10A NCAC 09 .0604 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 48 Completed Date: 5/6/2025 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 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 today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. The annual compliance monitoring checklist for child care centers was used to note requirements monitored today. Upon my arrival, I was greeted by the receptionist, C. McArtan. Ms. McArtan stated that the administrator, R. Breyer, was present onsite. I was unaccompanied as I conducted a walk-through of the indoor environment which consisted of three (3) classrooms, and the outdoor environment. A total of forty-eight (48) children were present during today’s visit. The children were observed during free choice, outdoor play, and teacher-directed activities. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: The facility is currently operating with a five star-rated license issued on August 5, 2019. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was completed May 20, 2024. The most recent annual fire inspection was completed on March 6, 2025, and the most recent annual sanitation inspection was completed on March 25, 2025. The most recent documented monthly fire drill was conducted on April 3, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on March 12, 2025, and the most recent documented monthly playground inspection was completed on April 1, 2025. During today’s visit, a full assessment of the child care requirements was conducted. I observed all required postings and attendance logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, the outdoor area & equipment, and transportation. I also reviewed the staff files, and a sample of the children’s records. Monitoring of the NC PreK program also occurred today, and the facility is in compliance with the requirements outlined in section .3000 of the Child Care Rules. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan dated 4-28-25 to 5-2-25 was posted in space #4. GS 110-91(12); .0508(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. In space #2, an electrical outlet that was not in use was observed without safety covers. 10A NCAC 09 .0604(c) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 77%. A compliance verification letter is not required because the violations observed and documented were corrected during the visit. TECHNICAL ASSISTANCE/CONSULTATION: Child care programs are required to achieve and maintain compliance with all applicable Child Care Requirements and laws at all times. In accordance with North Carolina General Statute §110-90(4)(d), programs must maintain a compliance history score of at least seventy-five percent over an eighteen-month period. Any documented violations may negatively affect this score. A compliance history score falling below seventy-five percent may result in a recommendation for an Administrative Action. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. 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: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 48 Completed Date: 5/6/2025 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 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 today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. The annual compliance monitoring checklist for child care centers was used to note requirements monitored today. Upon my arrival, I was greeted by the receptionist, C. McArtan. Ms. McArtan stated that the administrator, R. Breyer, was present onsite. I was unaccompanied as I conducted a walk-through of the indoor environment which consisted of three (3) classrooms, and the outdoor environment. A total of forty-eight (48) children were present during today’s visit. The children were observed during free choice, outdoor play, and teacher-directed activities. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: The facility is currently operating with a five star-rated license issued on August 5, 2019. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was completed May 20, 2024. The most recent annual fire inspection was completed on March 6, 2025, and the most recent annual sanitation inspection was completed on March 25, 2025. The most recent documented monthly fire drill was conducted on April 3, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on March 12, 2025, and the most recent documented monthly playground inspection was completed on April 1, 2025. During today’s visit, a full assessment of the child care requirements was conducted. I observed all required postings and attendance logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, the outdoor area & equipment, and transportation. I also reviewed the staff files, and a sample of the children’s records. Monitoring of the NC PreK program also occurred today, and the facility is in compliance with the requirements outlined in section .3000 of the Child Care Rules. The following violation (s) were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan dated 4-28-25 to 5-2-25 was posted in space #4. GS 110-91(12); .0508(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. In space #2, an electrical outlet that was not in use was observed without safety covers. 10A NCAC 09 .0604(c) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 77%. A compliance verification letter is not required because the violations observed and documented were corrected during the visit. TECHNICAL ASSISTANCE/CONSULTATION: Child care programs are required to achieve and maintain compliance with all applicable Child Care Requirements and laws at all times. In accordance with North Carolina General Statute §110-90(4)(d), programs must maintain a compliance history score of at least seventy-five percent over an eighteen-month period. Any documented violations may negatively affect this score. A compliance history score falling below seventy-five percent may result in a recommendation for an Administrative Action. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. 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 .0901 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY JACKSON Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 48 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the May 20, 2024 Annual Compliance visit. This facility is a DPI operated preschool program located in a traditional calendar public school. They were closed from May 31, 2024 to August 19, 2024. The Principal/Administrator was present however he was unavailable to assist with the visit. The Criminal Background Check results were reviewed with him. The remainder of the visit was reviewed with one of the Lead Teachers. She was notified of the purpose of the visit upon my arrival to her classroom. The assistant principal was also available for questions at one point during today’s visit. Although four classrooms in the school are approved for use, only three are operating at this time. The children were observed going to get their lunches and having lunch during today’s visit. Due to the nature of violations documented during the annual compliance visit, all staff files and a sampling of children’s records were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 503 – I observed four children in Space #1, one in Space #2, and six in Space #4 who brought their lunches today. None of the children’s meals met the meal patterns for children requirements, and none were supplemented. None of these children were served milk, and many were missing either a vegetable or fruit component. Some had foods that had no nutritional value such as Oreos, Doritos, and cheese balls. I reiterated that options to obtain compliance could to not allow outside foods and beverages unless required for an allergy or special diet, to have parents sign a nutrition opt-out form and supply all meals and snacks, or to have foods and milk available to supplement foods brought from home. A repeated violation was documented. 