general walk-through of the facility. A total of twenty (20) children were present during today’s visit. The children were observed completing routine care tasks and preparing for lunch. Today’s lunch and snack were in compliance with the meal pattern requirements. A compliance letter was submitted on October 4, 2024. The following violations documented during the visit on September 17, 2024, were monitored for compliance during today’s visit: Item #1948. The administrative action, cover letter, corrective action plan and accompanying Provisional license was not posted during today’s visit. Therefore, an additional violation was documented during today’s visit. Item #124- All records were maintained as required in rule and/or were made available to the Division for review. Therefore, an additional violation was not documented. Item #125-Daily records of arrival and departure times for children enrolled at the center were maintained as children arrive and depart and/or were available for review. An additional violation was not documented. Item #840-Hazardous products, including those dispensed from an aerosol can, were stored in a locked room or cabinet. An additional violation was not documented. Item #1044- On September 17, 2024, an employee observed working in the classroom, had not completed and submitted the required forms to complete a criminal background check. In a compliance letter dated October 4, 2024, the administrator stated that the employee did not wish to complete the criminal background check process and renew her qualification letter. Therefore, he stated that the employee will not be used as a substitute in the child care classrooms. An additional violation was not documented. Item #1757- One staff member did not have a valid qualification letter on file and was available to review. The employee for which this violation was documented on September 17, 2024, is no longer serving as a substitute, so the violation for that visit is corrected. However, a second employee, Amy Hairr, did not have a valid qualification available for review during today’s visit. Therefore, an additional violation was observed and documented. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented monthly playground inspection was completed on August 26, 2024. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1) staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and the accompanying Provisional license were not posted during today’s visit 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 21, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE: A copy of the Administrative Action, cover letter, corrective action plan (CAP) and accompanying Provisional License, was left at the facility during today’s visit. Administrative Actions, and all of its components, must be posted and remain until you receive written notification from the Division of Child Development that all items of the CAP have been met. During today’s visit, I observed a staff member, Amy Hairr, who did not have a valid qualification letter on file to review. I accessed the ABCMS system and was able to verify that Ms. Hairr has completed a criminal background check and was issued a valid qualification letter on April 11, 2022, which is valid for 5 years. As defined in General Statute 110-90.2(a), all childcare providers must have a valid qualification letter, and it must be kept on file at the facility for review by representatives of the Division of Child Development and Early Education. CRIMINAL BACKGROUND CHECK SYSTEM: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. ABCMS allows administrators to see the real-time background check status of staff members, run printable report of the staff roster to assist with compliance visits, and see new background check applicants and add to the staff roster. To get started, complete the ABCMS Child Care Provider Portal training in Moodle. It is a video tutorial followed by a few questions. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171 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 .0302 · Violation

Name of Operation: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 4 To 5 Total Minutes: 250 Time In: 11:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on September 11, 2024. Upon my arrival, I checked into the front office and was greeted by the front desk clerk, S. Raynor. She stated that the principal, Dr. Langley, was not on campus at this time. Ms. Raynor then contacted the Instructional Coach, M. Williams, to assist me during the visit. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a walk-through of the indoor and outdoor environment. A total of nineteen (19) children were present during today’s visit. The children were observed having lunch and participating in outdoor play. Today's lunch was in compliance with the meal pattern requirements. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, program records along with one staff file were locked and not available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The daily arrival and departure form was not completed as children arrived and departed during the day. 10A NCAC 09 .0302(d)(4) 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. An aerosol can of Microban spray was stored in an unlocked cabinet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for one staff member expired on 08-29-24. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1)staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, was not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 3, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In addition, you must submit a copy of the current qualification letter for the substitute, Ms. Spell, within 15 days of today’s visit. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The school’s maintenance department began working on the areas that were identified for lead poisoning hazards in the report on August 12, 2024.The last sanitation inspection was conducted on November 20, 2023, and received nine (9) demerits for a Superior classification. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the EH Supervisor of Sampson County Health Department. The facility is in compliance with this item. The remediation plan was submitted to EHS on August 29, 2024, which was prior to the issuance of the Administrative Action. Stipulation 3: No later than thirty (30) days after the approval of the plans, the administrator must send written verification from the Sampson County Health Department that remediation of potential lead hazards have been completed. The remediation plan was approved on September 11, 2024. Written verification from Sampson County is due to me by October 11, 2024. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to assure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to Ms. Herring the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete . During today’s visit, I was accompanied by Ms. Williams as I observed the areas that were identified as positive for lead-based paint. The items, which include an iron bench and handwashing sinks, have either been removed from campus and/or replaced. Ms. Williams stated that the playground designated for kindergartners is not used by children from the licensed classrooms. Dr. Langley arrived at the conclusion of the visit and was able to provide additional information about the two (2) items that I was unable to locate during the visit. He stated both of the classroom novelty items, the colored ceramic mug pencil holder, and the Christmas tree flower cup, belonged to a kindergarten teacher that is no longer employed at the school. Dr. Langley then stated that he received an email from the Plant Operations department stating that the Environmental Health Specialists would return to the facility on September 24, 2024, to complete a clearance inspection. I reminded Dr. Langley to submit any documentation following the visit. TECHNICAL ASSISTANCE /CONSULTATION: The qualification letter for Barbara Spell expired on August 29, 2024. I stated to the administrator that Ms. Spell has fifteen (15) days from today’s visit to submit the necessary documents to obtain a new qualification letter. If no letter has been obtained, Ms. Spell may not return until such time that a new qualification letter is submitted. Please remember to submit a copy of the current qualification letter along with your compliance verification letter. As a reminder, criminal background check qualification letters are valid for five years from the date of issuance. Child care providers may apply for the 5-year renewal six (6) months prior to the expiration. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. 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: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 4 To 5 Total Minutes: 250 Time In: 11:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on September 11, 2024. Upon my arrival, I checked into the front office and was greeted by the front desk clerk, S. Raynor. She stated that the principal, Dr. Langley, was not on campus at this time. Ms. Raynor then contacted the Instructional Coach, M. Williams, to assist me during the visit. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a walk-through of the indoor and outdoor environment. A total of nineteen (19) children were present during today’s visit. The children were observed having lunch and participating in outdoor play. Today's lunch was in compliance with the meal pattern requirements. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, program records along with one staff file were locked and not available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The daily arrival and departure form was not completed as children arrived and departed during the day. 10A NCAC 09 .0302(d)(4) 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. An aerosol can of Microban spray was stored in an unlocked cabinet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for one staff member expired on 08-29-24. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1)staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, was not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 3, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In addition, you must submit a copy of the current qualification letter for the substitute, Ms. Spell, within 15 days of today’s visit. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The school’s maintenance department began working on the areas that were identified for lead poisoning hazards in the report on August 12, 2024.The last sanitation inspection was conducted on November 20, 2023, and received nine (9) demerits for a Superior classification. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the EH Supervisor of Sampson County Health Department. The facility is in compliance with this item. The remediation plan was submitted to EHS on August 29, 2024, which was prior to the issuance of the Administrative Action. Stipulation 3: No later than thirty (30) days after the approval of the plans, the administrator must send written verification from the Sampson County Health Department that remediation of potential lead hazards have been completed. The remediation plan was approved on September 11, 2024. Written verification from Sampson County is due to me by October 11, 2024. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to assure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to Ms. Herring the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete . During today’s visit, I was accompanied by Ms. Williams as I observed the areas that were identified as positive for lead-based paint. The items, which include an iron bench and handwashing sinks, have either been removed from campus and/or replaced. Ms. Williams stated that the playground designated for kindergartners is not used by children from the licensed classrooms. Dr. Langley arrived at the conclusion of the visit and was able to provide additional information about the two (2) items that I was unable to locate during the visit. He stated both of the classroom novelty items, the colored ceramic mug pencil holder, and the Christmas tree flower cup, belonged to a kindergarten teacher that is no longer employed at the school. Dr. Langley then stated that he received an email from the Plant Operations department stating that the Environmental Health Specialists would return to the facility on September 24, 2024, to complete a clearance inspection. I reminded Dr. Langley to submit any documentation following the visit. TECHNICAL ASSISTANCE /CONSULTATION: The qualification letter for Barbara Spell expired on August 29, 2024. I stated to the administrator that Ms. Spell has fifteen (15) days from today’s visit to submit the necessary documents to obtain a new qualification letter. If no letter has been obtained, Ms. Spell may not return until such time that a new qualification letter is submitted. Please remember to submit a copy of the current qualification letter along with your compliance verification letter. As a reminder, criminal background check qualification letters are valid for five years from the date of issuance. Child care providers may apply for the 5-year renewal six (6) months prior to the expiration. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. 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: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 4 To 5 Total Minutes: 250 Time In: 11:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on September 11, 2024. Upon my arrival, I checked into the front office and was greeted by the front desk clerk, S. Raynor. She stated that the principal, Dr. Langley, was not on campus at this time. Ms. Raynor then contacted the Instructional Coach, M. Williams, to assist me during the visit. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a walk-through of the indoor and outdoor environment. A total of nineteen (19) children were present during today’s visit. The children were observed having lunch and participating in outdoor play. Today's lunch was in compliance with the meal pattern requirements. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, program records along with one staff file were locked and not available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The daily arrival and departure form was not completed as children arrived and departed during the day. 10A NCAC 09 .0302(d)(4) 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. An aerosol can of Microban spray was stored in an unlocked cabinet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for one staff member expired on 08-29-24. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1)staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, was not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 3, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In addition, you must submit a copy of the current qualification letter for the substitute, Ms. Spell, within 15 days of today’s visit. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The school’s maintenance department began working on the areas that were identified for lead poisoning hazards in the report on August 12, 2024.The last sanitation inspection was conducted on November 20, 2023, and received nine (9) demerits for a Superior classification. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the EH Supervisor of Sampson County Health Department. The facility is in compliance with this item. The remediation plan was submitted to EHS on August 29, 2024, which was prior to the issuance of the Administrative Action. Stipulation 3: No later than thirty (30) days after the approval of the plans, the administrator must send written verification from the Sampson County Health Department that remediation of potential lead hazards have been completed. The remediation plan was approved on September 11, 2024. Written verification from Sampson County is due to me by October 11, 2024. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to assure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to Ms. Herring the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete . During today’s visit, I was accompanied by Ms. Williams as I observed the areas that were identified as positive for lead-based paint. The items, which include an iron bench and handwashing sinks, have either been removed from campus and/or replaced. Ms. Williams stated that the playground designated for kindergartners is not used by children from the licensed classrooms. Dr. Langley arrived at the conclusion of the visit and was able to provide additional information about the two (2) items that I was unable to locate during the visit. He stated both of the classroom novelty items, the colored ceramic mug pencil holder, and the Christmas tree flower cup, belonged to a kindergarten teacher that is no longer employed at the school. Dr. Langley then stated that he received an email from the Plant Operations department stating that the Environmental Health Specialists would return to the facility on September 24, 2024, to complete a clearance inspection. I reminded Dr. Langley to submit any documentation following the visit. TECHNICAL ASSISTANCE /CONSULTATION: The qualification letter for Barbara Spell expired on August 29, 2024. I stated to the administrator that Ms. Spell has fifteen (15) days from today’s visit to submit the necessary documents to obtain a new qualification letter. If no letter has been obtained, Ms. Spell may not return until such time that a new qualification letter is submitted. Please remember to submit a copy of the current qualification letter along with your compliance verification letter. As a reminder, criminal background check qualification letters are valid for five years from the date of issuance. Child care providers may apply for the 5-year renewal six (6) months prior to the expiration. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. 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: CLEMENT ELEMENTARY SCHOOL Facility ID: 82000262 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 4 To 5 Total Minutes: 250 Time In: 11:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Administrative Action follow up visit after a Provisional License was issued to the facility on September 11, 2024. Upon my arrival, I checked into the front office and was greeted by the front desk clerk, S. Raynor. She stated that the principal, Dr. Langley, was not on campus at this time. Ms. Raynor then contacted the Instructional Coach, M. Williams, to assist me during the visit. Limited monitoring of the child care requirements occurred during today’s visit. A copy of the Administrative Action and Provisional License was not posted. I was unaccompanied as I conducted a walk-through of the indoor and outdoor environment. A total of nineteen (19) children were present during today’s visit. The children were observed having lunch and participating in outdoor play. Today's lunch was in compliance with the meal pattern requirements. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. During today’s visit, program records along with one staff file were locked and not available for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The daily arrival and departure form was not completed as children arrived and departed during the day. 10A NCAC 09 .0302(d)(4) 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. An aerosol can of Microban spray was stored in an unlocked cabinet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for one staff member expired on 08-29-24. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available to review for one (1)staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). The administrative action, cover letter, corrective action plan, and accompanying Provisional license, was not posted. 10A NCAC 09 .2201(i)(1-4) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 3, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In addition, you must submit a copy of the current qualification letter for the substitute, Ms. Spell, within 15 days of today’s visit. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 REVIEW OF THE CORRECTIVE ACTION PLAN: Stipulation 1: The facility shall comply at all times with all applicable rules regarding Sanitation of Child Care Centers, 15A NCAC 18A .2800. The school’s maintenance department began working on the areas that were identified for lead poisoning hazards in the report on August 12, 2024.The last sanitation inspection was conducted on November 20, 2023, and received nine (9) demerits for a Superior classification. Stipulation 2: Within two (2) weeks after receiving the Administrative Action, the facility must submit a plan for remediating the lead hazards found in the child care facility to the EH Supervisor of Sampson County Health Department. The facility is in compliance with this item. The remediation plan was submitted to EHS on August 29, 2024, which was prior to the issuance of the Administrative Action. Stipulation 3: No later than thirty (30) days after the approval of the plans, the administrator must send written verification from the Sampson County Health Department that remediation of potential lead hazards have been completed. The remediation plan was approved on September 11, 2024. Written verification from Sampson County is due to me by October 11, 2024. In addition, until remediation of the lead hazard can be completed, every reasonable precaution shall be taken to assure that children do not have access to the areas of the child care facility where lead-bearing substances exist. The administrator shall immediately begin following measures to control the lead dust. Within three (3) days after receipt of this Notice, the administrator shall submit to Ms. Herring the plan of daily measures to be taken to control the lead dust and exposure to potential lead hazards, until remediation is complete . During today’s visit, I was accompanied by Ms. Williams as I observed the areas that were identified as positive for lead-based paint. The items, which include an iron bench and handwashing sinks, have either been removed from campus and/or replaced. Ms. Williams stated that the playground designated for kindergartners is not used by children from the licensed classrooms. Dr. Langley arrived at the conclusion of the visit and was able to provide additional information about the two (2) items that I was unable to locate during the visit. He stated both of the classroom novelty items, the colored ceramic mug pencil holder, and the Christmas tree flower cup, belonged to a kindergarten teacher that is no longer employed at the school. Dr. Langley then stated that he received an email from the Plant Operations department stating that the Environmental Health Specialists would return to the facility on September 24, 2024, to complete a clearance inspection. I reminded Dr. Langley to submit any documentation following the visit. TECHNICAL ASSISTANCE /CONSULTATION: The qualification letter for Barbara Spell expired on August 29, 2024. I stated to the administrator that Ms. Spell has fifteen (15) days from today’s visit to submit the necessary documents to obtain a new qualification letter. If no letter has been obtained, Ms. Spell may not return until such time that a new qualification letter is submitted. Please remember to submit a copy of the current qualification letter along with your compliance verification letter. As a reminder, criminal background check qualification letters are valid for five years from the date of issuance. Child care providers may apply for the 5-year renewal six (6) months prior to the expiration. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. 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