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Home › NC › Canton › Bethel Elementary After School
4700 OLD River Road, Canton NC 28716 · License #44000135 · Center · Child Care Center
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10A NCAC 09 .0901 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3203 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3205 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3207 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3219 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3221 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
GS 110-91 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/5/2025 Number Present: 24 Completed Date: 12/5/2025 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Macie Lanning, Program Coordinator. An electronic copy was emailed to Amanda Watson, Administrator, for a signature as well. Today, Ms. Lanning, was available to assist as needed. The indoor were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percent as of 12/05/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024. The last fire drill was practiced on11/21/2025. The emergency drill (lockdown) drill was practiced on 09/24/2025. The Emergency Medical Care plan was posted and is current. The program does not provide transportation during the school year but uses activity buses provided through Haywood County Public Schools for summer camp. Due to the Staff and Training Worksheet not being completed, all staff members’ files were monitored. There was a Public School Off-side Records verification form for staff files and children’s files available. Six (6) staff members’ files were monitored and five (5) children’s files were monitored Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of cereal with milk, cheese stick, tomatoes with ranch, and a fruit smoothie. After snack, the children were played in the gym with portable gross motor equipment and other materials. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored on the floor in the gym all together on top of each other with little to no separation in between them. G.S. 110-91(6) 428 A current activity plan was not posted for each group of children for reference. There was not an activity plan posted for the week of December 01 through 05. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The snack menu for December was not posted on the parent information board located just outside of the gym. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of all staff files it was noted that one (1) staff member did not have emergency information on file and another staff member had not updated their emergency information for 2025. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of all staff files it was noted that one (1) staff member did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of all staff files it was noted that one (1) staff member had not completed the required on-going training hours as required. The staff member currently works six (6) hours a week and would need to complete five (5) hours of on-going training a year. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of all staff files it was noted that one staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. After review of all staff files it was noted that one (1) staff member did not complete the required health and safety training topics within one year of employment. .1102(a) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items in ways that allow space between to reduce the spread of germs. Item 428 in North Carolina childcare, activity plans are vital because they ensure developmentally appropriate, engaging, and safe learning, meeting state standards (like the NC Early Childhood Action Plan) by providing structure, fostering key skills (cognitive, social, emotional), promoting consistency, and keeping educators organized and responsive to each child's needs, ultimately supporting holistic growth. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. M. Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: M. Martin must have a qualification letter on file before she can return to work Item 1052 Ongoing training in NC childcare is crucial for ensuring child safety, promoting healthy development, and improving program quality, keeping staff updated on best practices, regulations (like CCDBG mandates for health/safety), and new strategies, ultimately leading to better child outcomes, higher staff retention, and more competitive, reputable programs. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 19, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 18 Completed Date: 6/12/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 04:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Macie Lanning, Program Coordinator. A signed copy of the visit summary was electronically emailed to you due to printer connectivity issues. Ms. Lanning was available during part of the visit to assist with paperwork. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 5/22/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024 The last fire drill was practiced on 06/09/2025. The emergency drill (lockdown) drill was practiced on 06/09/2025. The last sanitation inspection was conducted on 5/02/25 with two (2) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children were observed during free play in the gym and departure. Four (4) new staff members’ files were monitored. According to the Staff records Verification Form the following information is housed in the main office at the school and are maintained by Amanda Caldwell: Application Medical Form with TB test or Screening Results Annual Health Questionnaires Documentation of Orientation Criminal Background Check Verification Credential/ Equivalency Verification Signed Personal and Operational Policy Receipt and Statement Job Description Receipt Statement Annual Staff Evaluations Annual Staff Development Plans Please note that these files may be pulled at anytime for review. Based on the date of hire staff each staff member has time to complete CPR/First Aid, BSAC, Recognizing and Responding to Suspensions of Maltreatment training at this time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During today's visit children were observed in the office area which had cans of aerosol cans of spray paint. .2820(b) Technical Assistance: Item #840 any items in an aerosol cans must be stored in a locked cabinet or closet. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. This item was corrected during your visit today. Consultation was provided as follows: Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place until June 30, 2025. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Lead Paint and Asbestos Testing: is being conducted with the public school. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937r, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 18 Completed Date: 6/12/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 04:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Macie Lanning, Program Coordinator. A signed copy of the visit summary was electronically emailed to you due to printer connectivity issues. Ms. Lanning was available during part of the visit to assist with paperwork. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percent as of 5/22/2025. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 12/09/2024 The last fire drill was practiced on 06/09/2025. The emergency drill (lockdown) drill was practiced on 06/09/2025. The last sanitation inspection was conducted on 5/02/25 with two (2) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children were observed during free play in the gym and departure. Four (4) new staff members’ files were monitored. According to the Staff records Verification Form the following information is housed in the main office at the school and are maintained by Amanda Caldwell: Application Medical Form with TB test or Screening Results Annual Health Questionnaires Documentation of Orientation Criminal Background Check Verification Credential/ Equivalency Verification Signed Personal and Operational Policy Receipt and Statement Job Description Receipt Statement Annual Staff Evaluations Annual Staff Development Plans Please note that these files may be pulled at anytime for review. Based on the date of hire staff each staff member has time to complete CPR/First Aid, BSAC, Recognizing and Responding to Suspensions of Maltreatment training at this time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ There were no violations written. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During today's visit children were observed in the office area which had cans of aerosol cans of spray paint. .2820(b) Technical Assistance: Item #840 any items in an aerosol cans must be stored in a locked cabinet or closet. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. This item was corrected during your visit today. Consultation was provided as follows: Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place until June 30, 2025. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Lead Paint and Asbestos Testing: is being conducted with the public school. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937r, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0701 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2506 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 28 Completed Date: 12/9/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 03:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to computer issues and limited time of operation at the faclity. Violations written below were discussed with Macie Lanning, Program Coordinator during the visit. I explained to Ms. Lanning that a formal report would be written and submitted to her within a few hours of my departure. I requested that Ms. Lanning sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Lanning on 12/09/24 at 10:10pm. Today, Macie Lanning, Program Coordinator, was available to assist as needed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty (80) percent as of 12/09/2024. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/23/23. This facility’s Annual Compliance visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for counites including Haywood County in Western North Carolina in September 2024. The last fire drill was practiced on11/14/2024. The emergency drill (lockdown) drill was practiced on 10/22/2024. The last fire inspection was approved on 10/04/2024. The last sanitation inspection was conducted on 5/14/2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Two (2) groups of school-age children were observed in the cafeteria preparing for snack. Snack consisted of peanut butter and jelly sandwiches, cheese sticks, strawberries, blueberries, carrots, ranch and milk. After snack, the children were divided into two (2) different. One (1) group completed homework and reading in the cafeteria, while the other group played in the gym with portable gross motor equipment. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Lanning and copies were emailed to her. Five (5) staff members’ files were monitored and five (5) children’s files were monitored I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Children's bookbags, coats and water bottles were all stored just outside the cafeteria door on the floor together on top of each other with little to no separation in between them. G.S. 110-91(6) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was not a current menu posted. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have a medical report on file. 10A NCAC 09 .0701(a) 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. After review of five (5) staff files it was noted that one (1) staff member (MF) did not have proof of tuberculosis test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) of five (5) staff files reviewed today did not have an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Four (4) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1424 School-aged children were not adequately supervised. While children were eating snack two male children were observed leaving the cafeteria and going out into the hallway without staff being aware they had left the space. Later on during the observation a female child walked out of the cafeteria into the hall way to get her water bottle with staff members not being aware she had left. .2506(d)(1-3) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed the required training within 90 days of employment. KS hired 09/2023 training completed 04/04/2024. NS hired 09/2023 training completed on 04/21/2024. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. Out of the five (5) staff files reviewed today two (2) staff members had not completed BSAC or had not completed it within the required timeframe. KS hired 09/2023 BSAC completed 04/04/2024. NS hired 09/2023 BSAC had not been completed. .2510(j) Technical Assistance: Item 205 Storage: I would suggest having children store their bookbags and other personal items on an individual stool in the cafeteria to reduce the spread of germs. Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item #1032 Medical When new employees begin work, it is important to be sure that they provide documentation of a medical report prior to employment. 1033 TB: When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. The new staff hired in 08/24 must have a new TB test or TB screening to show that she is free from active TB. Item 1034 Annual health questionnaire: after staff’s first year of employment, they must complete a health questionnaire or update their existing one. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1921 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced and e started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 20, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2510 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/3/2024 Number Present: 18 Completed Date: 4/3/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Lanning was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of 4/2/24. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/1/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill was practiced on 1//22/24. The last fire inspection was approved on 2/8/23. One of the staff members still needs to complete the fire safety training. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was not posted. The violation was corrected during the visit, and the current EMC was posted. Upon arrival, I announced my presence and the purpose of the visit. The group of school-age children gathered in the hallway outside of the cafeteria and washed their hands in the bathroom. The children had snacks in the cafeteria. Today’s snacks were turkey and cheese sandwich, carrots, ranch, peach cup and milk. These items were listed on the menu for 4/2/24. The snacks are supplied by the cafeteria for the elementary school, and the staff members do not know which snacks are provided each day. This is out of control for Ms. Lanning. After snack time, the group was separated into two (2) groups. Six (6) older children stayed in the cafeteria for homework/reading time, and twelve (12) younger children played games in the gym. The playground was monitored. There are two (2) slide structures, gave pit, swings, six (6) metal structures and climbers available to the children. The ground is graveled. No hazardous items were observed, and the equipment is in good repair. No children are on medication for this program currently. Five (5) existing staff files were reviewed for criminal background letters, CPR/First Aid training and other special training certifications. All staff members have valid CBC letters. Four (4) staff members have current CPR/FA certification in their files. One (1) staff member hired on 12/8/23 completed the CPR/FA training in March, 2024 per Ms. Lanning, but the staff member has not received the certification. Please contact the training provider to request a copy of the certification. One (1) staff member had a BSAC training certificate. One (1) staff member had Recognizing and Responding to Suspicions of Child Maltreatment training in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. There are two (2) aide (assistant group leader) staff member who are above sixteen (16) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(d) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. There are two (2) group leaders who are above eighteen (18) years of age. Neither staff member completed BSAC training within three (3) months of employment. .2510(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Four (4) staff members did not complete the maltreatment training within ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: 1430: BSAC training for group leaders 1445: BSAC training for the aides BSAC training shall be completed within three (3) months of employment. SECTION .2500 - CARE FOR SCHOOL-AGE CHILDREN 10A NCAC 09 .2510 STAFF QUALIFICATIONS (c) Staff who are responsible for supervising groups of school-age children (group leaders) shall be at least 18 years of age and have a high school diploma or its equivalent prior to employment and shall complete the BSAC training. (d) Staff who assist group leaders (assistant group leaders) shall be at least 16 years of age and shall complete the BSAC training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment training All staff members for your program shall complete Health and Safety training. The maltreatment training is part of the Health and Safety training. The Health and Safety training must be completed within 12 months of employment. However, the Child Maltreatment training must be completed within ninety (90) days of employment. Please complete the training immediately. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. Shelter-in-place/lockdown drill: You are due for a shelter-in-place, or a lockdown drill this month. Health and Safety training: All of your current staff members, including the aide, must complete health and safety training within 12 months of employment. The staff member hired on 4/14/23 shall complete the training before 4/23/24. As a part of health and safety training, all staff members shall complete Recognizing and Responding to Suspicions on Child Maltreatment training, which is due within ninety (90) days of employment. Please see the reference below regarding staff members who are exempt from the requirements. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/12/2024 Number Present: 17 Completed Date: 1/12/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 02:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during unannounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Amanda Watson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Carolina Watson, Group Leader, was available to answer questions. The indoor environment was monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Outdoor was not inspected due to strong wind and rain. Administrative Action written reprimand was issued on December 8, 2023. Due to the provider appealing for the decision, today’s follow-up visit was conducted. Continuous visit will be conducted every 4-6 weeks until the final decision on the Administrative Action is made. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percentage as of today. Permit type – Three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age children only, playground area does not meet child care playground safety standard, meets enhanced space. The last annual compliance visit was conducted on 10/17/23. The last fire drill was practiced on 11/20/23. The last lockdown drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children washed their hands upon arrival. They had snacks in the cafeteria. Today’ menu was graham crackers, yogurt, cheese sticks, carrots, ranch and milk. The posted menu was for the December. The children washed their hands in the bathroom after the snack and engaged in gross motor activities in the gym after snack. Various size and kinds of balls were available to the children along with accessories, such as racquet for ping pong ball, frisbee, etc. Manipulatives and some building materials were also available. No children are on medication currently. Five (5) existing staff members’ files were monitored for criminal background letters, First Aid/CPR certificate and BSAC certificate. One (1) staff member’s file were monitored in full. The new staff member started in the first week of December 2023. Criminal background letter was not in file for one (1) staff member. BSAC training certificate was not in one (1) staff member’s file. CPR/First Aid certificate was not in two (2) staff member’s files. One of the staff members who is missing CPR/First Aid certificate was mentioned in the annual compliance visit summary created on 10/17/24. Per compliance letter for the violation cited on 10/17/24, the compliance was met due to the staff leaving the program. The staff member was planning to come back during December holidays. The agreement was for the staff member to complete CPR/First Aid prior to coming back to work in December. Per interview with the staff member, online portion of CPR/First Aid was completed around 12/15/23, but the in-person training had not been completed. Today is the staff member’s last day for this program. The staff member is planning to return to the program during the summer time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The January menu was not posted on the bulletin board. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per emergency drill log, the last fire drill was conducted on 11/20/23. .0604(t); .0302(d)(5) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member, CW did not complete the required First Aid training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 did not have First Aid training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member, CW did not complete the required CPR training. CW worked for the program in October, left the program briefly and returned to the program in December 2023. The staff member was supposed to complete the training prior to returning to the program, but it was not completed. The staff member hired in September 2023 (NS) did not have CPR training certificate in file. Per staff member, the training was completed sometime in 2023. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill log, the last lockdown drill was conducted on 9/26/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 526: Menu Menu shall be posted where the parents and the cook (who prepare the meals) can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 805: Fire drills Fire drills are required monthly. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety(90) days of employment. Hybrid training (half online/half in-person) is accepted. The training certificate shall be renewed before its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete the certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. 1811: Shelter-in-place/lockdown drill A shelter-in-place or a lockdown drill is required every three months. The drill must be recorded on the emergency drill log at the time of the drill. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: I had a conversation with Ms. Watson, Administrator regarding the Administrative Action Written Reprimand issue on 12/8/23. Ms. Watson has contacted Raleigh to discuss the appeal process. Both parties have left messages several times but haven’t been able to catch each other on the phone. Ms. Watson is hoping to be able to talk to the representative in Raleigh to resolve the matter next week. Additional visit may be conducted until the Action is finalized. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
NC GS 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 33 Completed Date: 10/17/2023 Age: From 5 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Macie Lanning, Program Coordinator, was available today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 10/16/23. Permit type – three-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 10/25/22. The last fire drill was practiced on 8/29/23. The last shelter-in-place drill was practiced on 9/26/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/17/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. A group of school-age children arrived around 2:55 pm. The children were instructed to use the bathroom and wash their hands. Snacks were served after arrival. Today’s menu wase pizza munchable, frozen peach, carrots, ranch and milk. The menu was posted, and the items listed there matched the items served. After the snack, the group of children were divided into two (2) groups. One (1) group completed homework and reading in the cafeteria, while the other group played on the playground. The children played with slide structures, balance boards, spinners, climber, Gava pit and balls. Interaction and supervision were adequate. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. Although there was a Public School Off-side Records verification form for staff files and children’s files were available, copies of many documents were available to review in the staff file and children’s files. Five (5) staff members’ files were monitored. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment and BSAC training certificate for a staff member were misplaced according to Ms. Lanning. Please see the consultation to locate those documents. One of the staff members listed on the Staff and Training worksheet has not started due to challenges collecting documentation. Children’s files were monitored, and no violations were found. No hazardous products were accessible to children, and no children are on medication currently. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 8/29/23. .0604(t); .0302(d)(5) 853 Incident logs were not completed and maintained as required. There was no incident log for a review. .0802(g)(1-6) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member's (CW) first aid certificate expired on 10/6/23. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member's (CW) CPR certificate expired on 10/6/23. .1102(d) Technical assistance was provided as follows: 805: Fire Drills Fire drills are required to be completed monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 853: Incident log All incidents shall be logged on the incident log. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/. 1048 & 1049: First aid/CPR training All staff shall complete first aid and CPR training within ninety (90) days of employment and renew them prior to its expiration date. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/31/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: The due date for BSAC training for KS is 12/10/23. The due date for CPR/First Aid training for KS is 12/9/23. Recognizing and Responding to Suspicions of Child Maltreatment training: You may be able to retrieve the training certificate on the training website if the training was completed within the last twelve (12) months. Please visit https://www.preventchildabusenc.org/recognizing-responding-online-course/ and log onto the account. If the BSAC training from the Southwestern Child Development Commission, you can request the certificate from the organization. Please contact Karen Darby of Southwestern Child Development Commission at darby.karen@swcdcinc.org. Rated License Cohort: Bethel Elementary After School Care is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 to June 2025. During the last Rated License assessment, you scored five (5) points for education, two (2) points for Program standards, and one (1) point for quality point. In order for a group leader to score five (5) points, he/she must have at least two (2) semester hours of school-age college course or at least three hundred (300) hours of licensed school-care experience. In order to gain three hundred (300) hours of experience, a person who works approximately fifteen (15) hours/ week must work continuously for twenty (20) weeks. WORKS account: All staff members need to create a WORKS account and shall upload BSAC training as soon as possible. Upon reviewing your WORKS account, it looks like you need to submit an official transcript and a copy of BSAC training certificate. The WORKS unit contact is as follows: Division of Child Development and Early Education (DCDEE) Attn: Workforce Education Unit 2201 Mail Service Center Raleigh, NC 27699-2200 If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0703 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-106 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
GS 110-91 · Violation
Name of Operation: BETHEL ELEMENTARY AFTER SCHOOL Facility ID: 44000135 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0923-126L Visit Date: 9/14/2023 Number Present: 31 Completed Date: 9/14/2023 Age: From 5 To 10 Total Minutes: 185 Time In: 02:55 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 9/12/23 and sent to Kaoru Eddins, Child Care Consultant, on the same day. The reported concern is regarding staff/child ratio and staff qualifications. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Macie Lanning, Program Coordinator, during the visit. Limited monitoring of child care requirements occurred during my visit today including staff record, supervision, restrictions and staff/child ratios. Amanda Watson, Administrator was available during the visit. Macie Lanning, Program Coordinator arrived during the visit. Bethel Elementary After School operates with Three-star center license issued on 7/10/19 with restrictions: daytime care, school-age only, meets enhanced space, and playground area does not meet child care playground safety standards. Per report, the allegation is that a sixteen-year-old person is left in charge of a group of children. Upon arrival, I announced my presence to a teacher in a cafeteria who was with children enrolled in the afterschool program. This person was an elementary school teacher, but not an afterschool personnel. The teacher supervised a group of thirty-one (31) children from 2:55 pm to 3:05pm. At 3:05pm, Amanda Watson, Administrator, arrived to supervise children. Ms. Watson directed a few older children to go get snacks from the refrigerator and pass them to the children. All children washed hands prior to arriving. At 3:20 pm, a group leader (K.S) arrived and at 3:30 pm a substitute staff member (B.C) arrived. Per Ms. Watson, the staff member who is on the complaint report was absent today due to personal reasons, and the group leader arrived at 3:20 pm was running late due to traffic. Macie Lanning, program coordinator, is scheduled to be at work around 4:20 pm on Tuesdays and Thursdays. Ms. Lanning works from 2:30 pm to 6:00pm on Mondays, Wednesday, and Fridays. The staff member who is on the report is a sixteen (16) year-old high school student (A.P.). Per Ms. Lanning, A.P. started working for the program around February 2023. The staff member typically arrives at Bethel Elementary School around 3:30 pm and works Monday through Friday. Per Ms. Watson and Ms. Lanning, unqualified staff members supervise children on some days especially during arrival time. When substitute staff members cannot be arranged. There were some days when Ms. Lanning and A.P supervised children without additional staff members. The group leader, K.S started today, and there are two additional staff members for this program including Ms. Lanning and A.P as regular staff members. There are two (2) substitute staff members and one (1) potential substitute for this program. Both substitutes, the sixteen-year-old A.P, the group leader, K.S, Ms. Lanning and Ms. Watson have valid criminal background letter. Ms. Lanning, K.S, and A.P have valid medical statement and TB screen