1043 – During today’s visit a file was unable to be located for the Principal/Administrator. A file was available for one staff member, however none of the items required were in the file. In addition, current or previous off-site records verification forms were not able to be located. I located an off-site records verification form submitted on May 23, 2024 as a correction in my email and provided it to the facility for their records. A repeated violation was documented. 1048 – Three staff members had current First Aid certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1049 - Three staff members had current CPR certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1327 – Records were available for all children today. This item was in compliance today. 1775 – All groups were maintaining compliance with NC Pre-K program staff/child ratio requirements during today’s visit. I observed one group going to get lunch plates from the cafeteria. They maintained ratio by going in two groups. This item was in compliance today. 1825 – Documentation that this information had been reviewed was not on file for two new staff during today’s visit. We discussed that the school’s risk management policy may be used in lieu of an Emergency Preparedness and Response plan, however the school’s specific plan must be reviewed. We discussed that the plan must be reviewed in addition to any videos that are used for training purposes. The intent of this rule is that the school’s specific policies and plan are reviewed with staff annually. A repeated violation was documented. 1874 – Signed verification statements that this policy had been reviewed with the three new staff were not on file. In addition, one statement submitted to me as a correction from the May 20, 2024 was unable to be located. I was able to retrieve the submission from my email and a copy was provided to the facility. A repeated violation was documented. 1899 – The staff members had corrected the violation documented. However, one staff member who had been hired more than one year had not completed all topics of the health and safety trainings. She had not completed Medication Administration topic. Although this specific violation was not repeated, a related violation was documented. The following violations were documented today: Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Food brought from home for eleven children did not meet the nutritional requirements and were not supplemented. 10A NCAC 09 .0901(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's emergency medical care plan was not reviewed with three staff at least annually. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A CBC was not completed before employment for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. An off-site records verification form was not available for four staff members. The items covered by this verification were not available on-site. A file containing emergency information and a health questionnaire was not available for two staff members. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid CBC qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation that this plan or the school's risk management plan had been reviewed was not on file for three staff members. .0607(f) 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. Signed acknowledgments that this policy had been reviewed was not on file for three staff members. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete all topics within the first year of employment. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than September 25, 2024. Contact me if you have questions regarding correction of the violations documented during today’s visit. The compliance letter must be sent from the email address registered with DCDEE as this serves as your signature. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. An extension will need to be requested from management. We discussed that Criminal Background qualification letters were not on file for three staff members. A check of the ABCMS system reflected that two of the three had been qualified. Qualification letters were provided for Robert Breyer and for Stephanie Shuler. It was determined that Gabriella Alban has not been qualified. I notified both the Lead Teacher and the Principal that Ms. Alban may not be on the premises until she has received qualification though a DCDEE background check. Therefore, both were notified this staff member must leave the premises immediately, and not return until she has received a qualification letter. I encouraged you to have her contact the Criminal Background Check Unit to determine the status of her qualification. Technical assistance was provided that you may use administrative or other school staff who have qualification letters on file or a substitute with a valid qualification to replace the staff member immediately. I also notified you that it is the Administrator’s responsibility to ensure that all staff and substitutes have a valid qualification letter in hand before they begin work in the preschool classrooms. We discussed that repeated violations regarding Criminal Background checks are demonstrating a pattern of non-compliance. Technical assistance regarding staff files was provided. I provided you with notes on a staff file checklist outlining what documents are covered by the off-site records verification form and outlining when documents are required to be updated. I notified you that if an off-site form is not available, then the documents must be on-site in the school’s records. We discussed that repeated violations regarding staff files are demonstrating a pattern of non-compliance. I encouraged you to reach out to the PreK Coordinator for your school system to receive additional technical assistance regarding staff file requirements and ways to ensure staff files are complete and accurate. