10A NCAC 09.0802 · Violation

Name of Operation: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0925-378A Visit Date: 9/29/2025 Number Present: 17 Completed Date: 9/29/2025 Age: From 4 To 8 Total Minutes: 100 Time In: 02:30 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility unaccompanied. During the visit, I discussed the allegations with Paula Bradley, administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 873 Center staff did not follow the EMC plan. On September 22, 2025, a person listed on the EMC did not assess a five-year-old child's injury and staff members failed to notify the parent in a timely manner when the child sustained a fractured collar bone. 10A NCAC 09.0802(a) You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Supervisor, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 34 Completed Date: 9/16/2025 Age: From 4 To 4 Total Minutes: 250 Time In: 09:30 AM Time Out: 01:40 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 program for compliance with all applicable child care requirements, including health and safety. Your last annual compliance visit was completed on September 24, 2024. Upon arrival you, Paula Bradley, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 15, 2025, and your business Cline Learning Centers, Inc. was listed as active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a five (5) star rated license issued on August 30, 2019, earning seven (7) points in staff education, six (6) points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care), meets enhanced ratios, and meets enhanced space. A walkthrough was completed, all licensed indoor and outdoor spaces, NC Pre-K requirements, and transportation vehicles were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during indoor teacher-led group activities, outdoor gross motor play, handwashing, toileting routines, lunch, and naptime. In Space #2, an NC Pre-K classroom, one (1) substitute teacher was observed assisting the lead teacher. You stated the substitute teacher has substituted eleven (11) days in this NC Pre-K classroom. Inspections/Drills: The last fire inspection was completed on January 16, 2025. The last sanitation inspection was completed on August 19, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on August 19, 2025, at 9:10am. The last emergency drill was a lockdown completed on May 23, 2025, at 3:00pm. The last playground inspection was completed on August 15, 2025. The last Emergency Preparedness and Response Plan was completed on April 28, 2025. Lead and Asbestos Testing: The last lead water test was completed on April 1, 2024. Your next lead water test is due by April 1, 2027. The last lead-based paint test was completed on April 28, 2025. The last asbestos test was completed on April 28, 2025. Files Reviewed: Children’s files, staff files, and program files were monitored. You stated one (1) staff member has been hired since the last visit. Seven (7) children’s files were reviewed. One (1) existing staff file and one (1) new staff file was reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violations were observed: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, Yolanda Humphries, employed on August 9, 2021, had a qualification letter on file with an expiration date of August 14, 2025. A new qualification letter was not received until August 27, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, Yolanda Humphries, employed on August 9, 2021, had a qualification letter on file with an expiration date of August 14, 2025. The staff member did not have a current staff qualification letter on file for review from August 14, 2025, through August 26, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 1797 The child care provider that is a firm, partnership, association, or corporation, the chief executive officer or other person serving in like capacity or a person designated by the chief executive officer as responsible for the operation of the facility, did not complete criminal history background check. The President of the Corporation, Gary Cline, had a qualification letter on file that expired on September 19, 2023. G.S. 110-90.2 & .2703(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill, a lockdown drill, was completed on May 23, 2025 at 3:00pm. An emergency drill, a shelter-in-place or lockdown drill, was due to completed by August 23, 2025. .0604(u);.0302(d)(8) 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 June 4, 2025, did not have verification of completion of Recognizing and Responding to Suspicions of Child Maltreatment training on file and available for review. The training was due to be completed by September 4, 2025. .1102(g) Technical assistance regarding violation cited: Emergency Drills Shelter-in-Place or Lockdown drills must be completed at least once every three (3) months. I suggested you create calendar reminders at least one year in advance to ensure drills are conducted at least once every three (3) months. I suggested you document the drill immediately after the drill is conducted to ensure required documentation is on file and available for review. Continue to document drills on the drill log form found on the DCDEE website. Criminal Background Checks Criminal background check qualification is valid for five years. A valid criminal background check qualification letter must be on file for each employee and must be made available for review. I suggested that staff begin the process for a criminal background recheck within six months prior to the expiration date. This was corrected during the visit by a current qualifying letter being on file and available for review. Criminal Background Checks – Owner Requirements: The owner of the program must have a current qualifying letter on file and available for review. I suggested you use the ABCMS Provider Portal to keep track of the owner’s qualifying letter expiration date. I also suggested you remind the owner two (2) months prior to the expiration date of his qualifying letter to complete an application for an updated qualifying letter to begin the process. Recognizing and Responding to Suspicions of Child Maltreatment 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. I also provided you with a copy of the staff file checklist during the visit. Consultation: Quality Rating Improvement System (QRIS) Modernization We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I reviewed and discussed with you Pathway #1, and Pathway #2. This information can also be reviewed by visiting our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Programs will need to apply between April 2026 and September 2026 to complete the reassessment with the new QRIS system. Please notify me by October 1, 2025, with the QRIS Pathway you are interested in. NC Pre-K Program Requirements Per SFY 2025-2026 NC Pre-K Program Requirements, when a member of the NC Pre-K teaching staff is unable to work, due to illness, other health related conditions, disability, death or natural or man-made disasters, a substitute staff person shall be provided to maintain the staff-to-child ratio as specified in Rule .3009 of this Section and shall be able to implement the curriculum and formative assessments in accordance with Rules .3007 and .3008 of this Section. I reviewed with you the requirements for Substitute Teachers for Short Term Vacancies, when teachers are absent from the Pre-K classroom for 15 or fewer days. I also reviewed with you the requirements for Substitute Teachers for Long Term Vacancies, when teachers are absent from the Pre-K classroom for 16 or more attendance days. I suggested you reference the NC Pre-K Requirements frequently throughout the hiring process to ensure all requirements are met. Detailed information for the NC Pre-K Program can be found on the Division of Child Development and Early Education website located at http://www.ncchildcare.nc.gov/ Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Health & Safety Trainings All staff must complete on-going health and safety trainings every five years. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. DCDEE Website 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. Compliance History: The program’s compliance history was ninety-seven percent (97%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 30, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 8 Completed Date: 9/24/2024 Age: From 4 To 4 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 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 program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was completed on October 11, 2023. Upon arrival you, Paula Bradley, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 16, 2024, and Cline Learning Centers, Inc. was listed as current and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a five (5) star rated license issued on August 30, 2019, earning seven (7) points in staff education, six (6) points in program standards, and one (1) quality point. The program’s license restrictions include the following: 1st shift, meets enhanced ratios, meets enhanced space, Bldg #1 cap = 50, and Bldg #2 cap = 22. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during teacher directed activities and naptime. Inspections/Drills: The last fire inspection was completed on October 24, 2023. The last sanitation inspection was completed on November 9, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on September 17, 2024, at 11:05am. The last emergency drill was a shelter in place drill completed on August 22, 2024, at 2:45pm. The last playground inspection was completed on August 16, 2024. The Emergency Preparedness Plan on file was completed on February 28, 2024. Lead Testing: The last lead water test was completed on April 1, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Three (3) children’s files were reviewed. One (1) new staff file and was reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violation was observed: Violation Number Comment Rule 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 #1, the medication authorization form for one (1) prescription Ventolin HFA inhaler, had an authorization valid 09/11/2023 – 09/11/2024. .0803(12) Technical Assistance regarding the violations observed: Medication I suggested that you complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. Consultation: Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead-based paint and asbestos testing. Please visit http://www.cleanwaterforuskids.org/carolina today to enroll and register in the lead water, lead-based paint and asbestos testing. Reminders & Resources: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by April 1, 2027. You must complete on-going health and safety trainings every five years. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was ninety percent (90%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 8, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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.

NC GS 110-90 · Violation

Name of Operation: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 8 Completed Date: 9/24/2024 Age: From 4 To 4 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 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 program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was completed on October 11, 2023. Upon arrival you, Paula Bradley, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 16, 2024, and Cline Learning Centers, Inc. was listed as current and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a five (5) star rated license issued on August 30, 2019, earning seven (7) points in staff education, six (6) points in program standards, and one (1) quality point. The program’s license restrictions include the following: 1st shift, meets enhanced ratios, meets enhanced space, Bldg #1 cap = 50, and Bldg #2 cap = 22. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during teacher directed activities and naptime. Inspections/Drills: The last fire inspection was completed on October 24, 2023. The last sanitation inspection was completed on November 9, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on September 17, 2024, at 11:05am. The last emergency drill was a shelter in place drill completed on August 22, 2024, at 2:45pm. The last playground inspection was completed on August 16, 2024. The Emergency Preparedness Plan on file was completed on February 28, 2024. Lead Testing: The last lead water test was completed on April 1, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. Three (3) children’s files were reviewed. One (1) new staff file and was reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violation was observed: Violation Number Comment Rule 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 #1, the medication authorization form for one (1) prescription Ventolin HFA inhaler, had an authorization valid 09/11/2023 – 09/11/2024. .0803(12) Technical Assistance regarding the violations observed: Medication I suggested that you complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. Consultation: Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has not completed the lead-based paint and asbestos testing. Please visit http://www.cleanwaterforuskids.org/carolina today to enroll and register in the lead water, lead-based paint and asbestos testing. Reminders & Resources: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Your next lead water test is due by April 1, 2027. You must complete on-going health and safety trainings every five years. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was ninety percent (90%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 8, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .0302 · Violation

Name of Operation: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 24 Completed Date: 10/11/2023 Age: From 4 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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, Paula Bradley, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on October 10, 2023, and Cline Learning Center Inc. was listed as current and active. The facility currently operates with a 5-stars rated license issued on August 20, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, enhanced space, building #1 capacity equals 50, and building #2 equals 22. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on November 30, 2022. Sanitation Inspection: The last sanitation inspection was completed on December 6, 2022. A “superior” classification was issued with two (2) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on August 28, 2023, at 4:10pm and recorded. The last playground inspection was completed on September 27, 2023. The last fire drill was completed on September 28, 2023, at 8:02am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, group time, and lunch. Files Reviewed: Children’s files, program files, and staff files were monitored today. Six (6) children's files were reviewed during today’s visit. One (1) staff file and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of 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. The most recent annual fire inspection available for review was conducted on November 30, 2022, with two unapproved sections documented. The facility received on January 30, 2023, an approved report, but not an approved fire inspection report. The facility is waiting for an updated approved fire inspection report to be sent. The fire inspection available for review has two DCDEE ID numbers listed. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Building #1, Space #1, on September 1, 2023, twelve children’s arrival and departure times were not documented. During morning drop-off times at the elementary schools, children’s departure times from the vans were not documented on the following dates: on September 7, 2023, six children’s morning departure times were not documented; on September 11, 2023, four children’s morning departure times were not documented; on September 12, 2023, eight children’s morning departure times were not documented; on September 13, 2023, nine children’s morning departure times were not documented; on September 14, 2023, nine children’s morning departure times were not documented; on September 15, 2023, four children’s morning departure times were not documented; on September 18, 2023, nine children’s morning departure times were not documented; on September 19, 2023, seven children’s morning departure times were not documented; on September 20, 2023, one child’s morning departure time was not documented; on September 21, 2023, five children’s morning departure times were not documented; on September 22, 2023, six children's morning departure times were not documented; on September 25, 2023, six children's morning departure times were not documented; on September 27, 2023, five children’s morning departure times were not documented; on September 28, 2023, seven children’s morning departure times were not documented; and on September 29, 2023, eight children’s morning departure times were not documented; on October 2, 2023, nine children’s morning departure times were not documented; on October 3, 2023, eight children’s morning departure times were not documented; on October 4, 2023, eight children’s departure times were not documented; on October 5, 2023, six children’s morning departure times; on October 6, 2023, nine children’s morning departure times were not documented; on October 9, 2023, ten children’s morning departure times were not documented; and on October 10, 2023, ten children’s morning departure times were not documented. In Building #1, in Space #1, the following dates did not document children’s afternoon departure times from the child care facility: on September 6, 2023, four children’s departure times were not documented; on September 7, 2023, two children's departure times were not documented; on September 8, 2023, twelve children's departure times were not documented; on September 11, 2023, one child’s departure was not documented; on September 29, 2023, one child’s departure was not documented. In Building #1, in Space #2, on September 5, 2023, two children’s departure times were not documented; on September 6, 2023, two children's departure times were not documented; on September 7, 2023, two children's departure were not documented; on September 8, two children's departure times were not documented; on September 11, 2023, one child’s departure time was not documented; on September 12, 2023, one child’s departure time was not documented; on September 13, 2023, one child’s departure time was not documented; on September 14, 2023, two children’s departure time were not documented; on September 15, 2023, three children's departure time were not documented; on September 18, 2023, two children's departure time were not documented; on September 19, 2023, two children's departure times were not documented; on September 20, 2023, one child’s departure time was not documented; on September 21, 2023, three children departure times were documented; on September 22, 2023, four children’s departure times were not documented; on September 25, 2023, three children’s departure times were not documented; on September 26, 2023, one child’s departure time was not documented; on September 27, 2023, two children’s departure times were not documented; on September 28, 2023, two children's departure times were not documented; and on September 29, 2023, three children's departure times were not documented. In Building 2, in Space #3, on October 3, 2023, one child’s departure time was not documented; on October 4, 2023, four children’s departure times were not documented; on October 5, 2023, four children's departure times were not documented; on October 6, 2023, one child’s departure time was not documented; on October 9, 2023, two children’s departure times were not documented; and on October 10, 2023, three children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Building #1kitchen space, the cabinet under the kitchen sink was unlocked. The following items were observed inside the unlocked cabinet with written warnings keep out of reach of young children included one aerosol spray can of Raid Essentials Ant, Spider, and Roach and one aerosol spray can of Asepticare Disenfectant. In the kitchen in an unlocked cabinet above the handwashing sink, were one bottle of Goodsense Ibuprofen, an EPI pen for one former staff member, and a tube of Goodsense antibiotic cream with written warning keep out of reach of children. In Building #2, in Space #3, in the bathroom accessible to children, was an unlocked cabinet where one aerosol spray can of Lysol Odor and one bottle of Clorox Cleaning Bleach Gel with written warning keep out of reach of children were observed. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on November 11, 2022, had a medical assessment on file for review dated December 14, 2023. One staff member employed on April 30, 2018, had a medical assessment on file for review October 18, 2018. 10A NCAC 09 .0701(a) 1329 Application for enrollment did not include all required information. Four children enrolled on September 5, 2023, were missing information in the health care needs section on their application. The missing information includes the following: specific health care needs, concerns, and symptoms, information on fears and unique behaviors, medication taken for health care needs, and information on safe medical treatment. .0801(a)(1-7) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled on September 5, 2023, did not have a health assessment on file for review. .3005(a) 1768 The health assessment did not include a hearing screening. Two children enrolled on September 5, 2023, did not have on file for review hearing screenings. Hearing screenings needed to be completed and on file for review by October 5, 2023. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Three children enrolled on September 5, 2023, did not have on file for review dental screenings. Dental screening needed to be completed and on file for review by October 5, 2023. .3005 (a)(5) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Four children enrolled on September 5, 2023; chronic health care needs did not have on file for review medical action plans. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children enrolled on September 5, 2023, the medication permission forms on file for review to administer medications for chronic illnesses were missing dates from when medication can first be administered to when administering medication can be ended. This information was left blank. The medication had not been administered to these two children. One child enrolled on September 5, 2023, did not have on file for review a medication permission form for medication for a chronic illness. The medication had not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violation observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, approved fire inspection report is required by the day of the last fire inspection. I discussed with you, Paula Bradley, fire inspection reports must have only one license number. Each licensed facility must have their own fire inspection report completed. