10A NCAC 09 .0606 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 17 Completed Date: 11/7/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance review. V. Williams, administrator, was present and assisted with the visit. Currently, this center operates with a Notice of Compliance issued July 3, 2018. The last annual compliance visit was conducted on December 13, 2023. The last sanitation inspection was completed June 28, 2024 earning a “Superior” rating and was approved for daytime care only. The last fire inspection was completed January 25, 2024 and the facility was approved for daytime care only. Children were observed engaging in activity center play, writing and coloring at tables and outdoor play. Observed interactions between staff and children were nurturing in nature. FACILITY PROFILE PAGE This program is owned by Bunn United Methodist Church as a sole proprietor. I reviewed contact information for the owner and the facility with you, V. Williams, and you confirmed that the information listed with DCDEE remains correct. You confirmed that this program does not offer transportation. The following violations of child care requirements were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. There were six (6) bottles for one (1) child that were not labeled or dated in space #1. 15A NCAC 18A .2804(d) 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. The laundry stored laundry detergency, cleaning and aerosol products was unlocked. An aerosol container of Lysol and sunscreen were in an unlocked cabinet by the door in space #7. .2820(b) 871 Center staff did not comply with the safe sleep policy. Visual sleep checks for infants in space #1 were not always completed every fifteen (15) minutes. 10A NCAC 09 .0606(a) 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). A staff person hired 10/2/24 has a qualification letter that expired 6/27/24 and the new letter is dated 9/20/24. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a First Aid training that expired in February and was not completed until 10/15/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a CPR training that expired in February and was not completed until 10/15/24. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled 5/23/24 does not have a complete medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There are several spots where the rubber mulch surfacing measured one (1) to five (5) inches and not the required six (6). .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training has yet to be completed by staff hired 1/7/23 and 10/2/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff person hired 1/17/23 has not completed this required training. .1102(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by November 21, 2024. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how the violations were corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 85% over an eighteen (18) month period. CHILDREN RECORDS Ten (10) percent of the enrolled children files were monitored. I observed that one (1) child, enrolled 5/23/24, does not have a health assessment on file with all the required information. The child has a “well child” visit summary attached to the DCDEE health assessment form that only lists the child’s weight and height. If the DCDEE form is not used it must still contain the same information to medically clear the child to participate in normal activities that occur in an early educational setting. STAFF RECORDS I reviewed ten (10) percent of staff records, and two (2) violations were documented. The staff person hired 10/2/23 did not renew their criminal background check until 9/20/24. However, their previous CBC expired on 6/27/24. This staff person’s CPR and First Aid training expired February 2024 and was not renewed until October 15, 2024. As the new administrator I reminded you that since this program is subsidy approved staff must complete the Health and Safety trainings, including the Recognizing and Responding to Suspicions of Maltreatment training, in the required time frames and renew every five (5) years. Staff hired 1/17/23 and 10/2/23 has yet to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Staff hired 1/17/23 has yet to complete the health and safety trainings that are required within the first year of hire. NUTRITION An infant enrolled in space #1 had six (6) bottles for use in the fridge that were not labeled or dated. Rules require that parents or staff label all infant bottles with their name and the day’s date to ensure that all bottles are fresh and are given to the correct child. When notified the teacher removed the bottles and added labels with the child’s name and the date. There were only two (2) infants in attendance during the visit. SAFE SLEEP PRACTICES While infant sleep checks were completed and documented they were not always within the required timeframe. I reviewed the sleep check charts for infants in space #1 and observed that there were several times that the visual check was completed twenty (20) minutes after the last check. Visual checks must be completed and documented every fifteen (15) minutes to ensure that aid may be reminder in time should an infant be in medical distress while napping. OUTDOOR PLAY AREA While monitoring the playground I measures the depth of the rubber mulch below the large play equipment on the preschool/school-age playground. There are a few areas that are measuring between one (1) – five (5) inches instead of the required six (6) inch depth. Use of this equipment must be restricted until more surfacing can be added to ensure that all areas have a depth of six (6) inches to help decrease risk of injury should a child fall off the equipment. STORAGE OF HAZARDOUS PRODUCTS. The laundry room, by the kitchen, stores laundry detergent, cleaning and aerosol products was unlocked. When I informed you locked the area. I observed aerosol containers of Lysol and sunscreen in an unlocked cabinet by the door in space #7. The lock box in this classroom has a lock that cannot be removed. I recommend either cutting that lock off to add a new one or acquiring a new lock box to keep hazardous products. Unless the items can be stored in a locked area in a different space. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring classroom walls for areas of peeling paint. Once an area starts to peel often children begin peeling it as well. Ensure applicable areas are repaired as soon as possible as it could warrant a violation. Continue to ensure that monthly fire drills and playground inspections are completed and documented on the corresponding DCDEE form for verification. Ensure that if staff keep purses or other personal belongings in the building that they are in locked storage. This ensures that no items or products that are hazardous to children are accessible, such as over the counter medication, lighters, cleaning products, etc. Otherwise, these items may be monitored as they are a part of the children’s environment. Diaper changing tables should not be used for any type of storage. I left a copy of an adult and a child handwashing poster, administering medication poster and a First Aid/CPR-Choking poster for use in the facility as you see fit. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated January 1, 2024, is available at the DCDEE website There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 17 Completed Date: 11/7/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance review. V. Williams, administrator, was present and assisted with the visit. Currently, this center operates with a Notice of Compliance issued July 3, 2018. The last annual compliance visit was conducted on December 13, 2023. The last sanitation inspection was completed June 28, 2024 earning a “Superior” rating and was approved for daytime care only. The last fire inspection was completed January 25, 2024 and the facility was approved for daytime care only. Children were observed engaging in activity center play, writing and coloring at tables and outdoor play. Observed interactions between staff and children were nurturing in nature. FACILITY PROFILE PAGE This program is owned by Bunn United Methodist Church as a sole proprietor. I reviewed contact information for the owner and the facility with you, V. Williams, and you confirmed that the information listed with DCDEE remains correct. You confirmed that this program does not offer transportation. The following violations of child care requirements were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. There were six (6) bottles for one (1) child that were not labeled or dated in space #1. 15A NCAC 18A .2804(d) 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. The laundry stored laundry detergency, cleaning and aerosol products was unlocked. An aerosol container of Lysol and sunscreen were in an unlocked cabinet by the door in space #7. .2820(b) 871 Center staff did not comply with the safe sleep policy. Visual sleep checks for infants in space #1 were not always completed every fifteen (15) minutes. 10A NCAC 09 .0606(a) 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). A staff person hired 10/2/24 has a qualification letter that expired 6/27/24 and the new letter is dated 9/20/24. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a First Aid training that expired in February and was not completed until 10/15/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a CPR training that expired in February and was not completed until 10/15/24. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled 5/23/24 does not have a complete medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There are several spots where the rubber mulch surfacing measured one (1) to five (5) inches and not the required six (6). .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training has yet to be completed by staff hired 1/7/23 and 10/2/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff person hired 1/17/23 has not completed this required training. .1102(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by November 21, 2024. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how the violations were corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 85% over an eighteen (18) month period. CHILDREN RECORDS Ten (10) percent of the enrolled children files were monitored. I observed that one (1) child, enrolled 5/23/24, does not have a health assessment on file with all the required information. The child has a “well child” visit summary attached to the DCDEE health assessment form that only lists the child’s weight and height. If the DCDEE form is not used it must still contain the same information to medically clear the child to participate in normal activities that occur in an early educational setting. STAFF RECORDS I reviewed ten (10) percent of staff records, and two (2) violations were documented. The staff person hired 10/2/23 did not renew their criminal background check until 9/20/24. However, their previous CBC expired on 6/27/24. This staff person’s CPR and First Aid training expired February 2024 and was not renewed until October 15, 2024. As the new administrator I reminded you that since this program is subsidy approved staff must complete the Health and Safety trainings, including the Recognizing and Responding to Suspicions of Maltreatment training, in the required time frames and renew every five (5) years. Staff hired 1/17/23 and 10/2/23 has yet to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Staff hired 1/17/23 has yet to complete the health and safety trainings that are required within the first year of hire. NUTRITION An infant enrolled in space #1 had six (6) bottles for use in the fridge that were not labeled or dated. Rules require that parents or staff label all infant bottles with their name and the day’s date to ensure that all bottles are fresh and are given to the correct child. When notified the teacher removed the bottles and added labels with the child’s name and the date. There were only two (2) infants in attendance during the visit. SAFE SLEEP PRACTICES While infant sleep checks were completed and documented they were not always within the required timeframe. I reviewed the sleep check charts for infants in space #1 and observed that there were several times that the visual check was completed twenty (20) minutes after the last check. Visual checks must be completed and documented every fifteen (15) minutes to ensure that aid may be reminder in time should an infant be in medical distress while napping. OUTDOOR PLAY AREA While monitoring the playground I measures the depth of the rubber mulch below the large play equipment on the preschool/school-age playground. There are a few areas that are measuring between one (1) – five (5) inches instead of the required six (6) inch depth. Use of this equipment must be restricted until more surfacing can be added to ensure that all areas have a depth of six (6) inches to help decrease risk of injury should a child fall off the equipment. STORAGE OF HAZARDOUS PRODUCTS. The laundry room, by the kitchen, stores laundry detergent, cleaning and aerosol products was unlocked. When I informed you locked the area. I observed aerosol containers of Lysol and sunscreen in an unlocked cabinet by the door in space #7. The lock box in this classroom has a lock that cannot be removed. I recommend either cutting that lock off to add a new one or acquiring a new lock box to keep hazardous products. Unless the items can be stored in a locked area in a different space. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring classroom walls for areas of peeling paint. Once an area starts to peel often children begin peeling it as well. Ensure applicable areas are repaired as soon as possible as it could warrant a violation. Continue to ensure that monthly fire drills and playground inspections are completed and documented on the corresponding DCDEE form for verification. Ensure that if staff keep purses or other personal belongings in the building that they are in locked storage. This ensures that no items or products that are hazardous to children are accessible, such as over the counter medication, lighters, cleaning products, etc. Otherwise, these items may be monitored as they are a part of the children’s environment. Diaper changing tables should not be used for any type of storage. I left a copy of an adult and a child handwashing poster, administering medication poster and a First Aid/CPR-Choking poster for use in the facility as you see fit. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated January 1, 2024, is available at the DCDEE website There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 17 Completed Date: 11/7/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance review. V. Williams, administrator, was present and assisted with the visit. Currently, this center operates with a Notice of Compliance issued July 3, 2018. The last annual compliance visit was conducted on December 13, 2023. The last sanitation inspection was completed June 28, 2024 earning a “Superior” rating and was approved for daytime care only. The last fire inspection was completed January 25, 2024 and the facility was approved for daytime care only. Children were observed engaging in activity center play, writing and coloring at tables and outdoor play. Observed interactions between staff and children were nurturing in nature. FACILITY PROFILE PAGE This program is owned by Bunn United Methodist Church as a sole proprietor. I reviewed contact information for the owner and the facility with you, V. Williams, and you confirmed that the information listed with DCDEE remains correct. You confirmed that this program does not offer transportation. The following violations of child care requirements were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. There were six (6) bottles for one (1) child that were not labeled or dated in space #1. 15A NCAC 18A .2804(d) 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. The laundry stored laundry detergency, cleaning and aerosol products was unlocked. An aerosol container of Lysol and sunscreen were in an unlocked cabinet by the door in space #7. .2820(b) 871 Center staff did not comply with the safe sleep policy. Visual sleep checks for infants in space #1 were not always completed every fifteen (15) minutes. 10A NCAC 09 .0606(a) 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). A staff person hired 10/2/24 has a qualification letter that expired 6/27/24 and the new letter is dated 9/20/24. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a First Aid training that expired in February and was not completed until 10/15/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff person hired 10/2/23 has a CPR training that expired in February and was not completed until 10/15/24. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled 5/23/24 does not have a complete medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There are several spots where the rubber mulch surfacing measured one (1) to five (5) inches and not the required six (6). .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training has yet to be completed by staff hired 1/7/23 and 10/2/23. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A staff person hired 1/17/23 has not completed this required training. .1102(a) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by November 21, 2024. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how the violations were corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 85% over an eighteen (18) month period. CHILDREN RECORDS Ten (10) percent of the enrolled children files were monitored. I observed that one (1) child, enrolled 5/23/24, does not have a health assessment on file with all the required information. The child has a “well child” visit summary attached to the DCDEE health assessment form that only lists the child’s weight and height. If the DCDEE form is not used it must still contain the same information to medically clear the child to participate in normal activities that occur in an early educational setting. STAFF RECORDS I reviewed ten (10) percent of staff records, and two (2) violations were documented. The staff person hired 10/2/23 did not renew their criminal background check until 9/20/24. However, their previous CBC expired on 6/27/24. This staff person’s CPR and First Aid training expired February 2024 and was not renewed until October 15, 2024. As the new administrator I reminded you that since this program is subsidy approved staff must complete the Health and Safety trainings, including the Recognizing and Responding to Suspicions of Maltreatment training, in the required time frames and renew every five (5) years. Staff hired 1/17/23 and 10/2/23 has yet to complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. Staff hired 1/17/23 has yet to complete the health and safety trainings that are required within the first year of hire. NUTRITION An infant enrolled in space #1 had six (6) bottles for use in the fridge that were not labeled or dated. Rules require that parents or staff label all infant bottles with their name and the day’s date to ensure that all bottles are fresh and are given to the correct child. When notified the teacher removed the bottles and added labels with the child’s name and the date. There were only two (2) infants in attendance during the