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.jackson@dhhs.nc.gov if I can be of assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY JACKSON Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 48 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the May 20, 2024 Annual Compliance visit. This facility is a DPI operated preschool program located in a traditional calendar public school. They were closed from May 31, 2024 to August 19, 2024. The Principal/Administrator was present however he was unavailable to assist with the visit. The Criminal Background Check results were reviewed with him. The remainder of the visit was reviewed with one of the Lead Teachers. She was notified of the purpose of the visit upon my arrival to her classroom. The assistant principal was also available for questions at one point during today’s visit. Although four classrooms in the school are approved for use, only three are operating at this time. The children were observed going to get their lunches and having lunch during today’s visit. Due to the nature of violations documented during the annual compliance visit, all staff files and a sampling of children’s records were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 503 – I observed four children in Space #1, one in Space #2, and six in Space #4 who brought their lunches today. None of the children’s meals met the meal patterns for children requirements, and none were supplemented. None of these children were served milk, and many were missing either a vegetable or fruit component. Some had foods that had no nutritional value such as Oreos, Doritos, and cheese balls. I reiterated that options to obtain compliance could to not allow outside foods and beverages unless required for an allergy or special diet, to have parents sign a nutrition opt-out form and supply all meals and snacks, or to have foods and milk available to supplement foods brought from home. A repeated violation was documented. 1043 – During today’s visit a file was unable to be located for the Principal/Administrator. A file was available for one staff member, however none of the items required were in the file. In addition, current or previous off-site records verification forms were not able to be located. I located an off-site records verification form submitted on May 23, 2024 as a correction in my email and provided it to the facility for their records. A repeated violation was documented. 1048 – Three staff members had current First Aid certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1049 - Three staff members had current CPR certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1327 – Records were available for all children today. This item was in compliance today. 1775 – All groups were maintaining compliance with NC Pre-K program staff/child ratio requirements during today’s visit. I observed one group going to get lunch plates from the cafeteria. They maintained ratio by going in two groups. This item was in compliance today. 1825 – Documentation that this information had been reviewed was not on file for two new staff during today’s visit. We discussed that the school’s risk management policy may be used in lieu of an Emergency Preparedness and Response plan, however the school’s specific plan must be reviewed. We discussed that the plan must be reviewed in addition to any videos that are used for training purposes. The intent of this rule is that the school’s specific policies and plan are reviewed with staff annually. A repeated violation was documented. 1874 – Signed verification statements that this policy had been reviewed with the three new staff were not on file. In addition, one statement submitted to me as a correction from the May 20, 2024 was unable to be located. I was able to retrieve the submission from my email and a copy was provided to the facility. A repeated violation was documented. 1899 – The staff members had corrected the violation documented. However, one staff member who had been hired more than one year had not completed all topics of the health and safety trainings. She had not completed Medication Administration topic. Although this specific violation was not repeated, a related violation was documented. The following violations were documented today: Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Food brought from home for eleven children did not meet the nutritional requirements and were not supplemented. 10A NCAC 09 .0901(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's emergency medical care plan was not reviewed with three staff at least annually. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A CBC was not completed before employment for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. An off-site records verification form was not available for four staff members. The items covered by this verification were not available on-site. A file containing emergency information and a health questionnaire was not available for two staff members. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid CBC qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation that this plan or the school's risk management plan had been reviewed was not on file for three staff members. .0607(f) 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. Signed acknowledgments that this policy had been reviewed was not on file for three staff members. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete all topics within the first year of employment. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than September 25, 2024. Contact me if you have questions regarding correction of the violations documented during today’s visit. The compliance letter must be sent from the email address registered with DCDEE as this serves as your signature. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. An extension will need to be requested from management. We discussed that Criminal Background qualification letters were not on file for three staff members. A check of the ABCMS system reflected that two of the three had been qualified. Qualification letters were provided for Robert Breyer and for Stephanie Shuler. It was determined that Gabriella Alban has not been qualified. I notified both the Lead Teacher and the Principal that Ms. Alban may not be on the premises until she has received qualification though a DCDEE background check. Therefore, both were notified this staff member must leave the premises immediately, and not return until she has received a qualification letter. I encouraged you to have her contact the Criminal Background Check Unit to determine the status of her qualification. Technical assistance was provided that you may use administrative or other school staff who have qualification letters on file or a substitute with a valid qualification to replace the staff member immediately. I also notified you that it is the Administrator’s responsibility to ensure that all staff and substitutes have a valid qualification letter in hand before they begin work in the preschool classrooms. We discussed that repeated violations regarding Criminal Background checks are demonstrating a pattern of non-compliance. Technical assistance regarding staff files was provided. I provided you with notes on a staff file checklist outlining what documents are covered by the off-site records verification form and outlining when documents are required to be updated. I notified you that if an off-site form is not available, then the documents must be on-site in the school’s records. We discussed that repeated violations regarding staff files are demonstrating a pattern of non-compliance. I encouraged you to reach out to the PreK Coordinator for your school system to receive additional technical assistance regarding staff file requirements and ways to ensure staff files are complete and accurate. