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Home › NC › Belmont › First Presbyterian DAY School
102 South Central Avenue, Belmont NC 28012 · License #3655227 · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0802 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 77 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 297 Time In: 07:38 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and in order to change the facility’s license from a five-star license to a notice of compliance as requested. You, Tina Walker, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. You submitted documentation to me to request a change to a notice of compliance effective June 1, 2026 Your facility uses Creative Curriculum. The Secretary of State website was checked on May 27, 2026, and your business, First Presbyterian Church, Belmont, North Carolina was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, and free play during the visit. The last sanitation inspection was conducted on May 19, 2026. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on February 26, 2026. The last fire drill was conducted on May 6, 2026. The last emergency drill was conducted on March 12, 2026. The last playground inspection was conducted on May 6, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Your facility completed a Lead Risk Assessment Report on July 27, 2024, and no lead-based paint hazards were identified. Your facility completed an Asbestos Inspection Report and Asbestos Hazard Checklist on July 19, 2024, and no asbestos hazards were identified. Sixteen (16) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #118, one (1) container of Triple Paste Skin Protectant, two (2) boxes of Camillia Teething Relief, one (1) bottle of Cerave Daily Moisturizing Lotion, two (2) tubes of Bordreaux’s Butt Paste, one (1) bottle of Babyganics Mineral Sunscreen, one (1) tube of Aquaphor Healing Cream, one (1) tube of Banana Boat Baby Mineral Sunscreen, two (2) tubes of Blue Lizard Baby Australian Sunscreen, one (1) tube of Tubby Todd Diaper Paste, one (1) tube Desitin Maximum Strength Paste, and one (1) tube of Little Journey Diaper Rash Ointment, were in an unlocked cabinet under the diaper changing table, accessible to children. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the facility’s emergency medical care plan by (1) staff member, employed on April 15, 2024, one (1) staff member, employed on July 6, 2024, one (1) staff member, employed on September 7, 2021, one (1) staff member, employed on September 30, 2002, one (1) staff member, employed on August 12, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on July 5, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on December 16, 2024, one (1) staff member, employed on February 19, 2025, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on September 3, 2000, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on February 21, 2022, one (1) staff member, employed on July 6, 2021, one (1) staff member, employed on May 10, 2021, one (1) staff member, employed on October 30, 2024, one (1) staff member, employed on March 21, 2016, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on September 8, 2004, was conducted on April 1, 2025. The most recent review of the facility’s emergency medical care plan by one (1) staff member, employed on June 3, 2024, was conducted on May 5, 2025. 10A NCAC 09 .0802(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on October 6, 2026, was most recently updated on May 21, 2025. The emergency information on file for one (1) child, enrolled on January 6, 2025, was most recently updated on December 9, 2024. .0802(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on April 15, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on January 26, 2026, and one (1) staff member, employed on April 27, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The most recent review of the facility’s Emergency Preparedness and Response Plan by (1) staff member, employed on April 15, 2024, one (1) staff member, employed on July 6, 2024, one (1) staff member, employed on September 7, 2021, one (1) staff member, employed on September 30, 2002, one (1) staff member, employed on August 12, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on July 5, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on December 16, 2024, one (1) staff member, employed on February 19, 2025, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on September 3, 2000, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on February 21, 2022, one (1) staff member, employed on July 6, 2021, one (1) staff member, employed on May 10, 2021, one (1) staff member, employed on October 30, 2024, one (1) staff member, employed on March 21, 2016, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on September 8, 2004, was conducted on April 1, 2025. The most recent review of the facility’s Emergency Preparedness and Response Plan by one (1) staff member, employed on June 3, 2024, was conducted on May 5, 2025. .0607(f) The violations documented must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you review this information with all staff members during an upcoming staff meeting to ensure all medications are stored properly at all times. You stated the key to the lock for the cabinet under the diaper changing table where medications are kept were lost. A child-proof lock was on the cabinet; however, there was no combination lock, electronic or magnetic device, keypad, or key lock. I suggested you keep a basket in the locked closet located in the classroom to store medications in the event that the key is lost or the lock is broken. I suggested you keep all diaper creams and topical ointments on the top of the shelf above the food prep area, which is more than five (5) feet off the ground. All diaper rash creams and sunscreens were placed on the shelf above the food prep area and all other non-topical medications were placed in a basket in the locked closet in the classroom during the visit. You stated medications will remain in these places until a replacement key is secured for the cabinet below the changing table. 2. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 4. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 5. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/27/2026 Number Present: 77 Completed Date: 5/27/2026 Age: From 0 To 5 Total Minutes: 297 Time In: 07:38 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, and in order to change the facility’s license from a five-star license to a notice of compliance as requested. You, Tina Walker, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. You submitted documentation to me to request a change to a notice of compliance effective June 1, 2026 Your facility uses Creative Curriculum. The Secretary of State website was checked on May 27, 2026, and your business, First Presbyterian Church, Belmont, North Carolina was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, and free play during the visit. The last sanitation inspection was conducted on May 19, 2026. A “superior” classification was issued with three (3) demerits noted on the grade card. The last fire inspection was conducted on February 26, 2026. The last fire drill was conducted on May 6, 2026. The last emergency drill was conducted on March 12, 2026. The last playground inspection was conducted on May 6, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Your facility completed a Lead Risk Assessment Report on July 27, 2024, and no lead-based paint hazards were identified. Your facility completed an Asbestos Inspection Report and Asbestos Hazard Checklist on July 19, 2024, and no asbestos hazards were identified. Sixteen (16) children’s files were reviewed during the visit. Seven (7) new staff files and three (3) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #118, one (1) container of Triple Paste Skin Protectant, two (2) boxes of Camillia Teething Relief, one (1) bottle of Cerave Daily Moisturizing Lotion, two (2) tubes of Bordreaux’s Butt Paste, one (1) bottle of Babyganics Mineral Sunscreen, one (1) tube of Aquaphor Healing Cream, one (1) tube of Banana Boat Baby Mineral Sunscreen, two (2) tubes of Blue Lizard Baby Australian Sunscreen, one (1) tube of Tubby Todd Diaper Paste, one (1) tube Desitin Maximum Strength Paste, and one (1) tube of Little Journey Diaper Rash Ointment, were in an unlocked cabinet under the diaper changing table, accessible to children. 15A NCAC 18A .2820(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The most recent review of the facility’s emergency medical care plan by (1) staff member, employed on April 15, 2024, one (1) staff member, employed on July 6, 2024, one (1) staff member, employed on September 7, 2021, one (1) staff member, employed on September 30, 2002, one (1) staff member, employed on August 12, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on July 5, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on December 16, 2024, one (1) staff member, employed on February 19, 2025, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on September 3, 2000, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on February 21, 2022, one (1) staff member, employed on July 6, 2021, one (1) staff member, employed on May 10, 2021, one (1) staff member, employed on October 30, 2024, one (1) staff member, employed on March 21, 2016, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on September 8, 2004, was conducted on April 1, 2025. The most recent review of the facility’s emergency medical care plan by one (1) staff member, employed on June 3, 2024, was conducted on May 5, 2025. 10A NCAC 09 .0802(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on October 6, 2026, was most recently updated on May 21, 2025. The emergency information on file for one (1) child, enrolled on January 6, 2025, was most recently updated on December 9, 2024. .0802(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on April 15, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on January 26, 2026, and one (1) staff member, employed on April 27, 2026, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The most recent review of the facility’s Emergency Preparedness and Response Plan by (1) staff member, employed on April 15, 2024, one (1) staff member, employed on July 6, 2024, one (1) staff member, employed on September 7, 2021, one (1) staff member, employed on September 30, 2002, one (1) staff member, employed on August 12, 2024, one (1) staff member, employed on January 29, 2024, one (1) staff member, employed on July 5, 2024, one (1) staff member, employed on May 13, 2019, one (1) staff member, employed on July 18, 2022, one (1) staff member, employed on December 16, 2024, one (1) staff member, employed on February 19, 2025, one (1) staff member, employed on September 26, 2023, one (1) staff member, employed on September 3, 2000, one (1) staff member, employed on November 15, 2023, one (1) staff member, employed on February 21, 2022, one (1) staff member, employed on July 6, 2021, one (1) staff member, employed on May 10, 2021, one (1) staff member, employed on October 30, 2024, one (1) staff member, employed on March 21, 2016, one (1) staff member, employed on April 12, 2022, one (1) staff member, employed on September 8, 2004, was conducted on April 1, 2025. The most recent review of the facility’s Emergency Preparedness and Response Plan by one (1) staff member, employed on June 3, 2024, was conducted on May 5, 2025. .0607(f) The violations documented must be corrected immediately. On or before June 10, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage as well. I suggested you review this information with all staff members during an upcoming staff meeting to ensure all medications are stored properly at all times. You stated the key to the lock for the cabinet under the diaper changing table where medications are kept were lost. A child-proof lock was on the cabinet; however, there was no combination lock, electronic or magnetic device, keypad, or key lock. I suggested you keep a basket in the locked closet located in the classroom to store medications in the event that the key is lost or the lock is broken. I suggested you keep all diaper creams and topical ointments on the top of the shelf above the food prep area, which is more than five (5) feet off the ground. All diaper rash creams and sunscreens were placed on the shelf above the food prep area and all other non-topical medications were placed in a basket in the locked closet in the classroom during the visit. You stated medications will remain in these places until a replacement key is secured for the cabinet below the changing table. 2. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 4. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 5. All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. All substitutes and volunteers counted in ratio must be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice must be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0304 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 104 Completed Date: 3/24/2026 Age: From 0 To 5 Total Minutes: 161 Time In: 09:59 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tina Walker, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Creative Curriculum. The Secretary of State website was checked on March 24, 2026, and your business, First Presbyterian Church, Belmont, North Carolina was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 3, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on February 26, 2026. The most recent fire drill was conducted on March 13, 2026, the most recent emergency drill was conducted on March 12, 2026, and the most recent playground inspection was conducted on March 13, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Your facility completed a Lead Risk Assessment Report on July 27, 2024, and no lead-based paint hazards were identified. Your facility completed a Asbestos Inspection Report and Asbestos Hazard Checklist on July 19, 2024, and no asbestos hazards were identified. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, outdoor play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Five (5) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on January 27, 2025, and not again until February 26, 2026. The fire inspection form for the inspection conducted on February 26, 2026, was not submitted to DCDEE until March 24, 2026. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #117, the permission to administer medication form for one (1) tube of CVS Health Maximum Strength Cortisone Hydrocortisone Cream expired on March 1, 2026. .0803(12) The violations documented must be corrected immediately. On or before April 7, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I also suggested you email a copy of the fire inspection form to me immediately after the inspection is conducted to ensure it is submitted within the required timeframe. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer topical medications may be given for up to twelve (12) months. I suggested you place extra copies of the Permission to Administer Medication Form in each classroom to be completed by the parent in the event that a form expires. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated that the facility plans to change to operate under a notice of compliance effective June 2026 and does not plan to apply for a two (2) through five (5) star rated license. You stated you will submit a letter requesting the change at a later date. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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.
