G.S. 110-90 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 13 Completed Date: 5/13/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to follow-up on the Annual Compliance Visit conducted on April 29, 2024, based on the violations that were cited. Caroline Sykes, Childcare Licensing Consultant accompanied me during today's visit. This documentation was reviewed with the new center director Ms. Kiki McEntyre. Upon arrival, I was greeted by Ms. Kiki. We completed a general walk through of four (4) classrooms. The children from three classrooms were observed playing outside with their caregivers. The children in the infant classroom were engaged with their caregiver doing a fun activity on the floor. During this visit, a partial assessment of Child Care Requirements was conducted. The items monitored were Supervision, Staff/Child Ratio, CPR/FA training, General Safety, Age Appropriate Activities, Adequate/Approved Space, Program Records, and Permit Restrictions. The following violations were cited: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. K. McEntyre did not complete her criminal background check prior to employment. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). K. McEntyre did not submit the required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 27, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number TECHNICAL ASSISTANCE: We spoke to Ms. Kiki in detail informing her that based on her not having submitted the required paperwork for a criminal background check within the required timeframe and not having a criminal records qualifying letter she can not be on the daycare premises. After speaking with someone from the criminal records check unit Ms. Kiki paperwork is missing her needed fingerprints. Ms. Kiki informed us that she has an appointment in her hometown on this Friday May 17th. So at the conclusion of today's visit Ms. Kiki was no longer observed on daycare premises. In addition, I did receive the corrective action letter during today's visit and the following item numbers will need an extension request for more time in getting corrected. I will send the documentation correction extension request to my Licensing Supervisor, Kaye Adkins for May 28, 2024. 1. 1042-Several staff files still need updated information 2. 1044-Staff member need to complete criminal records requalification submission for new qualifying letter 3. 1048/1049-CPR and First Aid training is scheduled for all staff members on May 23, 2024 4. 1311-One child needs an updated application with emergency contact If you have any additional questions or concerns I can be reached at (919) 259-5860. In addition, you can contact my Licensing Supervisor at kaye.adkins@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 15 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license issued on 5/13/22. Today’s visit was conducted with you, Erin Webb, Assistant Director. Ms. Webb informed me that the past Center Director retired in February and a new Center Director will be starting in May. Due to the Assistant Director covering lunch breaks no one accompanied me during today's walk-through. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were observed resting on their mats upon arrival. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. Due to so many changes that are taking place at the facility only a sampling of children’s records was completed. In regards to staff records the staff and training worksheet was discussed but due to records not being available a return visit will be made with-in two weeks to review these records in detail. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 5/9/23. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 4/20/23. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In classroom space 2 (2/3's) there was no activity plan posted and in classroom space 3 (Tod's) the activity plan was dated 9/5/2023. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child in the infant classroom did not have proper authorization form completed for Aquaphor. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review during today's visit. .0606(g) 1042 Accurate records were not maintained for all staff. Seven employee's did not have accurate records maintained on-site during today's visit. G.S. 110-91(9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). H. Wright qualifying expired on 3/1/2024. G.S. 110-90.2(b) & .2703(n)&(o) 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. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated annually for one child present in care. .0802(c) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 13, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE I reviewed in detail the importance of making sure Safe Sleep Charts are completed showing that the staff member has visually checked on sleeping infants aged 12 months or younger and the documents are maintained for a minimum of one month. When it comes CPR/First Aid I told Ms. Webb that this can be completed prior to employment or within 90 days after an employee is hired. These training are only good for two years. The Fire Inspection just expired on April 20, 2023. I informed Ms. Webb to print the fire inspection form off the provider documents tab and call them ASAP to have them come out and complete this required inspection. Lastly, it is very important that all files are maintained and accurate. I discussed with Ms. Webb the importance of completing the staff and training worksheet and as employee's leave to update this form accordingly. RESOURCES The discussion came up during today's visit regrading weighted blankets. I informed Ms. Webb that the following applies: Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use in license child care facilities for children thirteen months or older. Blankets of any type are prohibited for children aged zero to twelve months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically states no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 3. Your preparation year will begin July 1, 2025 and will end on June 30, 2026. Your assessment year begins July 1, 2026. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 15 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license issued on 5/13/22. Today’s visit was conducted with you, Erin Webb, Assistant Director. Ms. Webb informed me that the past Center Director retired in February and a new Center Director will be starting in May. Due to the Assistant Director covering lunch breaks no one accompanied me during today's walk-through. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were observed resting on their mats upon arrival. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. Due to so many changes that are taking place at the facility only a sampling of children’s records was completed. In regards to staff records the staff and training worksheet was discussed but due to records not being available a return visit will be made with-in two weeks to review these records in detail. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 5/9/23. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 4/20/23. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In classroom space 2 (2/3's) there was no activity plan posted and in classroom space 3 (Tod's) the activity plan was dated 9/5/2023. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child in the infant classroom did not have proper authorization form completed for Aquaphor. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review during today's visit. .0606(g) 1042 Accurate records were not maintained for all staff. Seven employee's did not have accurate records maintained on-site during today's visit. G.S. 110-91(9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). H. Wright qualifying expired on 3/1/2024. G.S. 110-90.2(b) & .2703(n)&(o) 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. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated annually for one child present in care. .0802(c) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 13, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE I reviewed in detail the importance of making sure Safe Sleep Charts are completed showing that the staff member has visually checked on sleeping infants aged 12 months or younger and the documents are maintained for a minimum of one month. When it comes CPR/First Aid I told Ms. Webb that this can be completed prior to employment or within 90 days after an employee is hired. These training are only good for two years. The Fire Inspection just expired on April 20, 2023. I informed Ms. Webb to print the fire inspection form off the provider documents tab and call them ASAP to have them come out and complete this required inspection. Lastly, it is very important that all files are maintained and accurate. I discussed with Ms. Webb the importance of completing the staff and training worksheet and as employee's leave to update this form accordingly. RESOURCES The discussion came up during today's visit regrading weighted blankets. I informed Ms. Webb that the following applies: Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use in license child care facilities for children thirteen months or older. Blankets of any type are prohibited for children aged zero to twelve months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically states no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 3. Your preparation year will begin July 1, 2025 and will end on June 30, 2026. Your assessment year begins July 1, 2026. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 15 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license issued on 5/13/22. Today’s visit was conducted with you, Erin Webb, Assistant Director. Ms. Webb informed me that the past Center Director retired in February and a new Center Director will be starting in May. Due to the Assistant Director covering lunch breaks no one accompanied me during today's walk-through. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were observed resting on their mats upon arrival. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. Due to so many changes that are taking place at the facility only a sampling of children’s records was completed. In regards to staff records the staff and training worksheet was discussed but due to records not being available a return visit will be made with-in two weeks to review these records in detail. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 5/9/23. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 4/20/23. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In classroom space 2 (2/3's) there was no activity plan posted and in classroom space 3 (Tod's) the activity plan was dated 9/5/2023. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child in the infant classroom did not have proper authorization form completed for Aquaphor. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review during today's visit. .0606(g) 1042 Accurate records were not maintained for all staff. Seven employee's did not have accurate records maintained on-site during today's visit. G.S. 110-91(9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). H. Wright qualifying expired on 3/1/2024. G.S. 110-90.2(b) & .2703(n)&(o) 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. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated annually for one child present in care. .0802(c) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 13, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE I reviewed in detail the importance of making sure Safe Sleep Charts are completed showing that the staff member has visually checked on sleeping infants aged 12 months or younger and the documents are maintained for a minimum of one month. When it comes CPR/First Aid I told Ms. Webb that this can be completed prior to employment or within 90 days after an employee is hired. These training are only good for two years. The Fire Inspection just expired on April 20, 2023. I informed Ms. Webb to print the fire inspection form off the provider documents tab and call them ASAP to have them come out and complete this required inspection. Lastly, it is very important that all files are maintained and accurate. I discussed with Ms. Webb the importance of completing the staff and training worksheet and as employee's leave to update this form accordingly. RESOURCES The discussion came up during today's visit regrading weighted blankets. I informed Ms. Webb that the following applies: Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use in license child care facilities for children thirteen months or older. Blankets of any type are prohibited for children aged zero to twelve months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically states no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 3. Your preparation year will begin July 1, 2025 and will end on June 30, 2026. Your assessment year begins July 1, 2026. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 15 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license issued on 5/13/22. Today’s visit was conducted with you, Erin Webb, Assistant Director. Ms. Webb informed me that the past Center Director retired in February and a new Center Director will be starting in May. Due to the Assistant Director covering lunch breaks no one accompanied me during today's walk-through. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were observed resting on their mats upon arrival. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. Due to so many changes that are taking place at the facility only a sampling of children’s records was completed. In regards to staff records the staff and training worksheet was discussed but due to records not being available a return visit will be made with-in two weeks to review these records in detail. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 5/9/23. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 4/20/23. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In classroom space 2 (2/3's) there was no activity plan posted and in classroom space 3 (Tod's) the activity plan was dated 9/5/2023. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child in the infant classroom did not have proper authorization form completed for Aquaphor. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review during today's visit. .0606(g) 1042 Accurate records were not maintained for all staff. Seven employee's did not have accurate records maintained on-site during today's visit. G.S. 110-91(9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). H. Wright qualifying expired on 3/1/2024. G.S. 110-90.2(b) & .2703(n)&(o) 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. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated annually for one child present in care. .0802(c) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 13, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE I reviewed in detail the importance of making sure Safe Sleep Charts are completed showing that the staff member has visually checked on sleeping infants aged 12 months or younger and the documents are maintained for a minimum of one month. When it comes CPR/First Aid I told Ms. Webb that this can be completed prior to employment or within 90 days after an employee is hired. These training are only good for two years. The Fire Inspection just expired on April 20, 2023. I informed Ms. Webb to print the fire inspection form off the provider documents tab and call them ASAP to have them come out and complete this required inspection. Lastly, it is very important that all files are maintained and accurate. I discussed with Ms. Webb the importance of completing the staff and training worksheet and as employee's leave to update this form accordingly. RESOURCES The discussion came up during today's visit regrading weighted blankets. I informed Ms. Webb that the following applies: Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use in license child care facilities for children thirteen months or older. Blankets of any type are prohibited for children aged zero to twelve months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically states no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 3. Your preparation year will begin July 1, 2025 and will end on June 30, 2026. Your assessment year begins July 1, 2026. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: UNC HORIZONS CHILD DEVELOPMENT CENTER Facility ID: 68000530 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 4/29/2024 Number Present: 15 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 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 your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Your program currently operates with a Five-star license issued on 5/13/22. Today’s visit was conducted with you, Erin Webb, Assistant Director. Ms. Webb informed me that the past Center Director retired in February and a new Center Director will be starting in May. Due to the Assistant Director covering lunch breaks no one accompanied me during today's walk-through. I monitored classrooms in use for compliance with staff/child ratios, supervision, capacity, group size and staff interaction/discipline. Children were observed resting on their mats upon arrival. The facility was monitored for health and safety requirements both indoors and outdoors. Program requirements, along with equipment and furnishings complied. All inspections and drills were current. Due to so many changes that are taking place at the facility only a sampling of children’s records was completed. In regards to staff records the staff and training worksheet was discussed but due to records not being available a return visit will be made with-in two weeks to review these records in detail. A checklist was also used to monitor compliance. The last annual compliance visit was conducted 5/9/23. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 4/20/23. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In classroom space 2 (2/3's) there was no activity plan posted and in classroom space 3 (Tod's) the activity plan was dated 9/5/2023. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. One child in the infant classroom did not have proper authorization form completed for Aquaphor. 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. This was not available for review during today's visit. .0606(g) 1042 Accurate records were not maintained for all staff. Seven employee's did not have accurate records maintained on-site during today's visit. G.S. 110-91(9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). H. Wright qualifying expired on 3/1/2024. G.S. 110-90.2(b) & .2703(n)&(o) 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. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This was not completed within required timeframe for four employee's and one employee's training expired 3/2023. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. This was not updated annually for one child present in care. .0802(c) In order to comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be sent to me by May 13, 2024. The letter must address each violation and explain how it has been corrected. Please send this to Marcia.Humphrey@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the center was 100%. According to NC General Statute 110-90 (4)(d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE I reviewed in detail the importance of making sure Safe Sleep Charts are completed showing that the staff member has visually checked on sleeping infants aged 12 months or younger and the documents are maintained for a minimum of one month. When it comes CPR/First Aid I told Ms. Webb that this can be completed prior to employment or within 90 days after an employee is hired. These training are only good for two years. The Fire Inspection just expired on April 20, 2023. I informed Ms. Webb to print the fire inspection form off the provider documents tab and call them ASAP to have them come out and complete this required inspection. Lastly, it is very important that all files are maintained and accurate. I discussed with Ms. Webb the importance of completing the staff and training worksheet and as employee's leave to update this form accordingly. RESOURCES The discussion came up during today's visit regrading weighted blankets. I informed Ms. Webb that the following applies: Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use in license child care facilities for children thirteen months or older. Blankets of any type are prohibited for children aged zero to twelve months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically states no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. RATED LICENSE INFORMATION Rated License assessments have resumed, and your facility is in Cohort 3. Your preparation year will begin July 1, 2025 and will end on June 30, 2026. Your assessment year begins July 1, 2026. -Use this time to make sure all your staff have a WORKS account with updated education information. -Review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). -Request technical assistance from CCSA in preparation for completion of the ITERS and ECERS assessments. RULE CHANGES EFFECTIVE 1/1/24 We discussed child care rule changes effective 1/1/24 for child care centers. For specific details and training regarding these changes, please ensure you have the January 2024 Child Care Rulebook and enroll to view information in the DCDEE Moodle. The training modules about these rule changes can be found in the January 2024 Child Care Rule Rollout. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 259-5860 or by email at Marcia.Humphrey@dhhs.nc.gov. My Licensing Supervisor can also be reached at Kaye.Adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times