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.jackson@dhhs.nc.gov if I can be of assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY JACKSON Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 48 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the May 20, 2024 Annual Compliance visit. This facility is a DPI operated preschool program located in a traditional calendar public school. They were closed from May 31, 2024 to August 19, 2024. The Principal/Administrator was present however he was unavailable to assist with the visit. The Criminal Background Check results were reviewed with him. The remainder of the visit was reviewed with one of the Lead Teachers. She was notified of the purpose of the visit upon my arrival to her classroom. The assistant principal was also available for questions at one point during today’s visit. Although four classrooms in the school are approved for use, only three are operating at this time. The children were observed going to get their lunches and having lunch during today’s visit. Due to the nature of violations documented during the annual compliance visit, all staff files and a sampling of children’s records were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 503 – I observed four children in Space #1, one in Space #2, and six in Space #4 who brought their lunches today. None of the children’s meals met the meal patterns for children requirements, and none were supplemented. None of these children were served milk, and many were missing either a vegetable or fruit component. Some had foods that had no nutritional value such as Oreos, Doritos, and cheese balls. I reiterated that options to obtain compliance could to not allow outside foods and beverages unless required for an allergy or special diet, to have parents sign a nutrition opt-out form and supply all meals and snacks, or to have foods and milk available to supplement foods brought from home. A repeated violation was documented. 1043 – During today’s visit a file was unable to be located for the Principal/Administrator. A file was available for one staff member, however none of the items required were in the file. In addition, current or previous off-site records verification forms were not able to be located. I located an off-site records verification form submitted on May 23, 2024 as a correction in my email and provided it to the facility for their records. A repeated violation was documented. 1048 – Three staff members had current First Aid certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1049 - Three staff members had current CPR certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1327 – Records were available for all children today. This item was in compliance today. 1775 – All groups were maintaining compliance with NC Pre-K program staff/child ratio requirements during today’s visit. I observed one group going to get lunch plates from the cafeteria. They maintained ratio by going in two groups. This item was in compliance today. 1825 – Documentation that this information had been reviewed was not on file for two new staff during today’s visit. We discussed that the school’s risk management policy may be used in lieu of an Emergency Preparedness and Response plan, however the school’s specific plan must be reviewed. We discussed that the plan must be reviewed in addition to any videos that are used for training purposes. The intent of this rule is that the school’s specific policies and plan are reviewed with staff annually. A repeated violation was documented. 1874 – Signed verification statements that this policy had been reviewed with the three new staff were not on file. In addition, one statement submitted to me as a correction from the May 20, 2024 was unable to be located. I was able to retrieve the submission from my email and a copy was provided to the facility. A repeated violation was documented. 1899 – The staff members had corrected the violation documented. However, one staff member who had been hired more than one year had not completed all topics of the health and safety trainings. She had not completed Medication Administration topic. Although this specific violation was not repeated, a related violation was documented. The following violations were documented today: Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Food brought from home for eleven children did not meet the nutritional requirements and were not supplemented. 10A NCAC 09 .0901(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's emergency medical care plan was not reviewed with three staff at least annually. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A CBC was not completed before employment for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. An off-site records verification form was not available for four staff members. The items covered by this verification were not available on-site. A file containing emergency information and a health questionnaire was not available for two staff members. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid CBC qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation that this plan or the school's risk management plan had been reviewed was not on file for three staff members. .0607(f) 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. Signed acknowledgments that this policy had been reviewed was not on file for three staff members. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete all topics within the first year of employment. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than September 25, 2024. Contact me if you have questions regarding correction of the violations documented during today’s visit. The compliance letter must be sent from the email address registered with DCDEE as this serves as your signature. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. An extension will need to be requested from management. We discussed that Criminal Background qualification letters were not on file for three staff members. A check of the ABCMS system reflected that two of the three had been qualified. Qualification letters were provided for Robert Breyer and for Stephanie Shuler. It was determined that Gabriella Alban has not been qualified. I notified both the Lead Teacher and the Principal that Ms. Alban may not be on the premises until she has received qualification though a DCDEE background check. Therefore, both were notified this staff member must leave the premises immediately, and not return until she has received a qualification letter. I encouraged you to have her contact the Criminal Background Check Unit to determine the status of her qualification. Technical assistance was provided that you may use administrative or other school staff who have qualification letters on file or a substitute with a valid qualification to replace the staff member immediately. I also notified you that it is the Administrator’s responsibility to ensure that all staff and substitutes have a valid qualification letter in hand before they begin work in the preschool classrooms. We discussed that repeated violations regarding Criminal Background checks are demonstrating a pattern of non-compliance. Technical assistance regarding staff files was provided. I provided you with notes on a staff file checklist outlining what documents are covered by the off-site records verification form and outlining when documents are required to be updated. I notified you that if an off-site form is not available, then the documents must be on-site in the school’s records. We discussed that repeated violations regarding staff files are demonstrating a pattern of non-compliance. I encouraged you to reach out to the PreK Coordinator for your school system to receive additional technical assistance regarding staff file requirements and ways to ensure staff files are complete and accurate. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.jackson@dhhs.nc.gov if I can be of assistance. 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: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY JACKSON Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 48 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on violations documented during the May 20, 2024 Annual Compliance visit. This facility is a DPI operated preschool program located in a traditional calendar public school. They were closed from May 31, 2024 to August 19, 2024. The Principal/Administrator was present however he was unavailable to assist with the visit. The Criminal Background Check results were reviewed with him. The remainder of the visit was reviewed with one of the Lead Teachers. She was notified of the purpose of the visit upon my arrival to her classroom. The assistant principal was also available for questions at one point during today’s visit. Although four classrooms in the school are approved for use, only three are operating at this time. The children were observed going to get their lunches and having lunch during today’s visit. Due to the nature of violations documented during the annual compliance visit, all staff files and a sampling of children’s records were reviewed today. During the visit violations that were documented during the Annual Compliance visit were monitored for compliance. The status of each is as follows: 503 – I observed four children in Space #1, one in Space #2, and six in Space #4 who brought their lunches today. None of the children’s meals met the meal patterns for children requirements, and none were supplemented. None of these children were served milk, and many were missing either a vegetable or fruit component. Some had foods that had no nutritional value such as Oreos, Doritos, and cheese balls. I reiterated that options to obtain compliance could to not allow outside foods and beverages unless required for an allergy or special diet, to have parents sign a nutrition opt-out form and supply all meals and snacks, or to have foods and milk available to supplement foods brought from home. A repeated violation was documented. 1043 – During today’s visit a file was unable to be located for the Principal/Administrator. A file was available for one staff member, however none of the items required were in the file. In addition, current or previous off-site records verification forms were not able to be located. I located an off-site records verification form submitted on May 23, 2024 as a correction in my email and provided it to the facility for their records. A repeated violation was documented. 1048 – Three staff members had current First Aid certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1049 - Three staff members had current CPR certification. Three staff members have been hired less than 90 days, and one staff member is exempt from this requirement. This item was in compliance today. 1327 – Records were available for all children today. This item was in compliance today. 1775 – All groups were maintaining compliance with NC Pre-K program staff/child ratio requirements during today’s visit. I observed one group going to get lunch plates from the cafeteria. They maintained ratio by going in two groups. This item was in compliance today. 1825 – Documentation that this information had been reviewed was not on file for two new staff during today’s visit. We discussed that the school’s risk management policy may be used in lieu of an Emergency Preparedness and Response plan, however the school’s specific plan must be reviewed. We discussed that the plan must be reviewed in addition to any videos that are used for training purposes. The intent of this rule is that the school’s specific policies and plan are reviewed with staff annually. A repeated violation was documented. 1874 – Signed verification statements that this policy had been reviewed with the three new staff were not on file. In addition, one statement submitted to me as a correction from the May 20, 2024 was unable to be located. I was able to retrieve the submission from my email and a copy was provided to the facility. A repeated violation was documented. 1899 – The staff members had corrected the violation documented. However, one staff member who had been hired more than one year had not completed all topics of the health and safety trainings. She had not completed Medication Administration topic. Although this specific violation was not repeated, a related violation was documented. The following violations were documented today: Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Food brought from home for eleven children did not meet the nutritional requirements and were not supplemented. 10A NCAC 09 .0901(c) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The center's emergency medical care plan was not reviewed with three staff at least annually. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A CBC was not completed before employment for one staff member. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. An off-site records verification form was not available for four staff members. The items covered by this verification were not available on-site. A file containing emergency information and a health questionnaire was not available for two staff members. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Valid CBC qualification letters were not on file for three staff members. G.S. 110-90.2(b) & (d) & .2703(e) 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. Documentation that this plan or the school's risk management plan had been reviewed was not on file for three staff members. .0607(f) 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. Signed acknowledgments that this policy had been reviewed was not on file for three staff members. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete all topics within the first year of employment. .1102(a) All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than September 25, 2024. Contact me if you have questions regarding correction of the violations documented during today’s visit. The compliance letter must be sent from the email address registered with DCDEE as this serves as your signature. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. An extension will need to be requested from management. We discussed that Criminal Background qualification letters were not on file for three staff members. A check of the ABCMS system reflected that two of the three had been qualified. Qualification letters were provided for Robert Breyer and for Stephanie Shuler. It was determined that Gabriella Alban has not been qualified. I notified both the Lead Teacher and the Principal that Ms. Alban may not be on the premises until she has received qualification though a DCDEE background check. Therefore, both were notified this staff member must leave the premises immediately, and not return until she has received a qualification letter. I encouraged you to have her contact the Criminal Background Check Unit to determine the status of her qualification. Technical assistance was provided that you may use administrative or other school staff who have qualification letters on file or a substitute with a valid qualification to replace the staff member immediately. I also notified you that it is the Administrator’s responsibility to ensure that all staff and substitutes have a valid qualification letter in hand before they begin work in the preschool classrooms. We discussed that repeated violations regarding Criminal Background checks are demonstrating a pattern of non-compliance. Technical assistance regarding staff files was provided. I provided you with notes on a staff file checklist outlining what documents are covered by the off-site records verification form and outlining when documents are required to be updated. I notified you that if an off-site form is not available, then the documents must be on-site in the school’s records. We discussed that repeated violations regarding staff files are demonstrating a pattern of non-compliance. I encouraged you to reach out to the PreK Coordinator for your school system to receive additional technical assistance regarding staff file requirements and ways to ensure staff files are complete and accurate. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.jackson@dhhs.nc.gov if I can be of assistance. 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 .0901 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 45 Completed Date: 5/20/2024 Age: From 4 To 5 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 today’s visit was to monitor compliance during an annual compliance visit.. A checklist was used to note the requirements I monitored today. Today's visit also served as your NC Prek monitoring visit. Tanya Herring, Child Care Consultant, assisted me today. The Administrator/Principal was present when we arrived and was notified of the purpose of the visit. Following the walkthrough and records monitoring, the ERS assessment was reviewed with the Administrator and the exit interview was completed. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. The information on the staff/training worksheets was verified for these files. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records was reviewed, and the children record worksheet was shared with you and discussed today. I observed the children engaged in free play and transitioning into lunch. One group was observed walking to get their lunch trays and returning to the classroom to eat while other children in the classroom ate food brought from home. Another group was observed eating in the lunchroom area. Your last sanitation inspection was completed on May 10, 2024 with 4 demerits and a superior classification. The last fire drill was documented as conducted on April 30, 2024 at 9:00am. The log reflected that it took 71 seconds to evacuate 49 children and 6 adults. The most recent lockdown drill was conducted on March 24, 2024 at 9:15am. The last outdoor inspection was documented as completed on May 16, 2024. Your stated the fire inspector had conducted an inspection on April 24, 2024, however he did not leave a full inspection report. The two page inspection report reflecting the inspection lasted one minute has been received. I asked that you contact the inspector and obtain a full inspection report. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Six children in space 2 brought their lunch from home. All six lunches did not meet meal patterns for children, and the meals were not supplemented. Opt-out forms were not available for these children. 10A NCAC 09 .0901(c) 1043 All staff records, except financial records, were not made available for review. A file was not available for one staff member. In addition, off-site records forms were not available for six staff members. G.S. 110-91( 9) 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. One staff member did not renew the First Aid certification before it expired on March 25, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not renew the CPR certification before it expired on February 25, 2024. .1102(d) 1327 Accurate records were not maintained for all children. The file for one child did not include signed statements from the parents that they had received the summary of the child care law, the operational policies, the discipline policy, the smoking restrictions, or the prevention of shaken baby syndrome and abusive head trauma policy. In addition, permission to play outside the fenced area was not on file for this child. G.S. 110-91(9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. One staff member took twelve children from the classroom to the lunchroom, assisted them in getting their meal, and returned to the classroom. .3009 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. Documentation of this review was not on file for any of the eight staff members. .0607(f) 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. A signed acknowledgement was not on file for four staff members. .0608(d)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members had not completed the health and safety trainings every five years. .1103(b) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by May 24, 2024. Failure to obtain the number of hours or submit the documentation of hours may result in additional violations being documented. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was observed today. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I verified during today's visit that you continue to use the 5th Ed of the Creative Curriculum. In addition, I also verified that you continue to use the Brigance Screen III or the DIAL 4 for developmental screenings and Teaching Strategies Gold for formative assessments. I monitored a selection of files today. The screenings were completed as required. The formative assessment checkpoints are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 8:00 am to 2:30 pm. During the visit, I observed the log used to record contact with parents of children who have been absent more than three days. I also observed your family involvement log. The environment rating scale score received in December 2017 was 5.92. All other NC Pre-K requirements were determined to be in compliance at the time of the visit. ERS Preparation Year Assessment This facility had requested to have a Preparation Year Environment Rating Scale Assessment conducted. This facility is in Cohort 1. The assessment was completed on May 7, 2024. The facility scored 5.56 on this assessment. It was discussed that the scores received are listed in two different formats on page 