G.S. 110-90 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 104 Completed Date: 3/24/2026 Age: From 0 To 5 Total Minutes: 161 Time In: 09:59 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tina Walker, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Creative Curriculum. The Secretary of State website was checked on March 24, 2026, and your business, First Presbyterian Church, Belmont, North Carolina was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 3, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The last fire inspection was conducted on February 26, 2026. The most recent fire drill was conducted on March 13, 2026, the most recent emergency drill was conducted on March 12, 2026, and the most recent playground inspection was conducted on March 13, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Your facility completed a Lead Risk Assessment Report on July 27, 2024, and no lead-based paint hazards were identified. Your facility completed a Asbestos Inspection Report and Asbestos Hazard Checklist on July 19, 2024, and no asbestos hazards were identified. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, lunch, group time, free play, outdoor play, and nap during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Five (5) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on January 27, 2025, and not again until February 26, 2026. The fire inspection form for the inspection conducted on February 26, 2026, was not submitted to DCDEE until March 24, 2026. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #117, the permission to administer medication form for one (1) tube of CVS Health Maximum Strength Cortisone Hydrocortisone Cream expired on March 1, 2026. .0803(12) The violations documented must be corrected immediately. On or before April 7, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. I also suggested you email a copy of the fire inspection form to me immediately after the inspection is conducted to ensure it is submitted within the required timeframe. 2. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer topical medications may be given for up to twelve (12) months. I suggested you place extra copies of the Permission to Administer Medication Form in each classroom to be completed by the parent in the event that a form expires. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated that the facility plans to change to operate under a notice of compliance effective June 2026 and does not plan to apply for a two (2) through five (5) star rated license. You stated you will submit a letter requesting the change at a later date. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0902 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/29/2025 Number Present: 85 Completed Date: 9/29/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 07:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on September 29, 2025, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines group time, breakfast, lunch, nap, and free play during the visit. The last sanitation inspection was conducted on December 30, 2024. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on January 27, 2025. The last fire drill documented was conducted on August 28, 2025. The last emergency drill documented was conducted on July 18, 2025. The last playground inspection was conducted on August 28, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Per the risk assessment form updated on July 27, 2024, no lead-based paint hazards were identified. Per the asbestos inspection conducted on July 19, 2024, no asbestos hazards were identified. I reviewed the ABCMS Provider portal during the visit. Current staff members are listed in the portal. As a reminder, this information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Eleven (11) children’s files were reviewed during the visit. Twelve (12) new staff files and three (3) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #118, two (2) bottles containing formula were not labeled with the child’s name or the date they were brought into the facility, and four (4) bottles containing human milk were not labeled with the date they were brought into the facility. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #117, there was no infant feeding plan posted or on file for one infant, fourteen (14) months of age. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #114, one (1) aerosol can of Glade Clean Linen Spray Refill, with multiple warnings, was on a shelf to the right of the restroom used by children, accessible to children. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent update of the health questionnaire on file for one (1) staff member, employed on October 2, 2023, was completed on April 23, 2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent update of the emergency information form on file for one (1) staff member, employed on October 2, 2023, was completed on April 23, 2024. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on September 16, 2025, did not have a signed acknowledgment of receipt and review of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #118, there was no permission to administer medication form for one (1) tube of Think Baby SPF 50 Zinc Oxide 23.4% Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before October 13, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled. I also suggested you remind all staff members assigned to classrooms where children under 15 months of age are enrolled to transition all paperwork, including infant feeding plans, with the child when a child transitions to a new classroom. Each time a child transitions to a new classroom, the infant feeding plan should be reviewed with the infant’s parent to ensure no changes are needed. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was placed inside the locked cabinet to the right of the restroom used by children during the visit. 4. All staff, including the director, must have a Health Questionnaire, signed by the staff member, that indicates that the person is emotionally and physically fit to care for children annually following the initial medical statement. I suggested you create a schedule to update all staff Health Questionnaire forms at least once per year to ensure they are all updated at least annually. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you create a checklist for all staff each year to ensure you obtained an updated copy of each staff members’ Health Questionnaire at least annually. 5. Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you create a checklist for all staff each year to ensure you obtained an updated copy of each staff members’ Health Questionnaire at least annually. 6. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested that you refrain from documenting the date of the Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement receipt until you obtain the acknowledgement from the staff member and place it in their file. You reviewed the policy with the staff member and obtained a copy of the signed acknowledgment of receipt and review of the policy by the staff member during the visit. 7. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired, and to ensure all medications have an accompanying Permission to Administer Medication Form. No medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms may be found on the Division’s website under the “Provider” tab. 8. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated your facility plans to complete the rated license process using Pathway 1, Program Assessment Pathway. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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.
