10A NCAC 09 .0606 · Violation

Name of Operation: Childcare Network #144 Facility ID: 36000638 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 61 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Amanda Weaver, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on March 1, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on April 23, 2024, at 3:15pm. The last monthly playground inspection was completed on April 23, 2024. A sample of six children’s files were reviewed. Eighteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutritional requirements. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. I received a copy of the building inspection today. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 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. In space #1, three packages of baby wipes in the plastic packaging were stored on the bottom shelf, less than five feet from the floor surface and accessible to seven toddlers, one year of age and three children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Item # 858 Child care Rule .0604(q) In space #1a, three packages of baby wipes in the plastic packaging were stored on the bottom shelf of the cubbies, less than five feet from ground level and accessible to seven children, one year of age and three children, two years of age. This was corrected by removing the packages of baby wipes from the bottom shelf and placing them on the top shelf that was greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a key, magnetic, or combination lock. Item #871 Child Care Rule .0606(a) In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Consultation was provided on the following. I received your approved fire and sanitation inspections previously. The fire inspection was conducted on March 22, 2024, and the sanitation inspection was completed on March 20, 2024. The EPR Plan was completed on January 23, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you will have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after September 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov Rated License: You have requested to assume the previous owner’s star rating. I confirmed program points with you during the visit. Your facility qualifies for six points in program standards, six points in education, and one quality point for a total of thirteen points and a five-star license. Your license will be mailed from the Raleigh office, please post it in a prominent location for parents to view. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 4, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #144 Facility ID: 36000638 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 61 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Amanda Weaver, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on March 1, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on April 23, 2024, at 3:15pm. The last monthly playground inspection was completed on April 23, 2024. A sample of six children’s files were reviewed. Eighteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutritional requirements. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. I received a copy of the building inspection today. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 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. In space #1, three packages of baby wipes in the plastic packaging were stored on the bottom shelf, less than five feet from the floor surface and accessible to seven toddlers, one year of age and three children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Item # 858 Child care Rule .0604(q) In space #1a, three packages of baby wipes in the plastic packaging were stored on the bottom shelf of the cubbies, less than five feet from ground level and accessible to seven children, one year of age and three children, two years of age. This was corrected by removing the packages of baby wipes from the bottom shelf and placing them on the top shelf that was greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a key, magnetic, or combination lock. Item #871 Child Care Rule .0606(a) In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Consultation was provided on the following. I received your approved fire and sanitation inspections previously. The fire inspection was conducted on March 22, 2024, and the sanitation inspection was completed on March 20, 2024. The EPR Plan was completed on January 23, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you will have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after September 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov Rated License: You have requested to assume the previous owner’s star rating. I confirmed program points with you during the visit. Your facility qualifies for six points in program standards, six points in education, and one quality point for a total of thirteen points and a five-star license. Your license will be mailed from the Raleigh office, please post it in a prominent location for parents to view. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 4, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #144 Facility ID: 36000638 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 61 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Amanda Weaver, Administrator assisted me with the visit. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on March 1, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on April 23, 2024, at 3:15pm. The last monthly playground inspection was completed on April 23, 2024. A sample of six children’s files were reviewed. Eighteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutritional requirements. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. I received a copy of the building inspection today. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 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. In space #1, three packages of baby wipes in the plastic packaging were stored on the bottom shelf, less than five feet from the floor surface and accessible to seven toddlers, one year of age and three children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Item # 858 Child care Rule .0604(q) In space #1a, three packages of baby wipes in the plastic packaging were stored on the bottom shelf of the cubbies, less than five feet from ground level and accessible to seven children, one year of age and three children, two years of age. This was corrected by removing the packages of baby wipes from the bottom shelf and placing them on the top shelf that was greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a key, magnetic, or combination lock. Item #871 Child Care Rule .0606(a) In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their side for sleeping at 9:45am, on their tummy at 12pm, and on their side at 2pm on May 20, 2024.In space #6, the sleep chart documentation noted that one infant, five months of age was initially placed on their tummy for sleeping at 9:45am on May 21, 2024. In space #6, the sleep chart documentation noted that one infant, nine months of age was initially placed on their tummy for sleeping at 9:30am and again at 11:45am on May 20, 2024. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Consultation was provided on the following. I received your approved fire and sanitation inspections previously. The fire inspection was conducted on March 22, 2024, and the sanitation inspection was completed on March 20, 2024. The EPR Plan was completed on January 23, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you will have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after September 1, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov Rated License: You have requested to assume the previous owner’s star rating. I confirmed program points with you during the visit. Your facility qualifies for six points in program standards, six points in education, and one quality point for a total of thirteen points and a five-star license. Your license will be mailed from the Raleigh office, please post it in a prominent location for parents to view. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 4, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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