4. We also discussed that the chart of items not receiving credit was listed on page 7. Ways to utilize these lists were discussed. I also reiterated the overall average score, and not individual items, best represent the program's level of quality. Items that received a score of less than three could constitute a violation of child care requirements; therefore, these items were reviewed in detail with you during the visit. You were also given an opportunity to review the other items addressed in the report and you were given an opportunity to ask questions about these items. The program did not request to file a grievance, and did not have any additional questions regarding any information that was documented in the Facility Summary Reports. We discussed that you may use this assessment as part of your Reassessment to be conducted in 2024-2025. The following was reviewed and discussed: Item 7, Indicator: 3.2 There is a portable side that is placed on grass rather than having a full fall zone with surfacing. Minimum child care requirements do not require that portable equipment have a fall zone. However, best practice would be to use a fall zone with this piece of equipment. Item 8, Indicator 3.1 Item 34, Indicator 3.3 The children went outdoors where they could use gross motor equipment on the day of the observation for 44 minutes. A minimum of 50 minutes is required to meet this indicator. The staff stated there were not instances where other gross motor equipment was available, or other times when children go outdoors. Item 12, Indicator 3.1 The sink in the classroom was used for handwashing after toileting routines during the observation. On occasion, it was disinfected, however the practice was not consistent. Therefore, this indicator was unable to receive credit. I encouraged you to use the bathroom sinks for all handwashing related to toileting. Item 13, Indicator 3.1 The children washed their hands as required 63% of the time during the observation. Some of the children did not wash their hands before or after they played at the water table and after they used playdough or glue. I encouraged you to seek training for your staff on handwashing next school year. Item 14, Indicator: 3.1 During the observation a staff member sprayed sanitizer on the tables while children stood near the tables. The sanitizer spray is considered an eye and lung irritant; therefore, the children should not be near the tables when they are being sanitized. I did not observe the tables being sanitized today. LICENSE INFORMATION: The center is currently operating with a 5 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your reassessment year will be July 1, 2024 to June 30, 2025. You had a planning year assessment conducted as discussed today. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. We discussed that the school year will end in a few days, and staff will be changing over the summer. Therefore, you are not interested in conducting the reassessment at this time. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system, especially any new staff you hire for next school year. Please also ensure that you continue to meet the quality point option chosen. Your reassessment will begin with your annual compliance visit next year. If you decide you want to conduct the reassessment early please contact me. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than June 3, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is 2201 Mail Service Center, Raleigh NC 27699-2201. 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. 110-91 · Violation

Name of Operation: ANDERSON CREEK PRIMARY SCHOOL Facility ID: 43000542 Consultant: BECKY WILLIAMS Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 45 Completed Date: 5/20/2024 Age: From 4 To 5 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 today’s visit was to monitor compliance during an annual compliance visit.. A checklist was used to note the requirements I monitored today. Today's visit also served as your NC Prek monitoring visit. Tanya Herring, Child Care Consultant, assisted me today. The Administrator/Principal was present when we arrived and was notified of the purpose of the visit. Following the walkthrough and records monitoring, the ERS assessment was reviewed with the Administrator and the exit interview was completed. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers, a summary of NC Child Care Law were all were all monitored during the visit. The storage of medication and hazardous products was also monitored for compliance. Staff and Children records were also reviewed today. The information on the staff/training worksheets was verified for these files. Your signature on these forms will serve as verification the information provided is accurate and complete. A random selection of children’s records was reviewed, and the children record worksheet was shared with you and discussed today. I observed the children engaged in free play and transitioning into lunch. One group was observed walking to get their lunch trays and returning to the classroom to eat while other children in the classroom ate food brought from home. Another group was observed eating in the lunchroom area. Your last sanitation inspection was completed on May 10, 2024 with 4 demerits and a superior classification. The last fire drill was documented as conducted on April 30, 2024 at 9:00am. The log reflected that it took 71 seconds to evacuate 49 children and 6 adults. The most recent lockdown drill was conducted on March 24, 2024 at 9:15am. The last outdoor inspection was documented as completed on May 16, 2024. Your stated the fire inspector had conducted an inspection on April 24, 2024, however he did not leave a full inspection report. The two page inspection report reflecting the inspection lasted one minute has been received. I asked that you contact the inspector and obtain a full inspection report. Any violations observed during today's visit were discussed with you even though the handwritten visit summary was used. The following violations were documented during today's visit. Violation Number Comment Rule 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Six children in space 2 brought their lunch from home. All six lunches did not meet meal patterns for children, and the meals were not supplemented. Opt-out forms were not available for these children. 