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Home › NC › Canton › Meadowbrook After School
85 Morningstar Road, Canton NC 28716 · License #44000112 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .3203 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3205 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3207 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3219 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3221 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/9/2025 Number Present: 13 Completed Date: 12/9/2025 Age: From 5 To 10 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. Ms. Ball was available during today’s visit to assist as needed. The indoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-five (85%) percentage as of 12/09/25. This program is owned and operated through Haywood County Public Schools. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 12/13/24. The last fire drill was practiced on 11/17/25. The last shelter-in-place drill was practiced on 10/22/25. The Emergency Medical Care plan was posted and is current. Lead water testing was completed on 11/06/25 without hazards. Lead paint and asbestos testing is listed as survey reviewed by RTI. Upon arrival, I announce my presence and the purpose of the visit. The children were observed during gym time, snack time, which consisted of pizza pita, cheese sticks, broccoli with ranch, peaches and milk and during center time in the afterschool classroom. The program currently uses afterschool classroom, gym, and playground. 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 provide transportation through the Haywood County Schools buses during summer camp. Buses are not in use at this time. The following violations were written: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required First Aid training within 90 days of employment. One staff was hired on 09/03/25 and one staff was hired on 09/10/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) new staff files were reviewed today and it was noted that they had not completed the required CPR training within 90 days of employment. One (1) staff was hired on 09/03/25 and one (1) staff was hired on 09/10/25. .1102(d) Technical assistance: Item 1048 First Aid and Item 1049 CPR Staff must complete the training within 90 days of employment. Please keep in mind that distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. A completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. First aid and CPR instructors must be certified by an approved agency. A list of approved trainers can be located through https://ncchildcare.ncdhhs.gov/ CPR and First Aid training shall be renewed on or before expiration of the certification. The training must include content appropriate for the ages of children in care. CPR and First Aid training can no longer be counted toward on-going training hours (contact hours). Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 23, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 5 To 11 Total Minutes: 150 Time In: 03:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Kim Ball, Program Coordinator. Upon my arrival I spoke with Stephanie Benson, the Administrator, and explained the reason for my visit. Ms. Benson gave verbal permission for Ms. Ball to sign today’s visit summary. A printed copy was left on-site. Ms. Ball was present during my visit and assisted me with items needed. This program is owned and operated through Haywood County Public Schools. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percentage as of April 23, 2025. Permit type – Four-star Center License issued on June 05, 2020. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. The last fire drill was practiced on March 21, 2025. The last shelter-in-place drill/lockdown drill was practiced on March 25, 2025. The last Fire Inspection was conducted on May 16, 2024. Last Sanitation Inspection was conducted on April 07, 2025 with zero (0) demerits and a superior rating. The Emergency Medical Care Plan is posted and current. The following items were monitored today: Supervision Staff Child Ratios Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions No new staff members have been hired since the facility’s last Annual Compliance visit on December 13, 2024. Upon my arrival I introduced my presence to Ms. Ball and explained the reason for my visit. I observed the children in the during free play in activity areas like trains, Barbies, playdough, drawing materials, Legos, and housekeeping. Children were observed having snack which consisted of a peanut butter and jelly sandwich, cheese stick, dried cranberries, carrots with ranch and milk. The children are currently using the after-school classroom, the gym and the playground area outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for snack was not posted. 10A NCAC 09 .0901(b) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by May 08, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Consultation was provided as follows: A new fire inspection is due in May. I suggest going ahead and contacting your Fire Inspector and scheduling a time to complete the inspection. 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.” Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Lead Paint and Asbestos Testing: will be conducted with the public school. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0901 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 5 To 11 Total Minutes: 150 Time In: 03:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Kim Ball, Program Coordinator. Upon my arrival I spoke with Stephanie Benson, the Administrator, and explained the reason for my visit. Ms. Benson gave verbal permission for Ms. Ball to sign today’s visit summary. A printed copy was left on-site. Ms. Ball was present during my visit and assisted me with items needed. This program is owned and operated through Haywood County Public Schools. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-one (81) percentage as of April 23, 2025. Permit type – Four-star Center License issued on June 05, 2020. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. The last fire drill was practiced on March 21, 2025. The last shelter-in-place drill/lockdown drill was practiced on March 25, 2025. The last Fire Inspection was conducted on May 16, 2024. Last Sanitation Inspection was conducted on April 07, 2025 with zero (0) demerits and a superior rating. The Emergency Medical Care Plan is posted and current. The following items were monitored today: Supervision Staff Child Ratios Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions No new staff members have been hired since the facility’s last Annual Compliance visit on December 13, 2024. Upon my arrival I introduced my presence to Ms. Ball and explained the reason for my visit. I observed the children in the during free play in activity areas like trains, Barbies, playdough, drawing materials, Legos, and housekeeping. Children were observed having snack which consisted of a peanut butter and jelly sandwich, cheese stick, dried cranberries, carrots with ranch and milk. The children are currently using the after-school classroom, the gym and the playground area outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for snack was not posted. 10A NCAC 09 .0901(b) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by May 08, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Consultation was provided as follows: A new fire inspection is due in May. I suggest going ahead and contacting your Fire Inspector and scheduling a time to complete the inspection. 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.” Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. Criminal Background Portal/ABCMS: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Lead Paint and Asbestos Testing: will be conducted with the public school. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 0 Completed Date: 1/17/2025 Age: From 0 To 0 Total Minutes: 60 Time In: 01:00 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify of the following violations had been corrected. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. A copy of this visit summary was emailed to Stephanie Benson, Administrator, for a signature as well Today, Ms. Ball assisted me. There were no children present during this visit. A letter of compliance was submitted, however, the corrections were dated for future dates and therefore, could be marked as corrected. Item 1035- Emergency Information marked corrected Item 1041 and Item 1757- Today you reported and submitted a signed statement that MM has not worked since she does not have her Qualification Letter and that she will not be allowed to be on-site until she has her Qualification Letter. Once she receives her letter please send me a copy. Item 1048 and Item 1049- First Aid and CPR training was completed on 01-08-2025. I have marked this item corrected. Item 1432 and Item 1449-You reported that all orientation is completed at Central Office when a new employee is hired and that information is available there. Today you completed the Public Schools Off-Site Verification Form for Staff Records. Item 1897- Staff members still need to complete the required training. This was written has a repeat violation. The following violation was written. Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff members' files on 12-13-24 it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1703 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 0 Completed Date: 1/17/2025 Age: From 0 To 0 Total Minutes: 60 Time In: 01:00 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify of the following violations had been corrected. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. A copy of this visit summary was emailed to Stephanie Benson, Administrator, for a signature as well Today, Ms. Ball assisted me. There were no children present during this visit. A letter of compliance was submitted, however, the corrections were dated for future dates and therefore, could be marked as corrected. Item 1035- Emergency Information marked corrected Item 1041 and Item 1757- Today you reported and submitted a signed statement that MM has not worked since she does not have her Qualification Letter and that she will not be allowed to be on-site until she has her Qualification Letter. Once she receives her letter please send me a copy. Item 1048 and Item 1049- First Aid and CPR training was completed on 01-08-2025. I have marked this item corrected. Item 1432 and Item 1449-You reported that all orientation is completed at Central Office when a new employee is hired and that information is available there. Today you completed the Public Schools Off-Site Verification Form for Staff Records. Item 1897- Staff members still need to complete the required training. This was written has a repeat violation. The following violation was written. Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff members' files on 12-13-24 it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 0 Completed Date: 1/17/2025 Age: From 0 To 0 Total Minutes: 60 Time In: 01:00 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to verify of the following violations had been corrected. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Kim Ball, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. A copy of this visit summary was emailed to Stephanie Benson, Administrator, for a signature as well Today, Ms. Ball assisted me. There were no children present during this visit. A letter of compliance was submitted, however, the corrections were dated for future dates and therefore, could be marked as corrected. Item 1035- Emergency Information marked corrected Item 1041 and Item 1757- Today you reported and submitted a signed statement that MM has not worked since she does not have her Qualification Letter and that she will not be allowed to be on-site until she has her Qualification Letter. Once she receives her letter please send me a copy. Item 1048 and Item 1049- First Aid and CPR training was completed on 01-08-2025. I have marked this item corrected. Item 1432 and Item 1449-You reported that all orientation is completed at Central Office when a new employee is hired and that information is available there. Today you completed the Public Schools Off-Site Verification Form for Staff Records. Item 1897- Staff members still need to complete the required training. This was written has a repeat violation. The following violation was written. Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff members' files on 12-13-24 it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 31, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0901 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2510 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-90 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 11 Completed Date: 12/13/2024 Age: From 5 To 8 Total Minutes: 170 Time In: 03:10 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was not completed on -site due to limited time of operation at the facility. Violations written below were discussed with Kim Ball, Program Coordinator during the visit. I explained to Ms. Ball that a formal report would be written and submitted to her within a few hours of my departure. I request that Ms. Ball sign the submitted visit summary and send it back to me within 24 hours. An electronic signed copy of the visit summary was electronically emailed to you, Ms. Ball on 12/13/24 at 9:35pm. Ms. Ball assisted me during the visit. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 12-13-2024. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation using the DPI school buses. School buses were not on-site today. The last annual compliance visit was conducted on 10/09/24. This visit was delayed due to Tropical Storm Helene and the State of Emergency that was issued for Western North Carolina counties including Haywood County. The last fire drill was practiced on December 13, 2024. The last shelter-in-place/lockdown drill was practiced on June 03, 2024. A lockdown drill was practiced during my visit today. The last fire inspection was approved on May 16, 2024. The last sanitation inspection was conducted on December 09, 2024 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence to Ms. Ball and explained the reason for my visit. I reviewed four (4) children’s files. There were eleven (11) children present with two (2) group leaders. Children were observed eating snack which, consisted of chips and salsa, cheese dip, cheese stick, carrots with ranch and milk. Children were also observed during outdoor and indoor free play. Due to the partially completed Staff and Training Worksheet, all staff members’ files were monitored. There was not a Public School Off-side Records verification form for staff files and children’s files available, but this form was discussed with Ms. Ball and copies were emailed to her. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was for November 2024. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 09/07/2024. .0604(t); .0302(d)(5) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) of five (5) staff files reviewed today did not have an updated Emergency Information Form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. After review of five (5) staff files it was noted that Madison Martin did not have a Criminal Background Check prior to employment. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. After review of five (5) staff memebrs' files it was noted that three (3) staff (CB, HG, MM,) had not completed the required training within 90 days of employment. .1102(d) 1430 Assistant group leaders were not 16 years of age and/or had not completed Basic School Age Care (BSAC) training. After review of five (5) staff memebrs' files it was noted that one (1) staff (MM,) had not completed the required BSAC training . .2510(d) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first six (6) weeks of employment. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of five (5) staff files it was noted that all five (5) staff had not completed the required orientation topics within the first two weeks of employment. .2510(i)(1)(A-D) 1757 A valid qualification letter was not on file and available to review at the facility. After review of five (5) staff files it was noted that Madison Martin did not have a valid qualification letter on file and available to review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was dated 06/03/2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of five (5) staff memebrs' files it was noted that four (4) staff (CB, HG, MM, MP ) had not completed the required training within 90 days of employment. .1102(g) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also, by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 805 Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1035 Emergency Information Form: one or before each staff member’s first day of employment they must have the Emergency Information Form completed and on file. It is important that this form is updated as changes occur. I would suggest selecting a specific day that these forms are updated and reviewed each year for example the first day of the new school year. By keeping your Staff and Training Worksheets up to date you will also have reminder of when these forms were last completed for each employee. Item 1041 Criminal Background Check: All employees must have a Criminal Background Check prior to employment. Madison Martin may not return to work until she has a qualification letter on file. Item 1757 Qualification Letter: Madsion Martin must have a qualification letter on file before she can return to work Item 1048 First Aid and Item 1049 CPR There must always be some on staff with current First Aid and CPR training. Staff must complete the training within 90 days of employment. Item 1430 BSAC: Basic School Age Care training must be completed within three months of employment. This training is available through many sources including Southwestern Child Care Commission https://www.swcdcinc.org/basic-school-age-care-bsac-resources. Registration is always open, and the training is self-paced, can be started and stopped as much as need be. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Item 1432 and Item 1449 Orientation: A copy of the DOCUMENTATION OF STAFF ORIENTATION CENTERS: SCHOOL-AGE was emailed to you. All topics listed must be reviewed with new hires within the required time frame. Orientation is an important way for staff to learn about the program and expectations. Item 1811 Emergency Drills: A lockdown or a shelter-in-place drill are required to be conducted at least every three months to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. I suggest setting yourself a monthly reminder. Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 27, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0302 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. 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 .0304 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0701 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0803 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2506 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2510 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. 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
G.S. 110-106 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. 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
GS 110-91 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 11 Completed Date: 4/15/2024 Age: From 6 To 10 Total Minutes: 180 Time In: 02:30 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kyra Deeter, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stephanie Benson, Administrator. Kyra Deeter, Program Coordinator was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of 4/13/24. Permit type – Four-star center license issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The playground does not meet playground safety standards. The last annual compliance visit was conducted on 10/9/23. The last fire drill was practiced on 1/18/24 per emergency drill log. The last shelter-in-place drill was practiced on 1/26/24. The last fire inspection was approved on 2/8/23. Please notify the Fire Marshall to complete the fire inspection or the space used by the after-school program. The last sanitation inspection was conducted on 3/1/24 with zero (0) demerit for a superior classification. The Emergency Medical Care (EMC) plan was posted but not current. The current EMC plan was maintained in the staff information files. Please post the current EMC plan. Upon arrival, I announced my presence and the purpose of the visit. From the time children arrived to 3:20 pm, Ms. Deeter had eleven (11) children. At 3:20 pm, a second staff member arrived and joined the group. The staff member who arrived at 3:20 pm is a Teacher Aide, who is sixteen (16) years of age. The staff member took a child, who is eight (8) years of age, to the bathroom. The children washed their hands upon arriving to the program and went to the playground to play. There were multiple climbers, swings, a tire swing, and a slide structure on the playground. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. After the transition, the children had snacks. Today, the children had PB & J Uncrustable, a cheese stick, carrots, ranch, an apple and milk. The items were accurately listed on the menu. One (1) new staff member’s file were monitored in full, and three (3) existing staff member’s files were monitored for criminal background letters, CPR/First Aid certificates and BSAC certificates. The new staff member had a valid criminal background letter, medical statement and TB screening result. ABCMS system was monitored, and the letter is valid in the system as well. One (1) staff member did not have BSAC certificate in the file, and the other staff member did not have current CPR/FA certificate in the file. One (1) child is on an emergency medication. The child brings his/her medication with him/her. The child was not in attendance today. The action plan is valid, but the medication authorization form was not in file. No hazardous items were observed during the visit. Interaction was adequate. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. After coming in from outside, four (4) children used the bathroom, but other seven (7) children did not wash their hands. The group had snack in the classroom after coming in from outside. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 1/18/24 per emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. One (1) child is on epi-pen, and the medication authorization form was not in file. 10A NCAC 09 .0803(4)(6-9) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. At two (2) separate occasions during the visit, the teacher aide accompanied a child to the bathroom without supervision from the other qualifying staff member. GS 110-91(8) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The new teacher aide hired on 3/26/24 did not have emergency information form in file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The current First Aid certificate was not in file for staff member, CW. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The current CPR certificate was not in file for staff member, CW. .1102(d) 1424 School-aged children were not adequately supervised. At 3:42 pm, eleven children entered the room while Ms. Deeter held the door. Nine of them left the classroom unsupervised, and four rushed to the bathroom without informing Ms. Deeter. Among the four (4) children who used the bathroom, three (3) were eight (8) years old, and one (1) was seven (7) years old. Once all the children were inside, Ms. Deeter and the Teacher Aide followed the children to the hallway. By that time, only two (2) children were in the classroom, four (4) were in the bathroom, one (1) was in the adjacent classroom, and four (4) were in the hallway. .2506(d)(1-3) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. BSAC training certificate for the program coordinator was not in file for review. Per interview, the staff member stated that he/she completed the training but verification was not completed due to lack of the certificate. .2510(j) Technical assistance was provided as follows: 608: Handwashing The children shall wash hands prior to eating. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 805: Monthly fire drill Fire drills are required monthly. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 847: Medication Authorization 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. 