G.S. 110-90 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/29/2025 Number Present: 85 Completed Date: 9/29/2025 Age: From 0 To 5 Total Minutes: 380 Time In: 07:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on September 29, 2025, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines group time, breakfast, lunch, nap, and free play during the visit. The last sanitation inspection was conducted on December 30, 2024. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on January 27, 2025. The last fire drill documented was conducted on August 28, 2025. The last emergency drill documented was conducted on July 18, 2025. The last playground inspection was conducted on August 28, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 4, 2024. Per the risk assessment form updated on July 27, 2024, no lead-based paint hazards were identified. Per the asbestos inspection conducted on July 19, 2024, no asbestos hazards were identified. I reviewed the ABCMS Provider portal during the visit. Current staff members are listed in the portal. As a reminder, this information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Eleven (11) children’s files were reviewed during the visit. Twelve (12) new staff files and three (3) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #118, two (2) bottles containing formula were not labeled with the child’s name or the date they were brought into the facility, and four (4) bottles containing human milk were not labeled with the date they were brought into the facility. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space #117, there was no infant feeding plan posted or on file for one infant, fourteen (14) months of age. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #114, one (1) aerosol can of Glade Clean Linen Spray Refill, with multiple warnings, was on a shelf to the right of the restroom used by children, accessible to children. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent update of the health questionnaire on file for one (1) staff member, employed on October 2, 2023, was completed on April 23, 2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent update of the emergency information form on file for one (1) staff member, employed on October 2, 2023, was completed on April 23, 2024. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff member, employed on September 16, 2025, did not have a signed acknowledgment of receipt and review of the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #118, there was no permission to administer medication form for one (1) tube of Think Baby SPF 50 Zinc Oxide 23.4% Sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 24, 2025, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) The violations documented must be corrected immediately. On or before October 13, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that you review this requirement with all staff members employed in classrooms where children under 15 months of age are enrolled. I also suggested you remind all staff members assigned to classrooms where children under 15 months of age are enrolled to transition all paperwork, including infant feeding plans, with the child when a child transitions to a new classroom. Each time a child transitions to a new classroom, the infant feeding plan should be reviewed with the infant’s parent to ensure no changes are needed. 3. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was placed inside the locked cabinet to the right of the restroom used by children during the visit. 4. All staff, including the director, must have a Health Questionnaire, signed by the staff member, that indicates that the person is emotionally and physically fit to care for children annually following the initial medical statement. I suggested you create a schedule to update all staff Health Questionnaire forms at least once per year to ensure they are all updated at least annually. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you create a checklist for all staff each year to ensure you obtained an updated copy of each staff members’ Health Questionnaire at least annually. 5. Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you create a checklist for all staff each year to ensure you obtained an updated copy of each staff members’ Health Questionnaire at least annually. 6. All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested that you refrain from documenting the date of the Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement receipt until you obtain the acknowledgement from the staff member and place it in their file. You reviewed the policy with the staff member and obtained a copy of the signed acknowledgment of receipt and review of the policy by the staff member during the visit. 7. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired, and to ensure all medications have an accompanying Permission to Administer Medication Form. No medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms may be found on the Division’s website under the “Provider” tab. 8. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated your facility plans to complete the rated license process using Pathway 1, Program Assessment Pathway. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/17/2025 Number Present: 105 Completed Date: 3/17/2025 Age: From 0 To 5 Total Minutes: 188 Time In: 08:37 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tina Walker, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on March 17, 2025, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 30, 2024. A “superior” classification was issued with seven (7) demerits noted on the grade card. The last fire inspection was conducted on January 27, 2025. The most recent fire drill was conducted on March 7, 2025, the most recent emergency drill was conducted on January 24, 2025, and the most recent playground inspection was conducted on March 7, 2025. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, free play, nap and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 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. In Space #112, one (1) aerosol can or Mod Podge Matte Clear Acrylic Sealer, with multiple warnings, was on top of the cabinet to the left of the cot storage area, accessible to children. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid Certification for one (1) staff member, employed on July 18, 2022, expired November 2024. The First Aid Certification for one (1) staff member, employed on November 2, 2022, expired November 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR Certification for one (1) staff member, employed on July 18, 2022, expired November 2024. The CPR Certification for one (1) staff member, employed on November 2, 2022, expired November 2024. .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space#114, the permission to administer medication form for one (1) tube of Boudreauxs Butt Paste expired on November 27, 2024, and the permission to administer medication form for one (1) bottle of Children’s Benadryl Oral Suspension expired on March 10, 2025. In Space#115, two (2) different children were combined on the same permission to administer medication form for one (1) tube of Desitin Maximum Strength Paste. In Space 116, there was no permission to administer medication form for one (1) tube of Cerave Baby Healing Ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before March 31, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you remind staff members to check their classroom thoroughly each morning to ensure all hazardous products are stored properly. A staff member placed the hazardous product found in Space #112 into a locked cabinet during the visit. The staff member stated all hazardous products will remain in the locked cabinet at all times. 2. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have teachers check medications and permission forms at least once a month to ensure no medication or permission forms are expired. I also suggested that you remind all staff members that no medication should be accepted by the facility without an accompanying Permission to Administer Medication Form. Additionally, I suggested you keep extra copies of the permission to administer medication form in each classroom to ensure the form is filled out for each medication on-site at the facility. More than one child, even if the children are siblings, may not be combined on one (1) permission to administer medication form. 3. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I also suggested you create a document to keep track of expiration dates of CPR/First Aid training for all staff members to ensure training is kept current at all times. We reviewed the training calendars for the Partnership for Children of Lincoln and Gaston Counties, Childcare Connections in Shelby, NC, Children's Resource Center in Catawba County, and Childcare Resources in Charlotte, NC during the visit. The first available First Aid/CPR Training available is April 3, 2025. You emailed Melvin Burris, CPR/First Aid Trainer, during the visit to request a training course prior to the April 3, 2025 class. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You stated you have already started entering staff members into your ABCMS Provider Portal and are in the process of completing your portal. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. We discussed the ITERS and ECERSS-3’s. I suggested you visit the North Carolina Rated License Assessment Project’s website for information and training regarding the 3’s. You may access training by visiting https://ncrlap.org/Resources/Training/Register/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 1224-184L Visit Date: 12/16/2024 Number Present: 88 Completed Date: 12/16/2024 Age: From 4 To 5 Total Minutes: 156 Time In: 02:34 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding supervision, nutrition, and medications. You, Tina Walker, Administrator, assisted with the visit. The Secretary of State website was reviewed and your business, First Presbyterian Church, Belmont, North Carolina, was 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 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. I conducted a walkthrough of the facility, both indoors and outdoors, and conducted observation in all spaces during today’s visit. I verified compliance with staff/child ratios, adequate/approved space, license posted, and permit restrictions during the visit. The allegations were discussed with you and seven (7) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated biting has been a concern in one (1) classroom for approximately the past five (5) months. You stated you have added one (1) additional staff member to the classroom to assist. You stated you also contacted Kim Ward with the Partnership for Children of Lincoln and Gaston Counties for assistance. You stated Ms. Ward has conducted observation and provided technical assistance to the staff members assigned to the classroom. You and staff interviewed stated you have added additional teething toys to the classroom. You and staff interviewed stated supervision is not a concern, and that at times, staff are able to intervene before a bite occurs; however, many times, the bite occurs before so quickly that the staff are unable to stop it from occurring. You and staff interviewed stated when a bite does occur, the staff are able to immediately respond. You and staff interviewed stated an incident report form is completed for each time a bite occurs. You and staff interviewed stated you have spoken with the parents of children who are bitten and who bite other children each time an incident occurs and are working with parents to attempt to find strategies to deter biting. I reviewed the incident log and incident report forms for incidents regarding children being bitten. I conducted observations in all indoor spaces, and two (2) outdoor spaces, during the visit. Supervision was in compliance during today’s visit. Based on staff interviews, observation, and record review, the allegation regarding supervision was unsubstantiated. You and staff interviewed stated staff members assigned to the room for infants were propping bottles to feed infants at times while infants were seated in bouncy seats. You stated you observed staff members propping bottles to feed infants while infants were seated in bouncy seats on one (1) occasion approximately a month ago. You stated you spoke with the staff members assigned to the room for infants and reminded staff that propping bottles to feed infants was prohibited, and that infants were to be held if unable to sit on their own, or placed in a highchair for feeding. You stated you reviewed infant feeding procedures and practices with all staff members assigned to the room for infants and that to your knowledge, bottles have no longer been propped to feed infants. Staff interviewed confirmed that bottles were being propped to feed infants at one time; however, bottles have not been propped to feed infants on any occasion since you reviewed infant feeding procedures with the staff. Infant feeding was observed and in compliance during today’s visit. Two (2) staff members were observed holding infants and holding bottles during infant feeding during the visit. Based on staff interviews, the allegation regarding nutrition was substantiated. Staff interviewed stated there are permission to administer medication forms on file for all medications and diaper creams; however, staff members assigned to Space #118 stated that if they see a “dry patch” on a child, they put Jergens lotion on the child, which was brought into the facility by a staff member. Staff interviewed stated they do not have permission to administer medication forms on file to administer the lotion. I observed a bottle of Jergens Ultra Healing Extra Dry Skin Moisturizer lotion in the teacher’s cabinet in Space #118 during the visit which was confirmed to be the lotion that is applied to children when they have “dry patches”. Based on staff interviews, the allegation regarding medications was substantiated. The following violations were documented during the visit: Violation Number Comment Rule 531 Bottles were propped. Per staff report, approximately one (1) month ago, staff members assigned to Space #118 were propping bottles for infant feeding while infants were seated in bouncy seats. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per staff report, in Space #118, Jergens Ultra Healing Extra Dry Skin Moisturizer was administered to children for “dry patches” without permission from parents or health care professionals. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles may not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. A bouncy seat is not an appropriate feeding chair. I suggested you continue to review rules regarding infant feeding with all staff members assigned to the classroom where infants are enrolled on a regular basis to ensure infant feeding is appropriate. I also suggested you conduct observation to ensure infant feeding is appropriate. 2. No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. You removed the Jergens lotion from Space #118 that had been applied to infants when they had “dry patches”. You reminded staff members assigned to Space #118 that no medication, including lotions, can be administered to any child without written permission from the child’s parent or health care professional. You also reviewed the Permission to Administer Medication form with all staff members assigned to Space #118 during today’s visit. I suggested you review medication rules with all staff members periodically during staff meetings to ensure compliance with all medication requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0902 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 1224-184L Visit Date: 12/16/2024 Number Present: 88 Completed Date: 12/16/2024 Age: From 4 To 5 Total Minutes: 156 Time In: 02:34 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding supervision, nutrition, and medications. You, Tina Walker, Administrator, assisted with the visit. The Secretary of State website was reviewed and your business, First Presbyterian Church, Belmont, North Carolina, was 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 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. I conducted a walkthrough of the facility, both indoors and outdoors, and conducted observation in all spaces during today’s visit. I verified compliance with staff/child ratios, adequate/approved space, license posted, and permit restrictions during the visit. The allegations were discussed with you and seven (7) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated biting has been a concern in one (1) classroom for approximately the past five (5) months. You stated you have added one (1) additional staff member to the classroom to assist. You stated you also contacted Kim Ward with the Partnership for Children of Lincoln and Gaston Counties for assistance. You stated Ms. Ward has conducted observation and provided technical assistance to the staff members assigned to the classroom. You and staff interviewed stated you have added additional teething toys to the classroom. You and staff interviewed stated supervision is not a concern, and that at times, staff are able to intervene before a bite occurs; however, many times, the bite occurs before so quickly that the staff are unable to stop it from occurring. You and staff interviewed stated when a bite does occur, the staff are able to immediately respond. You and staff interviewed stated an incident report form is completed for each time a bite occurs. You and staff interviewed stated you have spoken with the parents of children who are bitten and who bite other children each time an incident occurs and are working with parents to attempt to find strategies to deter biting. I reviewed the incident log and incident report forms for incidents regarding children being bitten. I conducted observations in all indoor spaces, and two (2) outdoor spaces, during the visit. Supervision was in compliance during today’s visit. Based on staff interviews, observation, and record review, the allegation regarding supervision was unsubstantiated. You and staff interviewed stated staff members assigned to the room for infants were propping bottles to feed infants at times while infants were seated in bouncy seats. You stated you observed staff members propping bottles to feed infants while infants were seated in bouncy seats on one (1) occasion approximately a month ago. You stated you spoke with the staff members assigned to the room for infants and reminded staff that propping bottles to feed infants was prohibited, and that infants were to be held if unable to sit on their own, or placed in a highchair for feeding. You stated you reviewed infant feeding procedures and practices with all staff members assigned to the room for infants and that to your knowledge, bottles have no longer been propped to feed infants. Staff interviewed confirmed that bottles were being propped to feed infants at one time; however, bottles have not been propped to feed infants on any occasion since you reviewed infant feeding procedures with the staff. Infant feeding was observed and in compliance during today’s visit. Two (2) staff members were observed holding infants and holding bottles during infant feeding during the visit. Based on staff interviews, the allegation regarding nutrition was substantiated. Staff interviewed stated there are permission to administer medication forms on file for all medications and diaper creams; however, staff members assigned to Space #118 stated that if they see a “dry patch” on a child, they put Jergens lotion on the child, which was brought into the facility by a staff member. Staff interviewed stated they do not have permission to administer medication forms on file to administer the lotion. I observed a bottle of Jergens Ultra Healing Extra Dry Skin Moisturizer lotion in the teacher’s cabinet in Space #118 during the visit which was confirmed to be the lotion that is applied to children when they have “dry patches”. Based on staff interviews, the allegation regarding medications was substantiated. The following violations were documented during the visit: Violation Number Comment Rule 531 Bottles were propped. Per staff report, approximately one (1) month ago, staff members assigned to Space #118 were propping bottles for infant feeding while infants were seated in bouncy seats. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per staff report, in Space #118, Jergens Ultra Healing Extra Dry Skin Moisturizer was administered to children for “dry patches” without permission from parents or health care professionals. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles may not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. A bouncy seat is not an appropriate feeding chair. I suggested you continue to review rules regarding infant feeding with all staff members assigned to the classroom where infants are enrolled on a regular basis to ensure infant feeding is appropriate. I also suggested you conduct observation to ensure infant feeding is appropriate. 2. No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. You removed the Jergens lotion from Space #118 that had been applied to infants when they had “dry patches”. You reminded staff members assigned to Space #118 that no medication, including lotions, can be administered to any child without written permission from the child’s parent or health care professional. You also reviewed the Permission to Administer Medication form with all staff members assigned to Space #118 during today’s visit. I suggested you review medication rules with all staff members periodically during staff meetings to ensure compliance with all medication requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 1224-184L Visit Date: 12/16/2024 Number Present: 88 Completed Date: 12/16/2024 Age: From 4 To 5 Total Minutes: 156 Time In: 02:34 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements regarding supervision, nutrition, and medications. You, Tina Walker, Administrator, assisted with the visit. The Secretary of State website was reviewed and your business, First Presbyterian Church, Belmont, North Carolina, was 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 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. I conducted a walkthrough of the facility, both indoors and outdoors, and conducted observation in all spaces during today’s visit. I verified compliance with staff/child ratios, adequate/approved space, license posted, and permit restrictions during the visit. The allegations were discussed with you and seven (7) additional staff members during today’s visit. You and additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated biting has been a concern in one (1) classroom for approximately the past five (5) months. You stated you have added one (1) additional staff member to the classroom to assist. You stated you also contacted Kim Ward with the Partnership for Children of Lincoln and Gaston Counties for assistance. You stated Ms. Ward has conducted observation and provided technical assistance to the staff members assigned to the classroom. You and staff interviewed stated you have added additional teething toys to the classroom. You and staff interviewed stated supervision is not a concern, and that at times, staff are able to intervene before a bite occurs; however, many times, the bite occurs before so quickly that the staff are unable to stop it from occurring. You and staff interviewed stated when a bite does occur, the staff are able to immediately respond. You and staff interviewed stated an incident report form is completed for each time a bite occurs. You and staff interviewed stated you have spoken with the parents of children who are bitten and who bite other children each time an incident occurs and are working with parents to attempt to find strategies to deter biting. I reviewed the incident log and incident report forms for incidents regarding children being bitten. I conducted observations in all indoor spaces, and two (2) outdoor spaces, during the visit. Supervision was in compliance during today’s visit. Based on staff interviews, observation, and record review, the allegation regarding supervision was unsubstantiated. You and staff interviewed stated staff members assigned to the room for infants were propping bottles to feed infants at times while infants were seated in bouncy seats. You stated you observed staff members propping bottles to feed infants while infants were seated in bouncy seats on one (1) occasion approximately a month ago. You stated you spoke with the staff members assigned to the room for infants and reminded staff that propping bottles to feed infants was prohibited, and that infants were to be held if unable to sit on their own, or placed in a highchair for feeding. You stated you reviewed infant feeding procedures and practices with all staff members assigned to the room for infants and that to your knowledge, bottles have no longer been propped to feed infants. Staff interviewed confirmed that bottles were being propped to feed infants at one time; however, bottles have not been propped to feed infants on any occasion since you reviewed infant feeding procedures with the staff. Infant feeding was observed and in compliance during today’s visit. Two (2) staff members were observed holding infants and holding bottles during infant feeding during the visit. Based on staff interviews, the allegation regarding nutrition was substantiated. Staff interviewed stated there are permission to administer medication forms on file for all medications and diaper creams; however, staff members assigned to Space #118 stated that if they see a “dry patch” on a child, they put Jergens lotion on the child, which was brought into the facility by a staff member. Staff interviewed stated they do not have permission to administer medication forms on file to administer the lotion. I observed a bottle of Jergens Ultra Healing Extra Dry Skin Moisturizer lotion in the teacher’s cabinet in Space #118 during the visit which was confirmed to be the lotion that is applied to children when they have “dry patches”. Based on staff interviews, the allegation regarding medications was substantiated. The following violations were documented during the visit: Violation Number Comment Rule 531 Bottles were propped. Per staff report, approximately one (1) month ago, staff members assigned to Space #118 were propping bottles for infant feeding while infants were seated in bouncy seats. 10A NCAC 09 .0902(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Per staff report, in Space #118, Jergens Ultra Healing Extra Dry Skin Moisturizer was administered to children for “dry patches” without permission from parents or health care professionals. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 89%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each infant must be held for bottle feeding until able to hold his or her own bottle. Bottles may not be propped. Each child must be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. A bouncy seat is not an appropriate feeding chair. I suggested you continue to review rules regarding infant feeding with all staff members assigned to the classroom where infants are enrolled on a regular basis to ensure infant feeding is appropriate. I also suggested you conduct observation to ensure infant feeding is appropriate. 