10A NCAC 09 .0901(c) 1043 All staff records, except financial records, were not made available for review. A file was not available for one staff member. In addition, off-site records forms were not available for six staff members. G.S. 110-91( 9) 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. One staff member did not renew the First Aid certification before it expired on March 25, 2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not renew the CPR certification before it expired on February 25, 2024. .1102(d) 1327 Accurate records were not maintained for all children. The file for one child did not include signed statements from the parents that they had received the summary of the child care law, the operational policies, the discipline policy, the smoking restrictions, or the prevention of shaken baby syndrome and abusive head trauma policy. In addition, permission to play outside the fenced area was not on file for this child. G.S. 110-91(9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. One staff member took twelve children from the classroom to the lunchroom, assisted them in getting their meal, and returned to the classroom. .3009 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. Documentation of this review was not on file for any of the eight staff members. .0607(f) 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. A signed acknowledgement was not on file for four staff members. .0608(d)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Three staff members had not completed the health and safety trainings every five years. .1103(b) Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. We discussed that additional time is available to meet on-going training requirements. The number of hours and specific staff were reviewed. I reminded you that the hours must be obtained by May 24, 2024. Failure to obtain the number of hours or submit the documentation of hours may result in additional violations being documented. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was observed today. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I verified during today's visit that you continue to use the 5th Ed of the Creative Curriculum. In addition, I also verified that you continue to use the Brigance Screen III or the DIAL 4 for developmental screenings and Teaching Strategies Gold for formative assessments. I monitored a selection of files today. The screenings were completed as required. The formative assessment checkpoints are conducted three times per year: at the beginning, middle and end of the school year. The classroom operates from 8:00 am to 2:30 pm. During the visit, I observed the log used to record contact with parents of children who have been absent more than three days. I also observed your family involvement log. The environment rating scale score received in December 2017 was 5.92. All other NC Pre-K requirements were determined to be in compliance at the time of the visit. ERS Preparation Year Assessment This facility had requested to have a Preparation Year Environment Rating Scale Assessment conducted. This facility is in Cohort 1. The assessment was completed on May 7, 2024. The facility scored 5.56 on this assessment. It was discussed that the scores received are listed in two different formats on page 4. We also discussed that the chart of items not receiving credit was listed on page 7. Ways to utilize these lists were discussed. I also reiterated the overall average score, and not individual items, best represent the program's level of quality. Items that received a score of less than three could constitute a violation of child care requirements; therefore, these items were reviewed in detail with you during the visit. You were also given an opportunity to review the other items addressed in the report and you were given an opportunity to ask questions about these items. The program did not request to file a grievance, and did not have any additional questions regarding any information that was documented in the Facility Summary Reports. We discussed that you may use this assessment as part of your Reassessment to be conducted in 2024-2025. The following was reviewed and discussed: Item 7, Indicator: 3.2 There is a portable side that is placed on grass rather than having a full fall zone with surfacing. Minimum child care requirements do not require that portable equipment have a fall zone. However, best practice would be to use a fall zone with this piece of equipment. Item 8, Indicator 3.1 Item 34, Indicator 3.3 The children went outdoors where they could use gross motor equipment on the day of the observation for 44 minutes. A minimum of 50 minutes is required to meet this indicator. The staff stated there were not instances where other gross motor equipment was available, or other times when children go outdoors. Item 12, Indicator 3.1 The sink in the classroom was used for handwashing after toileting routines during the observation. On occasion, it was disinfected, however the practice was not consistent. Therefore, this indicator was unable to receive credit. I encouraged you to use the bathroom sinks for all handwashing related to toileting. Item 13, Indicator 3.1 The children washed their hands as required 63% of the time during the observation. Some of the children did not wash their hands before or after they played at the water table and after they used playdough or glue. I encouraged you to seek training for your staff on handwashing next school year. Item 14, Indicator: 3.1 During the observation a staff member sprayed sanitizer on the tables while children stood near the tables. The sanitizer spray is considered an eye and lung irritant; therefore, the children should not be near the tables when they are being sanitized. I did not observe the tables being sanitized today. LICENSE INFORMATION: The center is currently operating with a 5 Star-Rated License. We discussed that this facility is in Cohort 1 for the resumption of rated license reassessments. This means that your reassessment year will be July 1, 2024 to June 30, 2025. You had a planning year assessment conducted as discussed today. If you are pleased with these scores, you may use them to apply for reassessment, or save them for your reassessment year. We discussed that the school year will end in a few days, and staff will be changing over the summer. Therefore, you are not interested in conducting the reassessment at this time. In order to ensure the education points are calculated correctly, please ensure that all staff have updated their information in the WORKS system, especially any new staff you hire for next school year. Please also ensure that you continue to meet the quality point option chosen. Your reassessment will begin with your annual compliance visit next year. If you decide you want to conduct the reassessment early please contact me. All violations must be corrected immediately. Please send me a compliance letter (written statement) describing how and when the above violations were corrected. The compliance letter must be received no later than June 3, 2024. The compliance letter may be sent to me via email, if you do not have access to email, please ensure that your compliance letter is mailed in a timely manner and that you allow for delays with the mail service. If your compliance letter is mailed, a handwritten signature must be included. Contact me if you have questions regarding correction of the violations documented during today’s visit. If you are unable to correct all violations within the specified timeframe, send a compliance letter regarding violations that were corrected and a specific plan to correct the remaining violations. A follow up visit may be conducted in the near future to verify compliance with violations documented during the visit. Please contact me at (910) 824-0123 or at becky.j.williams@dhhs.nc.gov if I can be of assistance. My mailing address is 2201 Mail Service Center, Raleigh NC 27699-2201. 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