10A NCAC 09 .0514 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .0802 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .0803 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .1703 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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 .2830 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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.

NC GS 110-90 · Violation

Name of Operation: CENTRAL UNITED METHODIST CHURCH PREKINDERGARTEN Facility ID: 4455033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/26/2024 Number Present: 26 Completed Date: 2/26/2024 Age: From 2 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 Tammy Gibson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Tammy Gibson, Administrator, accompanied me. Indoor and outdoor areas were monitored today, including 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 ninety-seven (97) percent as of 2/23/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Central United Methodist Church, Inc., is current/active as of 2/23/24. Permit type – Three-star center license issued on 3/22/23. Special Services/Restrictions – daytime care and meets enhanced ratios. The last annual compliance visit was conducted on 3/16/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 1/9/24. The last playground inspection was documented on 2/13/24. The last fire inspection was approved on 4/6/23. The last sanitation inspection was conducted on 12/18/23 with zero (0) demerit for a Superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of two-to-three-year-old children engaged in free play using housekeeping materials and manipulative toys. The teacher was working with a child and completing Dr. Seuss handprint art. Two (2) emergency medications and two (2) over-the-counter medications were maintained in the classroom. A permission form was not present for one (1) of the emergency medication. An emergency medication was administered in the past, but the record was missing a date. Space #2, #3, #6 were not in use during the visit. In space #4, a group of four-to-five-year-old children engaged in free play. The children played with a sand box and accessories, blocks, train tracks, Legos and art materials. The teacher worked with a child and traced his/her handprint. No medications were maintained in the classroom. In space #5, a group of three-year-old children engaged in free play. The children pretended to have a meal in the housekeeping center and played with blocks and pretended to be people. No medications were maintained in the classroom. In space #7, a group of one-to-two-year-old children had art activity at the table. The children used crayons and drew on the paper. Permission forms for diaper creams were valid. No emergency medications were maintained in the classrooms. The temperature for the refrigerator in the kitchen was forty (40) degrees. Two (2) playgrounds were monitored. On both playgrounds, there were portable equipment, such as portable slides, tunnels, metal vehicle structures, riding toys and other gross motor accessories. The playground by the front entrance has rubber mulch ground cover, and the other playground is covered with artificial grass. No hazardous materials were found. Two (2) existing staff files, three (3) new staff files and four (4) children’s files were monitored. all existing staff member’s staff development plans were past due. Ms. Gibson is currently working on the plans. Lunch was served during the visit. Today’s lunch was spaghetti with meat sauce, lettuce, carrots, tomato salad, bread, mixed fruits and milk. The items were listed on the menu. 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 847 Parent's medication authorization did not include required information. In space #1, there was no authorization to administer medication for an inhaler for a child. 10A NCAC 09 .0803(4)(6-9) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #1, an inhaler was administered for a child at some point, but the documentation of administering the medication was missing the date. .0803(13)(a-e); .2318(3) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were maintained with the incident log. .0802 (e) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Five (5) existing staff member's staff development plan was last completed on 2/16/23 and expired on 2/16/24. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 847: authorization form to administer medication. When you receive emergency medication for chronic conditions, such as asthma, allergy that requires epi-pen, seizures and diabetes must have an action plan and the authorization form to administer the medication. The authorization form must be signed by the child’s parent. The action plan can be filled out by the parent or a physician. Please ask the parent to fill out the authorization form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 851: Documentation of administering medication When prescription medication or over-the-counter medication rather than creams and lotions were administered, the documentation of the record shall be maintained for at least six (6) months. The documentation shall include the following information: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 852: Incident report Incident report shall be logged on the incident log and the report shall be maintained in the child’s file. Please file the incident report in each child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.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. 1232: Staff Development Plans: The staff development plan shall be completed annually. Please complete the plan for all existing staff members immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. 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 3/11/24. 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: Rated License Cohort: Central United Methodist Church Prekindergarten is in cohort three (3). You prep-year will be July 2025 through June 2026, and the assessment year will be July 2026 through June 2027. Health and Safety training: During a certain period, administering medications in child care training was not available on Moodle. The staff member hired on 12/7/23 completed all Health and Safety training except for the medication training. The staff member have to complete the training prior to 12/7/24. Diapering: We discussed diaper changing table in the classroom. Please see the following sanitation rules as reference: 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. For child care centers licensed for fewer than 13 children and located in a residence, and for diaper changing areas designated for school age children, a handwash lavatory shall be in or next to the diaper changing area. (b) Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. If diapering is performed on the floor in a toilet room, then a smooth, intact, nonabsorbent barrier that is clean and in good repair shall be placed on the floor to minimize cross-contamination. (c) Diapering surfaces shall be disinfected using an approved disinfectant. Approved disinfectants and detergent solution shall be kept in separate and labeled bottles at each diaper changing station. Approved disinfectants that are chlorine disinfecting solutions shall be stored in hand pump spray bottles. No cloths or sponges shall be used on diapering surfaces. (d) Child care center employees shall change a child's diaper as follows: (1) gathering supplies before placing child on diapering surface; (2) donning disposable gloves (if needed); (3) using disposable towelette or moistened paper towel to clean child, wiping front to back; (4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle; (5) wiping the child care center employee's hands and the child's hands each with a separate disposable towelette or moistened paper towel; (6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle; (7) fastening the diaper and placing clothing on child; (8) washing child's hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child's head, cleaning the child's hands with a disposable towelette or moistened paper towel, then drying the child's hands and returning the child to a supervised area; (9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels; (10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and (11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee. (e) Vinyl or latex disposable gloves shall be used by child care center employees during the diaper changing process if the employee's hands have cuts, sores, or chapped skin. (f) Child care center employees may dispose of feces from diapers in the toilet, but shall not rinse soiled cloth diapers, training pants, or clothes. Soiled cloth diapers, training pants, or clothes shall be sent to a diaper service or placed in a sealed plastic bag or other sealed container, stored out of reach of children, and sent home with the child on the same day to be laundered. (g) Receptacles containing soiled disposable diapers shall be emptied in a garbage area located outside the child care center building daily. (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. 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.