1024: Teacher Aide Teacher Aide who is sixteen (16) or seventeen (17) years of age cannot supervise one (1) or more children without supervision of qualified staff member listed below. § 110-91. Mandatory standards for a license. (8) Qualifications for Staff. – All child care center administrators shall be at least 21 years of age. All child care center administrators shall have the North Carolina Early Childhood Administration Credential or its equivalent as determined by the Department. All child care administrators performing administrative duties as of the date this act becomes law and child care administrators who assume administrative duties at any time after this act becomes law and until September 1, 1998, shall obtain the required credential by September 1, 2000. Child care administrators who assume administrative duties after September 1, 1998, shall begin working toward the completion of the North Carolina Early Childhood Administration Credential or its equivalent within six months after assuming administrative duties and shall complete the credential or its equivalent within two years after beginning work to complete the credential. Each child care center shall be under the direction or supervision of a person meeting these requirements. All staff counted toward meeting the required staff-child ratio shall be at least 16 years of age, provided that persons younger than 18 years of age work under the direct supervision of a credentialed staff person who is at least 21 years of age. All lead teachers in a child care center shall have at least a North Carolina Early Childhood Credential or its equivalent as determined by the Department. Lead teachers shall be enrolled in the North Carolina Early Childhood Credential coursework or its equivalent as determined by the Department within six months after becoming employed as a lead teacher or within six months after this act becomes law, whichever is later, and shall complete the credential or its equivalent within 18 months after enrollment. For child care centers licensed to care for 200 or more children, the Department, in collaboration with the North Carolina Institute for Early Childhood Professional Development, shall establish categories to recognize the levels of education achieved by child care center administrators and teachers who perform administrative functions. The Department shall use these categories to establish appropriate staffing based on the size of the center and the individual staff responsibilities. Effective January 1, 1998, an operator of a licensed family child care home shall be at least 21 years old and have a high school diploma or its equivalent. Operators of a family child care home licensed prior to January 1, 1998, shall be at least 18 years of age and literate. Literate is defined as understanding licensing requirements and having the ability to communicate with the family and relevant emergency personnel. Any operator of a licensed family child care home shall be the person on-site providing child care. The Commission shall adopt standards to establish appropriate qualifications for all staff in child care centers. These standards shall reflect training, experience, education and credentialing and shall be appropriate for the size center and the level of individual staff responsibilities. It is the intent of this provision to guarantee that all children in child care are cared for by qualified people. Pursuant to G.S. 110-106, no requirements may interfere with the teachings or doctrine of any established religious organization. The staff qualification requirements of this subdivision do not apply to religious-sponsored child care facilities pursuant to G.S. 110-106. 1035: Emergency Information form All staff members shall complete emergency information form on or prior to first day of work. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1048: First Aid 1049: CPR First Aid and CPR training shall be completed within ninety (90) days of employment and renewed before they expire. The training certificate shall be maintained in the staff file. If certification is not available, proof of attendance can be filed in place for the certification for a reasonable time period. If you did not receive the training certificate, please contact your trainer and request one. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017. Training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov 1424: Supervision of school-age children 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; and (3) When emergencies necessitate that direct supervision is impossible for brief periods of time. 1921: BSAC Please print the certificate and maintain it in the staff file. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Due to violation of item 1424, an unannounced follow-up visit will be conducted. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/29/24. 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: Teacher Aide: Teacher Aide staff member can be counted in ratio, but he/she cannot be left alone with a group of children without supervision of other qualified staff member. I suggest using the bathroom prior to going outside to reduce the occasion when the whole group has to be coming in to use the bathroom. Children older than nine (9) can go use the bathroom on their own as long as the staff members know where the child is. When the group in coming in from outside, ask a child to hold the door or one (1) staff comes in before the children do. Please share the rules with the children so that they don't rush themselves to the hallway upon transition to inside. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was conducted on 1/26/24. Please conduct one this month. Training: The following training shall be completed within limited timeline by the Teacher Aide: • Recognizing and Responding to Suspicions of Child Maltreatment before 6/24/24. • BSAC training before 3/26/24 • CPR and First Aid training before 6/24/24. It must include child First Aid and CPR. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0102 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0302 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0604 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0802 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: MEADOWBROOK AFTER SCHOOL Facility ID: 44000112 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 0 Completed Date: 10/9/2023 Age: From 0 To 0 Total Minutes: 125 Time In: 02:40 PM Time Out: 04:45 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 Stephanie Benson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Stephanie Benson, Administrator, was present partially during the visit. Due to staff shortage, the after school program was closed today. The notification of closing was not communicated prior to the visit. Due to Annual compliance visit is due before 10/24/23, and the program is expected to close frequently, an Annual compliance visit was conducted today to review the staff files, children’s files and program records were conducted today. Additional unannounced visit will be conducted when children are present. The visit was unannounced. 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-three (93) percentage as of 10/6/23. Permit type – Four-star Center License issued on 6/5/20. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground does not meet playground safety standards. This site is approved for transportation. The last annual compliance visit was conducted on 10/24/22. The last fire drill was practiced on 10/4/23. The last shelter-in-place/lockdown drill has not been practiced this school year. The last lockdown drill was practiced on 4/3/23. The last fire inspection was approved on 2/8/23. The last sanitation inspection was conducted on 5/12/232 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I found out that the program was closed today. I reviewed three (3) children’s files, two (2) staff members, including one (1) new staff file, and program records including posters and other documents were reviewed. A Public-School Off-Site Records Verification form for children’s records were available. On children’s information form, some emergency information is listed, but no preferred choice of health care professionals and authorization for emergency medical care was not signed by child’s parent and available to staff member on the first day of school. A Public-School Off-Site Records Verification form for staff’s records were available. Per ABCMS, all three (3) staff members’ criminal background letters are current. Activity plans and schedule were posted. Refrigerator temperature was thirty-eight (38) degrees, first aid poster, license, sanitation poster were posted. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Check marks, instead of arrival and departure time, were used to record children's attendance. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid first aid certificate. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Administrator who directly cares for the children did not have a valid CPR certificate. .1102(d) 1314 Emergency information did not name child's health care professional. The child's information sheet available to staff members does not include preferred health care professional(s). .0802(c)(2) 1317 Authorization for emergency medical care information was not signed by child's parent. The children's information sheet does not include parent/guardian's signature to authorize emergency medical care. .0802(d) 1319 Medical authorizations were not accessible to staff. Signed medical authorization for each child was not accessible to staff members due to applications being maintained at off-site location. .0802(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded shelter-in-place/lockdown was practiced on 4/3/23. Shelter-in-place/lockdown drill has not been practiced this school year. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 125: Daily record or arrival and departure: Daily attendance record shall include arrival time and departure time. A check mark is not sufficient. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Emergency Medical Care: 1314: The parent/guardian’s preferred choice of health care professional(s) shall be included in the child’s emergency medical care information. 1317: Parent’s/guardian’s signature to authorize emergency medical care is required. 1319: Emergency medical care authorization shall be accessible to staff members. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional; (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. 1811: Shelter-in-place/Lockdown Drills Shelter-in-place/lockdown drill shall be conducted within ten (10) days of first day of school and every three (3) months thereafter. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Meadowbrook After School is in Cohort two (2). Your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the assessment. Incident report: Incident reports shall be maintained in the “children’s file”. Since all children’s documents are in one (1) file, this information may be confusing. When incident reports are filed in children’s files, it needs to be in individual child’s file. Therefore, incident report shall be maintained along with child’s application and other documents. Training Certificates: Training certificates for Health and Safety training and on-going training shall be maintained in staff files for review. Please keep the training log and training certificates together for verification. For part-time staff members, required on-going training hours are as follows: (d) Any staff working less than 40 hours per week may choose to complete on-going training requirements as outlined in Paragraph (a) of this Rule, or the training requirement may be prorated as follows: WORKING HOURS PER WEEK: 0-10, CLOCK HOURS REQUIRED: 5 WORKING HOURS PER WEEK: 11-20, CLOCK HOURS REQUIRED: 10 WORKING HOURS PER WEEK: 21-30, CLOCK HOURS REQUIRED: 15 WORKING HOURS PER WEEK: 31-40, CLOCK HOURS REQUIRED: 20 Reminder: CW’s first aid and CPR certificate will expire on 12/7/23. Please renew the certificate prior to its expiration date. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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