visit. SAFE SLEEP PRACTICES While infant sleep checks were completed and documented they were not always within the required timeframe. I reviewed the sleep check charts for infants in space #1 and observed that there were several times that the visual check was completed twenty (20) minutes after the last check. Visual checks must be completed and documented every fifteen (15) minutes to ensure that aid may be reminder in time should an infant be in medical distress while napping. OUTDOOR PLAY AREA While monitoring the playground I measures the depth of the rubber mulch below the large play equipment on the preschool/school-age playground. There are a few areas that are measuring between one (1) – five (5) inches instead of the required six (6) inch depth. Use of this equipment must be restricted until more surfacing can be added to ensure that all areas have a depth of six (6) inches to help decrease risk of injury should a child fall off the equipment. STORAGE OF HAZARDOUS PRODUCTS. The laundry room, by the kitchen, stores laundry detergent, cleaning and aerosol products was unlocked. When I informed you locked the area. I observed aerosol containers of Lysol and sunscreen in an unlocked cabinet by the door in space #7. The lock box in this classroom has a lock that cannot be removed. I recommend either cutting that lock off to add a new one or acquiring a new lock box to keep hazardous products. Unless the items can be stored in a locked area in a different space. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring classroom walls for areas of peeling paint. Once an area starts to peel often children begin peeling it as well. Ensure applicable areas are repaired as soon as possible as it could warrant a violation. Continue to ensure that monthly fire drills and playground inspections are completed and documented on the corresponding DCDEE form for verification. Ensure that if staff keep purses or other personal belongings in the building that they are in locked storage. This ensures that no items or products that are hazardous to children are accessible, such as over the counter medication, lighters, cleaning products, etc. Otherwise, these items may be monitored as they are a part of the children’s environment. Diaper changing tables should not be used for any type of storage. I left a copy of an adult and a child handwashing poster, administering medication poster and a First Aid/CPR-Choking poster for use in the facility as you see fit. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated January 1, 2024, is available at the DCDEE website There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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 .2200 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0824-165A Visit Date: 8/20/2024 Number Present: 26 Completed Date: 8/20/2024 Age: From 0 To 10 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM 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. Jim Bolyard, Pastor, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Bolyard and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. On August 27, 2024, a staff member was out of ratio where they were responsible for sixteen (16) children ages two to five years old. .0713(a)(1) 904 Child was handled roughly. In July 2024, an administrator flipped a table in the classroom while children were present when she became frustrated. On more than one occasion, she spoke to children in a loud, harsh tone and has shown a pattern of aggressive and inappropriate behavior towards children. In addition, On August 12, 2024 , the administrator grabbed and pulled a five-year-old child, wrapped their arms and legs around the child, and pushed the child to the floor. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. The pastor had not completed a CBC and did not have previous qualifications with DCDEE. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. On December 10, 2024, the Division substantiated child maltreatment based on the physical needs of children. GS 110-105.6(a) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@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 .2200). 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: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0824-165A Visit Date: 8/20/2024 Number Present: 26 Completed Date: 8/20/2024 Age: From 0 To 10 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM 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. Jim Bolyard, Pastor, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Bolyard and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. On August 27, 2024, a staff member was out of ratio where they were responsible for sixteen (16) children ages two to five years old. .0713(a)(1) 904 Child was handled roughly. In July 2024, an administrator flipped a table in the classroom while children were present when she became frustrated. On more than one occasion, she spoke to children in a loud, harsh tone and has shown a pattern of aggressive and inappropriate behavior towards children. In addition, On August 12, 2024 , the administrator grabbed and pulled a five-year-old child, wrapped their arms and legs around the child, and pushed the child to the floor. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. The pastor had not completed a CBC and did not have previous qualifications with DCDEE. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. On December 10, 2024, the Division substantiated child maltreatment based on the physical needs of children. GS 110-105.6(a) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@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 .2200). 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.