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. A suggestion would be to have staff check arrival times at your set cut-off time each morning and as part of each classroom’s closing activities, a staff member will check to see departures times have been recorded. -Prescription Medication Permission Form As a reminder, medication permission forms must be on file for review and can give blanket permission to certain medications for chronic illnesses for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” -Medical Action Plan: As a reminder, children with chronic illnesses, such as asthma, seizures, and food allergies, and require a medical action plan if preventive medication is to be administered to children at the child care facility. The medical action box should be checked on the child’s application and a completed medical action plan is then attached to the child’s application and available for review. -Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has special health care needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. -Hazardous Materials: We discussed hazardous items, with written warning on the labels, need to be kept in locked storage. -Staff Medical Report: I reviewed with you, Paula Bradley, medical reports and tb test screenings documentation for new staff cannot be older than twelve months and are required to be on file prior to the staff’s first day of employment. -NC Pre K Health Screening/Health Assessments: It was discussed that health assessments and health screenings, such as vision, dental, and hearing screenings for children enrolled in the NC Pre K program, must be completed within thirty (30) days from their first day of enrollment. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 25, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Cline Learning Center of Dallas. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to the Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care 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 childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children. 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: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 24 Completed Date: 10/11/2023 Age: From 4 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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, Paula Bradley, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on October 10, 2023, and Cline Learning Center Inc. was listed as current and active. The facility currently operates with a 5-stars rated license issued on August 20, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, enhanced space, building #1 capacity equals 50, and building #2 equals 22. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on November 30, 2022. Sanitation Inspection: The last sanitation inspection was completed on December 6, 2022. A “superior” classification was issued with two (2) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on August 28, 2023, at 4:10pm and recorded. The last playground inspection was completed on September 27, 2023. The last fire drill was completed on September 28, 2023, at 8:02am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, group time, and lunch. Files Reviewed: Children’s files, program files, and staff files were monitored today. Six (6) children's files were reviewed during today’s visit. One (1) staff file and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of 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. The most recent annual fire inspection available for review was conducted on November 30, 2022, with two unapproved sections documented. The facility received on January 30, 2023, an approved report, but not an approved fire inspection report. The facility is waiting for an updated approved fire inspection report to be sent. The fire inspection available for review has two DCDEE ID numbers listed. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Building #1, Space #1, on September 1, 2023, twelve children’s arrival and departure times were not documented. During morning drop-off times at the elementary schools, children’s departure times from the vans were not documented on the following dates: on September 7, 2023, six children’s morning departure times were not documented; on September 11, 2023, four children’s morning departure times were not documented; on September 12, 2023, eight children’s morning departure times were not documented; on September 13, 2023, nine children’s morning departure times were not documented; on September 14, 2023, nine children’s morning departure times were not documented; on September 15, 2023, four children’s morning departure times were not documented; on September 18, 2023, nine children’s morning departure times were not documented; on September 19, 2023, seven children’s morning departure times were not documented; on September 20, 2023, one child’s morning departure time was not documented; on September 21, 2023, five children’s morning departure times were not documented; on September 22, 2023, six children's morning departure times were not documented; on September 25, 2023, six children's morning departure times were not documented; on September 27, 2023, five children’s morning departure times were not documented; on September 28, 2023, seven children’s morning departure times were not documented; and on September 29, 2023, eight children’s morning departure times were not documented; on October 2, 2023, nine children’s morning departure times were not documented; on October 3, 2023, eight children’s morning departure times were not documented; on October 4, 2023, eight children’s departure times were not documented; on October 5, 2023, six children’s morning departure times; on October 6, 2023, nine children’s morning departure times were not documented; on October 9, 2023, ten children’s morning departure times were not documented; and on October 10, 2023, ten children’s morning departure times were not documented. In Building #1, in Space #1, the following dates did not document children’s afternoon departure times from the child care facility: on September 6, 2023, four children’s departure times were not documented; on September 7, 2023, two children's departure times were not documented; on September 8, 2023, twelve children's departure times were not documented; on September 11, 2023, one child’s departure was not documented; on September 29, 2023, one child’s departure was not documented. In Building #1, in Space #2, on September 5, 2023, two children’s departure times were not documented; on September 6, 2023, two children's departure times were not documented; on September 7, 2023, two children's departure were not documented; on September 8, two children's departure times were not documented; on September 11, 2023, one child’s departure time was not documented; on September 12, 2023, one child’s departure time was not documented; on September 13, 2023, one child’s departure time was not documented; on September 14, 2023, two children’s departure time were not documented; on September 15, 2023, three children's departure time were not documented; on September 18, 2023, two children's departure time were not documented; on September 19, 2023, two children's departure times were not documented; on September 20, 2023, one child’s