results. Ms. Lanning and A.P have a valid CPR/First aid certificate. There was no staff file for substitute staff members available for review. The phone interview for the sixteen-year-old student was attempted but not succeeded. Based on the observations and interview, the allegation of violation of staff/child ratio is substantiated. I observed a group of thirty-one (31) children being supervised by a staff member who does not meet qualification. Between 3:10 pm - 3:20 pm. Ms. Watson was only qualifying personnel for thirty (30) children. The allegation of staff qualification is also substantiated due to unqualifying staff member(s) supervision children enrolled in the after school program. Following violations were cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 2:55pm-3:10pm, an individual employed through Haywood County Schools, and not associated with the after school program supervised a group of thirty-one (31) children ranging from five (5) to ten (10) years of age. GS 110-91(7);.0713(a-d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Children were allowed in the kitchen area to distribute snacks to other children. There were aerosol butter cans, JANS disinfectant cleaner and ECOLAB Grease lift RTU accessible to children. .2820(b) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. Per interview with the Administrator and Program Coordinator, there were some days when the sixteen-year-old students were counted in staff/child ratios without supervising staff member who is at least twenty-one (21) years of age from February 2023 to July 2023 until the supervising staff member turned twenty-one years old. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1041 Prior to employment a Criminal Background Check was not completed. From 2:55 pm to 3:10 pm, a group of thirty-one (31) children were supervised by a staff member who did not complete criminal background check. The staff member was not in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff records for two (2) substitute staff and the administrator were not available during today's visit. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Children's attendance were taken during snack time and was not recorded upon arrival during today's visit. GS 110-91(9) 1757 A valid qualification letter was not on file and available to review at the facility. From 2:55 pm - 3:10pm, a group of thirty-one (31) children were supervised by a staff member who does not have criminal background qualification letter. G.S. 110-90.2(b) & (d) & .2703(e) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. Per accessible record, only staff member who is certified in CPR/First aid arrived at 4:20 pm. .1102(c-d) Technical Assistance were provided as follows: 301: Staff/Child ratios The staff/child ratios and group size shall be maintained at all times. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. (b) On or before the first day of work, the operator shall verify the age of substitute providers and volunteers and documentation of the substitute provider or volunteer's date of birth shall be maintained in the individual's personnel file in the center. Age shall be verified with any official document that provides a date of birth, such as a driver's license or birth certificate. (c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. (d) If the individual does not yet meet the staff qualifications required by G.S. 110-91(8) when assuming lead teacher or administrative duties, the individual shall submit to the Division documentation of completion of the coursework or credential to be considered for equivalency within six months of assuming the duties. 840: Storage of hazardous items Hazardous items, such as aerosol can, cleaning supplies shall be kept inaccessible to children by storing those items out-of-reach of children or in a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1026: General requirement Staff personnel who are responsible for a group of children shall be eighteen (18) of age or older. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (a) Child care providers, substitute providers, and uncompensated providers counted toward meeting the staff/child ratio requirements set forth in Rule .0713 of this Section shall meet the requirements of G.S. 110-91(8). No one under 18 years of age shall have responsibility for or be left in charge of a group of children. 1043: Record All records including administrator and substitute staff member shall be available for review. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. 1301: Attendance record Attendance record has to be logged as each child arrives. Arrival time and departure time for each child is required. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 1041 & 1757: Criminal Back Ground check and Qualifying letter All staff member who counts in staff/child ratios shall complete criminal background check and the qualifying letter shall be in staff file prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 1894: CPR/FA At least one staff member shall be present who had successfully completed First Aid and/or CPR training when children were in care. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/28/23. Due to nature of violations, follow-up visit(s) may be conducted. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Staff shortage: While the Division understands facility’s struggle with staff shortage, the Child Care rules shall be followed at all times. The qualified personnel shall have valid Criminal Background letter, TB screen, medical statement and Emergency information form. If a substitutes work more than ten (10) days, all required training shall be completed including CPR/First Aid, health and safety training, BSAC, etc. For detailed information, please visit our Division’s website and access file checklist. Teacher Aide: Teacher Aide is defined as a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher’s aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher’s aide and children in care. Administrative Action: Due to nature of violations, you may be considered for Administrative Action. If you do, you shall receive the Action approximately within forty-five (45) days from the date of follow-up visit. If you need assistance, you may contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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