GS 110-105 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0824-165A Visit Date: 8/20/2024 Number Present: 26 Completed Date: 8/20/2024 Age: From 0 To 10 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM 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. Jim Bolyard, Pastor, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Bolyard and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 315 When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. On August 27, 2024, a staff member was out of ratio where they were responsible for sixteen (16) children ages two to five years old. .0713(a)(1) 904 Child was handled roughly. In July 2024, an administrator flipped a table in the classroom while children were present when she became frustrated. On more than one occasion, she spoke to children in a loud, harsh tone and has shown a pattern of aggressive and inappropriate behavior towards children. In addition, On August 12, 2024 , the administrator grabbed and pulled a five-year-old child, wrapped their arms and legs around the child, and pushed the child to the floor. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. The pastor had not completed a CBC and did not have previous qualifications with DCDEE. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. On December 10, 2024, the Division substantiated child maltreatment based on the physical needs of children. GS 110-105.6(a) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@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 .2200). 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 .0604 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 19 Completed Date: 7/24/2024 Age: From 1 To 10 Total Minutes: 138 Time In: 09:12 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to a routine unannounced visit. C. Vaughan, administrator, was present and assisted with the visit. The last annual compliance visit was conducted January 3, 2024. The posted sanitation inspection was completed June 28, 2024 earning a “Superior” rating. The last fire inspection was completed January 25, 2024 and the facility was approved for daytime care only. Children were observed completing breakfast, group time, outdoor play, and free choice center activities. Observed interactions were nurturing in nature. The following violations of child care requirements were documented. 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. Fire inspection was completed 1/25/24 but was due by 1/9/24. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered outlet in space #8 by kitchen. 10A NCAC 09 .0604(c) 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. Aerosol Clorox and Banana Boat sunscreen stored in an unlocked cabinet by the door in space #7. .2820(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by August 7, 2024. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you the violation was corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 79% over an eighteen (18) month period. STAFF/CHILD INTERACTION: OBSERVATIONS Children were observed participating in age-appropriate activities in each space. This included free choice activity center play. Children gathered paper, coloring books and art supplies in space #7 to color. Children in space #6 organized the dramatic play center and took care of their baby dolls. Some children also engaged in screen time in space #2 while others played in activity centers. Schedules were posted for reference in each space and being followed. Children are naturally curious and creative, which means they often explore to learn. They often test boundaries and engage in challenging behaviors due to curiosity and drive to learn. Positive relationships are essential for the development of children’s social competence. There are positive steps and routines that can be used to limit challenging behaviors and guide children to more positive choices. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility and help them make thoughtful choices. Effective behavior management focuses on the child’s development and requires the caregiver to understand what behaviors and reactions are appropriate for the that child and their age. Please continue to support staff in this understanding and using positive redirection in addressing challenging behaviors. As trainings can often be spread out you could offer materials to read related to this topic on the NC Child Care Resource and Referral website under the Healthy Social Behaviors (HSB) tab at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed related frequently monitoring the depth of rubber mulch beneath the large play equipment. It appears to be on a slight slope and ends up at the end near the fence. Monitor walls in all classrooms for signs the paint may begin peeling. This can be hazardous as children may then peel the paint and consume it and the wall would be in disrepair. Continue to monitor all equipment and toys on the playground for disrepair so they can either be removed or thrown away, especially items with missing handlebar covers. It looks as though the slant of the ground may cause surfacing to shift toward the fence and must be redistributed periodically. Continue to ensure that staff are cleaning sinks, tables and chairs as scheduled or when visibly dirty. There are no infants currently enrolled in the program so space #1 is not in use. Ensure that all materials and furniture are clean and good repair before caring for children in the space. I recommend you update the Emergency Medial Care (EMC) plan and remove the name of staff that no longer work on-site. Please remember that these items may result in violations if observed out of compliance. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by November 1, 2024. After reviewing the website, I noted that you have enrolled in the lead paint and asbestos testing program. The program has also begun the process for testing the water for lead. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 19 Completed Date: 7/24/2024 Age: From 1 To 10 Total Minutes: 138 Time In: 09:12 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to a routine unannounced visit. C. Vaughan, administrator, was present and assisted with the visit. The last annual compliance visit was conducted January 3, 2024. The posted sanitation inspection was completed June 28, 2024 earning a “Superior” rating. The last fire inspection was completed January 25, 2024 and the facility was approved for daytime care only. Children were observed completing breakfast, group time, outdoor play, and free choice center activities. Observed interactions were nurturing in nature. The following violations of child care requirements were documented. 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. Fire inspection was completed 1/25/24 but was due by 1/9/24. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered outlet in space #8 by kitchen. 10A NCAC 09 .0604(c) 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. Aerosol Clorox and Banana Boat sunscreen stored in an unlocked cabinet by the door in space #7. .2820(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by August 7, 2024. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you the violation was corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 79% over an eighteen (18) month period. STAFF/CHILD INTERACTION: OBSERVATIONS Children were observed participating in age-appropriate activities in each space. This included free choice activity center play. Children gathered paper, coloring books and art supplies in space #7 to color. Children in space #6 organized the dramatic play center and took care of their baby dolls. Some children also engaged in screen time in space #2 while others played in activity centers. Schedules were posted for reference in each space and being followed. Children are naturally curious and creative, which means they often explore to learn. They often test boundaries and engage in challenging behaviors due to curiosity and drive to learn. Positive relationships are essential for the development of children’s social competence. There are positive steps and routines that can be used to limit challenging behaviors and guide children to more positive choices. Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children’s self-control, teach responsibility and help them make thoughtful choices. Effective behavior management focuses on the child’s development and requires the caregiver to understand what behaviors and reactions are appropriate for the that child and their age. Please continue to support staff in this understanding and using positive redirection in addressing challenging behaviors. As trainings can often be spread out you could offer materials to read related to this topic on the NC Child Care Resource and Referral website under the Healthy Social Behaviors (HSB) tab at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/resources/. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed related frequently monitoring the depth of rubber mulch beneath the large play equipment. It appears to be on a slight slope and ends up at the end near the fence. Monitor walls in all classrooms for signs the paint may begin peeling. This can be hazardous as children may then peel the paint and consume it and the wall would be in disrepair. Continue to monitor all equipment and toys on the playground for disrepair so they can either be removed or thrown away, especially items with missing handlebar covers. It looks as though the slant of the ground may cause surfacing to shift toward the fence and must be redistributed periodically. Continue to ensure that staff are cleaning sinks, tables and chairs as scheduled or when visibly dirty. There are no infants currently enrolled in the program so space #1 is not in use. Ensure that all materials and furniture are clean and good repair before caring for children in the space. I recommend you update the Emergency Medial Care (EMC) plan and remove the name of staff that no longer work on-site. Please remember that these items may result in violations if observed out of compliance. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by November 1, 2024. After reviewing the website, I noted that you have enrolled in the lead paint and asbestos testing program. The program has also begun the process for testing the water for lead. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: 0624-054L Visit Date: 6/20/2024 Number Present: 21 Completed Date: 6/20/2024 Age: From 1 To 10 Total Minutes: 200 Time In: 11:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a report alleging violation of a child care requirements regarding screen time supervision, sanitation and health, and nurturing and appropriate care. You, C. Vaughan, administrator, were present and assisted with the visit. The allegation of the report was reviewed with you, and you were given the opportunity to discuss and ask questions. The following child requirements were monitored: supervision, permit restrictions, staff/child ratios, adequate/approved space, sanitation and health, and nurturing and appropriate care. Permit restrictions for this facility include daytime care only. The following violations of child care requirements were documented today. Violation Number Comment Rule 303 Children were not adequately supervised at all times. There were two (2) separate incidents where a group of school age children and a two (2) year old were left unsupervised. .1801(a)(1-5) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. I observed visibly dirty chairs and sink in space #5. There was a visibly dirty and torn rocking chair cushion in space #1. .2822(a)(1-4) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported that some staff failed to attend to children in a nurturing and appropriate manner when they spoke to children in loud, harsh tones. G.S. 110-91(10) The violations documented must be corrected immediately. The signed and dated letter of compliance should be mailed or emailed to me by July 4, 2024, stating how the violations were corrected and how compliance will be maintained at all times. My mailing address is noted at the bottom. Specifically, address steps that will be taken to ensure supervision and nurturing care of children will be maintained throughout the day, including absence of staff members and challenging behaviors. Please include any related trainings. It must also address how sanitation/health requirements will be maintained regarding cleaning of furniture, cushions, toys, sinks, etc. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all included information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. ALLEGATIONS There is a concern regarding alleged violation of the child care requirement related to supervision of children, sanitation/health, and nurturing and appropriate care of children. FINDINGS Upon my arrival all the groups were preparing for lunch. The school age children played in activity centers and the three other groups watched a video on tablets in their classrooms. Currently this program is licensed with a Notice of Compliance for a religious sponsored program. Therefore, the requirements related to screen time do not apply to this type of program. However, staff noted that the videos are offered prior to lunch time and during diaper changing times in rooms that have diapered children. I reviewed and discussed the allegations with you, C. Vaughan. You stated you have not received any concerns from staff, parents or community members regarding supervision, sanitation/health, or nurturing care of children. You did state that last Thursday a former staff member left the group of school aged children unsupervised and left the