departure time was not documented; on September 21, 2023, three children departure times were documented; on September 22, 2023, four children’s departure times were not documented; on September 25, 2023, three children’s departure times were not documented; on September 26, 2023, one child’s departure time was not documented; on September 27, 2023, two children’s departure times were not documented; on September 28, 2023, two children's departure times were not documented; and on September 29, 2023, three children's departure times were not documented. In Building 2, in Space #3, on October 3, 2023, one child’s departure time was not documented; on October 4, 2023, four children’s departure times were not documented; on October 5, 2023, four children's departure times were not documented; on October 6, 2023, one child’s departure time was not documented; on October 9, 2023, two children’s departure times were not documented; and on October 10, 2023, three children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Building #1kitchen space, the cabinet under the kitchen sink was unlocked. The following items were observed inside the unlocked cabinet with written warnings keep out of reach of young children included one aerosol spray can of Raid Essentials Ant, Spider, and Roach and one aerosol spray can of Asepticare Disenfectant. In the kitchen in an unlocked cabinet above the handwashing sink, were one bottle of Goodsense Ibuprofen, an EPI pen for one former staff member, and a tube of Goodsense antibiotic cream with written warning keep out of reach of children. In Building #2, in Space #3, in the bathroom accessible to children, was an unlocked cabinet where one aerosol spray can of Lysol Odor and one bottle of Clorox Cleaning Bleach Gel with written warning keep out of reach of children were observed. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on November 11, 2022, had a medical assessment on file for review dated December 14, 2023. One staff member employed on April 30, 2018, had a medical assessment on file for review October 18, 2018. 10A NCAC 09 .0701(a) 1329 Application for enrollment did not include all required information. Four children enrolled on September 5, 2023, were missing information in the health care needs section on their application. The missing information includes the following: specific health care needs, concerns, and symptoms, information on fears and unique behaviors, medication taken for health care needs, and information on safe medical treatment. .0801(a)(1-7) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled on September 5, 2023, did not have a health assessment on file for review. .3005(a) 1768 The health assessment did not include a hearing screening. Two children enrolled on September 5, 2023, did not have on file for review hearing screenings. Hearing screenings needed to be completed and on file for review by October 5, 2023. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Three children enrolled on September 5, 2023, did not have on file for review dental screenings. Dental screening needed to be completed and on file for review by October 5, 2023. .3005 (a)(5) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Four children enrolled on September 5, 2023; chronic health care needs did not have on file for review medical action plans. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children enrolled on September 5, 2023, the medication permission forms on file for review to administer medications for chronic illnesses were missing dates from when medication can first be administered to when administering medication can be ended. This information was left blank. The medication had not been administered to these two children. One child enrolled on September 5, 2023, did not have on file for review a medication permission form for medication for a chronic illness. The medication had not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violation observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, approved fire inspection report is required by the day of the last fire inspection. I discussed with you, Paula Bradley, fire inspection reports must have only one license number. Each licensed facility must have their own fire inspection report completed. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. A suggestion would be to have staff check arrival times at your set cut-off time each morning and as part of each classroom’s closing activities, a staff member will check to see departures times have been recorded. -Prescription Medication Permission Form As a reminder, medication permission forms must be on file for review and can give blanket permission to certain medications for chronic illnesses for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” -Medical Action Plan: As a reminder, children with chronic illnesses, such as asthma, seizures, and food allergies, and require a medical action plan if preventive medication is to be administered to children at the child care facility. The medical action box should be checked on the child’s application and a completed medical action plan is then attached to the child’s application and available for review. -Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has special health care needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. -Hazardous Materials: We discussed hazardous items, with written warning on the labels, need to be kept in locked storage. -Staff Medical Report: I reviewed with you, Paula Bradley, medical reports and tb test screenings documentation for new staff cannot be older than twelve months and are required to be on file prior to the staff’s first day of employment. -NC Pre K Health Screening/Health Assessments: It was discussed that health assessments and health screenings, such as vision, dental, and hearing screenings for children enrolled in the NC Pre K program, must be completed within thirty (30) days from their first day of enrollment. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 25, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Cline Learning Center of Dallas. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to the Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care 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 childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 24 Completed Date: 10/11/2023 Age: From 4 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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, Paula Bradley, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on October 10, 2023, and Cline Learning Center Inc. was listed as current and active. The facility currently operates with a 5-stars rated license issued on August 20, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, enhanced space, building #1 capacity equals 50, and building #2 equals 22. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on November 30, 2022. Sanitation Inspection: The last sanitation inspection was completed on December 6, 2022. A “superior” classification was issued with two (2) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on August 28, 2023, at 4:10pm and recorded. The last playground inspection was completed on September 27, 2023. The last fire drill was completed on September 28, 2023, at 8:02am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, group time, and lunch. Files Reviewed: Children’s files, program files, and staff files were monitored today. Six (6) children's files were reviewed during today’s visit. One (1) staff file and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of 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. The most recent annual fire inspection available for review was conducted on November 30, 2022, with two unapproved sections documented. The facility received on January 30, 2023, an approved report, but not an approved fire inspection report. The facility is waiting for an updated approved fire inspection report to be sent. The fire inspection available for review has two DCDEE ID numbers listed. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Building #1, Space #1, on September 1, 2023, twelve children’s arrival and departure times were not documented. During morning drop-off times at the elementary schools, children’s departure times from the vans were not documented on the following dates: on September 7, 2023, six children’s morning departure times were not documented; on September 11, 2023, four children’s morning departure times were not documented; on September 12, 2023, eight children’s morning departure times were not documented; on September 13, 2023, nine children’s morning departure times were not documented; on September 14, 2023, nine children’s morning departure times were not documented; on September 15, 2023, four children’s morning departure times were not documented; on September 18, 2023, nine children’s morning departure times were not documented; on September 19, 2023, seven children’s morning departure times were not documented; on September 20, 2023, one child’s morning departure time was not documented; on September 21, 2023, five children’s morning departure times were not documented; on September 22, 2023, six children's morning departure times were not documented; on September 25, 2023, six children's morning departure times were not documented; on September 27, 2023, five children’s morning departure times were not documented; on September 28, 2023, seven children’s morning departure times were not documented; and on September 29, 2023, eight children’s morning departure times were not documented; on October 2, 2023, nine children’s morning departure times were not documented; on October 3, 2023, eight children’s morning departure times were not documented; on October 4, 2023, eight children’s departure times were not documented; on October 5, 2023, six children’s morning departure times; on October 6, 2023, nine children’s morning departure times were not documented; on October 9, 2023, ten children’s morning departure times were not documented; and on October 10, 2023, ten children’s morning departure times were not documented. In Building #1, in Space #1, the following dates did not document children’s afternoon departure times from the child care facility: on September 6, 2023, four children’s departure times were not documented; on September 7, 2023, two children's departure times were not documented; on September 8, 2023, twelve children's departure times were not documented; on September 11, 2023, one child’s departure was not documented; on September 29, 2023, one child’s departure was not documented. In Building #1, in Space #2, on September 5, 2023, two children’s departure times were not documented; on September 6, 2023, two children's departure times were not documented; on September 7, 2023, two children's departure were not documented; on September 8, two children's departure times were not documented; on September 11, 2023, one child’s departure time was not documented; on September 12, 2023, one child’s departure time was not documented; on September 13, 2023, one child’s departure time was not documented; on September 14, 2023, two children’s departure time were not documented; on September 15, 2023, three children's departure time were not documented; on September 18, 2023, two children's departure time were not documented; on September 19, 2023, two children's departure times were not documented; on September 20, 2023, one child’s departure time was not documented; on September 21, 2023, three children departure times were documented; on September 22, 2023, four children’s departure times were not documented; on September 25, 2023, three children’s departure times were not documented; on September 26, 2023, one child’s departure time was not documented; on September 27, 2023, two children’s departure times were not documented; on September 28, 2023, two children's departure times were not documented; and on September 29, 2023, three children's departure times were not documented. In Building 2, in Space #3, on October 3, 2023, one child’s departure time was not documented; on October 4, 2023, four children’s departure times were not documented; on October 5, 2023, four children's departure times were not documented; on October 6, 2023, one child’s departure time was not documented; on October 9, 2023, two children’s departure times were not documented; and on October 10, 2023, three children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Building #1kitchen space, the cabinet under the kitchen sink was unlocked. The following items were observed inside the unlocked cabinet with written warnings keep out of reach of young children included one aerosol spray can of Raid Essentials Ant, Spider, and Roach and one aerosol spray can of Asepticare Disenfectant. In the kitchen in an unlocked cabinet above the handwashing sink, were one bottle of Goodsense Ibuprofen, an EPI pen for one former staff member, and a tube of Goodsense antibiotic cream with written warning keep out of reach of children. In Building #2, in Space #3, in the bathroom accessible to children, was an unlocked cabinet where one aerosol spray can of Lysol Odor and one bottle of Clorox Cleaning Bleach Gel with written warning keep out of reach of children were observed. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on November 11, 2022, had a medical assessment on file for review dated December 14, 2023. One staff member employed on April 30, 2018, had a medical assessment on file for review October 18, 2018. 10A NCAC 09 .0701(a) 1329 Application for enrollment did not include all required information. Four children enrolled on September 5, 2023, were missing information in the health care needs section on their application. The missing information includes the following: specific health care needs, concerns, and symptoms, information on fears and unique behaviors, medication taken for health care needs, and information on safe medical treatment. .0801(a)(1-7) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled on September 5, 2023, did not have a health assessment on file for review. .3005(a) 1768 The health assessment did not include a hearing screening. Two children enrolled on September 5, 2023, did not have on file for review hearing screenings. Hearing screenings needed to be completed and on file for review by October 5, 2023. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Three children enrolled on September 5, 2023, did not have on file for review dental screenings. Dental screening needed to be completed and on file for review by October 5, 2023. .3005 (a)(5) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Four children enrolled on September 5, 2023; chronic health care needs did not have on file for review medical action plans. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children enrolled on September 5, 2023, the medication permission forms on file for review to administer medications for chronic illnesses were missing dates from when medication can first be administered to when administering medication can be ended. This information was left blank. The medication had not been administered to these two children. One child enrolled on September 5, 2023, did not have on file for review a medication permission form for medication for a chronic illness. The medication had not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violation observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, approved fire inspection report is required by the day of the last fire inspection. I discussed with you, Paula Bradley, fire inspection reports must have only one license number. Each licensed facility must have their own fire inspection report completed. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. A suggestion would be to have staff check arrival times at your set cut-off time each morning and as part of each classroom’s closing activities, a staff member will check to see departures times have been recorded. -Prescription Medication Permission Form As a reminder, medication permission forms must be on file for review and can give blanket permission to certain medications for chronic illnesses for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” -Medical Action Plan: As a reminder, children with chronic illnesses, such as asthma, seizures, and food allergies, and require a medical action plan if preventive medication is to be administered to children at the child care facility. The medical action box should be checked on the child’s application and a completed medical action plan is then attached to the child’s application and available for review. -Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has special health care needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. -Hazardous Materials: We discussed hazardous items, with written warning on the labels, need to be kept in locked storage. -Staff Medical Report: I reviewed with you, Paula Bradley, medical reports and tb test screenings documentation for new staff cannot be older than twelve months and are required to be on file prior to the staff’s first day of employment. -NC Pre K Health Screening/Health Assessments: It was discussed that health assessments and health screenings, such as vision, dental, and hearing screenings for children enrolled in the NC Pre K program, must be completed within thirty (30) days from their first day of enrollment. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 25, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Cline Learning Center of Dallas. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to the Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care 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 childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CLINE LEARNING CENTER OF DALLAS Facility ID: 36000181 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 24 Completed Date: 10/11/2023 Age: From 4 To 5 Total Minutes: 365 Time In: 09:15 AM Time Out: 03:20 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, Paula Bradley, Administrator, assisted me with the visit today. The NC Secretary of State website was viewed on October 10, 2023, and Cline Learning Center Inc. was listed as current and active. The facility currently operates with a 5-stars rated license issued on August 20, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, enhanced space, building #1 capacity equals 50, and building #2 equals 22. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on November 30, 2022. Sanitation Inspection: The last sanitation inspection was completed on December 6, 2022. A “superior” classification was issued with two (2) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on August 28, 2023, at 4:10pm and recorded. The last playground inspection was completed on September 27, 2023. The last fire drill was completed on September 28, 2023, at 8:02am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Staff and children were observed during outdoor free play, group time, and lunch. Files Reviewed: Children’s files, program files, and staff files were monitored today. Six (6) children's files were reviewed during today’s visit. One (1) staff file and two (2) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of 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. The most recent annual fire inspection available for review was conducted on November 30, 2022, with two unapproved sections documented. The facility received on January 30, 2023, an approved report, but not an approved fire inspection report. The facility is waiting for an updated approved fire inspection report to be sent. The fire inspection available for review has two DCDEE ID numbers listed. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Building #1, Space #1, on September 1, 2023, twelve children’s arrival and departure times were not documented. During morning drop-off times at the elementary schools, children’s departure times from the vans were not documented on the following dates: on September 7, 2023, six children’s morning departure times were not documented; on September 11, 2023, four children’s morning departure times were not documented; on September 12, 2023, eight children’s morning departure times were not documented; on September 13, 2023, nine children’s morning departure times were not documented; on September 14, 2023, nine children’s morning departure times were not documented; on September 15, 2023, four children’s morning departure times were not documented; on September 18, 2023, nine children’s morning departure times were not documented; on September 19, 2023, seven children’s morning departure times were not documented; on September 20, 2023, one child’s morning departure time was not documented; on September 21, 2023, five children’s morning departure times were not documented; on September 22, 2023, six children's morning departure times were not documented; on September 25, 2023, six children's morning departure times were not documented; on September 27, 2023, five children’s morning departure times were not documented; on September 28, 2023, seven children’s morning departure times were not documented; and on September 29, 2023, eight children’s morning departure times were not documented; on October 2, 2023, nine children’s morning departure times were not documented; on October 3, 2023, eight children’s morning departure times were not documented; on October 4, 2023, eight children’s departure times were not documented; on October 5, 2023, six children’s morning departure times; on October 6, 2023, nine children’s morning departure times were not documented; on October 9, 2023, ten children’s morning departure times were not documented; and on October 10, 2023, ten children’s morning departure times were not documented. In Building #1, in Space #1, the following dates did not document children’s afternoon departure times from the child care facility: on September 6, 2023, four children’s departure times were not documented; on September 7, 2023, two children's departure times were not documented; on September 8, 2023, twelve children's departure times were not documented; on September 11, 2023, one child’s departure was not documented; on September 29, 2023, one child’s departure was not documented. In Building #1, in Space #2, on September 5, 2023, two children’s departure times were not documented; on September 6, 2023, two children's departure times were not documented; on September 7, 2023, two children's departure were not documented; on September 8, two children's departure times were not documented; on September 11, 2023, one child’s departure time was not documented; on September 12, 2023, one child’s departure time was not documented; on September 13, 2023, one child’s departure time was not documented; on September 14, 2023, two children’s departure