2. No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. You removed the Jergens lotion from Space #118 that had been applied to infants when they had “dry patches”. You reminded staff members assigned to Space #118 that no medication, including lotions, can be administered to any child without written permission from the child’s parent or health care professional. You also reviewed the Permission to Administer Medication form with all staff members assigned to Space #118 during today’s visit. I suggested you review medication rules with all staff members periodically during staff meetings to ensure compliance with all medication requirements. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0924-372L Visit Date: 11/5/2024 Number Present: 83 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 39 Time In: 10:48 AM Time Out: 11:27 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced complaint visit was to investigate allegations of child care requirements regarding nurture, care and treatment, supervision, and sanitation and health. The Secretary of State website was checked on November 5, 2024, and your business, First Presbyterian Church, Belmont, North Carolina, Presbyterian Church (U.S.A.), was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The following complaint allegations were received on September 25, 2024. Additional information was added to the report and it was received on September 26, 2024. There are concerns regarding nurture, care and treatment, supervision, and sanitation and health On October 22, 2024, the complaint was initiated by phone due to the current state of emergency from Hurricane Helene. I spoke to you, Tina Walker, Administrator, and you were given the opportunity to ask questions and respond to the allegations in the report. I interviewed seven (7) staff members during today's phone contact pertaining to the allegations. Based on staff interviews and today's observations, the allegation regarding nurture, care and treatment was confirmed to have occurred in the unlicensed, school age program; therefore, the allegation was unsubstantiated. The allegation regarding supervision was confirmed based on staff interviews, and specific information that was obtained. Staff members interviewed reported that the teacher previously assigned to the classroom for infants, Space #118, was observed on several occasions falling asleep while holding an infant. One (1) staff member that observed this incident took the infant from the sleeping staff member's arms. On another day, a parent entered Space #118, and observed the same staff member holding their infant while sleeping. On a third day, a staff member observed the same staff member fall asleep while holding an infant, and woke the staff member up. It was also reported that the staff member that fell asleep while holding infants has since been assigned to another classroom with older children. The allegation regarding supervision was substantiated. The allegation regarding sanitation and health was unconfirmed based on staff interviews and observations during today's visit. Staff members interviewed confirmed the facility follows its sick policy and contacts parents to pick children up from the facility if they have a temperature of 100.4 degrees Fahrenheit or higher. The allegation regarding sanitation and health was unsubstantiated. The following violation was cited and discussed with you. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Based on staff interviews, one (1) staff member, previously assigned to Space #118 where infants are enrolled, was observed, on multiple occasions, to fall asleep while holding an infant. .1801(a)(1-5) A follow-up visit will be conducted to monitor applicable child care requirements. The violation documented must be corrected immediately. On or before November 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 90%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members. I also suggested you conduct observations in each space to ensure adequate supervision of children by all staff members. Consultation: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0304 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 105 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 221 Time In: 08:34 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tina Walker, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on March 12, 2024, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, nap, free play, lunch, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on March 4, 2024. A superior sanitation classification was issued with seven (7) demerits. The most recent approved fire inspection for your facility was conducted on February 16, 2024. The last fire drill was conducted on February 28, 2024. The last shelter-in-place drill was conducted on January 3, 2024. The last playground inspection was conducted on February 28, 2024. The following violations were observed/documented during the visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was conducted on February 6, 2023, and not again until February 16, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #114, two (2) bottles of Swiffer Wet Jet Floor Cleaner with Febreze, one (1) bottle of Swiffer Wet Jet Floor Cleaner with Dawn, and three (3) aerosol cans of Mod Podge Clear Acrylic Sealer, all with multiple warnings, were in the unlocked center cabinet above the cubbies. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #114, one (1) Albuterol Sulfate HFA Inhalation Aerosol inhaler was not in the original pharmacy packaging and did not have a pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #113, one (1) tube of Aquaphor Healing Ointment Baby Advanced Therapy expired February 2024. In Space #113, there was no Permission to Administer Medication Form on file for one (1) tube of Neosporin plus Pain Relief Ointment. In Space #114, the Permission to Administer Medication Form for one (1) bottle of Boogie Diaper Rash Spray expired on December 7, 2023. In Space #115, one (1) tube of Hello Baby Mineral Sunscreen plus Prebiotics expired February 2024, and one (1) tube of Boudrauxs Butt Paste with Natural Aloe Diaper Rash Ointment expired February 2024. .0803(12) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 26, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you keep all hazardous materials stored in locked closets since the magnetic locks on the cabinets break frequently. All hazardous materials which were in unlocked cabinets were moved to locked cabinets during the visit. You stated you will purchase slide locks with keys for the cabinets to ensure all hazardous products remain in locked storage. 3. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Prescription medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested that you review this requirement with all staff members to ensure prescribed medications have all the required information when brought into the facility. 4. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. You stated you have asked teachers to check medication once a month on the day that the fire drill is conducted as previously recommended. You stated that you will begin checking medications for the entire facility once a month as well. I suggested you remind staff members to check medications and permission form at least once a month. I also suggested staff members create a list of all medications in each classroom with the expiration date of the permission slip and medication noted and post it in an area that is visible to serve as a reminder of expiration dates. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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.
G.S. 110-90 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 105 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 221 Time In: 08:34 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tina Walker, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on March 12, 2024, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, nap, free play, lunch, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on March 4, 2024. A superior sanitation classification was issued with seven (7) demerits. The most recent approved fire inspection for your facility was conducted on February 16, 2024. The last fire drill was conducted on February 28, 2024. The last shelter-in-place drill was conducted on January 3, 2024. The last playground inspection was conducted on February 28, 2024. The following violations were observed/documented during the visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. An approved fire inspection was conducted on February 6, 2023, and not again until February 16, 2024. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #114, two (2) bottles of Swiffer Wet Jet Floor Cleaner with Febreze, one (1) bottle of Swiffer Wet Jet Floor Cleaner with Dawn, and three (3) aerosol cans of Mod Podge Clear Acrylic Sealer, all with multiple warnings, were in the unlocked center cabinet above the cubbies. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #114, one (1) Albuterol Sulfate HFA Inhalation Aerosol inhaler was not in the original pharmacy packaging and did not have a pharmacy label. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #113, one (1) tube of Aquaphor Healing Ointment Baby Advanced Therapy expired February 2024. In Space #113, there was no Permission to Administer Medication Form on file for one (1) tube of Neosporin plus Pain Relief Ointment. In Space #114, the Permission to Administer Medication Form for one (1) bottle of Boogie Diaper Rash Spray expired on December 7, 2023. In Space #115, one (1) tube of Hello Baby Mineral Sunscreen plus Prebiotics expired February 2024, and one (1) tube of Boudrauxs Butt Paste with Natural Aloe Diaper Rash Ointment expired February 2024. .0803(12) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 26, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator must submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. I suggested you contact the Fire Inspector at least one (1) month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you keep all hazardous materials stored in locked closets since the magnetic locks on the cabinets break frequently. All hazardous materials which were in unlocked cabinets were moved to locked cabinets during the visit. You stated you will purchase slide locks with keys for the cabinets to ensure all hazardous products remain in locked storage. 3. Prescribed medications must be stored in the original containers in which they were dispensed with the pharmacy labels. If the medication is a pharmaceutical sample, it must be stored in the manufacturer's original packaging, be labeled with the child's name, and be accompanied by written instructions specifying: the child's name; the names of the medication; the amount and frequency of dosage; the signature of the prescribing physician or other health professional; and the date the instructions were signed by the physician or other health professional. Prescription medications should not be accepted if they are not in the pharmaceutical packaging with pharmacy labels. I suggested that you review this requirement with all staff members to ensure prescribed medications have all the required information when brought into the facility. 4. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. You stated you have asked teachers to check medication once a month on the day that the fire drill is conducted as previously recommended. You stated that you will begin checking medications for the entire facility once a month as well. I suggested you remind staff members to check medications and permission form at least once a month. I also suggested staff members create a list of all medications in each classroom with the expiration date of the permission slip and medication noted and post it in an area that is visible to serve as a reminder of expiration dates. Consultation For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0508 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 84 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 361 Time In: 10:04 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on October 25, 2023, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 22, 2023. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. In Space #117, one (1) container of Harris Teeter Disinfecting Wipes with multiple warnings, was in an unlocked cabinet, on a shelf, three (3) feet, ten (1) inches from the ground. In Space #117, six (6) packets of insect sting relief and one (1) instant cold pack, all with multiple warnings, were in an unlocked Be Smart Get prepared First Aid Kit located in an unlocked cabinet. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #118, six (6) battery operated sound machines were hanging on the rails in six (6) cribs used by infants. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on June 27, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 22, 2021, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 30 2022, was last updated on August 23, 2022. The emergency information on file for one (1) child, enrolled on October 11, 2021, was last updated on September 13, 2022. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on February 22, 2021, had a medical exam on file dated July 26, 2021. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #117, the Permission to Administer Medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper rash ointment, did not contain the dates the permission was valid. In Space #117, the Permission to Administer Medication form for one (1) tube of Triple Paste Zinc Oxide Medicated Diaper Rash Ointment All in One expired on October 10, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 8, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If a magnetic lock is broken, I suggested you remove all hazardous products from the cabinet until a lock can be repaired. The lock on the cabinet was repaired during the visit and all hazardous products were placed inside the locked cabinet. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sound machines that were hanging in the cribs were removed during the visit and placed outside the sleeping space. You sated the sound machines will remain on the counter behind the changing table, inaccessible to children, and out of the cribs/sleep spaces. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. You stated you plan to create an emergency information form to be updated annually. 4. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. You stated the child was enrolled prior to your employment. You stated that when you became employed, you reviewed all children’s files, and obtained all required documentation that was missing, which was placed in the children’s files. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should also review all medication permission slips when they are brought into the facility to ensure they are filled out properly and completely. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider” tab. You stated you will review this information with staff. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. We reviewed child care rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We also reviewed child care rule 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changing, and playing according to each child's individual needs. I suggested you review the rules regarding activity plans with all new staff prior to placing them in a classroom. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0511 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 84 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 361 Time In: 10:04 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on October 25, 2023, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 22, 2023. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. In Space #117, one (1) container of Harris Teeter Disinfecting Wipes with multiple warnings, was in an unlocked cabinet, on a shelf, three (3) feet, ten (1) inches from the ground. In Space #117, six (6) packets of insect sting relief and one (1) instant cold pack, all with multiple warnings, were in an unlocked Be Smart Get prepared First Aid Kit located in an unlocked cabinet. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #118, six (6) battery operated sound machines were hanging on the rails in six (6) cribs used by infants. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on June 27, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 22, 2021, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 30 2022, was last updated on August 23, 2022. The emergency information on file for one (1) child, enrolled on October 11, 2021, was last updated on September 13, 2022. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on February 22, 2021, had a medical exam on file dated July 26, 2021. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #117, the Permission to Administer Medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper rash ointment, did not contain the dates the permission was valid. In Space #117, the Permission to Administer Medication form for one (1) tube of Triple Paste Zinc Oxide Medicated Diaper Rash Ointment All in One expired on October 10, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 8, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If a magnetic lock is broken, I suggested you remove all hazardous products from the cabinet until a lock can be repaired. The lock on the cabinet was repaired during the visit and all hazardous products were placed inside the locked cabinet. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sound machines that were hanging in the cribs were removed during the visit and placed outside the sleeping space. You sated the sound machines will remain on the counter behind the changing table, inaccessible to children, and out of the cribs/sleep spaces. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. You stated you plan to create an emergency information form to be updated annually. 4. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. You stated the child was enrolled prior to your employment. You stated that when you became employed, you reviewed all children’s files, and obtained all required documentation that was missing, which was placed in the children’s files. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should also review all medication permission slips when they are brought into the facility to ensure they are filled out properly and completely. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider” tab. You stated you will review this information with staff. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. We reviewed child care rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We also reviewed child care rule 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changing, and playing according to each child's individual needs. I suggested you review the rules regarding activity plans with all new staff prior to placing them in a classroom. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0606 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 84 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 361 Time In: 10:04 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on October 25, 2023, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 22, 2023. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. In Space #117, one (1) container of Harris Teeter Disinfecting Wipes with multiple warnings, was in an unlocked cabinet, on a shelf, three (3) feet, ten (1) inches from the ground. In Space #117, six (6) packets of insect sting relief and one (1) instant cold pack, all with multiple warnings, were in an unlocked Be Smart Get prepared First Aid Kit located in an unlocked cabinet. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #118, six (6) battery operated sound machines were hanging on the rails in six (6) cribs used by infants. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on June 27, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 22, 2021, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 30 2022, was last updated on August 23, 2022. The emergency information on file for one (1) child, enrolled on October 11, 2021, was last updated on September 13, 2022. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on February 22, 2021, had a medical exam on file dated July 26, 2021. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #117, the Permission to Administer Medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper rash ointment, did not contain the dates the permission was valid. In Space #117, the Permission to Administer Medication form for one (1) tube of Triple Paste Zinc Oxide Medicated Diaper Rash Ointment All in One expired on October 10, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 8, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If a magnetic lock is broken, I suggested you remove all hazardous products from the cabinet until a lock can be repaired. The lock on the cabinet was repaired during the visit and all hazardous products were placed inside the locked cabinet. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sound machines that were hanging in the cribs were removed during the visit and placed outside the sleeping space. You sated the sound machines will remain on the counter behind the changing table, inaccessible to children, and out of the cribs/sleep spaces. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. You stated you plan to create an emergency information form to be updated annually. 4. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. You stated the child was enrolled prior to your employment. You stated that when you became employed, you reviewed all children’s files, and obtained all required documentation that was missing, which was placed in the children’s files. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should also review all medication permission slips when they are brought into the facility to ensure they are filled out properly and completely. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider” tab. You stated you will review this information with staff. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. We reviewed child care rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We also reviewed child care rule 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changing, and playing according to each child's individual needs. I suggested you review the rules regarding activity plans with all new staff prior to placing them in a classroom. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 84 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 361 Time In: 10:04 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on October 25, 2023, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 22, 2023. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. In Space #117, one (1) container of Harris Teeter Disinfecting Wipes with multiple warnings, was in an unlocked cabinet, on a shelf, three (3) feet, ten (1) inches from the ground. In Space #117, six (6) packets of insect sting relief and one (1) instant cold pack, all with multiple warnings, were in an unlocked Be Smart Get prepared First Aid Kit located in an unlocked cabinet. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #118, six (6) battery operated sound machines were hanging on the rails in six (6) cribs used by infants. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on June 27, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 22, 2021, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 30 2022, was last updated on August 23, 2022. The emergency information on file for one (1) child, enrolled on October 11, 2021, was last updated on September 13, 2022. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on February 22, 2021, had a medical exam on file dated July 26, 2021. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #117, the Permission to Administer Medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper rash ointment, did not contain the dates the permission was valid. In Space #117, the Permission to Administer Medication form for one (1) tube of Triple Paste Zinc Oxide Medicated Diaper Rash Ointment All in One expired on October 10, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 8, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If a magnetic lock is broken, I suggested you remove all hazardous products from the cabinet until a lock can be repaired. The lock on the cabinet was repaired during the visit and all hazardous products were placed inside the locked cabinet. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sound machines that were hanging in the cribs were removed during the visit and placed outside the sleeping space. You sated the sound machines will remain on the counter behind the changing table, inaccessible to children, and out of the cribs/sleep spaces. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. You stated you plan to create an emergency information form to be updated annually. 4. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. You stated the child was enrolled prior to your employment. You stated that when you became employed, you reviewed all children’s files, and obtained all required documentation that was missing, which was placed in the children’s files. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should also review all medication permission slips when they are brought into the facility to ensure they are filled out properly and completely. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider” tab. You stated you will review this information with staff. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. We reviewed child care rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We also reviewed child care rule 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changing, and playing according to each child's individual needs. I suggested you review the rules regarding activity plans with all new staff prior to placing them in a classroom. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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
