Crump Village Education AND Resource Center

10A NCAC 09 .0601 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/20/2026 Number Present: 12 Completed Date: 3/20/2026 Age: From 3 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance with rated license visit was to monitor for child care requirements applicable to a child care center and evaluate the program’s license. Upon my arrival I was greeted by the Director, Martisha Williamson, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted April 8, 2025. The center is operating under a Four Star License that was issued October 27, 2023. The last sanitation inspection was conducted on March 10, 2026, the center received an “Superior” rating. The last fire inspection was completed on January 6, 2026. Fire drills and playground inspections were monitored. There are no new staff and two children’s files. Transportation was monitored. The compliance rating in 93% before today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 1, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the fenced outdoor area, there are three wooden benches, the benches should be removed due to exposed wood chipped wood and rotted wood. 10A NCAC 09 .0601(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). One staff had an expired criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two children did not have discipline policies on file. .1804(b) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Director has not implemented any of the EPR requirements. .0607(c) The above violation must be corrected immediately, and a letter must be sent to me no later than April 3, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by April 3, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of 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. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Make sure all staff are in WORKS. The Director stated she will retake the Emergency Preparedness training to come in compliance with ERP requirements. Remove the benches from the playground or cover them with something to make the broken areas inaccessible to the children. When using a different form than what is provided by DCDEE make sure all the information that is required is on the form. Send your staff and training worksheets March 25, 2026. When conducting fire drills, conduct them at a variety of times though out the day. Rated License Information-QRIS The Director is currently unsure about which pathway will be chosen. The center currently has a 4 star license. We discussed the following: • The center meets enhanced ratios • The family and community engagement requirements • CQI plans for the facility and the staff • Education for the staff, send a list of staff to me with their positions and birth dates. • The Director will review the approved curriculum and formal assessments and choose one that best fits the needs of the children. • The requirements for coaching/hours for administrator and lead teachers. • Formal assessments must be completed annually for each child. • The application for assessment. A copy of the pathway requirements, family and community engagement requirements and CQI plan requirements was left with the Director during today's visit. Once you decide on the Pathway, please email me the Rated License application, which is located on the DCDEE website under provider documents along with the required documents. Make your choice within the next 90 days to keep in line with the deadline. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/20/2026 Number Present: 12 Completed Date: 3/20/2026 Age: From 3 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance with rated license visit was to monitor for child care requirements applicable to a child care center and evaluate the program’s license. Upon my arrival I was greeted by the Director, Martisha Williamson, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted April 8, 2025. The center is operating under a Four Star License that was issued October 27, 2023. The last sanitation inspection was conducted on March 10, 2026, the center received an “Superior” rating. The last fire inspection was completed on January 6, 2026. Fire drills and playground inspections were monitored. There are no new staff and two children’s files. Transportation was monitored. The compliance rating in 93% before today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 1, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the fenced outdoor area, there are three wooden benches, the benches should be removed due to exposed wood chipped wood and rotted wood. 10A NCAC 09 .0601(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). One staff had an expired criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two children did not have discipline policies on file. .1804(b) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Director has not implemented any of the EPR requirements. .0607(c) The above violation must be corrected immediately, and a letter must be sent to me no later than April 3, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by April 3, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of 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. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Make sure all staff are in WORKS. The Director stated she will retake the Emergency Preparedness training to come in compliance with ERP requirements. Remove the benches from the playground or cover them with something to make the broken areas inaccessible to the children. When using a different form than what is provided by DCDEE make sure all the information that is required is on the form. Send your staff and training worksheets March 25, 2026. When conducting fire drills, conduct them at a variety of times though out the day. Rated License Information-QRIS The Director is currently unsure about which pathway will be chosen. The center currently has a 4 star license. We discussed the following: • The center meets enhanced ratios • The family and community engagement requirements • CQI plans for the facility and the staff • Education for the staff, send a list of staff to me with their positions and birth dates. • The Director will review the approved curriculum and formal assessments and choose one that best fits the needs of the children. • The requirements for coaching/hours for administrator and lead teachers. • Formal assessments must be completed annually for each child. • The application for assessment. A copy of the pathway requirements, family and community engagement requirements and CQI plan requirements was left with the Director during today's visit. Once you decide on the Pathway, please email me the Rated License application, which is located on the DCDEE website under provider documents along with the required documents. Make your choice within the next 90 days to keep in line with the deadline. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 3/20/2026 Number Present: 12 Completed Date: 3/20/2026 Age: From 3 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance with rated license visit was to monitor for child care requirements applicable to a child care center and evaluate the program’s license. Upon my arrival I was greeted by the Director, Martisha Williamson, she assisted me during today’s visit. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. The last annual compliance visit was conducted April 8, 2025. The center is operating under a Four Star License that was issued October 27, 2023. The last sanitation inspection was conducted on March 10, 2026, the center received an “Superior” rating. The last fire inspection was completed on January 6, 2026. Fire drills and playground inspections were monitored. There are no new staff and two children’s files. Transportation was monitored. The compliance rating in 93% before today’s visit. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 1, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In the fenced outdoor area, there are three wooden benches, the benches should be removed due to exposed wood chipped wood and rotted wood. 10A NCAC 09 .0601(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). One staff had an expired criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Two children did not have discipline policies on file. .1804(b) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Director has not implemented any of the EPR requirements. .0607(c) The above violation must be corrected immediately, and a letter must be sent to me no later than April 3, 2026 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter by April 3, 2026 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of 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. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance Make sure all staff are in WORKS. The Director stated she will retake the Emergency Preparedness training to come in compliance with ERP requirements. Remove the benches from the playground or cover them with something to make the broken areas inaccessible to the children. When using a different form than what is provided by DCDEE make sure all the information that is required is on the form. Send your staff and training worksheets March 25, 2026. When conducting fire drills, conduct them at a variety of times though out the day. Rated License Information-QRIS The Director is currently unsure about which pathway will be chosen. The center currently has a 4 star license. We discussed the following: • The center meets enhanced ratios • The family and community engagement requirements • CQI plans for the facility and the staff • Education for the staff, send a list of staff to me with their positions and birth dates. • The Director will review the approved curriculum and formal assessments and choose one that best fits the needs of the children. • The requirements for coaching/hours for administrator and lead teachers. • Formal assessments must be completed annually for each child. • The application for assessment. A copy of the pathway requirements, family and community engagement requirements and CQI plan requirements was left with the Director during today's visit. Once you decide on the Pathway, please email me the Rated License application, which is located on the DCDEE website under provider documents along with the required documents. Make your choice within the next 90 days to keep in line with the deadline. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. You can also reach my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov or336-580-2527 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: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: MONA NDIAYE Operation Type: Center Case Number: Visit Date: 10/24/2025 Number Present: 16 Completed Date: 10/24/2025 Age: From 3 To 5 Total Minutes: 77 Time In: 09:33 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements. Upon my arrival I was greeted by the Director. The facility currently operates under a Four Star License that was issued on October 27, 2023. The last annual compliance visit was conducted on April 18, 2025, 2025. The last sanitation inspection was completed March 12, 2025 with a “Superior” classification. The last fire inspection was conducted December 16, 2024. I completed a walk-through of the classrooms, attendance was documented, and observations were made. The children were observed participating in free play in their classrooms. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted which included, General Licensing Requirements, Program Requirements, Staff Records, Staff Child Ratio, Supervision, Medications and General Safety. One new staff file was monitored. Today I observed the following violation(s) regarding the Child Care Requirements Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. This procedures were not posted. .1003(b) 1041 Prior to employment a Criminal Background Check was not completed. One new staff was caring for children but did not have a criminal background check completed. It is process as of today's visit. G.S. 110-90.2(b) The above violations must be corrected immediately, and a letter must be sent to me no later than November 7, 2025 stating how each item was corrected and a plan to maintain compliance with the requirement. My email address is mona.ndiaye@dhhs.nc.gov. If I do not receive your letter November 7, 2025 and/or if you do not address all violations, a return visit to your program will be made to monitor for compliance of violations and to obtain your compliance letter. Additional violations may be documented if the situation has not been corrected or addressed. You were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of 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. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Technical Assistance In addition to keeping attendance electronically, keep a paper attendance as well. I have attached via email the sample pick-up and drop off procedures. L. Johnson does not have a current criminal background check, the system states the check is processing. Have Ms. Johnson check her email daily for her CBC qualifying letter, once received add it to her personnel file. Ms. Johnson cannot care for children until she receives her qualifying letter. Preparing for North Carolina's New QRIS System We spoke briefly about the new QRIS system, go to the DCDEE website, click on what’s new and review the charts for pathways 1 and 2. A technical assistance visit will be scheduled to proceed with the QRIS. The Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Starting later this year, providers will be able to choose from three star-rating pathways—Program Assessment, Classroom & Instructional Quality, or Accreditation—allowing you to align your strengths with the rating method that best fits your program. Now is the time to evaluate your current practices, staff credentials, curriculum use, and classroom interactions to determine which pathway is the best fit. Programs are encouraged to begin preparing for updates to staff qualification standards and assessment tools. While existing star ratings will remain valid for now, all new star ratings will be subject to the new system. Your program’s quality should reflect not just compliance—but a commitment to best practices, child development, and continuous improvement. Stay informed, stay proactive, and take advantage of technical assistance and training opportunities as they become available. For more information and guidance, visit https://ncchildcare.ncdhhs.gov. Resources The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at mona.ndiaye@dhhs.nc.gov or by phone at 336-580-5417. 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 .1003 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/8/2025 Number Present: 16 Completed Date: 4/8/2025 Age: From 3 To 5 Total Minutes: 180 Time In: 09:20 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was for conducting Annual Compliance monitoring. The center’s last Annual Compliance visit was April 15, 2024. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. Upon arrival to the facility, I was greeted by a staff member, the center’s director, Martisha Williamson, was present today, and assisted me during today’s visit. We conducted a walkthrough of the indoors and outdoors of the facility. Attendance was taken and observations made. The children were observed participating in teachers’ directed activities, indoor free play, group time activities, and routines and having lunch. The last Fire Inspection was conducted on December 16, 2024, and was approved for daytime care only. The last Sanitation Inspection was conducted on March 12, 2025, and a ‘Superior’ classification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio charts. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. I monitored transportation requirements. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The grass was not cut/maintained on the playground. 15A NCAC 18A .2832(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The one first aid kit and the emergency triangles case, were not secured on the bus. This was corrected during the visit. The director locked them in an overhead bin at the front of the bus. 10A NCAC 09 .1003(c) 1868 When equipment on the outdoor learning environment met one of the exceptions outlined in .0605(m)(1-4), the protective surfacing did not meet the specifications in rule. The mulch is washed away beneath playground equipment. .0605(m)(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. Staff failed to include all to the required Nine 9(9)topics when acquiring the Health and Safety Trainings. Medication Administration Training was omitted from documentation of this training. .1103(b) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with this letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before April 22, 2025. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received by my office or before, April 22, 2025, a follow-up visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: All staff are required to take each of the nine topics in the Health and Safety training models. This will include the renewal of Health and Safety training every five (5) years. Therefore, staff should be reminded that the two-hour medication administration training is one of the required topics in rule. Adequate depth of surfacing must be maintained beneath equipment 18’ or higher. To ensure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, items which may become “projectiles in the unfortunate case of an accident. These include the first-aid kit, and the case of emergency triangles. This was corrected during the visit. RESOURCES: North Carolina Child Care Rules and Law -https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d -https://nrckids.org Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2318 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CRUMP VILLAGE EDUCATION AND RESOURCE CENTER Facility ID: 01000640 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 19 Completed Date: 4/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced visit was conducted to complete the Annual Compliance monitoring. The center’s last Annual Compliance visit was April 19, 2023. The center currently operates with a Four (4) Star License, which was issued on October 27, 2023. The center earned four points in program standards, five points in education and, the quality point. Ms. Turkessha Casterlow, Child Care Consultant, accompanied me during today’s visit. Upon arrival to the facility, we were greeted by the center’s director, Martisha Williamson, who assisted us during today’s visit. Attendance was taken and observations made. The children were observed participating in a teacher directed activities, indoor free play, outdoor gross motor activities, having lunch and resting. The last fire inspection was conducted on December 1, 2023 and was approved for daytime care. The last sanitation inspection was conducted on February 29, 2024 and a “Superior” certification was achieved. A full assessment of child care requirements was conducted during this date. I monitored program requirements, including postings such as, permit with restrictions maintained, summary of laws, daily schedule, First-Aid posters and the staff/child ratio chart. I monitored program records, a sampling of children’s records, staff personnel files, medical files and in-service trainings. The following violations were observed cited and technical assistance was provided. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's file did not contain a results of TB test. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members did not complete the required number of trainings for education and experience. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tire tread on the front two tires and the right rear tires did not meet requirements. .1002(b) 1314 Emergency information did not name child's health care professional. Hospital preference was not documented on two children's applications. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment or medical exam. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization record was not available for review for one child's file. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before May 2, 2024. Please include your facility name, ID number, and an electronic signature in your e-mail. If the compliance letter has not been received, by my office on or before May 2, 2024, a follow-up visit may be conducted to ensure that steps have been taken to achieve requirements and compliance. You were provided an opportunity to ask questions regarding Child Care Requirements. We discussed each of violations cited this date. TECHNICAL ASSISTANCE: IMMUNZATIONS: 7.2 .01 All states and territories have vaccination requirements for children attending early care and education programs. These requirements are important for keeping the rate of vaccination high and the rate of vaccine-preventable diseases low. Exemptions from vaccination requirements may apply to some children. Vaccination requirements and permitted exemptions vary by area. Check state, territorial, or tribal guidance for current information for your program. For information on state requirements and mandates, visit: https://www.immunize.org/laws/#exempt. https://nrckids.org/CFOC/Database/7.2.0.1 CHILD CARE CENTER RECORD RETENTION 10A NCAC 09 .2318 All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), (6) Each child care center shall retain records for children as follows; Child Medical Report, Rule .0302(d)(2); Immunization Record, Rule .0302(d)(2) EMERGENCY MEDICAL CARE: 10A NCAC 09 .0802 (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS - 10A NCAC 09 .0701 (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. The most recent Amended Eff. February 1, 2021. ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT 10A NCAC 09 .1103 (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. TRANSPORTATION: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (1) ensure that vehicles used to transport children are free of hazards such as but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch; (2) ensure that vehicles used to transport children comply with all applicable State and federal laws and regulations; (3) ensure that vehicles are insured for liability as required by State laws governing transportation of passengers pursuant to G.S. 20-279.21. RESOURCES: North Carolina Child Care Rules and Law https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d https://nrckids.org/CFOC/Database/7.2.0.1 Thank you for your assistance during today's visit. If you have any questions, you may call me at 336-894-0609 or email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times