time were not documented; on September 15, 2023, three children's departure time were not documented; on September 18, 2023, two children's departure time were not documented; on September 19, 2023, two children's departure times were not documented; on September 20, 2023, one child’s departure time was not documented; on September 21, 2023, three children departure times were documented; on September 22, 2023, four children’s departure times were not documented; on September 25, 2023, three children’s departure times were not documented; on September 26, 2023, one child’s departure time was not documented; on September 27, 2023, two children’s departure times were not documented; on September 28, 2023, two children's departure times were not documented; and on September 29, 2023, three children's departure times were not documented. In Building 2, in Space #3, on October 3, 2023, one child’s departure time was not documented; on October 4, 2023, four children’s departure times were not documented; on October 5, 2023, four children's departure times were not documented; on October 6, 2023, one child’s departure time was not documented; on October 9, 2023, two children’s departure times were not documented; and on October 10, 2023, three children's departure times were not documented. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Building #1kitchen space, the cabinet under the kitchen sink was unlocked. The following items were observed inside the unlocked cabinet with written warnings keep out of reach of young children included one aerosol spray can of Raid Essentials Ant, Spider, and Roach and one aerosol spray can of Asepticare Disenfectant. In the kitchen in an unlocked cabinet above the handwashing sink, were one bottle of Goodsense Ibuprofen, an EPI pen for one former staff member, and a tube of Goodsense antibiotic cream with written warning keep out of reach of children. In Building #2, in Space #3, in the bathroom accessible to children, was an unlocked cabinet where one aerosol spray can of Lysol Odor and one bottle of Clorox Cleaning Bleach Gel with written warning keep out of reach of children were observed. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed on November 11, 2022, had a medical assessment on file for review dated December 14, 2023. One staff member employed on April 30, 2018, had a medical assessment on file for review October 18, 2018. 10A NCAC 09 .0701(a) 1329 Application for enrollment did not include all required information. Four children enrolled on September 5, 2023, were missing information in the health care needs section on their application. The missing information includes the following: specific health care needs, concerns, and symptoms, information on fears and unique behaviors, medication taken for health care needs, and information on safe medical treatment. .0801(a)(1-7) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. One child enrolled on September 5, 2023, did not have a health assessment on file for review. .3005(a) 1768 The health assessment did not include a hearing screening. Two children enrolled on September 5, 2023, did not have on file for review hearing screenings. Hearing screenings needed to be completed and on file for review by October 5, 2023. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Three children enrolled on September 5, 2023, did not have on file for review dental screenings. Dental screening needed to be completed and on file for review by October 5, 2023. .3005 (a)(5) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. Four children enrolled on September 5, 2023; chronic health care needs did not have on file for review medical action plans. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children enrolled on September 5, 2023, the medication permission forms on file for review to administer medications for chronic illnesses were missing dates from when medication can first be administered to when administering medication can be ended. This information was left blank. The medication had not been administered to these two children. One child enrolled on September 5, 2023, did not have on file for review a medication permission form for medication for a chronic illness. The medication had not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The following Technical Assistance regarding the violation observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, approved fire inspection report is required by the day of the last fire inspection. I discussed with you, Paula Bradley, fire inspection reports must have only one license number. Each licensed facility must have their own fire inspection report completed. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and reviewing with staff the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. A suggestion would be to have staff check arrival times at your set cut-off time each morning and as part of each classroom’s closing activities, a staff member will check to see departures times have been recorded. -Prescription Medication Permission Form As a reminder, medication permission forms must be on file for review and can give blanket permission to certain medications for chronic illnesses for up to six months. I referenced the child care rule 10A NCAC 09 .0803 Administering Medication in Child Care Centers (6) (a-i) which states “(6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months.” -Medical Action Plan: As a reminder, children with chronic illnesses, such as asthma, seizures, and food allergies, and require a medical action plan if preventive medication is to be administered to children at the child care facility. The medical action box should be checked on the child’s application and a completed medical action plan is then attached to the child’s application and available for review. -Health Care Needs Section on the Children’s Application: As a reminder, please review all children’s applications upon enrollment to ensure all required information is completed on the child’s application. This includes the health care needs section on the child’s application, which includes pertinent information required to be completed if a child has special health care needs. I suggested reviewing currently enrolled children’s files to ensure accurate records are kept. -Hazardous Materials: We discussed hazardous items, with written warning on the labels, need to be kept in locked storage. -Staff Medical Report: I reviewed with you, Paula Bradley, medical reports and tb test screenings documentation for new staff cannot be older than twelve months and are required to be on file prior to the staff’s first day of employment. -NC Pre K Health Screening/Health Assessments: It was discussed that health assessments and health screenings, such as vision, dental, and hearing screenings for children enrolled in the NC Pre K program, must be completed within thirty (30) days from their first day of enrollment. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was one hundred percent (100) %. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 25, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -COVID-19 Information and Resources: I share information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Cline Learning Center of Dallas. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to the Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed staff completing the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care 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 childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children. 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