GS110-91 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 84 Completed Date: 10/25/2023 Age: From 0 To 5 Total Minutes: 361 Time In: 10:04 AM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Tina Walker, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued August 23, 2021. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on October 25, 2023, and your business, First Presbyterian Church, Belmont, North Carolina, was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on March 22, 2023. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on February 6, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. In Space #117, one (1) container of Harris Teeter Disinfecting Wipes with multiple warnings, was in an unlocked cabinet, on a shelf, three (3) feet, ten (1) inches from the ground. In Space #117, six (6) packets of insect sting relief and one (1) instant cold pack, all with multiple warnings, were in an unlocked Be Smart Get prepared First Aid Kit located in an unlocked cabinet. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #118, six (6) battery operated sound machines were hanging on the rails in six (6) cribs used by infants. 10A NCAC 09 .0606(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information on file for one (1) child, enrolled on June 27, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 8, 2022, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on February 22, 2021, was last updated on August 24, 2022. The emergency information on file for one (1) child, enrolled on August 30 2022, was last updated on August 23, 2022. The emergency information on file for one (1) child, enrolled on October 11, 2021, was last updated on September 13, 2022. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child, enrolled on February 22, 2021, had a medical exam on file dated July 26, 2021. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #117, the Permission to Administer Medication form for one (1) tube of Boudreauxs Butt Paste Max Strength Diaper rash ointment, did not contain the dates the permission was valid. In Space #117, the Permission to Administer Medication form for one (1) tube of Triple Paste Zinc Oxide Medicated Diaper Rash Ointment All in One expired on October 10, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 8, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 83%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was provided on the following: 1. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. If a magnetic lock is broken, I suggested you remove all hazardous products from the cabinet until a lock can be repaired. The lock on the cabinet was repaired during the visit and all hazardous products were placed inside the locked cabinet. 2. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, objects other than pacifiers are not permitted in the crib or sleep space. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. The sound machines that were hanging in the cribs were removed during the visit and placed outside the sleeping space. You sated the sound machines will remain on the counter behind the changing table, inaccessible to children, and out of the cribs/sleep spaces. 3. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. You stated you plan to create an emergency information form to be updated annually. 4. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. You stated the child was enrolled prior to your employment. You stated that when you became employed, you reviewed all children’s files, and obtained all required documentation that was missing, which was placed in the children’s files. 5. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Teachers should periodically check medications and permission forms to ensure no medication or permission forms are expired. Teachers should also review all medication permission slips when they are brought into the facility to ensure they are filled out properly and completely. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form found on the Division’s website under the “Provider” tab. You stated you will review this information with staff. Consultation: Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. We reviewed child care rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We also reviewed child care rule 10A NCAC 09 .0511 DAILY ROUTINES FOR CHILDREN UNDER TWO YEARS OF AGE (a) Children under two years of age shall require individualized daily routines based on their specific developmental needs. The center shall provide time and space for sleeping, eating, toileting, diaper changing, and playing according to each child's individual needs. I suggested you review the rules regarding activity plans with all new staff prior to placing them in a classroom. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1802 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0723-128L Visit Date: 7/27/2023 Number Present: 66 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 398 Time In: 08:40 AM Time Out: 12:55 PM Time In: 01:52 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding staff qualifications and nurture/care/treatment of children. You, Tina Walker, Administrator, assisted me with the visit. The NC Secretary of State website was viewed before the visit and First Presbyterian Church, Belmont, North Carolina was current/active. I conducted a walkthrough of the facility and observation in all spaces during today’s visit. Staff/child ratios, supervision, and permit restrictions were in compliance during the visit. Staff were observed interacting with children in an appropriate manner during the visit. I observed diaper changing routines during today’s visit. I observed diaper changes to occur on a routine schedule as well as when needed. I observed diaper changing routines to be performed appropriately by staff today. You and twenty-four (24) staff members were present and interviewed during today’s visit. One additional (1) staff member who was not present at the facility during the visit was contacted and interviewed by phone during the visit. You and all staff interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. Some staff members interviewed today stated they observed an incident where a child, nineteen (19) months of age, was lifted by a staff member by one arm while the child was crying and attempting to pull away from the hold the staff member had on the child. Staff members interviewed stated the staff member holding the child did not put the child down until an Administrator approached the staff member and instructed the staff member to put the child down. Staff interviewed stated the child was not injured and the child’s parent was made aware of the incident. The staff member involved in the incident was also interviewed and confirmed the incident occurred. Staff members interviewed stated no disciplinary action was taken against the staff member; however, Administration did talk with the staff member about appropriate lifting of children. Staff members interviewed stated one (1) staff member uses “harsh” tones and becomes “frustrated” with children very easily. Staff members interviewed stated that an incident occurred on November 1, 2022 where a child, fifteen (15) months of age, was kicking their legs during a diaper change and a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. Staff interviewed stated that in May 2023, a staff member told a child, two (2) years of age, to “stop” when the child was touching items under the diaper changing table. Staff interviewed stated that when the child continued to touch the items, the staff member raised their hand up in a threatening manner at the child while yelling “stop” to the child. Based on staff interviews, the allegations regarding nurture/care/treatment of children were substantiated. One (1) staff file was observed during the visit and all staff qualifications were in compliance. Based on staff file review, the allegation regarding staff files was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. Staff members interviewed on July 27, 2023, reported one (1) staff member did not interact with children in a positive manner when the staff member raised their hand up in a threatening manner at a child, two (2) years of age, while yelling “stop” to the child. .1802 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On November 1, 2022, a child, fifteen (15) months of age, was kicking their legs during a diaper change when a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. On July 18, 2023, a staff member lifted and carried a child, nineteen (19) months of age, down the hall by one arm while holding a second child in their other arm. G.S. 110-91(10) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 10, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review this information with all staff members to ensure children are spoken to in an appropriate manner and fell welcome and comfortable at all times while at the facility. 2. We reviewed North Carolina General Statute 110-91 (10). Mandatory standards for a license. Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. The use of corporal punishment as a form of discipline is prohibited in child care facilities and may not be used by any operator or staff member of any child care facility, except that corporal punishment may be used in religious sponsored child care facilities as defined in G.S. 110-106, only if (i) the religious sponsored child care facility files with the Department a notice stating that corporal punishment is part of the religious training of its program, and (ii) the religious sponsored child care facility clearly states in its written policy of discipline that corporal punishment is part of the religious training of its program. The written policy on discipline of nonreligious sponsored child care facilities shall clearly state the prohibition on corporal punishment. I suggested you review your facility’s discipline policy as well as expectations for staff when handling and speaking to children to ensure children are not handled or spoken to in an inappropriate manner. I also suggested that you reach out to your Technical Assistant, Kim Ward, with the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request training on nurture/care/treatment of children and proper discipline. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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.
G.S. 110-106 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0723-128L Visit Date: 7/27/2023 Number Present: 66 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 398 Time In: 08:40 AM Time Out: 12:55 PM Time In: 01:52 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding staff qualifications and nurture/care/treatment of children. You, Tina Walker, Administrator, assisted me with the visit. The NC Secretary of State website was viewed before the visit and First Presbyterian Church, Belmont, North Carolina was current/active. I conducted a walkthrough of the facility and observation in all spaces during today’s visit. Staff/child ratios, supervision, and permit restrictions were in compliance during the visit. Staff were observed interacting with children in an appropriate manner during the visit. I observed diaper changing routines during today’s visit. I observed diaper changes to occur on a routine schedule as well as when needed. I observed diaper changing routines to be performed appropriately by staff today. You and twenty-four (24) staff members were present and interviewed during today’s visit. One additional (1) staff member who was not present at the facility during the visit was contacted and interviewed by phone during the visit. You and all staff interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. Some staff members interviewed today stated they observed an incident where a child, nineteen (19) months of age, was lifted by a staff member by one arm while the child was crying and attempting to pull away from the hold the staff member had on the child. Staff members interviewed stated the staff member holding the child did not put the child down until an Administrator approached the staff member and instructed the staff member to put the child down. Staff interviewed stated the child was not injured and the child’s parent was made aware of the incident. The staff member involved in the incident was also interviewed and confirmed the incident occurred. Staff members interviewed stated no disciplinary action was taken against the staff member; however, Administration did talk with the staff member about appropriate lifting of children. Staff members interviewed stated one (1) staff member uses “harsh” tones and becomes “frustrated” with children very easily. Staff members interviewed stated that an incident occurred on November 1, 2022 where a child, fifteen (15) months of age, was kicking their legs during a diaper change and a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. Staff interviewed stated that in May 2023, a staff member told a child, two (2) years of age, to “stop” when the child was touching items under the diaper changing table. Staff interviewed stated that when the child continued to touch the items, the staff member raised their hand up in a threatening manner at the child while yelling “stop” to the child. Based on staff interviews, the allegations regarding nurture/care/treatment of children were substantiated. One (1) staff file was observed during the visit and all staff qualifications were in compliance. Based on staff file review, the allegation regarding staff files was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. Staff members interviewed on July 27, 2023, reported one (1) staff member did not interact with children in a positive manner when the staff member raised their hand up in a threatening manner at a child, two (2) years of age, while yelling “stop” to the child. .1802 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On November 1, 2022, a child, fifteen (15) months of age, was kicking their legs during a diaper change when a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. On July 18, 2023, a staff member lifted and carried a child, nineteen (19) months of age, down the hall by one arm while holding a second child in their other arm. G.S. 110-91(10) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 10, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review this information with all staff members to ensure children are spoken to in an appropriate manner and fell welcome and comfortable at all times while at the facility. 