building. When the children made you aware of what happened you observed the staff person get in their car and leave. You have not heard from her since. Her sibling works at the facility and informed you that she could not handle the group and found them disrespectful. A staff member also stated that a two (2) year old child was left unattended in the bathroom between spaces #1 and #2. When asked, the staff person who was supposed to supervise the child told them the child had been there for at least ten (10) minutes. You stated that each teacher is responsible for cleaning their rooms including cleaning and sanitizing toys. However, you do have a schedule for cleaning the two (2) bathrooms by the kitchen. There is a posted schedule on the laundry door that lists the week that the staff person is responsible for cleaning those bathrooms and what must be cleaned. While monitoring the classrooms I observed a visibly dirty sink and chairs in space # 5. The teacher for space #5 recently stopped working at the center, but someone must be assigned to ensure it is cleaned when needed. I also observed a dirty, and torn rocking chair cushion in space #1, the cushion stuffing was also exposed. This cushion should either be cleaned and sewn up or replaced with a new cushion. The staff assigned to space #1 used for infant care should include cleaning of soft toys, boppy pillow covers and cushions in their cleaning schedule. You also informed me that you have heard instances of a staff member talking over children in their care. When heard you intervene and talk with the staff person about coming up with strategies to deescalate the situation or removing the child starting the incident for a discussion or a chance to calm down. A staff person also noted that they have heard another staff member yelling at children in their care. You received the FGV Smart Start training schedule and plan to have staff take training related to dealing with challenging behaviors which would benefit all staff by offering new strategies to use. TECHNICAL ASSISTANCE & REMINDERS Technical assistance given related to individual staff class cleaning schedules. While it is good to have the staff determine when they will clean their rooms, they should submit their planned cleaning schedule to you. The kitchen should also be included. That way you can ensure the tables, chairs, floors, sinks, toys, etc. are being cleaned as often as needed. It may also be helpful to refer staff to the Healthy Social Behaviors (HSB) specialist as well as the hotline. For immediate assistance you, or staff, can call the Healthy Social Behaviors hotline and speak to a Support Behavior Advisor at 1-888-600-1685 by choosing option 1. You can also reach out to FGV Smart Start regarding working with Kori Lester, their Behavior Support Specialist. Call 252-433-9110 for the FGV Smart Start main office. You have received the testing kit from RTI to complete the required lead water testing. You stated you have enrolled in the program to complete the lead paint and asbestos testing. Please remember that this must now be completed by November 1,2024. If you have any questions regarding this requirement please contact me or your local Environmental Health Specialist. Based on the information received, and my observations, the allegation regarding supervision, sanitation/health, and nurturing care are substantiated. However, the allegation regarding screen time is unsubstantiated. Please be aware that since an allegation was substantiated the issuance of an Administrative Action is likely. Please review section .2200 of the Child Care Rules regarding Administrative Actions. You may contact me with any questions. If an Administrative Action is warranted, you will receive notification via post mail. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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.

GS 110-91 · Violation

Name of Operation: HELPING HANDS CHILD CARE OF BUNN U.METHODIST CH. Facility ID: 3559002 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 18 Completed Date: 12/13/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 08:55 AM Time Out: 12:40 PM Time In: 01:10 PM Time Out: 02:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance review. C. Vaughan, administrator, was present and assisted with the visit. The staff and training worksheet has not been completed as of today and is required to monitor staff records. Therefore, they were not monitored. We scheduled a visit for December 22, 2023, to review staff records for compliance. Currently, this center operates with a Notice of Compliance issued July 3, 2018. The last annual compliance visit was conducted on January 11, 2 023. The last sanitation inspection was completed June 29, 2023 earning a “Superior” rating and was approved for daytime care only. The last fire inspection was completed January 9, 2023 and the facility was approved for daytime care only. Children were observed having breakfast, activity center play and outdoor play. Interactions between staff and children were nurturing in nature. FACILITY PROFILE PAGE This program is owned by Bunn United Methodist Church as a sole proprietor. I reviewed contact information for the owner and the facility with you, C. Vaughan, and you confirmed that the information listed with DCDEE remains correct. The following violations of child care requirements were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A bottle for the enrolled infant was not labeled or dated in space #1. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There is no documentation that a fire drill has been conducted since December 2022. .0604(t); .0302(d)(5) 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. Two (2) aerosol cans of Clorox disinfectant were observed in an unlocked cabinet above the sink in space #1. Two (2) aerosol cans of Clorox disinfectant were stored an unlocked closet in space #5. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi pen stored in space #4 was not in the original pharmacy labeled container. .0803(2)(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for 2023 were not available for review. .0605(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire was not updated annually for the person hired 5/9/22. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. There is no emergency information form completed and on file for three (3) new staff. The information was not updated annually for the person hired 5/9/22. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff person hired on 8/22/23 has not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff person hired on 8/22/23 has not completed CPR training. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There is no health assessment or immunization report on file for a child enrolled 7/10/23. GS 110-91(1);.0302(d)(2); .0304(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There is no documentation that a shelter-in-place or lockdown drill has been conducted since November 2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. There was no documentation available that staff reviewed the center’s EPR plan upon hire or annually. .0607(f) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). No lidded trashcan is available to dispose of bio contaminants in spaces #4 or #7. .0604(v) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Rubber mulch under play structure on the school age playground measured four (4) and five (5) inches in some areas. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. There is no documentation on file that new staff reviewed the center’s SBS/AHT policy prior to caring for children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff hired 10/2/23 and 8/22/23 did not have a medical report on file. Staff hired 10/2/23 did not have a TB screening/test on file. .0701(d) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by December 27, 2023. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how the violations were corrected. Please be aware any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 87% over an eighteen (18) month period. TECHNICAL ASSISTANCE & CONSULTATION: SAFETY & HEALTH Two (2) containers of aerosol Clorox disinfectant spray were observed in the unlocked cabinet above the sink in space #1. I also observed two (2) containers of aerosol Clorox disinfectant in an unlocked closet in space #5. Child Care Rules require that aerosol products and those stored under pressure must be kept in locked storage when not in use. This ensures that children are not able to access and the products improperly which could result in injury. There were no lidded trash cans available in spaces #7 or #11 to dispose of bio contaminants. Lidded, plastic lined trash cans are required to dispose of anything that comes into contact with bio contaminants such as wiped noses, cleaned injuries, etc. This ensures that the children do not have easy access to the disposed items. I recommend placing a small, lidded trashcan in both classrooms, so those types of items are disposed of properly. NUTRITION While monitoring space #1, used to care for infants, I observed a bottle for an enrolled child was not labeled with their name or dated. Labeling and dating bottles ensure that children do not ingest old beverages or ingest another infants’ specialized formula, breast milk, etc. OUTDOOR PLAY AREAS & EQUIPMENT The rubber mulch used beneath and around the large play structure on the school age playground measured below six (6) inches. In at least three (3) measured areas rubber mulch had a depth of four (4) and five (5) inches. I recommend checking that the space beneath the much is level with the base of black plastic border used to contain the rubber mulch. This may help with containing it better. Monitor the large bolts used to secure the black plastic border as they may raise over time and no longer be flush with the border. If that occurs ensure they are hammered back down into their correct position to avoid possible injury. SAFETY & HEALTH I reviewed the “Emergency Drill Log & Report” for the center and observed that no fire drill has been documented since December 16, 2022. There is also no documentation that a shelter-in-place or lockdown drill has been completed since November 8, 2022. Fire drills are required to be completed monthly to ensure that all previous and new staff and children are familiar with the procedure to safely handle a fire emergency. A shelter-in-place or lockdown is required to be completed quarterly for the same reason. There were no playground inspections available to review during the visit. Therefore, a violation was documented. The epi pen stored in space #4 was not kept in its original pharmacy labeled package. Please be reminded that any medication must be given to you by parents in its original container/box. If this medication is prescribed by a doctor, it must also have the pharmacy label on it as well. CHILDREN RECORDS Ten (10) percent of the enrolled children files were monitored. I observed that one (1) child does not have written documentation that parents reviewed the program’s smoking and tobacco restriction policy as required by the child car rules. TECHNICAL ASSISTANCE Technical assistance discussed regarding monitoring classroom walls for areas of peeling paint. Once an area starts to peel often children begin peeling it as well. Ensure applicable areas are repaired as soon as possible as it could warrant a violation. Continue to ensure the kitchen door is locked when no staff is using it. This ensures that children do not have access to any of the equipment, materials or products in the kitchen. All soft toys available for use in the classrooms must also be easily cleanable. Ensure that these are laundered regularly or daily depending on use to limit spread of illness. REMINDERS The NC Commission for Public Health adopted and approved the amended rule regarding lead water testing effective October 1, 2019. The rule requires all licensed child care centers to test all drinking water faucets and food preparation sinks for lead contamination once every three years. If a child care center finds elevated concentrations of lead in the center’s water, they will be required to take immediate action. If your center was tested in 2020 you are due to re-test this year. I recommend you go to cleanwaterforcarolinakids.org regarding the second round of testing. Please be reminded that the Emergency Preparedness and Response (EPR) plan must be reviewed annually even if no changes are necessary. Rules require that you log into and review the EPR plan. Then you should print the cover page, which will have the date of review, or page 28 that lists the date of every review and revision for confirmation. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2023, is available at the DCDEE website There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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.