2. We reviewed North Carolina General Statute 110-91 (10). Mandatory standards for a license. Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. The use of corporal punishment as a form of discipline is prohibited in child care facilities and may not be used by any operator or staff member of any child care facility, except that corporal punishment may be used in religious sponsored child care facilities as defined in G.S. 110-106, only if (i) the religious sponsored child care facility files with the Department a notice stating that corporal punishment is part of the religious training of its program, and (ii) the religious sponsored child care facility clearly states in its written policy of discipline that corporal punishment is part of the religious training of its program. The written policy on discipline of nonreligious sponsored child care facilities shall clearly state the prohibition on corporal punishment. I suggested you review your facility’s discipline policy as well as expectations for staff when handling and speaking to children to ensure children are not handled or spoken to in an inappropriate manner. I also suggested that you reach out to your Technical Assistant, Kim Ward, with the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request training on nurture/care/treatment of children and proper discipline. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0723-128L Visit Date: 7/27/2023 Number Present: 66 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 398 Time In: 08:40 AM Time Out: 12:55 PM Time In: 01:52 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding staff qualifications and nurture/care/treatment of children. You, Tina Walker, Administrator, assisted me with the visit. The NC Secretary of State website was viewed before the visit and First Presbyterian Church, Belmont, North Carolina was current/active. I conducted a walkthrough of the facility and observation in all spaces during today’s visit. Staff/child ratios, supervision, and permit restrictions were in compliance during the visit. Staff were observed interacting with children in an appropriate manner during the visit. I observed diaper changing routines during today’s visit. I observed diaper changes to occur on a routine schedule as well as when needed. I observed diaper changing routines to be performed appropriately by staff today. You and twenty-four (24) staff members were present and interviewed during today’s visit. One additional (1) staff member who was not present at the facility during the visit was contacted and interviewed by phone during the visit. You and all staff interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. Some staff members interviewed today stated they observed an incident where a child, nineteen (19) months of age, was lifted by a staff member by one arm while the child was crying and attempting to pull away from the hold the staff member had on the child. Staff members interviewed stated the staff member holding the child did not put the child down until an Administrator approached the staff member and instructed the staff member to put the child down. Staff interviewed stated the child was not injured and the child’s parent was made aware of the incident. The staff member involved in the incident was also interviewed and confirmed the incident occurred. Staff members interviewed stated no disciplinary action was taken against the staff member; however, Administration did talk with the staff member about appropriate lifting of children. Staff members interviewed stated one (1) staff member uses “harsh” tones and becomes “frustrated” with children very easily. Staff members interviewed stated that an incident occurred on November 1, 2022 where a child, fifteen (15) months of age, was kicking their legs during a diaper change and a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. Staff interviewed stated that in May 2023, a staff member told a child, two (2) years of age, to “stop” when the child was touching items under the diaper changing table. Staff interviewed stated that when the child continued to touch the items, the staff member raised their hand up in a threatening manner at the child while yelling “stop” to the child. Based on staff interviews, the allegations regarding nurture/care/treatment of children were substantiated. One (1) staff file was observed during the visit and all staff qualifications were in compliance. Based on staff file review, the allegation regarding staff files was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. Staff members interviewed on July 27, 2023, reported one (1) staff member did not interact with children in a positive manner when the staff member raised their hand up in a threatening manner at a child, two (2) years of age, while yelling “stop” to the child. .1802 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On November 1, 2022, a child, fifteen (15) months of age, was kicking their legs during a diaper change when a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. On July 18, 2023, a staff member lifted and carried a child, nineteen (19) months of age, down the hall by one arm while holding a second child in their other arm. G.S. 110-91(10) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 10, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review this information with all staff members to ensure children are spoken to in an appropriate manner and fell welcome and comfortable at all times while at the facility. 2. We reviewed North Carolina General Statute 110-91 (10). Mandatory standards for a license. Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. The use of corporal punishment as a form of discipline is prohibited in child care facilities and may not be used by any operator or staff member of any child care facility, except that corporal punishment may be used in religious sponsored child care facilities as defined in G.S. 110-106, only if (i) the religious sponsored child care facility files with the Department a notice stating that corporal punishment is part of the religious training of its program, and (ii) the religious sponsored child care facility clearly states in its written policy of discipline that corporal punishment is part of the religious training of its program. The written policy on discipline of nonreligious sponsored child care facilities shall clearly state the prohibition on corporal punishment. I suggested you review your facility’s discipline policy as well as expectations for staff when handling and speaking to children to ensure children are not handled or spoken to in an inappropriate manner. I also suggested that you reach out to your Technical Assistant, Kim Ward, with the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request training on nurture/care/treatment of children and proper discipline. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: FIRST PRESBYTERIAN DAY SCHOOL Facility ID: 3655227 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0723-128L Visit Date: 7/27/2023 Number Present: 66 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 398 Time In: 08:40 AM Time Out: 12:55 PM Time In: 01:52 PM Time Out: 04:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding staff qualifications and nurture/care/treatment of children. You, Tina Walker, Administrator, assisted me with the visit. The NC Secretary of State website was viewed before the visit and First Presbyterian Church, Belmont, North Carolina was current/active. I conducted a walkthrough of the facility and observation in all spaces during today’s visit. Staff/child ratios, supervision, and permit restrictions were in compliance during the visit. Staff were observed interacting with children in an appropriate manner during the visit. I observed diaper changing routines during today’s visit. I observed diaper changes to occur on a routine schedule as well as when needed. I observed diaper changing routines to be performed appropriately by staff today. You and twenty-four (24) staff members were present and interviewed during today’s visit. One additional (1) staff member who was not present at the facility during the visit was contacted and interviewed by phone during the visit. You and all staff interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegations. Some staff members interviewed today stated they observed an incident where a child, nineteen (19) months of age, was lifted by a staff member by one arm while the child was crying and attempting to pull away from the hold the staff member had on the child. Staff members interviewed stated the staff member holding the child did not put the child down until an Administrator approached the staff member and instructed the staff member to put the child down. Staff interviewed stated the child was not injured and the child’s parent was made aware of the incident. The staff member involved in the incident was also interviewed and confirmed the incident occurred. Staff members interviewed stated no disciplinary action was taken against the staff member; however, Administration did talk with the staff member about appropriate lifting of children. Staff members interviewed stated one (1) staff member uses “harsh” tones and becomes “frustrated” with children very easily. Staff members interviewed stated that an incident occurred on November 1, 2022 where a child, fifteen (15) months of age, was kicking their legs during a diaper change and a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. Staff interviewed stated that in May 2023, a staff member told a child, two (2) years of age, to “stop” when the child was touching items under the diaper changing table. Staff interviewed stated that when the child continued to touch the items, the staff member raised their hand up in a threatening manner at the child while yelling “stop” to the child. Based on staff interviews, the allegations regarding nurture/care/treatment of children were substantiated. One (1) staff file was observed during the visit and all staff qualifications were in compliance. Based on staff file review, the allegation regarding staff files was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 325 Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. Staff members interviewed on July 27, 2023, reported one (1) staff member did not interact with children in a positive manner when the staff member raised their hand up in a threatening manner at a child, two (2) years of age, while yelling “stop” to the child. .1802 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On November 1, 2022, a child, fifteen (15) months of age, was kicking their legs during a diaper change when a staff member forcefully pushed the child’s legs toward the child’s head yelling, “stop”, and “I said stop it”. On July 18, 2023, a staff member lifted and carried a child, nineteen (19) months of age, down the hall by one arm while holding a second child in their other arm. G.S. 110-91(10) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how the violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 10, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 80%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. We reviewed Child Care Rule 10A NCAC 09 .1802 STAFF/CHILD INTERACTIONS Staff shall interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and participating in activities with the children. For example, staff shall: (1) make eye contact when speaking to a child; (2) engage children in conversation to share experiences, ideas, and opinions; (3) help children develop problem-solving skills; and (4) facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments. Positive language must be used when speaking to children and children should not be spoken to in harsh tones. I suggested you review this information with all staff members to ensure children are spoken to in an appropriate manner and fell welcome and comfortable at all times while at the facility. 2. We reviewed North Carolina General Statute 110-91 (10). Mandatory standards for a license. Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. The use of corporal punishment as a form of discipline is prohibited in child care facilities and may not be used by any operator or staff member of any child care facility, except that corporal punishment may be used in religious sponsored child care facilities as defined in G.S. 110-106, only if (i) the religious sponsored child care facility files with the Department a notice stating that corporal punishment is part of the religious training of its program, and (ii) the religious sponsored child care facility clearly states in its written policy of discipline that corporal punishment is part of the religious training of its program. The written policy on discipline of nonreligious sponsored child care facilities shall clearly state the prohibition on corporal punishment. I suggested you review your facility’s discipline policy as well as expectations for staff when handling and speaking to children to ensure children are not handled or spoken to in an inappropriate manner. I also suggested that you reach out to your Technical Assistant, Kim Ward, with the Partnership for Children of Lincoln and Gaston Counties at 704-922-0900 to request training on nurture/care/treatment of children and proper discipline. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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
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